AEMS EMT TRAINING ON JANUARY 19, 2015

Asia's Emergency Medical Services Institute, Inc.'s (AEMS) is a non-profit organization that aims to teach the right knowledge, skills and attitude to practice competently the art and science of pre-hospital emergency care.

AEMS intends to strengthen its mission objectives to create a culture of education that foster's a long-term commitment to healthy outcomes and reduction of health related risks among their students / graduates and their patients. Second is to build a professional training and education center with tie-ups with local educational institutions and local government units in the Philippines. AEMS is currently conducting the

With Chief Psalmer in his office in Kidapawan City

EMT and Emergency Medical Dispatch (EMD) Training  for government staff of Kidapawan City's Call 911 (City Disaster RIsk Reduction Management Office - CDRRMO).  After a careful review of AEMS EMT program, the EMS Chief of Call 911, Chief Psalmer Betralte,  board of director for Red Cross Kidapawan City Chapter and Red Cross Cotabato City issued his recommendation for AEMS training to commence immediately. The nine (9) weeks EMT/EMD Training for Call 911 started last September 15, 2014 and will end this November 20, 2014. It will be followed by 4 weeks of mentored ambulance training handling actual medical emergency cases.  AEMS EMT/EMD Training for Call 911 is the first EMS Training  conducted in Region 12 with AEMS EMT curriculum based on international criterion

Chief Psalmer Betralte with AEMS Paul Barson

combining the  best practices in pre-hospital emergency care from South Africa, UK and the US. The program is highly supported by the Honorable Mayor Joseph A. Evangelista who believes in providing the best pre-hospital emergency care for the citizens of Kidapawan City. All of Call 911's services are free for the public. AEMS will be having its next batch of EMT Training this coming January 19, 2015. AEMS strength are its seasoned paramedics who have more than 20 years of road experience and management expertise in the

EMS field. AEMS paramedic instructors are current and registered with and licensed for independent practice by Health Professions Council of South Africa.  Years of experience coupled with the knowledge of the latest protocols and procedures in patient care is what makes our paramedic instructors highly effective in their EMS Training.  Certification and registration for EMT, AEMT and Paramedic it will be under Australasia Registry of Emergency Medical Technicians (AREMT). 

For more info on AEMS Training Programs, please email info@asiaems.org

AEMS EMTs on Pre- Hospital Care Delivery

An Emergency Medical Technician (EMT) is an emergency responder trained to provide emergency medical services to the critically ill and in-jured.  Once thought of as an "ambulance driver", the modern EMT performs many more duties than in the past, and responds to many types of emergency calls, including trauma and medical emergencies such as heart attacks, stroke, hazardous materials exposure and childbirth. 

The above female child was delivered inside the ambulance at 2:48 a.m. and childbirth handled by two AEMS trained EMT's Philip Klarc and Ronn Gabriel last October 15, 2014 while on their way to the hospital. 

Photo : AEMS Nurse /EMT Philip Klarc with the newborn. 

Photo : AEMS/Lifeline EMT Ronn Gabriel with the newborn

PROCEDURE FOR OUT OF HOSPITAL DELIVERY:

One person takes charge, others play gofer as needed. In this case it was Philip Klarc who took charge. Philip graduated a nurse and took the full EMT course with AEMS. 

- Clear out non-helpful bystanders.

- Keep calm, keep voice low. 

- Set up clean area that won't accidentally get messed up by mother. 

- Lay out all necessary equipment, set up oxygen.

- Wash hands and arms if there is time. 

-Place clean drape under mother's buttocks (be prepared for gofer to clean away feces if necessary)

-Explain to mother what is happening, as it happens.

-As the perineum bulges, place hand gently but firmly over the introitus and the perineum, to prevent sudden uncontrolled expulsion of the fetal head. 

-Encourage the mother to pant or push very gently, explaining you want to avoid a tear.

- As the head emerges, keep firm gentle pressure on head and perineum until chin delivers.

- Feel for the cord behind the top ear. If found, gently tug to see if it will slip over the head. If tightly wrapped, clamp in 2 places and cut between.

- Suction the baby's mouth and nose. This is mainly important if the amniotic fluid is green or brown colored. Otherwise it's probably not a vital step and can actually cause breathing problems. 

[Note - It is important to suction the mouth before the nose. "The mouth is suctioned first to ensure that there is nothing for the infant to aspirate if he or she should gasp when the nose is suctioned." [From the AAP/AHA Textbook of Neonatal Resuscitation, rev. 3/95, p. 2-12.]

- After head rotates to face mother's thigh, gently press down on head to encourage the top shoulder to deliver.

- When you can see the baby's top armpit crease, lift up on the head to deliver the bottom shoulder. The rest of the baby should follow.

- Suction the baby's mouth and nose.

- Dry the baby vigorously, then DISCARD WET TOWELS and wrap the baby in dry warm clothes or blankets.

- Administer oxygen at 5 liters 1 1/2 inch from baby's face until trunk is pink and hands and feet less blue. Some cyanosis of extremities is expected. Keep rest of baby's trunk and head well covered while administering oxygen as the draft will chill the child.

- If not expected to get to the hospital soon, clamp and cut the cord 10-15 minutes after the birth. (clamp the cord about 3 inches from the abdomen, then 2 inches beyond that, and cut between the 2 clamps.)

- Place the baby on mother's chest, with head lower than feet to allow gravity to assist the baby in clearing the airway.

- Watch for sudden gush of blood and lengthening of cord. This means placenta has detached and is ready to be born. Provide gentle traction on the cord. Placenta will usually be pushed out easily by mother. If it doesn't, get to hospital as soon as possible. Normally, approximately one cup of blood is generally lost with the delivery of the placenta.

- After placenta born, immediately press fingers slowly and gently into abdomen at umbilicus - you'll feel the top of the uterus. It may be somewhat spongy or slightly firm or rock hard if she's having a contraction. Do slow and gentle circular massage to encourage contraction of the uterus. This is extremely important, especially if there's a constant flow of blood.

Expedite transport to hospital ASAP.

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AEMS IN TREEVOLUTION MINDANAO - A PROJECT OF DENR and MinDA

Calls to participate in Mindanao’s attempt to break the Guinness world record for the most number of trees planted in an hour at multiple sites.

The world record attempt, which will happen on September 26, aims to plant 4,636,000 trees at various sites covering a total area of 9,200 hectares within Mindanao. Dubbed as“TreeVolution: Greening MindaNOW,” the world record attempt is being co-organized by the Mindanao Development Authority (MinDA) and the Department of Environment and Natural Resources (DENR). 

The activity is designed to encourage massive participation by various stakeholders and sectors in efforts to hit the Mindanao target for the National Greening Program (NGP). It is also part of the long-term campaign by DENR and MinDA’s MindaNOW! Program to instill among Mindanawons the consciousness of a sustainable management of environment and natural resources as part of the larger efforts for climate change adaptation.

At the Forum and orientation of partner agencies and volunteers held in DENR Koronadal, South Cotabato :

With MinDA Chairperson Lualhati Antonino  and DENR Region XII Director Datu Tungko M. Saikol

DENR/PENRO of Kidapawan, North Cotabato Ms. Evylet with AEMS President Imee Callao.

Asia's EMS Institute, Inc. will serve as an EMS provider for said event this September 26, 2014 and will cover two planting sites for North Cotabato area.

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AEMS Levels of EMS Professionals

AEMS Scope of Practice Model defines and describes three (3) levels of EMS professionals. 

• Medical Responder (EMR) (Non - Professional) 

• EMT (

• Advanced EMT (AEMT)

• Paramedic

Each level of EMS professional differs in knowledge, skills, judgment, critical thinking, and decision making. Not every country recognizes all levels of EMS professionals. Although the various levels of EMS professionals may differ from one country to another,  all EMS professionals work to provide the best patient care at their level of training and expertise.

Each level of EMS professional has its own scope of practice. 

The  scope of practice for an EMT is not the same as the scope of practice for an AEMT or

a paramedic. Scope of practice is regulated by the state or country where the individual works and by the medical director.

As new technology or research appears, an EMS professional's scope of practice should change. These changes will reflect the new norms or expectations. An EMS professional can be legally liable if he or she functions outside his or her scope of practice.

Emergency Medical Responder 

                                                                     
A Certified Emergency Medical Responder (EMR) is an EMS professional who provides initial basic life support care to patients who access the EMS system. EMRs were formerly called first responders. An EMR must work with an EMT or higher level personnel during the transport of emergency patients.

Emergency Medical Technician 

A Certified Emergency Medical Technician (EMT) is the minimal level of training required  to transport a patient to an acute care facility. This level of EMS professional can provide non-invasive emergency care, including performing assessments, administering oxygen, and immobilizing a patient.   An EMT can assist patients in taking their own prescribed medications. An EMT can also administer specific over-the-counter medications (such as aspirin and oral glucose) with appropriate medical oversight. 

Advanced Emergency Medical Technician (AEMT) 

A Certified Advanced Emergency Medical Technician (AEMT) is an EMS professional who provides basic and limited advanced skills to patients who access the EMS system. An AEMT was formerly called an EMT-Intermediate. This level of EMS professional varies drastically from country to country .In some country  AEMT skills include giving  dextrose to patients who have a low blood sugar and starting intravenous lines. In other countries, AEMTs can perform advanced airway skills (including endotracheal intubation), apply cardiac monitoring, and give cardiac and respiratory medications. 

Paramedic

A cerified paramedic is the highest level of EMS professional in the pre-hospital setting. This level of EMS professional performs advanced assessments, advanced procedures, and medication administration. A paramedic is competent in all the skills of the EMR, EMT, and AEMT and also can perform a broader range of advanced procedures that the other levels cannot.

Specialized Levels

More specialized levels are specific to individual states like in South Africa, US and UK.  Generally, specialized levels are not replacements for the standard four levels, but rather additional training one can take after receiving the initial EMT or Paramedic credentials. For example :  A  wilderness EMT course is available for EMS personnel who work in remote areas. This course focuses on the long-term stabilization of patients within limited resources.

Paramedics are licensed healthcare professionals who provide the most extensive pre-hospital advanced life support. Paramedics provide care that is on par with that of the emergency room. During a medical emergency Paramedics can provide advanced life support care including: advanced airway management, endotracheal intubation (breathing tube), manual defibrillation, external transcutaneous pacing, EKG monitoring, 12-lead EKG acquisition, IV fluid therapy, intraosseus infusions, hemodynamic monitoring, needle chest decompressions, surgical airways, administration of a wide array of critical care medications and mechanical ventilation.

A certified and licensed critical care paramedic course teaches paramedics additional pharmacology and skills, such as the use of balloon pumps, to help with the care of critically ill patients who depend on equipment. Critical care paramedics commonly work on critical care transport ambulances, which are used to move patients between health care facilities.

Craig Gibson &  Paul Baron ,REMT-P's

Other examples of expanding and emerging roles for paramedics include primary care, industrial medicine, sports medicine, and tactical medicine.

A certified and licensed Intensive Care Paramedic is an advanced clinical practitioner in Paramedicine who provides medical assessment, treatment and care in the out-of-hospital environment for acutely unwell patients with significant illness or injury. ICPs respond to patients experiencing an acute, life threatening emergency. They provide rapid and specialist clinical assessment by implementing a targeted management plan for patients with significant alteration or challenge to normal homeostatic function.  Whilst this role is tasked with providing clinical oversight during the management of these cases all patient care is undertaken in collaborative context with other paramedic staff or health care professionals in attendance.The ICP is required to make rapid, often complex and critical clinical judgment without direct supervision. Individuals are responsible for their own continuing professional development which may be supplemented by employer-provided training.

AEMS Paul Aiden Barson, REMT-P in Sudan

An ICP is usually engaged by a statutory ambulance service, private paramedic service or defense force and may operate in a variety of community, industrial, resource sector, defense or event/public gathering settings including disaster response. professional may be deployed as part of a two-person crew operating in an ambulance equipped with a stretcher and specialist clinical equipment or may practice as a single operator from a purpose-designed response vehicle (typically a marked station wagon).Defence force ICP’s deliver out-of-hospital care as solo practitioners and in team environments alongside other health professionals or a merger of specialties. ICP’s engaged in defence forces provide health care to support and maintain the health and well being of defence force/allied personnel and civilians in times of conflict, disaster or peacetime.  This may include the delivery of health care within austere environments and on/in a variety of platforms such as on land (on foot or in-vehicle), aerospace or on ships. They may attend in situations ranging from a controlled environment through to routine and emergency medical management where a paramedical response is required. ICP may take professional responsibility for the mentoring and support of paramedics, developing ICP’s, paramedics and students.

Craig Gibson demonstrating traction splinting to AEMS students - Davao City.

AEMS Craig Gibson, REMT-P and AEMS EMT's in Kidapawan City's 911.

AEMS's Students on patient care reports - Kidapawan City

AEMS Scholar Alpha in Kidapawan City. 

The AEMS Paramedic Instructors :

Paul A. Barson, REMT-P has NDip in Paramedical Sciences from Churchill Education Australia, is an ALS (Advanced Life Support) Paramedic and an EMT Assessor of AREMT (Australasia Registry of Emergency Medical Technicians), currently registered and licensed with Health Professions Council of South Africa (HPCSA), the government agency handling Paramedic licensing and registration of healthcare professionals and paramedics in South Africa  and has more than 20 years of professional experience in the EMS field as Paramedic/Project Manager with international & national institutions both in the medical and rescue industry, with extensive field work in Sudan, Afghanistan, Somalia and South America. Paul is a Remote / hostile Site Specialist and has an EMS Operations Consultant background inclusive of training and management expertise. Paul is a civilian Paramedic with independent license ( can work without medical supervision of an EMS physician) with Military experience, has spent a large portion of time in hostile and remote locations providing managerial and medical support on the ground as and when it is required. 

Craig A. Gibson,REMT-P is  current and registered as an Independent Intensive Care Paramedic registered with Health Professions Council of South Africa, an EMT Assessor of AREMT (Australasia Registry of Emergency Medical Technicians).  He has more than 20 years of professional experience in the EMS field and remote medicine industry. His previous work experience includes  Hospital Manager for  African Union Darfur Mission in 2005 to 2006. Prior to this position, Craig was project manager for Medical Support Solutions with head office based in the UK.

In 2004, Paul Barson and Craig Gibson worked for  the United Nations Joint Military Commission (JMC) at Nuba Mountains in Sudan for which they were awarded a medal of honor for their  exemplary performance as JMC Paramedic - Head of Medical Services by Brigadier General Jan Erik Wilhelmsenl Chairman of JMC and Head of Joint Monitoring Mission in Nuba Mountains, Sudan.

 https://www.facebook.com/AEMS.Institute/photos/a.311674828957217.1073741924.232956403495727/311677498956950/?type=3&theater

Licensure, Certification, and Registration

To ensure the competence of EMS personnel, all personnel in an EMS system must be certified or licensed by the country  in which they provide patient care. 

Certification and registration is available via TESDA (local) or AREMT (International) through its accredited training centers and  assessors (who are connected directly with a Training Center in the Philippines).  

Although certification and licensure are terms that often are used interchangeably in EMS, their EMS meanings differ from the other.

Local : TESDA 

 Qualified graduates of TESDA’s NC II  can find employment as any of the following :

• First Responder 

• Medical First Responder

• Ambulance Care Assistant

Students enrolled in EMS NC II may be required to undergo a Competency Based assessment before graduation.

Internationally Recognized : AREMT


 For international certification and registration, EMT’s may undergo a written and practical assessment at AREMT through its accredited assessors and training centers in the  Philippines. 

Asia's Emergency Medical Services Institute, Inc. is an accredited/approved training center of the following internation EMS institutions:

The list of AREMT Assessors in the Philippines...

ASHI Certificate for AEMS

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EMS INSTITUTIONS AS ONE FOR TESDA NC II ASSESSMENT

Photo : AEMS Head of Training Craig Gibson, EMT-ICP with mock injuries

The TESDA Emergency Medical Services  NC II consists of that a person must achieve to perform basic life support, maintain life support equipment and resources, implement safe access and extrication procedures in an emergency,manage request for service, allocate ambulance services resources, coordinate resources, deliver basic ambulance communication skills , supervise on-road operations, manage the scene of emergency, manage the scene of a special event, manage routine scene, deliver pre-hospital patient care, manage ambulance operations and transport emergency and non-emergency patients. 

Photo : AEMS Paul Aiden Barson with CHEERS Corp. Sandy S. Montano 

Photo : Paul Barson, REMT-P (in blue) as one of the patient during a simulation for participants of TESDA NC II EMS Assessment

Photo : Paul Barson, REMT-P (in blue) as one of the patient during  for participants of the TESDA NC II EMS Assessment.

Photo : Group discussion with AEMS EMS Director Paul Barson (in blue) and AEMS Head of Training on the simulation done by participants for the TESDA NC II EMS Assessment

Photo : The Key Officers of AEMS, CHEERS, NERA and STOUT

Photo : AEMS President and Chairman Imee Callao (in red)  of the Board with EMS colleagues in Quezon City during the TESDA NC II EMS Assessment.
   

KIDAPAWAN 911 and AEMS EMT's FOR THE COMMUNITY

Kidapawan City's Call 911 responding to a maternity emergency with AEMS EMT Students who are now undergoing their mentored practical ambulance exposure under AEMS EMT Program.

Kidapawan City's Call 911 department  was organized and headed by Chief Psalmer Betralte, Director of Red Cross for Kidapawan City Chapter and Cotabato City Chapter  and forms part of  Kidapawan's City Disaster Risk Reduction Management Office (CDRRMO). Call 911 works closely with public safety, healthcare and private sector partners to plan for mass casualty incidents and medical surge, ensuring that the people of Kidpawan City can count on a well planned, coordinated response in the event of a natural or man-made disaster. 

Asia's Emergency Medical Services Institute, Inc.  is a committed partner of the community and is dedicated to protecting people's lives through Quality EMS Education and Training.

AEMS EMT Students Nikolai and Ronn attend to a maternity emergency.

AEMS EMT Students Rodney, Nikolai and Ronn attend to a maternity emergency with Call 911 (CDRRMO) of Kidapawan City. 

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