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EMS Safety and Prehospital Emergency Care of Animals

Published online by Cambridge University Press:  13 April 2021

Katharyn T. Kryda*
Affiliation:
Association of Schools and Programs of Public Health (ASPPH)/National Highway Traffic Safety Administration (NHTSA) Public Health Fellow, Washington, DC USA
Ashley Mitek
Affiliation:
Teaching Assistant Professor, Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, Urbana, IllinoisUSA
Maureen McMichael
Affiliation:
Professor, Emergency and Critical Care, Auburn University College of Veterinary Medicine, Auburn, AlabamaUSA
*
Correspondence: Katharyn T. Kryda, DVM, MPH Association of Schools and Programs of Public Health US Department of Transportation NHTSA Office of Emergency Medical Services 1200 New Jersey Ave SE Washington, District of Columbia 20590-3504United States E-mail: katharyn.kryda.ctr@dot.gov

Abstract

Emergency Medical Services (EMS) personnel frequently encounter animals in situations ranging from injured law enforcement canines (LEK9s) to pets with smoke inhalation injury. In recent years, several US states have enacted laws that legally allow EMS personnel to provide basic emergency care to certain animals. Currently, nine states allow some type of emergency medical treatment and/or ambulance transport of animals by EMS, and five states limit liability for vehicle damage resulting from rescuing animals trapped inside. Despite this expanding body of legislation encouraging EMS to assist animals, EMS personnel are not typically trained in the safe handling or medical treatment of animals. Interaction with veterinary patients can pose serious injury and infectious disease risks to untrained EMS personnel. Furthermore, relationships with veterinarians must be built and treatment and transport protocols must be developed for EMS agencies to appropriately care for these animals. This report serves as an initial framework from the veterinary perspective for EMS consideration regarding current legislation, safety concerns, transport protocols, and common life-saving treatments in the prehospital emergency care of animals. Increased collaboration between EMS personnel and veterinary professionals provides an opportunity to develop quality training programs for EMS and to improve disaster preparedness of the whole community.

Type
Special Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Bodnar, RJ. K9 patrols: physical and psychological deterrence. Am Jails. 1990;4(2):3538.Google Scholar
National Emergency Medical Services Information System. EMS Data Cube. https://nemsis.org/view-reports/public-reports/ems-data-cube/. Accessed September 17, 2020.Google Scholar
Forrester, JD, Forrester, JA, Tennakoon, L, Staudenmayer, K. Mortality, hospital admission, and healthcare cost due to injury from venomous and non-venomous animal encounters in the USA: 5-year analysis of the National Emergency Department Sample. Trauma Surg Acute Care Open. 2018;3(1):e000250.Google ScholarPubMed
US Department of Homeland Security. Transportation Security Administration. TSA Canine Requirements and Expansion Program: Fiscal Year 2018 Report to Congress. https://www.dhs.gov/sites/default/files/publications/TSA%20-%20TSA%20Canine%20Requirements%20and%20Expansion%20Program.pdf. Published 2018. Accessed September 17, 2020.Google Scholar
US Department of Homeland Security. FY2019 Budget in Brief. https://www.dhs.gov/sites/default/files/publications/DHS%20BIB%202019.pdf. Accessed September 17, 2020.Google Scholar
Leighton, EA, Hare, E, Thomas, S, Waggoner, LP, Otto, CM. A solution for the shortage of detection dogs: a detector dog center of excellence and a cooperative breeding program. Front Vet Sci. 2018;5:284.CrossRefGoogle Scholar
American Veterinary Medical Association. AVMA Pet Ownership and Demographics Sourcebook. 2017-2018 Edition. Schaumburg, Illinois USA: American Veterinary Medical Association; 2018.Google Scholar
Illinois HB2661. Illinois General Assembly: Bill status of HB2661. Amendment to the Emergency Medical Services Systems Act. https://www.ilga.gov/legislation/BillStatus.asp?DocTypeID=HB&DocNum=2661&GAID=14&SessionID=91&LegID=103948. Accessed September 17, 2020.Google Scholar
Michigan Senate Bill 1234. Michigan legislature. http://www.legislature.mi.gov/documents/2017-2018/publicact/pdf/2018-PA-0600.pdf. Accessed September 17, 2020.Google Scholar
Mississippi Senate Bill 2091. Mississippi legislature. http://billstatus.ls.state.ms.us/documents/2018/html/SB/2001-2099/SB2091PS.htm. Accessed September 17, 2020.Google Scholar
New York Senate Bill S4990A. New York State Senate. https://www.nysenate.gov/legislation/bills/2015/s4990. Accessed September 17, 2020.Google Scholar
Maryland SB 269. Maryland legislature. https://legiscan.com/MD/text/SB269/2017. Accessed September 17, 2020.Google Scholar
California SB 1305. California legislature. https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1305. Accessed September 17, 2020.Google Scholar
Wisconsin Act 166. Wisconsin legislature. https://docs.legis.wisconsin.gov/2017/related/acts/166. Accessed September 17, 2020.Google Scholar
American Veterinary Medical Association. AVMA State Legislative Update: 2019 Annual Report. https://www.avma.org/sites/default/files/2020-03/State-Legislative-2019-Annual-Report.pdf. Accessed September 17, 2020.Google Scholar
American Veterinary Medical Association. AVMA State Legislative Update: February 2020. https://www.avma.org/sites/default/files/2020-03/SLU-February2020.pdf. Accessed September 17, 2020.Google Scholar
American Veterinary Medical Association. AVMA State Legislative Update: January 2020. https://www.avma.org/sites/default/files/2020-02/SLU-January2020_0.pdf. Accessed September 17, 2020.Google Scholar
Louisiana SB 156. Louisiana legislature. http://www.legis.la.gov/Legis/BillInfo.aspx?i=233475. Accessed September 21, 2020.Google Scholar
Pennsylvania HB 1216. Pennsylvania General Assembly. https://www.legis.state.pa.us/cfdocs/billinfo/billinfo.cfm?syear=2017&sind=0&body=H&type=B&bn=1216. Accessed September 21, 2020.Google Scholar
Colorado HB 17-1179. Colorado General Assembly. https://leg.colorado.gov/bills/hb17-1179. Accessed September 21, 2020.Google Scholar
Indiana HB 1085. Indiana General Assembly. https://iga.in.gov/legislative/2017/bills/house/1085. Accessed September 21, 2020.Google Scholar
New York A5609. New York State Assembly. http://nyassembly.gov/leg/?default_fld=%0D%0A&leg_video=&bn=a5609&term=2017&Summary=Y. Accessed September 21, 2020.Google Scholar
Palmer, LE, Gautier, A. Clinical update: the risk of opioid toxicity and naloxone use in operational K9s. J Spec Oper Med. 2017;17(4):8692.Google ScholarPubMed
Mitek, AE, McMichael, MA, Weir, WB, Smith, MJ, Schneider, DC. The Carle-Illinois (Urbana, Illinois USA) treatment protocol for law enforcement K9s: guidelines for Emergency Medical Services. Prehosp Disaster Med. 2019;34(4):428437.CrossRefGoogle ScholarPubMed
Hanel, RM, Palmer, L, Baker, J, et al. Best practice recommendations for prehospital veterinary care of dogs and cats. J Vet Emerg Crit Care. 2016;26(2):166233.CrossRefGoogle ScholarPubMed
Weir, WB, Mitek, AE, Smith, M, Schneider, D, McMichael, MA. The Carle-Illinois (Urbana, Illinois USA) transport protocol for LEK9s: guidelines for Emergency Medical Service providers. Prehosp Disaster Med. 2019;34(4):422427.CrossRefGoogle ScholarPubMed
Monath, TP. Vaccines against diseases transmitted from animals to humans: a one health paradigm. Vaccine. 2013;31(46):53215338.10.1016/j.vaccine.2013.09.029CrossRefGoogle ScholarPubMed
Healthy Pets, Healthy People: About Pets & People. US Centers for Disease Control and Prevention website. https://www.cdc.gov/healthypets/health-benefits/index.html. Accessed September 21, 2020.Google Scholar
Chomel, BB. Emerging and re-emerging zoonoses of dogs and cats. Animals (Basel). 2014;4(3):434445.CrossRefGoogle ScholarPubMed
Day, MJ. Pet-related infections. Am Fam Physician. 2016;94(10):794802.Google ScholarPubMed
Damborg, P, Broens, EM, Chomel, BB, et al. Bacterial zoonoses transmitted by household pets: state-of-the-art and future perspectives for targeted research and policy actions. J Comp Pathol. 2016;155(1 Suppl 1):S2740.CrossRefGoogle ScholarPubMed
US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, ASPR TRACIE. EMS Infectious Disease Playbook. https://www.ems.gov/pdf/ASPR-EMS-Infectious-Disease-Playbook-June-2017.pdf. Published 2017. Accessed September 21, 2020.Google Scholar
US Department of Transportation. National Highway Traffic Safety Administration. EMS Agenda 2050: A People-Centered Vision for the Future of Emergency Medical Services. https://www.ems.gov/pdf/EMS-Agenda-2050.pdf. Published 2019. Accessed September 21, 2020.Google Scholar
Reichard, AA, Marsh, SM, Tonozzi, TR, Konda, S, Gormley, MA. Occupational injuries and exposures among Emergency Medical Services workers. Prehosp Emerg Care. 2017;21(4):420431.CrossRefGoogle ScholarPubMed
Bledsoe, BE, Sweeney, RJ, Berkeley, RP, Cole, KT, Forred, WJ, Johnson, LD. EMS provider compliance with infection control recommendations is suboptimal. Prehosp Emerg Care. 2014;18(2):290294.CrossRefGoogle ScholarPubMed
Harris, SA, Nicolai, LA. Occupational exposures in EMS providers and knowledge of and compliance with universal precautions. Am J Infect Control. 2010;38(2):8694.CrossRefGoogle ScholarPubMed
US Department of Homeland Security. Working Dog Handler Medical Care Manual. https://www.hsdl.org/?view&did=818543. Published 2017. Accessed September 21, 2020.Google Scholar
US Department of Transportation. National Highway Traffic Safety Administration. National Emergency Medical Services Education Standards. https://www.ems.gov/pdf/National-EMS-Education-Standards-FINAL-Jan-2009.pdf. Published 2009. Accessed September 21, 2020.Google Scholar
US Department of Transportation. National Highway Traffic Safety Administration. National EMS Scope of Practice Model 2019. https://www.ems.gov/pdf/National_EMS_Scope_of_Practice_Model_2019.pdf. Published 2019. Accessed September 21, 2020.Google Scholar
One Health. US Centers for Disease Control and Prevention website. https://www.cdc.gov/onehealth/index.html. Accessed September 21, 2020.Google Scholar