Emergency Medical Services and Procedures
The Upper Valley Medical Center (UVMC) Emergency Department (ED) has a variety of procedures and services in place to ensure that patients receive quality care as quickly as possible.
UVMC receives patients from EMS departments throughout the northern Greater Dayton region. EMS services in the northern region are capable of providing care for various ages of patients and levels of severity. Patients suffering from severe injury or illness are immediately evaluated by the ED team with appropriate treatment initiated and if needed, transferred to a Premier Health Partner hospital for the specialty services required. The highly collaborative teamwork between EMS personnel and the ED team ensures a smooth transition for quality and safe care for all patients in need.
Patients who walk into the Emergency Department are evaluated by experienced Nurses to determine the level of care needed.
Patients with minor illnesses or injuries are quickly routed to Minor Care, which is available daily from 12:00 p.m. to 11:00 p.m. Patients with more severe illnesses are taken to one of our private Major Care treatment rooms based on the level of severity.
New Treatment for Survivors of Sudden Cardiac Arrest
Unfortunately, more than 90 percent of patients who suffer from sudden cardiac arrest outside the hospital do not survive. Families who witness the collapse of their loved one, typically call 911 in order to get the patient to the hospital as soon as possible. The immediate goal of the E.D. staff is to restore the patients own breathing and heart beat, with the long term goal of restoring them to good health. Patients who do survive often have some lasting neurological problems due to the lack of oxygen to the brain during the time frame in which their heart was not beating. After the patient’s heart rhythm has been stabilized, a treatment called “Therapeutic Hypothermia” is often started in the ICU. It involves applying special cooling pads to the surface of the patient’s body to reduce the body temperature to 32◦ to 34 C◦ and is continued for 24 hours after the patient reaches their target temperature. The American Heart Association recommends this treatment as a means to improve oxygen supply and lessen the oxygen demands of the brain, therefore improving the patient’s chances of returning to their previous state of well-being.
The UVMC Emergency Department has designated rooms and Behavioral Health Professionals to provide quality care to meet the needs of patients experiencing a behavioral health emergency. This service is available 24/7 in the Emergency Department.
UVMC is committed to support and protect the community and its employees in the event of an external disaster. UVMC has a comprehensive system for handling hazardous materials (hazmats), beginning with the START process, Simple Triage and Rapid Treatment.
All Emergency Department staff are trained on how to respond to hazardous materials situations. Training includes the use of different types of personal protective equipment, decontamination equipment and procedures, and the employee’s responsibility during the decontamination process.
UVMC has several resources available for hazardous materials emergencies:
- A dedicated decontamination room, which is located on the outer perimeter of the Emergency Department
- Chemical, Biological, Radiological, and Nuclear protective suits
- Powered air-purifying respirators
- N95 masks
- Mobile decontamination unit
- Local resources readily available include the Miami County Mobile Haz Mat unit and the GDAHA Mobile Decontamination trailer
Streamlined Decontamination Process
UVMC’s new mobile decontamination system can be set up anywhere, and each line consists of three interlocking privacy tents. Tent One is for undressing, Tent Two is pre-plumbed for water, and Tent Three is set up for changing into clean clothing after decontamination. Along with new portable tents, the UVMC ED has fixed, heated decontamination rooms with hot water, two ceiling-mounted shower heads, and a shower wand. This room is also large enough to accommodate patients restrained on a back board brought to the department via EMS.
Chemical, Biological, Radiological, and Nuclear (CBRN) Suits
UVMC stocks new CBRN protective suits to safeguard staff from a wide range of situations that may arise in the ED. These new CBRN level-B chemical suits are pre-packaged with boots, gloves, chemical tape to seal seams, and four iodine tablets.
A supply of PAPRs is stocked to provide respiratory protection for staff members. These PAPRs are chemical resistant and can be worn for 12 hours on one battery charge.
N95 Filtering Masks
N95 masks, including 3M model 1860 and AO Safety’s Pleats Plus respirators, have been stocked for respiratory protection against airborne diseases. Each year all staff members are fit-tested using quantitative procedures to ensure that each staff member is wearing the proper size mask.