CENTRAL REGION EMS AND TRAUMA COUNCIL
AGENDA for March 14, 20152:00pm-4:00pm
Valley Medical Center
MAC Building, Rooms E & F
2:00
Call to Order and Introductions
Chris Martin, 2:02pm
2:05
Review & Approval of Minutes
Mark Taylor move, Anne Newcombe second
2:08
Report of the Chair
Hospital TAC meeting next Weds. ACOS book changed from green to orange. Put
together a group to crosswalk new information. Action: Chris will try to get to Rachel to send
out to the group. Focus on how WACs differ from ACOS recommendations.
Are hospitals at capacity? General consensus- yes. Bad flu season this year. Busy time is
lasting longer this season. NWHRN- surge survey dollars are for catastrophic surge capacity.
2:10
2:15
Financial Report – Rachel Cory
P&L: (34,820); Balance: 157,622; Est Rec: 67,323; Est Pay: 70,144; End of yr bal: 154,801.
Local and State Committee Updates
Peds TAC- Lila O’Mahoney. January Meeting. KC Medical Examiner requested earlier
notification about critically ill children as it helps their investigations. LE/EMS contacted to
make note of clinical elements that could indicate non-accidental trauma. Capacity of ped
centers is at maximum. Bad flu/respiratory season. Boarding peds pych patients. Nationwide
trend. NAT guidelines- strategic goal of peds TAC. Period of Purple Crying- educating new
parents about when heaviest crying times are. Facility recognition process- focus on ED
preparedness vs. looking at whole facility. EMSC website will be used to launch this program.
Disaster training/preparedness discussed. Joint Peds/Outcomes TAC meeting last week: ped
trauma data. Rachel: get presentation to send out to group. Improved mortality 1997-2013.
Major TBI still major cause of death, falls as method of injury. Central/West region highest
incidence. Trauma volume stable, appears as though most patients are being triaged to the
correct facilities. Window falls as part of EMS week? Safe Kids of Seattle/South King County.
$4,000 to Safe Kids for public service announcement?
King County EMS- Jim Fogarty. EMAC: PSERN, 800 MgHz radio system that many
hospitals use. Old, needs replacement. Ballot initiative to fund new radio system.
Consolidation of 911 dispatching centers. E-911: next generation of 911 systems. Predominant
point of access to 911 are wireless phones. System can become overwhelmed. New system will
initially be owned by county, and ownership will be turned over to other groups. 911 data had
been subject to full public disclosure, legislation has come across to make some info exempt
from public disclosure. EMS: Seattle Dept new chief: Boggins. King County Fire Assoc: Mike
McCallon (sp?). Relationship with United Arab Emirates- want to improve emergency services
in UAE. Have adopted some of our services we use locally. Began using service and have seen
some dramatic successes. Mickey Eisenberg. Backboard policy has changed, has been sent
out. Pulse Point: Application for smart phones that would allow dispatch to locate via GPS
coordinates, alerts to exact locations and tells where AEDs are. Medic One Foundation
negotiating with three major dispatch centers and FDs in the area to support this. Seeking
corporate sponsors to pay for the fees, roughly $80K per year. Downside: only works in public
places, not private.
DOH- Eva Rooks. Reviewing regional plan review process. Contract will start July 1,
regions will take responsibility for audit expenses. March is TBI month. Therese Hanson- new
supervisor for Zeyno and data division. She may attend meetings as she tries to understand
how all data pieces are put together and how she can help support the process.
Psychiatric Patient Task Force – Celeste Etherington. Legal that happened at end of
year. Getting patients to appropriate level of care. Tri-fold made for Seattle, north and south.
Call in to Seattle Children’s, will discuss whether they want to be included on map. Glossary
document completely approved and done. Will go out to EMS as well.
Public Education Subcommittee – Rachel Cory. Suggestion: multiple trauma
methods- window fall, elder fall. Shared storyboard for short public education video. Need
narrator. Youtube video to be spread on social media.Youtube channel! Facebook page? Could
have 4-5 administrators of a FB page. Please send stock video to Rachel. Closing statement:
“WA trauma system saves lives.” “Got Trauma?”
2:35
Narcan Discussion Dr. Steve Anderson- Auburn
Decrease of pill count on street, death rate from heroin has climbed since 2010.
Naproxen to reverse opiates. Treatment of acute overdose going up over time because street
drugs are more potent. New delivery system: auto injector. Expensive. Intranasal option.
Roughly 1 minute longer than injection. About $22 to produce. Naloxone training programs
reviewed. StopOverdose.org: website resource that includes training videos to show to patients
in the emergency room. Must be coupled with education. Call 911 is part of education- patients
who respond are at risk for relapse. Needs to be made into a priority in our community.
Complications: withdrawal, annoyance, seizure. No complications involved fatalities. Challenge
to EMS- refusals to get transported. Target population: any heroin user or rx opiate user
automatically gets training. Friends, family, “bystanders.” Challenges: indemnification laws,
price, staff to do training vs. online training, public awareness, prescriber incentives, efficacy
data. Bob B: ambulance side, price is an issue. ACEP working to push FDA to keep prices down.
Andy Adolfson: concern about shortages of Narcan. Will production be ramped up? Could rally
to get first round of supplies delivered to EMS. Naloxone is generic, the delivery systems are
the cost.
2:55 Stroke/STEMI Data Presentation Jamie Emert, King County EMS. Jamie can email
full report. Collaborated with hospitals who shared data and linked back to prehospital data. Dr.
Eisenberg, Dec. 2014, sent out stroke policy update. Goal was to improve number of ischemic
stroke pts who would be eligible to receive thrombolytic treatment. Time of symptom onset vs.
time of last known well. Critical to get phone number of person who knows patient medical
history and time of last-known-well. If this info gets to hospital before patient gets there, it’s
helpful. Dr. Eisenberg asked for new training video on EMS online. Regional QI cmte: meet w/
hospital stroke coordinators. Quarterly teleconference. Research trends showing that
mechanical thrombectomies should be done more often for patients for whom it would be safe.
Discussing how to expand this. WA state emerg. Card/stroke- conference planned for June 8/9.
STEMI: Thinking about developing similar STEMI system as stroke. Competing registries for
cardiac patients make this difficult. System we have in King County w/ stroke coordinators and
Jamie is unique in this country. Amazing metrics available about patient’s treatment
throughout the system. By-passing emergency dept. Shaving time is very effective. Feeds back
to EMTs, and they’re getting excited about moving fast because hospital will move fastpositive reinforcement. Only see your own hospital in relation to the rest of the county.
Meeting to talk about this with Jamie? Can people take this information back to their hospitals?
Worth having a discussion. There’s got to be a lot of motivation form hospitals to take this
process on. Jamie work with Rachel to get contacts to set up meeting.
3:15
Hospital Diversion Report – Rachel Cory. 27:20 hours.
3:25 2015-2017 Regional Plan Draft Review – Rachel Cory. Bob Berschauer: move to
accept. Lila O’Mahoney: second. Approved to send to DOH.
4:00 Good of the Order and Adjourn. Bob Berschauer: Term limit being reached? Need new
consumer rep? Any retired? Rachel Weber: Snoqualmie has been building a new facility. May 6moving to new facility. Open house coming up, flyers distributed. Chris Barnhardt- application
to participate on regional council. Will send info to Rachel, then send it out. New director of
VMMC ED attended: Rea Berg.
Approval:
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Signed
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