Emergency Medical Services Strategies
101
January 16, 2014Dia Gainor, NASEMSO Executive Director
Peter I. Dworsky, MONOC Corporate Director
Fatalities by Time of Death After Crash
31%(90+
Mins)*
34%(10-90 Mins)*
35% (0-9
Mins)*
Minutes Post Crash
Better Triage & Mode of Transportation Decisions
Better Response
*Based on FARS 2005 Data, Slide Courtesy of NHTSA OEMS
Organizing Ideas via the Star of Life
3
The rod of Asclepius – ancient Greek symbol of healing
® Registration Mark
Detection Systems
Telematics Data Definitions and Transmission Standards
Advanced Automatic Collision NotificationAACN Predictors for the Need for Vehicle
Extrication
4
CARS Mayday Module
5
9-1-1 Access and Capabilities
Enhanced 9-1-1 and Phase II Compliance
Geo-coding
Next Gen 9-1-1
Texting6
EMS Response and CapacityIntegrated Ambulance-Based Safety
SystemsConnected Emergency Response
Vehicles Evidence-based Emergency Vehicle
Operations Standards
7
EMS Response and CapacityNational EMS Scope of Practice
Model and National EMS Education Standards
Vehicle Extrication Education and Competency Standards
Regionalization of Emergency Care
8
On-scene Medical Care
Field Triage Decision Scheme: The National Trauma Triage Protocol
The National Unified Goal for Traffic Incident Management
Transportation OperationsRoute Access & AwarenessAccess ControlVehicle and Personnel StagingDesignated Landing ZonesTransport of Special Equipment and Supplies
10
PATIENT TRANSPORTATION PARADIGMS
Engineering and Design Standards for Ambulances
Helicopter EMS Utilization Criteria Ambulance Access to Intelligent
Transportation Systems (ITS) Infrastructure
12
Trauma CentersMedevac or ground EMS = 60 miles
13
DEFINITIVE CARE: HOSPITAL AND SPECIALITY CARE INFRASTRUCTURE
Trauma Systems Prehospital and Interfacility
Telemedicine Applications
14
CROSSCUTTING STRATEGIES:
National EMS Information SystemHospital Discharge Databases and/or
Trauma RegistriesRecords Linkage Roadway Operations Center
Integration15