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

January 20, 2025

As the rollout of the OneDoseTM app progresses past the halfway point, University Hospitals EMS Institute continues to support EMS providers in adopting this innovative tool. To further enhance familiarity and ensure users get the most out of OneDose, we are hosting a series of webinars on January 21st, 22nd, 28th, and 30th. These webinars provide in-depth guidance, answer questions, and demonstrate how the app simplifies critical aspects of emergency medical care. Hinckley Medical also offers OneDose user tutorials such as navigating the app, what you see & what it means, and estimating body weight inputs, all available here. 

The OneDose app has proven to be a game-changer in prehospital care by streamlining decision-making and reducing errors. One of its standout features is the powerful search functionality, accessible via the magnifying glass icon in the upper left-hand corner of the home page. This tool enables users to locate medications, equipment, defibrillation/synchronized cardioversion/transcutaneous pacing settings, and protocols efficiently, saving valuable time during emergencies. 

To ensure OneDose continues to meet its users' needs, we are preparing to release a vital app update this week. The update includes critical bug fixes and enhancements to improve the app's performance and usability. Users will receive a notification within the OneDose app once the update is available on the Apple App Store or Google Play Store. We encourage everyone to download the update promptly to take full advantage of the latest improvements. Users can view the installed app version on the “Settings” page inside OneDose. 

These developments underscore the commitment of University Hospitals EMS Institute to deliver cutting-edge solutions that enhance patient care. OneDose's combination of comprehensive features, user-focused design, and ongoing support makes it an indispensable tool for EMS professionals. 

Don't miss the opportunity to learn more during this week's webinars. Whether new to the app or looking to deepen your understanding, these sessions are the perfect way to enhance your knowledge and confidence. Together, we can advance prehospital care and ensure the highest safety and efficiency standards.

Sincerely,

John B. Hill, MD

Emergency Medicine Physician

UH EMS Medical Director

UH Portage Associated Medical Director

NEOMED Clinical Assistant Professor

January 27, 2025

The Prehospital Paradigm Podcast is gearing up to celebrate its second anniversary next month, marking an exciting milestone for a show that has become an essential resource for emergency medical services (EMS) professionals worldwide. Launched in February 2023, the podcast discussed a key topic in EMS: Continuous Positive Airway Pressure (CPAP) in prehospital care. Since then, it has grown into a dynamic platform for educating and inspiring EMS personnel, paramedics, nurses, and healthcare professionals involved in emergency care. 

One of the standout features of the podcast is its commitment to providing free continuing education (CE) for Ohio EMS workers. The Prehospital Paradigm Podcast has issued over 1,000 CE hours since starting CE in April 2024, and it continues to expand its offerings. The podcast also seeks to broaden its reach by including CAPCE and nursing CE credits, recognizing that nurses play a crucial role in the emergency department and the continuity of care throughout the prehospital setting.  

In addition to its comprehensive CE offerings, the podcast hosts monthly live shows where you, the audience, can ask us questions. Questions are collected online from the live stream on Facebook and YouTube. Listeners who can't make the live show can anonymously send us questions using our website. These live shows are typically held on the fourth Monday of every month. They are an excellent opportunity for EMS professionals to interact with experts in the field, dive deep into specific topics, and earn CE hours in real-time by attending in person.

The next live show is tonight, Monday, January 27th, at 7 PM ET, hosted by the Cardinal Joint Fire Department. This episode will focus on medications and the pharmacy's involvement in EMS and prehospital care. This timely discussion aligns with the recent launch of the OneDoseTM app, which promises to enhance safety, streamline management, and simplify medication administration and procedures for EMS teams. 

Departments can also sign up to host a live podcast show and earn two CE hours by completing the sign-up form on the Prehospital Paradigm website. This initiative allows EMS departments to engage with the podcast and contribute to the broader EMS community. 

Looking ahead, the podcast has an exciting year planned. The website recently launched a new section dedicated to mental health for first responders, aiming to support those who give so much of themselves in high-stress environments. Listeners can explore these resources here and send recommendations for additional resources to help those in need. This March, listeners will hear from Brian Abbott, who will share his powerful story about overcoming an attempted suicide. His live show will be held during the Mahoning County Fire Symposium on March 29th; details to come. 

Additionally, the podcast will feature other special live shows in 2025, including one from the National Collegiate Emergency Medical Services Foundation Conference in Pittsburgh, PA. This organization is committed to scholarship, research, and creating a safer, healthier environment on college and university campuses through supporting, promoting, and advocating campus-based emergency medical services. This episode will highlight university campus EMS responses. It will be part of an upcoming episode discussing various types of prehospital care beyond classic 911 services, showcasing the diversity and complexity of emergency medical work.  

One of the year's most anticipated features is the "Cardiocast Series," a year-long deep dive into cardiology. This series will be an invaluable resource for EMS professionals looking to sharpen their knowledge in this critical area. It is a perfect follow-up to last year's EMS Airways Series, available now on your favorite podcast platform and the Prehospital Paradigm Podcast website. 

The Prehospital Paradigm Podcast continues to build a strong community around EMS education and patient care. With a mix of live shows, special episodes, and comprehensive CE opportunities, it's no wonder that the podcast has become a staple for those looking to stay informed and engaged with the latest trends in prehospital care. Tune in, sign up for free CE hours, and stay connected with the Prehospital Paradigm Podcast for all the exciting topics and episodes coming in 2025!

Sincerely,

John B. Hill, MD

Emergency Medicine Physician

UH EMS Medical Director

UH Portage Associated Medical Director

NEOMED Clinical Assistant Professor