This is Med Talk presented by HCA Midwest Health. I'm Jayme Monacelli with Jason Martin, EMT, RN, T-CN ,and we're talking about what to do if the unthinkable happens. Jason first of all, welcome officially to the program and first, thank you for being on KMBZ in the past. I know when tragedy strikes, a community like a mass shooting or a stabbing we often rely on you to advice to our listeners and you've got a pretty unique role with HCA Midwest Health and their trauma program. So let's start there, tell us about your role and how it's making a positive impact on the community.

My role here at HCA is just to help make the community understand that we're a partnership with them and really the best way for our community to have the best outcomes, if the unthinkable happens is if we work together in making good decisions.

If that does happen. So that's a really vital need for our community. And if we think of your work, like stop the bleed and even knowing hands-on bystander CPR anyone can make an impact in their community.

Absolutely, and I think we've seen time and time again, when the unthinkable does happen, that person next to you, it could be the most impactful. And so, we want folks to understand the community what they can do in those first an initial couple of minutes as on ones on their way to really make a huge difference and we'll be sure to cover some of that. So I understand it here in Johnson County, we are not faring as well in our community, and we are not well trained in hands-only CPR. So as your training people, have you figured out why? And with that, let's make a change and talk about how someone knows what to do if the unthinkable happens.

I know I just hit... We hit you with a lot, so we'll go through some of that.

It is a... Why are we not faring as well as some areas when it comes to that hands-only CPR.

I think overall, as a nation, we can do better, but certainly here, I think there's still just a lot of apprehension of what do I do, how much training is involved, and then really is this really gonna affect me, is it gonna happen? And so I think that we just wanna encourage the community that hopefully you never use any of these things that we are teaching folks, but if it does happen, then we want you to have the biggest impact on your family member or someone standing next to you for those that have never heard that term. hands-only CPR. Describe it to me.

So basically, we are constantly changing as far as what is the best thing to do in cases of emergency. And one of the things that's changed over the years, is we realized that people are very... Are apprehensive about mouth-tomouth and those kind of things. We really... We realized that what really someone needs is to continue to let circulation, and that hands-only CPR and so they've really tried to bring it down to look. We want you to do two things, all my own one and put your hands in the middle of someone's chest and pupa, and fast until 911 gets there.

Are there places that people can go to learn more about that hands-only CPR, what we don't want. I think, is people just going to YouTube for other information about it to do things, and we certainly don't want them having to do that in that moment. There may not be that time available. Where can people go to learn some basics, like that? You and that is a great question, we have to be so careful. There is so much information out on the internet, and I think American Heart probably is the best place to go for the hands-only CPR and there is still two distinct trainings. So there's that lay person hands-only CPR but if you work in a day care center, or if you work in the health care, certainly then there's additional information that they're going to teach, but that most important thing for... We hope to increase our in Johnson County, is that hands on the CPR portion.

So, hands-only CPR is not what I learned in my baby sitters training class at the age of 13. and I assume that maybe that's the perspective that some people have is that somewhere along the way they learned the CPR that has the hands and the mouth-to-mouth. If that is what you know is that okay so it is, it certainly is okay, but really it made it a lot simpler, and I always think it's a great idea to refresh your memory if you will. So I don't think that's ever run to go back and understand what this hands-only CPR is. But that was one of the changes that they've made since you went through that is we wanna make it simple, we want to... So we want to kind of separate ourselves from that mouth-to-mouth and just that hands-only part is the most important.

How do you know if someone needs CPR, if somebody does collapse How do I tell the difference between a diabetic emergency? And a heart attack for example? And so that's when the first step is calling 911 checking the airway. Are they breathing? If they're not being they go ahead and start chest compressions CPR. And so really, that's kind of the recommendation that we're giving.

Let's talk about the stop the bleed program. It's really fascinating. How did it start and give me some examples of the program in action?

So stop a bleed. is several years old now, it actually started after the Newtown shooting a bunch of experts got together and said, Look, we wanna do exactly what they did with CPR, and the 2000s. We want people to understand in times of crisis, what can they do to have a huge impact we've seen whether it was the Las Vegas shooting, or whether it's a car crash, on the highway. People wanna help, they know that they need to stop the bleeding, because obviously that's something they wanna do. But how do I do that and how do I do that effectively? So this program basically got the experts together and said what we wanna share with the community what's too much, what's not enough. And so they basically gave us a canned program, if you will, to take this out to the community. Our first step was working with our law enforcement or pre-hospital providers and they're the ones that's gonna show up first of these accidents. And then moving that further into the community as far as any places where you have a large gathering of folks, whether it's at a Chiefs game or if it's something like a church places like that. We want to folks to understand what they need to do in case I think what happens, why is that such an important thing for people to know? You know, I think some of us have the point of reference of seeing something on TV and you see the doctor I "Upham gosh, we have that point of reference, but why is that? Stop the bleeding, such an important part of that immediate response someone... And this is gonna depend on the injury, but if the worst case scenario if someone literally can lose their blood volume in less than three to five minutes. So unfortunately, we just don't live in times where nameless and get us in three to five minutes, so we are... We have to help our person next to us. Or really, depending on that, to have the best outcome. So that's why this information was so important. And essentially, what we're training professionals is gonna be the exact same thing that the ambulance as when they get there, and really our pre-hospital providers, or extensions from our emergency rooms. And so when they get there, if you've already stopped up leader at least slowed it down and made a huge impact than a lot of their job is done, as far as really having that true impact. If that patient is gonna walk out of the hospital days or weeks from now, this is getting pretty is pretty specific, but is there anything that you can't use to stop a bleed. If you're looking around you and you're grabbing whatever you've got, what do you recommend people to take and what shouldn't they grab?

Really, we just recommend that folks have use something that's bigger than two inches in diameter and with... So typically, a belt is what most folks think of shoe strings aren't gonna work a land. You're not gonna work as long as your two to three is above the wound, and you've tighten something on that and you see the bleeding slow down, then you're helping. And I think that's really the biggest thing that people need to understand. They may not stop, it completely, and we understand that, but if you can cut it in half, a cut, I by 80%, you're giving this person a huge opportunity to have a good outcome, and finally we all know how critical the role of EMS And MED-Act partners are. Can you share with us some inside tips on how they help hospitals? And I hear you actually refer to them as pre-hospital providers which is a very official title, like I said, I really think they're an extension of our urgency, departments around Kansas City. They basically are that first line that's gonna get there and, essentially, they're a rolling emergency department, we work very closely with them and they stay up on the latest trends, and what to do in times of emergencies, so they have the same drugs a lot of the same things that we're gonna have in emergency room. So if you look at the first five minutes when a patient gets to a trauma center or winner they get into back in ambulance, that care is very similar.

I are not the same as... And so, that's really stabilizing that person stopping the bleed getting the heart going again, whether it's through hands-only CPR or getting ventilation to the patient really we're both doing the exactly same thing. So, there's just an extension of our emergency departments here in Kansas City. With that, how important is it the information that you give to 911 when you call how important is the information that the MT has before they get to you?

Pre-hospital Providers care starts from a point of dispatch so the dispatch is asking questions to essentially give to those S crew that's getting ready, whether it's just giving their mindset on what type of injury that they're dealing with the EMS or trained on every possible scenario that you could possibly imagine. So we always ask that they get in that frame is at a medical emergency. Is it a traumatic emergency? Do I need to grab my tourniquet when I first get out? Is this something where we need to grab our AED defibrillator out 'cause it's a heart attack? And so this is the reason why to try to give as much information with 911 as you can. It can be frustrating. It's very stressful, it's very easy for us to sit here and say speak in a nice slow com voice. But we just realized that those dispatchers are trained to work with folks in times of crisis. And do the best that you can and trying to explain what's going on. And we certainly understand the picture often changes when the EMS gets there.

Is there anything else that you want people to know about how to be best prepared when the unthinkable happens?

I think our mindset of... And I know that when we work with kids a lot old, that's saying that we use it, it's just not gonna happen to me. I think adults can be guilty of that too, and I think we just live in the world today that we need to think about these things right now. If I'm at the large concert and my family member has a heart attack or show signs of a stroke, what should I do or how should I get out of this vein? You safely. And I think it's just... We live in a world today where we have to think about things like that, because we've seen time and time again. If you have a plan, you have a lot better outcomes if the emergency does happen.

Alright, thanks a lot, to Jason Martin EMT, RN, T-CN. This has been Med Talk presented by HCA Midwest Health. I'm Jayme Monacelli.