Members Present                                                     
Jim Berner                                                                   
Tom Brazelton                                                             
Mike Curtis  (via phone)                                   
Franz Keilhauer                                                            
Suzanne Martens                                                          
Mark Schultz                                                                
Keith Wesley                                                               
Mark Westfall     

BEMSIP Staff Present
Jon Morgan                                                                                                                  

Keith Wesley called the meeting to order at 10:10 AM.

1.0.             Introductions:

2.0.             Approval of December 19, 2002 meeting minutes. 

Minutes of December 19, 2002 meeting were reviewed with two changes:

1.      The discussion on pain management and the need for medical control should have been specific to abdominal pain.  The wording should have been: “On-line medical control consultation before giving analgesics to patients with abdominal pain should be by local protocol.”

2.       The discussion on smallpox vaccination should have been a formal motion.  The motion was: The Physician Advisory Committee does not recommend volunteer smallpox vaccination for EMS personnel at this time.

Motion by Mike Curtis to approve the amended minutes.  Second by Franz Keilhauer.  Minutes unanimously approved.

3.0       Old Business

3.1 EMS Report Card – Keith Wesley reviewed Version 4 with Nan & Rick and the document is ready to forward to the EMS Board. Joint Commission on Accreditation of Healthcare Organizations  (JCAHO) has a similar model, which should be looked at for other information.  Motion to send Report Card (Administrative piece) to the EMS Board, along with the JCAHO document.   PAC will look further at the clinical components from the JCAHO document.

3.2 Pain Management – Suzanne Martens distributed the revised pain management protocol to committee members.  Final edits will be done by Suzanne Martens and sent to members.  Keith Wesley will continue to look for an existing national background document that provides a rationale and explanation for the protocol.

Additional pain medication for EMTs-Basic was not recommended.  Committee members emphasized that basic skills and attention to the patient should be done and that attention to the patient and basic care should not be underestimated in decreasing pain. 

3.3 Medical Director’s Course – Keith Wesley reported that all the narratives are done and that he has added AV and pictures to the modules.  A disc with the course materials on it was distributed to members (a copy will be mailed to Drs. Curtis and Voter).  The only uncompleted portion is an initial survey to get information on participants and possible assignments for each module.

There were other questions about future enhancements (i.e. list server, discussion groups, etc.).  Committee members were assigned to print & read the transcripts and develop an assignment or scenario for each module.

3.4 CQI Templates

Recommendations from the last PAC meeting were passed on to the CQI committee.  No additional discussion or action is needed.

3.5 CPAP Template

Mark Westfall reviewed CPAP for EMT-B materials, including edits from the last meeting.  The committee reviewed the two documents: Respiratory Distress Protocol and Mask CPAP for EMT-Basic.  The respiratory distress protocol was modified to change the questions to look for specific symptoms and ask about patient history of asthma, COPD and CHF.  Recommended dose was 5 centimeters of water pressure.  Mark Westfall will revise the draft and a final document will be forwarded to the EMS Board.

The committee also asked what was the status of the final basic life support (BLS) protocols as a resource document?  The committee asked that the document be posted to the Department’s internet site and disseminated to EMS Medical directors and providers.  Nan Turner will follow-up.

4.0       New Business

4.1 Investigative (Due Process) Protocol – The committee reviewed the document, including comments from the Office of Legal Counsel.  There were a number of edits and Keith Wesley will send an updated draft to members.

4.2 Trans 309 – Not discussed.

5.0              State Medical Director’s Report

5.1               First Responder Rule – Jon Morgan responded on behalf of Rick Barney.  The first responder rule draft is nearing completion.  The only large issue was whether defibrillation should be a requirement for first responder certification.  Feedback from an informal survey indicates most groups want to include defibrillation.

5.2               Bioterroism – Regional planning is being done by hospitals and local public health consortia.  Training and exercise will be taking place in late summer.  The goal is to coordinate bioterrorism activities to maximize the funding that  is currently available.

5.3               Trauma –.The regional trauma advisory councils (RTACs) will be formalized and officially recognized in March.  Regions have started to pursue initial objectives and those objectives will be part of their RTAC applications.

6.0              Pediatric Items

Keith & Tom are involved in IV Tech curriculum development, which is going well.  No other issues at this time.

7.0               Other New Business –

·         TIMI 19 study = Prehospital fibrinolytic therapy.  Dr. Curtis asked whether adding fibrinolytics would be considered as a pilot initiative.  There was a long discussion about the benefits of this intervention versus some of the inherent technical and care issues.  Consensus was that the technology has to be present to transmit 12-lead data consistently before the intervention should be considered.

·         PAC recommends that the bureau pursue two legal changes:

1) Modify the Public Access AED law to specifically include police and public safety personnel if they are properly trained;

2) Modify the Good Samaritan law pertaining to public access AED to remove the training requirement for the general public in order for them to be immune from liability. 

8.0              Next Meeting – Thursday April 10, 2003 - Pioneer Inn, Oshkosh

The August 21, 2003 meeting date is tentative and may be cancelled depending on pending issues.

Action Items: