EMERGENCY MEDICAL SERVICES PHYSICIANS ADVISORY COMMITTEE MEETING

Thursday, January 12, 2006

Members Present:

Jason Liu

Charles Cady

Suzanne Martens

Wade Woelfle

Mark Schultz

Mark Westfall

Members Excused:

Tom Brazelton

Michael Curtis

Staff Present:

Dan

Cathy

Brian

Guests:

None

1.0. Introductions & Welcome - Charles Cady Meeting called to order at 10:00 AM

2.0. Approval of November 17, 2005 minutes - All

Motion by Liu, second by, Martens to approve the November 17^,2005 meeting. Motion carried.

3.0. New Business

3.1. Feedback on EMT-B refresher

Explained the new process of what we want to do.

3.2. Mark I Kits: Patient use

How many, When etc. Need to reiterate why they have them now. It is impractical to think that any sort of treatment for patients ca be accomplished with the limited supply that any service has. There is no intent to supply more or replace the kits when they expire. May be used in organophosphate poisoning. However we need to have very specific protocol on when, how etc.

3.3. ACEP State report card

Discussion on the recent ACEP report card. It was generally felt that the numbers were considered to be very inaccurate, considerable errors. It was not clear how the data was accumulated and how it was attained. No one contacted the State EMS office for the on medical control direction and it is 100 % in Wisconsin. The general consensus was to take ACEP comment under consideration and continue to work toward providing the best patient care as we can. The committee would looks forward to further information that helps to clarify the basis of the information.

3.4. Standardized state protocols

The committee will determine a standard format after review of certain existing protocols. Various protocols will be distributed to the committee and will be parceled out to committee members for further development. The goal will be to establish standard protocols that can be used by any and all services.

4.0. Old Business

4.1. Advanced Airway QA Tool

The form was reviewed and it was decided that the committee would focus on the content and items and that the specific form format would be determined by the State form process. Draft was approved

4.2. Excited Delirium Pilot

Tabled until more information is presented.

4.3. Inter-facility transport guidelines

Discussed that the feedback has been very supportive and in moving in a positive …

4.4. CPAP Pilot

Dr. Westfall, who was accumulating the QA forms, feels that based on the data to date that the practice is safe based on the review of the QA reports. About 3-4% had protocol violations, which is considered to be inconclusive.

Motion by Westfall, second by, Woelfle to allow for the use of CPAP at the basic EMT level and the application of the device is safe and within the scope of he basic EMT. Motion Carried.

4.5. Medical Director’s Course

Dr. Cady will have the final version to Dan and he will get it posted on the website to all so that Medical Director will have the information.