EMERGENCY MEDICAL SERVICES PHYSICIANS ADVISORY COMMITTEE
Members Present:
Charles Cady
Mark Westfall
Suzanne Martens
Tom Brazelton
Mike Curtis
Mark Schultz
DHFS
Staff:
Dan Williams
Cathy Etter
Brian Litza
Bruce Gordon
Members Absent:
Halim Hennes
Franz Keilhauer
Eric Voter
Others in Attendance
Wade Woelfle
Rommel Bote’
Ken Johnson
Gene DuQuette
1.0
Introductions and Welcome
PAC began at 12:00pm with introductions around the room and a welcome by Chair, Dr. Charles Cady
2.0 Approval of meeting minutes
Motion by Dr. Martens. Second by Dr. Schultz to approve the minutes of the June 2005 meeting. Motion carried.
3.0
New Business
3.1 Franz Keilhauer has resigned from the PAC. A replacement will be announced after the October EMS Advisory Board Meeting.
3.1.1 There are 4 openings for PAC members. Voting will take place at the October EMS Advisory Meeting.
3.2 King LT Airway
3.2.1 After discussion regarding the non-visualized airway, PAC approved the use of the King LT airway by EMT-Basic through Paramedic level providers.
3.2.2 PAC would like to have the developers of the King LT airway to submit additional information regarding it’s use in the Prehospital setting. Dan will request information from them.
3.2.3 PAC will be developing a CQI tool to be used anytime this airway is used in the prehospital setting. Service Medical Directors will need to develop competency and CQI tools for their service.
3.2.4 PAC would like the manufacturer to supply those services using the King LT airway with training equipment. Dan will request this.
3.3 Combi-tube
3.3.1 Discussion involving the SA (Small Adult) Combi-tube.
3.3.2 The SA Combi-tube may be used on persons between 4 feet and 5 feet in height. There is no age consideration when using this device.
3.4 Ketamine Pilot Project
3.4.1 Dr Curtis presented information regarding the use of Ketamine for patient in Exited Delirium.
3.4.1.1 Dr Curtis will develop a protocol for EMS use in Excited Delirium for review at the next PAC meeting.
3.5 New State Disaster Plan
3.5.1 The EMS Advisory Board will be reviewing the Statewide Disaster Plan. The Governor has called for an overall look at the Statewide Disaster Planning.
4.0
Old Business
4.1 Interfacility Transport Guidelines
The IF Transport Guideline Final Draft dated August 2005 was discussed.
Dr Brazelton will be adding Pediatric transport information and return the changes to Dan or Cathy.
4.1.1 Dan will send the Final Draft to the Section for distribution to select organizations for their review prior to introducing the final document statewide.
4.2 CPAP Program
4.2.1 Dr Westfall asked that all services send in their data anytime CPAP is used. He would like additional information prior to the pilot program ending on December 31, 2005.
4.3 Call and Pump Program
4.3.1 No one was present to discuss this program. Dr. Rick Barney will be presenting this program during the PSOW Conference.
5.0
Board Meeting Report
5.1
Dr Martens
reported on the recent EMS Advisory Board meeting. The Ambulance Run Data
System was purchased from Image Trend. FAP was discussed. EMT-Basic Refresher
hours will be changing.
6.0
EMS-C
6.1 Dr Brazelton discussed the Interfacility Transport Guidelines as they impact pediatric patients.
6.2 Dr Brazelton presented handouts regarding National EMSC Performance measures and the semi-annual report of the WI EMSC Partnership Grant 2005-2006.
7.0 State Medical Director Report
7.1 Dr Gordon reported that the marketing group Staples will have tools available for use by RTAC’s and Medical Director’s.
7.2 The Medical Directors’ Course should be completed within the next few months. We are still trying to determine who will “host” this on-line program.
8.0 Next Meeting: The next PAC meeting will be held Thursday November 17, 2005 at the Medical Society in Madison, WI.
8.1 Proposed agenda items:
8.1.1 Statewide Protocols