EMS

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Evaluating a Trauma System II

By | October 17th, 2013|General|

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 [...]

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Rural Metro Bankruptcy

By | September 9th, 2013|Preparedness|

A couple of months ago the Rural/Metro Corporation filed a Chapter 11 bankruptcy petition in U.S. Bankruptcy Court.  Last month I sent them a detailed letter asking for a host of financial and operational information about the company in order to determine whether the company still meets our statutory mandate (ARS 36-2201) and rules requirement (AAC R9-25-912(A)) [...]

Vision Awards x 2

By | August 14th, 2013|Prevention|

One of the most important aspects of public health is sharing effective, creative ideas with other public health agencies so more people can benefit from what we learn.  Each year the Association of State and Territorial Health Officials highlights really good programs with their Vision Awards.  This year, they selected 2 from Arizona to share [...]

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Rural Metro Bankruptcy

By | August 5th, 2013|Preparedness|

Earlier this week the Rural/Metro Corporation (a large provider of private ambulance in Arizona) announced that it had filed a  Chapter 11 bankruptcy petition in the U.S. Bankruptcy Court for the District of Delaware. The Company announced that the bankruptcy action will allow the company to…  “significantly reduce its debt, renegotiate unprofitable contracts and free [...]

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AZ’s Traumatic Brain Injury Network Developing

By | February 6th, 2013|General, Preparedness|

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 [...]

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Acute Cardiac Care & Arizona’s EMS System – Setting the National Standard

By | December 4th, 2012|Preparedness|

Sudden cardiac arrest is a leading cause of death in Arizona (7,600/year).  Because Arizona’s EMS agencies (including more and more 911 centers) have implemented key interventions, the survival rate from Sudden Cardiac Arrest in Arizona has increased by 300% since 2004.  Arizona’s pre-hospital and EMS system has become a model that has been adopted across [...]

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AZ’s Trauma System: Moving to the Next Level

By | December 3rd, 2012|Preparedness|

Injuries are the leading cause of death for Arizonans from age 1 to 44.  That means for the majority of the young and the middle-aged injury is more lethal than cancer, heart disease, hypertension and influenza combined.  The effectiveness of a State’s pre-hospital and Trauma System makes the difference when it comes to saving lives [...]

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AZ’s Pre-Hospital (EMS) – Trauma System Continuum

By | November 30th, 2012|Preparedness, Prevention|

The effectiveness of a State’s EMS and Pre-Hospital & Trauma System makes the difference when it comes to saving lives (and quality of life) from injuries.  Injuries are the leading cause of death for Arizonans from age 1 to 44- so you can see how important it is for states to have an effective EMS & [...]

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Takin’ it to the Streets

By | September 28th, 2012|Preparedness|

We just found out that AZ had 3 oral abstracts accepted (including the #1 scored abstract) for this year’s National Association of EMS Physicians meeting.  Of the 208 abstracts submitted, only 15 were selected for oral presentations.  We get to do 3 because AZ submitted 3 of the top 15 scored abstracts.  Our Statewide Cardiac Receiving Center abstract was the [...]

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Trauma System Improvements in Arizona

By | July 10th, 2012|General|

Imagine your son or daughter is riding their bicycle in rural Arizona when a car swerves and crashes into them, causing a severe head injury.  They are clinging to life. Until several years ago, if this injury had happened anywhere other than Flagstaff, Tucson or Phoenix, your child’s chance of receiving specialized trauma care within [...]

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