Prehospital care in Ireland

Alan Batt DipEMT GradCertICP MSc(c) CCP

REPUBLIC OF

EMT• 160 hours education• 40 hours placement• NQEMT exam – MCQs & OSCEs• Basic Life Support• AED, supraglottic airway• Buccal/IM/IN medications

Paramedic• Two year university Diploma• Year one – didactic, skills labs,

clinical placements• Year two – didactic, supervised

internship, learning portfolio• NQEMT exam – MCQs, SAQs &

OSCEs (primary & secondary)• Intermediate Life Support• Manual defib, advanced airways• Buccal/IM/IN medication access

Advanced Paramedic• Two year university Grad Diploma• Year 1 – distance learning, clinical

placements, didactic, skills labs• Year 2 – distance learning,

supervised internship• Advanced Life Support• Intubation, IV/IO access• Expanded formulary• Cardioversion

Unified Control Centre

Direct to cath lab

• Paramedics in Ireland can activate cath lab direct based on ECG findings

• 2011 - 50% of STEMIs went direct to PPCI

• 2014 - 92%

Improve OHCA• Recognition• Measurement• Treatment• Outcomes

2016… ePCR

www.emsgathering.com

Acknowledgments• Shane Casey, Flickr – photos of NAS service

vehicles, used with permission.