Discussion topics: 
-Team paramedic and coordinates emergency care for on field. 
What are the classifications from paramedic to ECA, EMS, and Paramedic
-ECA – first responder. Couple weeks class
-EMT basic – everyone starts off at. Full college semester
-EMT advanced – Intubate and start IVs, and cardiac meds. Can’t RSI or DSI
-Paramedic – nationally and state certification; Two-year program and learn advanced cardiology and pharmacology
Difference: Licensed paramedics will have an AA in paramedics or a bachelor’s in emergency medicine. 
ATs are under the direction of a physician, how does that work with emergency medicine?
-Work under a medical director. Medical directors must be licensed by the state. Emergency certified physician.
Roll of team physician on the sideline?
-EAP’s 
-Get together with all emergency response teams to see what everyone can do or should do. 
-Communication
-EMS arrives, they take over control of the athlete and their protocols go into effect. 
Equipment removal in in-service?
-Discuss how far to go with equipment removal. 
-CPR of football, don’t remove helmet/shoulder pads, just face mask. Open shoulder pads to do CPR and place AED pads.
Organizing the annual practice, how should the AT approach it?
-Week before training camp starts. 
-Coordination through their contact. EMS Chief or president of the company. 
How long does the training last?
-Depends on how much you want to cover. 
-At least CPR, backboarding, trauma injury. 30 minutes each
-Debrief before and after. 
How can we educate EMS on what ATs can do?
-Invite EMS groups to your in-service to participate in the training process. 
-Look at each other’s protocols. 
-Get everyone’s education 
How much are protocols changing year to year?
-Generally, they don’t. Just based on technology and medical changes. 
Differences between rigs?
-BLS is a basic truck with 2 EMTs. Basic first aid/childbirth
-ALS truck for higher emergencies. 
What does it look like after EMS has taken over care and on the way to the hospital?
-After a report from AT, they do their own patient assessment. 
-After assessment, determine the care plan. Get vitals and stabilize life events. 
What is the most important information coming out of the report from an AT?
-Short and sweet
-This is what happened, what I did, what I found. 
Spine board or not to spine board?
-Depends on the medical director’s protocol. 
-Depends on the situation and if it will make the injury worse. 
-For the team, it might depend on the spine doctor/team physician. 
-Annual meeting to discuss spine boarding and log roll vs. 6-man lift.
Stories
-Professional baseball game. Baserunner ran into the catcher. The collision was bad. Amazing that there was only a broken nose. 
-Open femur fractures, concussions
Anything else to add?
-Communication is the number one key.
-Reach out to local EMS agency
-Athlete/patient comes first. 
-Find out each other’s capabilities.

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