Members Present
Jim Berner                                                                   
Mike Curtis                                                                 
Franz Keilhauer                                                           
Suzanne Martens                                                         
Bill Perloff
Ron Pirrallo                                                                 
Keith Wesley
Mark Westfall

BEMSIP Staff Present
Rick Barney
Nan Turner

Others Present
None

Dr. Keith Wesley called the meeting to order at 10:00 AM in Room B145 at 1 West Wilson in Madison.

1.0.      Introductions  - there were no guests in attendance

2.0.      Approval of June meeting minutes
Minutes from the October 3, 2001 meeting were reviewed.  Motion by Bill Perloff, second by Jim Berner, to accept the October meeting minutes.  All Present – Aye.

 3.0.      Medical Director’s Course Update – Dr. Wesley

3.1.       Dr. Wesley distributed CDR containing all materials received to date from PAC members.

                  3.2.      Dr. Barney noted that since the group began developing the curriculum many months ago, there have been several changes with administrative rules and curriculums that need to be updated.  The BEMSIP will review the final document for accuracy prior to placement on the HAN.

3.3.            Items remaining:
3.3.1.      Protocol development – Dr. Martens (Nan will have Terry Gonderzik send the BEMSIP PowerPoint presentation)
3.3.2.      Due Process and Medical Contract
3.3.3.      Medical Director role with training center
3.3.4.      Insurance coverage
3.3.5.      Quality assurance & competencies

3.4.            Dr. Wesley asked the group to submit to him any sources for clip art that could be utilized in the course – Members to send directly to Dr. Wesley

3.5.            Timeline
3.5.1.      Final PowerPoint  - February , 2002
3.5.2.      Review by Bureau – March, 2002

             3.6.            Nan will invite the individual that will be assisting the group to the next meeting.  He will review the next steps for placement on the HAN (Health Alert Network).

 4.0.      Pain Management Template – Dr. Martens

4.1.      Dr. Martens presented an “Analgesia Protocol”

4.2.      All present offered suggestions to protocol which will be referred to as “Sample Use of Analgesia in the Out-of-Hospital Setting” – not protocol

4.3.      Dr. Martens will incorporate the changes and bring final document to February meeting.

4.4.      It was noted that the NAEMSP is planning to release a policy statement regarding pain management in January 2002.  The committee agreed to wait for the NAEMSP document and then release both the Wisconsin and NAEMP documents at the same time.

 5.0.      ALS Pediatric Treatment Protocol Templates – Dr. Perloff

            5.1.      Dr. Perloff indicated that these were sample protocols that could be utilized by ALS medical directors

5.2.      They can be utilized by instructors in their educational programs

5.3.      They will be distributed to Training centers, services, medical directors and emergency departments.

5.4.      The goal is to have laminated copies for each ambulance

5.5.      There seems to be discrepancies when defining “pediatrics” – the BEMSIP needs to provide a definition

5.6.     All present reviewed the protocols – several recommendations were made by the committee.  Dr. Perloff will make the changes and e-mail all members with the final copy for final approval

6.0.      Review of Interfacility Document - All

The document was reviewed by all present.  Some areas of concern included:

• Changes to the grid – make it more clear when critical care or nurse crew is necessary

• Concerns relating to the listing of specific medications.  Possibly just list the medications that require critical care provider.  It was noted that this document is not for just out of hospital personnel, but also the hospital personnel trying to make the decision what level of care to utilize.

• Should be a statement related to knowledge of medications that were administered prior to the patient transfer

• Nan and Dr. Barney will relay these recommendations back to the Interfacility Committee.   The document will be presented to the EMS Board in January; Rural Health and Wisconsin Hospital Association in February.  All input should be to Terry Gonderzik by March 31, 2002.

7.0.      Medical Director Report – Dr. Barney

Dr. Barney gave an overview of the Bioterrorism activities.  A discussion followed regarding what type and content of education the EMS community should be receiving.  Some questions to be considered included:

• Should the education be mandatory?

• What should the content of the course be? 

• Emergency rules from the Governors office

• Medications to be carried by EMTs during a disaster – which one’s?  Education?  Injectors for self & the crew? Protocols….

• Who should do the training?  How?

• What are some sources of training materials?  Nan reported that the BEMSIP needs to have an EMS proposal that addresses the education component – the BEMSIP proposal is a small piece of the entire public health plan.

8.0.      First Responder Scope of Practice – awaiting Combitube and epinephrine modules from Steve Teale

9.0.      Hospital diversions – tabled for discussion February 21 meeting.  Nan distributed a policy statement from New York State

10.0.    Discussion EMT-P & I continuing education and competency requirements – Tabled for discussion February 21 meeti

11.0.    Other item: The Bureau was asked by to provide guidance to services on completing the “Application For Registration – under Controlled Substance Act 1970 (DEA)

12.0     Meeting adjourned 2 PM