Recent events such as Hurricane Harvey have illustrated the importance of information sharing during a disaster response. Communication and coordination between first responders, health care facilities, emergency management, public health, and other responders is critical to protecting the health and well-being of disaster victims. After action reports and lessons learned from previous responses almost always [...]
The Buckeye Fire-Medical-Rescue Department recently became Arizona’s fourth emergency medical services (EMS) agency to successfully obtain ADHS Treat & Refer (T&R) EMS Agency recognition. Arizona's T&R Recognition Program recognizes EMS agencies that have demonstrated optimal patient safety and quality of care by matching appropriate treatment, transport, and care destination options to the needs of [...]
Our Bureau of EMS and Trauma System launched the Acute Traumatic Pain Management Training Module online on July 21. The Module is part of the Bureau’s participation in a five-state National Highway Traffic Safety Administration (NHTSA) grant project including Arizona, Idaho, Kansas, Tennessee, and Wyoming. The purpose of the project is to evaluate how states [...]
Good question. Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. For example- hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies, and beds could be in short supply; and alternate care facilities may need to be used. [...]
A couple of weeks ago, I introduced the concept of “Over Triage”… which is when EMS transports a patient to the highest level of care (like a level I trauma center) when they could have taken them to a level III or IV trauma center closer to their home. The downside of over-triage is that [...]
Four years ago- AZ's Trauma System was really in its infancy. We had 7 Level I (high-end) Trauma Centers… but that’s it. After 4 years and a full court press- we now have a functional statewide trauma system to help folks who get injured outside the metropolitan areas that includes 31 trauma centers including 16 of the [...]
Last year we created Arizona’s Excellence in Pre-hospital Injury Care project- which is aimed at improving brain injury outcomes in AZ. The National Institutes of Health chose AZ as the only state to evaluate the national standards for pre-hospital emergency care of brain injury. Since we got started about a year ago- we’ve recruited almost 100 [...]
Traumatic brain injury is involved in about 1/3 of all injury-related deaths- it’s clearly a public health issue. That’s why we created Arizona's Excellence in Pre-hospital Injury Care project- which is aimed at improving brain injury outcomes in AZ. The National Institutes of Health chose AZ as the only state to evaluate the national standards [...]
About a year ago Ben Bobrow, MD (our EMS Medical Director) came into my office with a great idea to set up a program to train 911 dispatchers in better ways to coach callers through CPR instructions so callers can do a better job before the paramedics get there. The problem was money. So I sent him [...]
This month has been a doozy for our Bureau of Emergency Medical Services and Trauma System team. This week we finished the 2nd of 2 high-profile and important decisions. A couple of weeks ago I made a decision to let Yuma City take over part of the ambulance response in that town. I thought the city [...]
