Volume 1: Supplemental 1

Expanding EMS agencies face many challenges pertaining to on-scene operations, administrative oversight, and sustainability. Yale EMS (YEMS) faced a $5000 budget deficit, inconsistent training of probationary members, and a high incidence of equipment deficiencies, delayed response times, and unsafe scene conditions. YEMS addressed these concerns using a three-pronged approach tackling Operations, Administration, and Sustainability challenges.

Brown University EMS implemented a novel BLS Supervisor Training Program. Using asynchronous learning, Brown sought to optimize training time by promoting self-learning off-shift and outside of traditional didactic models using small-group, problem-based learning and online modules.

Massachusetts Institute of Technology EMS designed an innovative new ambulance, incorporating best practices and current evidence to enhance provider safety.

Tufts Emergency Medical Services—alongside Tufts Health Promotion and Prevention—funded, created, and distributed first aid kits and informational content to all first-year students.

Illini EMS created and implemented an online Orientation course for new members. Using a combination of original and adapted videos followed by a quiz, this self-paced program teaches and assesses the basics of topics including bleeding control, organizational structure, team dynamics, and First Responder mental health in under an hour.

Brown EMS (BEMS) provides primary medical coverage at Spring Weekend (SWE), an annual outdoor concert drawing 6,000 attendees per day. By increasing its resources to include ground details and an additional ALS ambulance, BEMS aims to increase venue capacity, optimize response, and limit mutual-aid requirements.

Massachusetts Institute of Technology (MIT) EMS designed a non-certification learning opportunity for students who have not previously sought out CPR training. MIT EMS’s creation of an annual Cardiac Health and Stroke Awareness Month (CHASAM), piloted in 2016 and repeated in 2017, substantially increased the number of trained bystanders from a diverse selection of residential communities.

Skidmore College Emergency Medical Services (SCEMS) implemented a Stop to Bleed campaign at Skidmore College. SCEMS organized 20 free bleeding control trainings to train over 60 community members and incorporated $5,000 into the Skidmore Campus Safety 2018 budget for bleeding control equipment.

Massachusetts Institute of Technology (MIT) EMS proposes a simple, automated system design that constantly monitors the temperature in the patient compartment, and only starts the vehicle engine and heating system temporarily when the temperature falls below a preset threshold in the cabin. MIT EMS estimates that their system can reduce the vehicle’s idling fuel consumption and engine run time by about 85%.

EC-ERT created a program called “Continued Care” (CC) to provide a prehospital care resource for patients who required additional time to monitor their condition until care could be terminated. Through its design and implementation, CC reduces non-emergent ALS transports, thus reducing strain on the county EMS system and local emergencies rooms.