Emergency Transport – Brad Wilson

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?


-Get together with all emergency response teams to see what everyone can do or should do. 


-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.


-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.

Contact Brad: bwilson@hcec.com

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu


Joseph Eberhardteberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

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