THE NEXT SCHEDULED BOARD MEETING WILL BE ON February 29 at Abruzzi's 422.
The January, 2012 Board Meeting for the Joint Committee of Emergency Medical Services in Trumbull County was held at 11:30 pm on 1/25/12 at Abruzzi’s 422.
Voting Members present were as follows:
1) Chairman – Dr. Spirtos
2) Co Chairman – none
3) TMH Representative – George Snyder
4) Education Representative – none
5) Fire Chief – Roger French
6) Private Service – Holly Robinson
7) Fire Basic – Dale Briggs
8) Fire Intermediate – none
9) Fire Medic – none
10) Private Basic – none
11) Private Intermediate– none
12) Private Medic – Randy Pugh
13) First Responder – none
ALTERNATE MEMBERS PRESENT WERE:
Sean Davis
GUESTS PRESENT:
Kim Orlovsky, Nicole Simms, Ben Melnykovich, Joe Robinson
A "Refusal of Treatment / Release" form has been adopted by the board. (Click on the blue link) All companies are urged to look at it and use for their own refusal / sign off form.
Monthly Attention Concerns
If a probable acute STEMI is diagnosed either by monitor or symptoms – i.e. crushing chest pain, diaphoresis, etc – The pt needs to be strongly urged to go to a hospital with a CATH lab (TMH, Northside, St. E’s, Geauga UH). If the pt is adamant about NOT going to one of those hospitals, document, document, document.
.
|
HB 128 contains revisions of the requirements for staffing ambulances. Some of those requirements have been relaxed. All are encouraged to read it for them selves to find out how it applies for your department at http://www.lsc.state.oh.us/analyses129/11-hb128-129.pdf
The state scope of practice has had recent changes. Read it at http://www.publicsafety.ohio.gov/links/ems_scope_practice0608.pdf
Ben Melnykovich, Trauma Services at St. Elizabeth Health Center shared at a JCEMS board meeting that he is willing to come out to any department for CE. The following is a listing what lectures he has available for presentation. He states, “If scheduled, I can come out to the departments and present to any number of participants. These are free of charge, and I can award CE for each one.
Bomb Blast Injuries
Difficult Airway
Emergency Care of the Obese Patient
Child Abuse
Latest Scoop on Airway Control in the Field
Ballistics and Firearm Injuries
Spinal Cord Syndromes
Ohio Trauma Triage Update
Pediatric Assessment
Pre-Hospital Trauma Assessment
M. Ben Melnykovich, RN, BSAS
Trauma Outreach/Injury Prevention Coordinator Trauma Services
St. Elizabeth Health Center
330-480-8877 Office
There have been requests for information concerning having the hospitals fax a face sheet to your department. If you need one from St. Joes, they say verbal request is all you need. If you need one from TMH click (here TMH face sheet request) for a copy of the sheet needed to request the face sheet.
Northside Medical Center is looking towards recieving provisional approval for Level III trauma Center status in September.
Trauma Call-In Sheets
This is a copy of the EMS trauma call-in sheet currently being utilized at the ED at TMH. We are distributing this sheet to all interested EMS agencies as a means of confirming with you the information that our nurses need from EMS when calling in a trauma.
The key information that EMS needs to provide includes the following:
AGE of patient
SEX of patient
CURRENT VITAL SIGNS of patient (HR, RR, SpO2, Systolic BP (at least))
GCS of patient (important to gauge patient status and improvement)
LOC during incident or transport, and if LOC is present HOW LONG the patient lost consciousness
(this is important to try to obtain; if unknown, EMS needs to advise the
staff that it was unknown or unobtainable on call-in.)
AIRWAY treatment in place (anything from a nasal canula, to a mask to ETT)
MECHANISM OF INJURY (crash, fall, ejection - whatever caused the injuries)
Other information on the sheet such as the name of the patient, are not required for EMS to report. Obviously, EMS will not have the names of the trauma surgeon and other such information; this will be for our staff to acquire. EMS needs to relay the information that is requested above.
In the future, we will be reducing this information into a pocket-card format so that it will be easier for EMS providers to utilize. Once again, this is for reference as to what information our staff will be requesting, and it is provided to you to familiarize yourself with it. Questions, please contact me at either (330) 841-9616, or GSnyder@forumhealth.org.
Each department and individual needs to know what constitutes "trauma" and where trauma victims need to go for treatment! Here's a great power point informational presentation from the state. It's a 1.2 MB download, but a great training tool. Just click TRAUMA. Each department should have their own QA for trauma to ascertain the over / under triaging that is being done for said trauma calls.
- If you or your department has an announcement you would like to make for the Trumbull County EMS system, please email the secretary here for inclusion. Be sure and date it to let the webmaster know how long you want to run the announcement.
Ped CE
click here for a brocure on bringing someone to your department for Ped CE
CONTINUING EDUCATION FOR RECERTIFICATION
ED Materials suitable for Basic, Intermediate, and Medics at the Woodiebrook Education Center. You can register at http://uhhsgeaugaems.org
. Any questions can be sent to kellyannmisterka@aol.com or 440-724-2556.
Here is an opportunity for all EMT's / Medics (and others) to ask questions of the board, offer suggestions via this web page. In the box below we will post your questions and suggestions with a response from the board. simply click on the mail link, offer your question / suggestion and it will be posted.
| email your submission to webmaster with "tcems question" in the subject heading
- Question? Why should a basic EMT not be able to exchange a drug box while the medic is writing the report?
--- ANSWER: OAC Rule 4729-33-03 states: "Only emergency medical technician - paramedics, emergency medical technician - intermediates .... may have access to any controlled substances .... " The rest of the statement as well as a statement from the protocol chairman may be accessed here.
|
A copy of a "trauma pad" that some hospitals use when taking information from you concerning a trauma victim might help when delivering information to a nurse enroute. Click on Trauma Pad and make copies to keep in each squad.
The EMS office is at the Bristol Fire Dept. at 2100 Greenville Rd in Bristolville. You can reach the secretary at his cell number 330-219-5976. JCEMS fax: 330-889-3710. You can email him at drmusc@aol.com as well.
