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

Peter I. Dworsky Peter.Dworsky@MONOC.org

732-620-3563

Dia GainorDia@NASEMSO.orgwww.nasemso.org

208-861-4841