Washington University Emergency Support Team

Emergency Support Team (EST)

EST Logo
Abbreviation EST
Formation 1979
Type Volunteer Collegiate EMS squad
Headquarters Washington University in St. Louis, Lien Basement
Location St. Louis
Region served Main Campus, North Side, South 40
Membership Volunteer
Medical Director Alan Glass, MD
Volunteers 64
Website http://est.wustl.edu/

The Emergency Support Team, or EST as it is known on campus, is a student-run, all-volunteer EMS team that serves the Washington University community 24/7 during the fall and spring semesters. At least 2 of the 3 medics that respond to every emergency call are Missouri EMT-B licensed. All EST medics are CPR certified. EST is equipped to handle all medical emergencies ranging from cut fingers to major traumas and cardiac arrest.[1] EST is a BLS squad and contracts to the Clayton Fire Department for paramedic assistance and emergency hospital transport. The Washington University Police Dept. provides non-emergency hospital transport.[2]

Contents

Founding and History

EST was started in the fall of 1979 by a group of students and faculty in order to provide 24/7 volunteer medical services to the Washington University community. The group was originally called SHOUT, which stood for Students Helping OUT. SHOUT was created due to concerns over the medical training and response times of the local St. Louis EMS agencies at the time. Among its supporters, Dr. Mary L. Parker, former Director of Health Services and co-founders Terry Chazan and David Levy were the most active. The members of SHOUT, about twenty students and staff, were dispatched by the University Police Dept. via voice pagers. SHOUT responded to calls in a golf cart affectionately named "The Cushman," which was equipped with trauma kits, oxygen tanks, splints and ice packs.[2][3]

Throughout the 1980s and 1990s SHOUT continued to grow and was eventually renamed EST. The team's membership and call volume increased dramatically, along with members' training and community trust. The teams began using alphanumeric pagers and, over time, responded to calls in a number of different vehicles. Such vehicles include a Subaru Brat, GMC Jimmy, Jeep Cherokee, and a Ford Explorer.[2] The dedication and vision of EST's past members have made it the professional and trusted EMS organization it is today.

Organization and Operations

EST has a 3-person duty crew that is on call 24/7 during the fall and spring semesters. EST goes out of service for the Thanksgiving, winter, spring, and summer breaks. All on-duty medics carry a radio to communicate with each other and the police dispatcher and a Motorola Minitor pager to receive calls from the dispatcher. The pagers are activated via tones over the police frequency. After the initial alert tone or vibration, a voice page follows during which the dispatcher relays the chief complaint, location, and additional information of the call.

On calls where paramedic backup or emergency hospital transport is needed, EST relies on local fire departments for ALS assistance and ambulance transport. The Washington University Police Department is available to transport non-emergent patients to the hospital.[1][2]

EST also provides special coverage crews for events where the typical duty crew would not be sufficient. Such events include WILD, Bauhaus, Graduation, and famous visitors to campus. Once or twice a semester, EST also provides low-cost CPR classes to the community. [4]

Equipment

EST medics respond to calls in a white 2011 Ford Explorer equipped with flashing lights to increase visibility. The EST truck holds hundreds of pounds of important life-saving gear that includes, but is not limited to: 2 "jump bags," 2 oxygen bags, AED, backboard, stair chair, crutches, burn box, OB/GYN kit, environmental bag, splints bag, disaster bag, PPE bag, suction kit, and others.

Training

All medics are either Missouri licensed EMT-Bs, or working to obtain licensure. Through continually training and testing, EST members maintain the highest level of expertise and readiness for the Washington University community. When new medics are accepted onto the team, they can begin taking duty after passing a CPR test and completing a truck usage tutorial.[3] Initially, a new medic's only roles on a call include taking vitals and assisting the experienced medics. New medics take an EMT class in their spring semester and usually pass the EMT exam, consisting of practical and written tests, the following summer or fall semester. New medics hold the rank of Medic 3. Once a medic receives her EMT-B license from Missouri EMS, she is given the rank of Medic 3E. Many medics also obtain certification as American Red Cross CPR/First Aid Instructors in order to train and re-certify both members of the team and of the public.

Once EMT licensure is achieved, medics must attend weekly trainings and meetings in order to continue taking duty and remain an active member of the team.[3] Some Medic 3Es elect to go through the move-up process, a series of mock calls (usually 2 or 3 a week) put on by the more experienced medics. The ultimate goal of moving up in the ranking system to achieve an advanced level - that is to become a Medic 1 or 2. Medics in the move-up process will also run all their calls while being closely supervised by the two advanced-level medics on duty. The move-up process can take anywhere from 6-18 months depending on the medic. The current Medic 1s and 2s must vote unanimously to approve the moving-up of a Medic 3E. All medics, regardless of rank, must pass a CPR test every semester to keep taking duty.

Current Officers

Field Director Kyle Cooper
President Rebecca Slotkin
Assistant Field Director - 3E/Team Training Amanda Seabolt
Vice President Jeremy Pivor
Assistant Field Director - New Medic Training Pranav Mishra
Secretary Pamela Peters
Equipment Officer Audrey Magnowski
Equipment Officer Allie Foshage
Treasurer Jackie Morrison

[5]

References