Medical Director Message January 2025

Dr. John Hill

Dr. Hill is an EMS Medical Director for departments under UH Portage Medical Center

January 6, 2025

Introducing OneDose: Revolutionizing Protocol, Medication, and Treatment Management in 2025 


As we enter 2025, University Hospitals EMS Institute is thrilled to introduce our new protocol app, OneDose™. OneDose is a groundbreaking protocol app designed to enhance safety, streamline management, and simplify medication administration and procedures. 


Patient safety is the primary advantage of adding OneDose to University Hospitals EMS Medical Control. About 1 in 3 prehospital pediatric doses are critically incorrect, and over 100,000 adverse patient outcomes are caused by prehospital dosing errors each year. OneDose offers a versatile system for medication dosage calculations based on the patient's estimated or actual weight using a cot scale. The app can seamlessly determine the appropriate dosage and the exact volume of medication required for administration, eliminating guesswork and providing peace of mind for healthcare professionals. 


OneDose features built-in safety checks, or “guardrails,” that provide focused information to guide treatment decisions. These safeguards help reduce error and improve patient outcomes by ensuring protocols are followed correctly, such as maximum and minimum medication doses. 


OneDose goes beyond dosage calculations. It includes age-appropriate vital signs as a quick reference and recommends the correct sizes for intravenous (IV) catheters, endotracheal tubes, iGel airway devices, intraosseous (IO) needles, and other equipment. Additionally, the app calculates the precise electrical energy needed for situations requiring defibrillation, cardioversion, or pacing. This ensures effective and safe delivery of electrical therapies during emergencies. 


These features enable cognitive offloading during critical times, aiding rapid decision-making and helping administer care with confidence. OneDose is more than just an app; it’s a comprehensive tool that empowers healthcare providers to deliver faster, safer, and more effective treatments. Whether responding to an emergency or managing routine care, OneDose puts critical information at your fingertips. Visit HinckleyMed.com/University-Hospitals-EMS for more details and see below for screenshots from the app.    

Sincerely,


John B. Hill, MD 

Emergency Medicine Physician 

UH EMS Medical Director

UH Portage Associate Medical Director

NEOMED Clinical Assistant Professor

January 13, 2025

The recent deployment of the OneDose™ protocol app marks a significant milestone in modernizing how the University Hospitals EMS Institute manages protocols and how EMS agencies access protocols. OneDose enables University Hospitals to notify and distribute protocol changes to our medical control agencies efficiently. The app ensures updates are instantaneous and reaches every squad without delay. This eliminates the traditional reliance on physical documentation or fragmented communication, reducing the risk of outdated protocols being used in critical situations.

 

Ease of use is at the core of OneDose's design. The app's intuitive interface allows users to navigate protocols quickly with minimal effort. Whether you are a seasoned professional or new to the field, the app's design prioritizes simplicity without compromising functionality. It incorporates advanced search features and paired protocols to enhance usability. Users can perform targeted searches within the protocol, locating specific information or guidelines in seconds. “Paired Protocols” take navigation a step further, allowing users to view related protocols side by side, offering a comprehensive understanding of interconnected procedures and recommendations. “Paired Protocols” enhance decision-making and promote consistency in care delivery by facilitating a holistic view of patient care. These features are especially beneficial in high-pressure situations where time is of the essence. 

To access the app, users will need a username and password. Usernames have been created for each department to use on shared department devices (iPads, tablets, phones, etc.). For personal device access, users need to create an account during or after CE training this month using the department code and PIN provided at training. If users work for multiple departments, they will use one username to access every agency that utilizes the OneDose app. Once logged into the app, click "Protocols" at the bottom of the app, scroll to the "Appendix: Issue Reporting & Feedback" folder at the bottom of the list, open the "Multi-Agency Access Request" page, and click on the provided link to access the form. OneDose support will link everything together for you. 


To ensure the app continues to evolve and meet users' needs, we encourage submitting errors, issues, and ideas for improvement. To do this, click "Protocols" at the bottom of the app, scroll to the "Appendix: Issue Reporting & Feedback" folder at the bottom of the list, open the "App and Protocol Issue Reporting" page, and click on the provided link to access the online form. Complete the form to share feedback or suggest enhancements. Many great ideas have already been submitted and are being implemented!

OneDose represents a significant advancement in how EMS agencies access protocols and provide time-critical care. By streamlining communication, offering intuitive features like advanced search and “Paired Protocols,” and supporting multi-agency access, OneDose ensures that critical updates are delivered efficiently, and that patient care remains consistent and precise. Alongside its focus on safety, cognitive offloading during critical times, and aiding rapid decision-making, OneDose is more than just an app; it's a comprehensive tool that empowers healthcare providers to deliver faster, safer, and more effective treatments. Visit HinckleyMed.com/University-Hospitals-EMS for more details and ongoing feedback. Together, we can continue to improve out-of-hospital patient care. 




Sincerely,


John B. Hill, MD

Emergency Medicine Physician

UH EMS Medical Director

UH Portage Associated Medical Director

NEOMED Clinical Assistant Professor