3. This presentation is owned and was developed by the Far View Group and is intended as an educational tool. The developers of the product have taken certain creative liberty in the creation of this product and cannot be responsible for misinterpretation of facts, the changing nature of statistical information contained within or the method in which this product is presented. It is intended that this product will result in a greater awareness of prevention activities surrounding EMS and the Opportunities that may result from that awareness. It is the intent of the Far View Group the help others “Be their Best” through the sharing of information and Ideas. This product my be freely distributed in it’s original form only. The user of this product bears all responsibility For all outcomes of it’s use.

4. facilitated by Jeff Dyar

5. Why Are You In EMS? ßTo Help People ßExciting Career ßServe My Community

6. To Save Lives

7. Dashed Hopes Critical Stress Suicide Burn Out

8. Changing Environment ßWorkforce ßEconomics ßPublic Perception ßMission

9. Does EMS Really Work? ßScience has not proven it! ßEfficacy of many treatments are in doubt ß Mast Trousers ß Lights and Sirens

10. How is EMS Supposed to Work? ßMitigate injury or illness by providing rapid delivery of life sustaining care

11. Realities of Response ßSudden Cardiac Death 5% save ßCardiac Arrest (Trauma Induced) > 1% save Spend 80% of Equipment/Training on These

12. Redefining EMS ßRedirection of EMS Efforts to Prevention ßSuccess Stories ßFire Prevention 30% drop in fires/lives lost ßSeat Belts, Air Bags, Bike Helmets ßDrown Proofing

13. In Ten Years… Paramedics Nurses PA’s Won’t Exist … as we know them

14. How Do You Feel About That?

15. CBHCT Community Based Health Care Technician

16. Action is Always Faster Than Reaction - Martial Arts Teachings

17. … A few Statistics

20. Traumatic Brain Injuries ß2 million TBI’s each year ß373,000 require hospitalization ß56,000 result in death ß99,000 result in life long disabling conditions

21. TBI Causes

22. Who Sustains TBI’s ßMales 14 - 24, followed by infants and elderly ß30,000 children sustain disabling injuries ßMales twice as prone as Females

23. When Do TBI’s Occur ßMid-afternoons to evenings, weekends and summer months ßChildren are at risk in afternoon hours, after school ß43% on roads ß34% at home ß7% at recreation areas

24. Costs of TBI’s ß48.3 billion annually

25. Proactive efforts for TBI ßBicycle Helmets - decrease incidence by 85% ßEquestrian Helmets - 20% decrease in injury ßMotorcycle Helmets - Death rate twice as high in non-law states ßSeatbelts - 57% effective in preventing TBI ßAirbags/shoulder harnesses - 68% effective in preventing serious injuries ßSoft Surfaces at Playgrounds - thousands of TBI’s prevented each year if used ßLimit Access to Firearms (by children) - hundreds of brain injuries would be prevented

26. Sudden Cardiac Death ß500,000 SCD’s each year (200k age under 65) ß25% of all deaths under 50 y/o ßMajor Cause of SCD - previous heart disease or risk factors

27. Proactive Efforts for SCD ßScreening for Family History/Risk Factors ßRegular Exercise ßTesting for High Blood Cholesterol (over 230 mg/100cc’s of blood) ßDietary Counseling

28. Points of View ßThe Responder ßCitizen ßManaged Care ßGovernment

29. Why Change from Reaction to Proaction? ßIt’s cost effective ßit’s Defendable It’s the best way to invest human efforts to relieve human suffering

30. It’s cost effective ßSave $15 Billion on Emergency Treatment ßSave $400 Million on TBI Rehab (EMS Act of 1974 was funded with $120 million) The Above Represents 15,000 times that amount!

31. It’s Defendable ßEMS gets Recognition ßLocally ßFederally Scientifically/ Statistically Defendable

32. It’s the best way to invest human efforts to relieve human suffering ßPrevent 30,000 TBI Deaths/Year (1-34y/o’s) ßPrevent 35,000 SCD Deaths/Year ßRecapture 1.5 million years of Lost Life (Currently “Saving” 5000 with 80% Resource Commitment)

34. For more information, or presentation of this material at a conference or at your organizational site, please visit www.farviewgroup.com