Early Intervention Vehicles

The North East Essex locality has two Early Intervention Vehicles (EIV) - one which supports fallers and an urgent care vehicle. Both offer admission avoidance interventions.

EIV - Falls Vehicle

The EIV – Falls team, which is delivered in partnership with Essex County Council (ECC), involves EEAST’s senior Emergency Medical Technicians (EMTs) working alongside ECC occupational therapists.

The EIV is intended to assist and support patients to remain safely at home following a fall where they were uninjured or sustained only a minor injury. 

The collaboration enables us to deliver and supply appropriate clinical, holistic and therapeutic interventions. We can ensure that we meet the immediate needs of patients requiring support, make appropriate referrals and arrange ongoing care.

The EIV assessment will include:

  • Assessment of cognitive, physical and functional abilities
  • Urinalysis, minor wound closure
  • Targeted holistic assessment
  • Dementia/memory clinic referral
  • Environmental assessment – access, hazards, clutter
  • Equipment assessment and prescription
  • Functional assessment – mobility, transfers, stairs
  • Activities of daily living - toileting, meal prep, getting dressed
  • Social care database access
  • Referrals – care package, key safe, care Line, short term support
  • Access to volunteers and the third sector
  • Full MDT referrals, falls team, DN, GP, Intermediate Care
  • Access to full social services and internal referrals
  • Operation Pendant
  • End of life car
  • General advice and support.

Exclusion criteria for this vehicle excluding C1s when the EIV is the closest resource:

  • Chest pain
  • Obvious stroke symptoms
  • Severe shortness of breath
  • Head injury with loss of consciousness
  • Fall outside (gardens / communal areas will be considered)
  • Fall with obvious sign of fracture or dislocation
  • Alcohol abuse intoxication
  • Acute presentation of Mental health Disorders
  • Residential and Nursing Homes.

EIV- Urgent Care Vehicle

The EIV- urgent care team, staffed by an Emergency Care Practitioner (ECP) or specialist paramedic, will include community based assessment and prevention, advice to the patient and to EEAST clinicians on scene and more referrals into specialist pathways. The scheme aims to safely care for people within their own home - including residential and nursing homes - where an acute admission to hospital may otherwise have been necessary. It will ensure the patient has access to the required health provision at the time of need and in the community.

A specialist paramedic skill set includes:

  • ENT examinations
  • Ophthalmology advice and referrals
  • Dermatology (Rashes, spots and pimples)
  • Allergy treatment
  • End of Life support
  • Urinalysis (*)
  • Catheter flushing (*)
  • Wound management (*)
  • AA referral pathways.

 Examples of typical types of cases this car will attend:

  • Abdominal pain (including urinary retention)
  • Cellulitis
  • UTI, chest infections, COPD
  • Falls following triaging from CSD & patient welfare checks
  • Non traumatic back pain, muscle spasm
  • Diarrhoea, vomiting/nausea
  • Headache/migraine
  • Minor illness child/-adult
  • Flu like symptoms
  • Minor allergies/allergic rhinitis
  • Minor injury, Eye problems, skin infections, wound care (Gluing)
  • Minor sprains/strains
  • Medication problems
  • Social Care problems
  • Palliative care.

Exclusion Criteria:

  • Obvious chest pain
  • Obvious stroke symptoms
  • Obvious severe shortness of breath
  • Obvious head injury with loss of consciousness
  • Patients outside in a public place (will consider patients garden and communal areas of residence)
  • Obvious loss of consciousness
  • Fall with obvious sign of fracture or dislocation (i.e. NOF hip injury, shoulder dislocation)
  • Alcohol abuse/intoxication
  • Acute presentation of Mental health Disorders.

The EIV - Urgent Care team works across the North East Essex locality from 10:00-22:00, 365 days a year. 

The EIV- falls team works across the North East Essex locality from 07:00 -19:00, 365 days a year.

Contact details can be found on the MiDOS for advice on referrals, although the vehicles deployment remains via the urgent care desk.

Published 2nd April 2019

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