1. Integrating Undergraduate First Aid Training with JNF Hospital St Kitts West Indies Kostas Alibertis NREMT-P Dr. Marcus Martin

2. Kostas Alibertis, NREMT-P Integrating Undergraduate First Aid Training with JNF Hospital, St Kitts West Indies FINANCIAL DISCLOSURE:  None UNLABELED/UNAPPROVED USES DISCLOSURE:  None Presenter Disclosure Information

3. Marcus Martin, MD Professor Vice President of Diversity and Equity University of Virginia FINANCIAL DISCLOSURE: UNLABELED/UNAPPROVED USES DISCLOSURE: Presenter Disclosure Slide

4. Interdisciplinary Program for undergraduates with interest in medical professions and public health and policy Federation of St Kitts and Nevis underdeveloped nation with limited access to training and exercise planning that has multiple risks for both natural and situational disasters. Overview

5. Hurricanes Earthquakes Volcanos Tourism - Cruise Ships Hazard Vulnerabilities

6. Training of UVA students –Disaster preparedness –Cultural nuisances and limitations –First Aid and CPR –Exercise knowledge utilizing drill/scenario Outreach to local medical staff and community –Disaster preparedness –Current guidelines –Topics of local interest –Exercise knowledge utilizing drill/scenario Opportunities

7. Students Lecture topics –Disasters and strategies to mitigate –Triage –Local public health considerations –Challenges –Review of actual past events eLearning First Aid and CPR with onsite skills Hospital and EMS staff Lecture topics –Cardiovascular Emergencies and current guidelines –Local priorities of healthcare –Large Event medical management topics –Review of local vulnerabilities –Implementation of a telemedicine connection Education

8. Application of Education: Drill Utilize students as patients and providers in a live MCI drill Utilize hospital staff and EMS Permissions granted through the Ministry of Health and governmental agencies of St Kitts

9. Abandoned Ft Thomas Hotel 20 Students moulaged Hospital staff and EMS crews not made aware of exercise Faculty provided safety oversight of drill Activation of the response Drill Design

10. Core of students with EMS/healthcare background provide initial care until local resources responded Ambulance arrived assisted with triage and transport of patients Hospital activated disaster plan Post incident debriefing with all “players” Post incident debriefing with students Best practices and improvements identified Exercise published for review and reference Drill

11. Students –Application of Triage and First Aid skills –First hand knowledge of “how things work” –Initial introduction into disaster response and management –Compare and contrast with actual events EMS and Hospital Staff –Application of triage and prioritization of patients in a resource limited system –Hospital activation of processes and procedures –Initial care of patients in the Emergency Department –Facilitated debriefing –Review and modification of existing protocols Lessons Learned

12. Questions?