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

BEMSIP Staff Presen
Nan Turner
Rick Barney
Mary Jean Erschen                                                                                                                                

Keith Wesley called the meeting to order at 11AM.

1.0.             Introductions

2.0.             Approval of February 20, 2003 meeting minutes. 

Motion to approve minutes by Franz Keilhauer.  Second by Suzanne Martens.

Action - Minutes unanimously approved.

3.0       Old Business

3.1 IO addition to IV Tech curriculum

3.1.1.        Tom reported on the progress of the BEMSIP Committee whose task is to complete a pediatric module for the EMT-basic IV and ’85 EMT-intermediates.  The decision was made to include components of the PEPP course.  Steve Teale (WTCSB) also put together an estimated training budget.

3.1.2.        Don Hunjadi and Dan Williams, representing the policy and practice committee of the EMS Board, presented concerns expressed by that committee in regards to approval of IO at the EMT-basic IV level  (Refer to handout).

3.1.3.        PAC discussion included that they felt that they needed to make recommendations based upon what is medically needed for the pediatric patient.  They also felt that it is a procedure that can be easily taught and mastered and that it would benefit those services having long transport times.  The feeling was that patient assessment is and must be stressed as the critical component of instruction related to the initiation of a peripheral  IV and IO.  The curriculum and protocols should contain criteria for IV access. 

3.1.4.        Motion by Keith to include IV access, including IO, in the pediatric component of the EMT-basic IV and ’85 pediatric curriculums.  It should be taught in the courses; however, the individual service medical director will make the decision as to its use.  Second by Suzanne Martens.

Action – motion unanimously approved.           

3.2 Medical Director’s Course Update

3.2.2.        Nan reported that she has been working with the individual who will be developing the web access for the medical director course.  The access code will be the same as the medical director’s acess to EMSS password.  His staff  are refining the slides and he has 2 individuals to do the audio.  Some questions he had include:

¨       Online training materials typically contain a hyperlink to a content expert – someone to direct questions towards if they arise.  Is this a consideration?  Action – PAC felt it should be a consideration for this course

¨       He is still awaiting the questions for each module.  Action – Keith will forward to Nan

¨       What achievement level on quizzes will indicate success? Action – the goal should be that if an answer is incorrect that there would be a hyperlink to the slide that contains the information to answer the question correctly.

¨       Action – Nan will provide Greg with PAC’s input.

¨       Suzanne also has a copy of NAEMSP’s latest update of their Medical Director course.  Action – Suzanne will forward to PAC membership and Nan.

¨       Mike Curtis will work on additional material related to Bioterrorism and WMD

3.3 EMS Report Card – awaiting textbook which Nan reports has been ordered.

3.4 Pain Management Protocol – Motion by Keith to make changes to dosages and send final copy of document to PAC membership and Nan.  Second by Jim Berner.  Action – Motion unanimously approved

3.5 CPAP protocol and Curriculum

3.5.1.        PAC reviewed and revised CPAP protocol, Data Collection Form, and Respiratory Distress Scale.

3.5.2.        Mark will ask Dave Henning for his curriculum and forward to Keith. Keith will then forward to PAC members and Nan.

3.5.3.        Nan will forward to EMS Board Education Committee

3.5.4.        The CPAP protocol is intended for children 12 years of age and older. 

3.5.5.        The intent is that all levels utilizing CPAP complete the data collection form.  Once the packet is complete, the BEMSIP will do a statewide mailing of information.

3.5.6.        Keith and Mark have offered to assist in data collection and analysis.

3.5.7.        Motion by Keith that CPAP for the EMT-Basic and Basic IV be initiated as a “Pilot Project”.  Second by Mark Westfall.
Action - Motion unanimously approved.  The EMS Section will develop the process for inclusion in the pilot.

3.6 Due Process Document – document was reviewed and revised by membership. Action:  Keith will make revisions and forward to Nan.  Nan will forward to legal for final approval and dissemination to medical directors.

4.0       New Business

4.1 Questions for State EMS Survey – Nan requested that PAC forward  any questions that they would like to see included in our statewide EMS survey.

4.2 Protocol for Mark I Kits – membership reviewed NY DOH Use of Mark I Kits policy.  Nan received recommendations from membership and will draft a protocol/policy to accompany the Mark I kits which will be distributed statewide.

5.0.          5.0 State Medical Director’s Report – in addition to the above items, Rick reported on the proposed Bill to eliminate the sunset date of STAC and that the funding proposal is moving forward to include both Trauma and EMS funding.

6.0.         6.0 Pediatric Items

6.1.             Mary Jean and Tom Brazelten reviewed the EMSC report (See Handouts).

6.2.             AED for Pediatric patients – joint letter from AHA and BEMSIP states that the state of Wisconsin will wait until AHA releases an approval statement which is thought to be available within a few months.

5.0               Other New Business – 

6.0              Next Meeting –  membership agreed to cancel the June and August meetings.  The meeting date was changed to July 2 to coincide with the EMS Board meeting.  The time would be 12 Noon to 3PM.  The location is the Comfort Inn.

Action Items: