Active shooter events and other mass casualty incidents, particularly ones involving an active threat, have been a steadily growing occurrence in the 21st century. In the past week alone we saw 7 active shooter events in 7 days across the USA. These events bring many cross-discipline providers from Law Enforcement, EMS, and Fire Departments together to effectively respond the the event. The hurdle in preparation for these events is that these providers seldom train together in these environments. System-wide procedures and protocols are only as effective as they have been practiced and implemented. Enter: Tactical Emergency Casualty Care Rural Environments (TECCRE)
Date March 19, 2021
BEST PRACTICE MEDICINE VACCINE ADMINISTRATION SUPPORT TEAM (VAST) RELEASES PURPOSE BUILT MOBILE VACCINATION CENTERS
Bozeman, MT — Best Practice Medicine (BPM) released a line of new, purpose built Mobile Community Vaccination Centers on Saturday, March 20, 2021, as added resources for their Vaccine Administration and Support Taskforce (VAST). With the addition of these trailers teams are capable of administering 300-400 vaccines each day at each location in Montana, completely self-sustained.
Here at Best Practice Medicine, we are dedicated to improving patient care nationwide. To that end, we provide direct clinical patient care through our Paramedic Resource Group (PRG). PRG was initially founded to target the need for well trained EMS responders to deploy with Forest Service Fire Line teams.
“Becoming an EMT gives you the opportunity to help your neighbors in times of crisis. It can make you calm, confident and prepared for everyday challenges and the greatest emergencies.”
How do I become a licensed EMT in Montana? We are often asked this question here at BPM, so our team put together a step by step guide for you!
Bozeman, MT — Best Practice Medicine (BPM) announces a partnership with Gallatin County Health Department in support of vaccine administration across Gallatin county.
Yesterday as I was looking for some business records I came across the original filing paperwork with IRS to establish Best Practice Medicine as a limited liability corporation. Turns out, today we turn five years old! (At least that's when we started paying taxes...). I can remember spending weeks trying to understand what an LLC was, how to file the paperwork, and wondering if all the hassle of setting up a company would be worth it. I admit, at the time, I didn't think it would be.
This study published February, 2020 in the Journal of Trauma and Acute Care Surgery contributed to the substantial and growing body of research dedicated to the question, does simulation work? Can we show improved patient outcomes as a result of experiential education facilitated by the facsimile creation of life like rehearsal?
Unequivocally the answer is, yes.
The evidence base for this conclusion is neither small or narrow in its focus. Take for example this study which is assessing whether trauma teams who participate in regular high fidelity simulations show an improvement in the time it takes to establish a chest tube in a trauma patient.
"Median pretraining time for resuscitative thoracotomy was 14 minutes (IQR, 8–32 minutes); posttraining median time was 3 minutes (IQR, 2.7–8 minutes,p= 0.02)"
Read that again...
Before simulation based learning, median time to place a chest tube = 14 minutes
After simulation based learning, median time to place a chest tube = 3 minutes
The delta of this is 11 minutes.
Blood and air filling your chest cavity, placing pressure on your vena-cava likely resulting in its collapse leading to PEA cardiac arrest and the dreaded trauma arrest death spiral. An eleven minute reduction in the time to facilitate the evacuation of the blood and or air may very well be the difference between life and death. This just one of many studies that strongly correlate the integration of serial simulation into clinical practice resulting in improved care and better patient outcomes.
We compile studies to support the impact of simulation based education in healthcare. We have identified that simulation can be reliably attributed to;
- Improves patient outcomes
- Reduces preventable medical error
- Increases team performance
- Identifies latent patient safety threats
Park, C., Grant, J., Dumas, R. P., Dultz, L., Shoultz, T. H., Scott, D. J., … Cripps, M. W. (2020). Does simulation work? Monthly trauma simulation and procedural training are associated with decreased time to intervention. Journal of Trauma and Acute Care Surgery, 88(2), 242–248. doi: 10.1097/ta.0000000000002561
At the close of 2019 (November 8th), we had the privilege of attending the Prospera Business Network's 34th Annual Business Excellence Awards Dinner in Bozeman, Montana. With hundreds of local Montana leaders, businesses, and entrepreneurs gathered for an open bar, appetizers, photo booth, raffle, and awards dinner—it was quite the red carpet gala. This event was especially exciting because Best Practice Medicine's own CEO and Co-founder, Ben King, was a finalist for the 2019 "Entrepreneur of the Year" Award!
Every year the world’s nine leading Cardiopulmonary Resuscitation and Emergency Cardiac Care organizations compile their most up-to-date research to improve the current CPR and ECC guidelines. This year, 2019, the International Liaison Committee on Resuscitation released the updated CPR and ECC guidelines near the end of November. "These annual updates," says AHA's website, "allow the rigor of a comprehensive review and expert consensus in as close to real-time as possible." So these newest "hot-off-the-press" updates will be critical in the coming months and years of your practice. They'll help you continue to stay sharp, be prepared, and stay on the cutting-edge of patient care and improved patient outcomes. Whether you're currently certified, or looking to get certified, here's what you need to know about these vital new updates.
Simulation Team Leaders Achieve CHSE Certification, making Best Practice Medicine history.
We have crossed a major threshold in the history of Best Practice Medicine, the Project Partner for Simulation in Motion Montana Inc. We're proud to announce that Simulation Team Leaders Brodie Verworn and DJ Olson have both achieved national credentialing as a Certified Healthcare Simulation Educator (CHSE). To accomplish this distinguished credentialing, they spent months preparing for the exam and familiarizing themselves with validated best practices in simulation education. Created by The Society for Simulation in Healthcare, the CHSE certification "has been developed as a service to the healthcare simulation community. The CHSE certification is intended for individuals who perform healthcare simulation in the educator role without restriction to simulation modality, setting (locations where simulation takes place), geographic location, learner population, function (e.g. teaching, assessment), and profession." (1)