BEMSIP Staff Present
Rick Barney
Nan Turner
Jon Morgan
Others Present
Dr. Steve Stroman
Beth Natter
Dr. Bote
Dr. Mike Kellum
Dr. Gordon
Dr. Hugo
Mitch Waite
Barb Kuska
Keith Wesley called the meeting to order at 12:15 PM.
1.0. Introductions: Dr. Wesley introduced the three new members: Dr. Brazelton, Dr. Schultz and Dr. Voter. Dr. Wesley will draft a letter of appreciation to Drs. Pirrallo, Merick and Perloff.
2.0. Approval of June 20 meeting minutes.
Minutes of June 20, 2002 meeting were reviewed with no changes.
Action – Motion by Mark Westfall to approve the minutes. Second by Franz Keilhauer. Minutes unanimously approved.
3.0. Medical Director’s Course. Any narrations should be forwarded to Keith who will in turn forward all of the narrations to committee members and Nan. Discussion regarding changing the deployment of the medical director director’s course followed. Keith stated that Mosby has agreed to host the course – free. This would involve using Blackboard to post the course. Nan will investigate any administrative issues associated with these possible changes.
4.0. Pediatric BLS Protocols. Dr. Perloff stated he has made all changes to the protocols that were outside the scope of practice of the EMT level. He asked that PAC approve these revised protocols. Dr. Barney reminded the members that these are suggestions only – not mandatory.
Action: Motion by Mike Curtis to approve the protocols and forward to the EMS Advisory Board. Second by Jim Berner. Motion approved.
Dr. Perloff stated that the intent is to have these protocols laminated and a copy sent to all EMS Service providers. In addition, the training centers will receive both a hard copy and CDR.
5.0. State AED Protocol. Dr. Barney presented material indicating that technology is now available to allow defibrillation to children less than 8 years of age. Discussion included:
Medically, it makes sense
There are limited training issues
Dr. Perloff has already integrated into pediatric protocols
Should new providers be mandated to purchase AED’s with pediatric defibrillation capabilities?
Agreed this technology should be utilized at all levels: FR and EMT.
The Bureau EMSIP will need to review the adult AED protocol to assure it reflects the AHA 2000 guidelines. The adult and pediatric defibrillation needs to be separated out in PAD.
Motion by Keith Wesley that PAC forward this information to the education committee of the EMS Advisory Board to incorporate Pediatric defibrillation into all curriculums. Second by Tom Brazelton. Motion unanimously approved. Nan will take to the education committee.
6.0. EMS Report Card. Draft handout distributed by Mike Curtis. Discussion surrounding the document included the following suggestions:
Retool the report card to better reflect the “EMS Agenda for the Future”
Develop instructions and indicate to whom it is intended to apply and what/how it can be utilized.
Break the document into sections and forward to appropriate EMS Board Committee; PFFW; Fire Chiefs Association, etc. for their input.
7.0. Medical Director Report
DEA Update – no specific answer – it is acceptable to do either way: (1) service provider or 2) Medical Director.
MK 1 Kits – supply enough on ambulance to cover their own crewmembers. Valium only at ALS
Receive this training prior to being 1) initially licensed as FR or EMT and 2) relicensed as a FR or EMT after January 1, 2003. The EMS Board has recommended that the course be incorporated into all initial courses and refreshers to meet this requirement. The course itself is 4 hours in length and includes a pharmacology component that is currently being finalized by the Bureau. Train the trainer sessions are being scheduled throughout the state beginning the end of October.
CPAP for EMT-basic – the members reviewed a request from Regions Hospital in Minnesota to approve CPAP for EMT-basic services. A protocol was also supplied for review. Discussion concluded that the concept of CPAP at the basic level is approvable. Consideration as to inclusion into curriculums, refreshers, exams will also have to be taken into consideration. Action: Mark Westfall will develop a standard template for CPAP at the EMT-basic level and bring to the next meeting for review.
TraumaDex – the committee discussed the request for use of TraumaDex at the EMT-basic level. The decision was that since it is not a device or medication that they had no objections; although, the hope is that the providers are utilizing direct pressure procedures and not relying solely on the TraumaDex or other similar products.
8.0. Hospital Diversions – Dr. Barney, EMS Board Executive Committee members and BEMSIP Staff will be scheduling a meeting with the WHA to discuss this issue. The committee recognized the fact that it is not just affecting the larger hospitals, but the smaller hospitals as well. It is becoming difficult to transfer patients from a smaller hospital to larger because they are not accepting the patients. Hospital diversion data is needed to determine the extent of the problem.
9.0. Pain Management – Suzanne Martens presented the Analgesia Guideline document. All committee members are to send any additional comments to her. All comments will then be incorporated into the document for review at the next meeting.
10.0. EMSC Update – refer to handout. Several EMSC items were requested to be placed on the next meeting agenda.
11.0. “Investigative (Due Process) Protocol. Due to the lack of time available, Nan provided every member with a copy of the protocol containing DHFS legal counsel questions/remarks. Each member is to review prior to next meeting so we can get this finalized. The Section is receiving numerous calls for this document.
12.0. Next Meeting is December 19 in Room B145 from 10 AM to 2 PM at 1 West Wilson ST, Madison.
* Nan will make arrangements for 2003 PAC Meetings.
* Agenda Items for next meeting:
Medical Director course
EMS Report Card
Pain Management
Investigative protocol
Trans 309
EMSC Items
o Requirement
of insulin pump education in all FR & EMS education
o
Requirement of all ALS services to
include in their protocols to administer glucagon prior to IV attempts for
administration of dextrose
o
Develop DNR protocol for pediatric
patients
o
Mary Jean – present overview of
BELSS
CPAP Template