The 2011 Oregon Trauma Report has been published and the Area Trauma Advisory Board’s (ATAB) Dashboard Reports are being sent quarterly. The revised trauma-related Oregon Administrative Rules have been opened to public comment and EMS and Trauma System staff responses are being prepared. EMS and Trauma Systems staff and I have been attending or calling into all ATAB meetings to give updates from the state office and entertain questions. We have adopted the 2011 American College of Surgeons Trauma Field Triage criteria.
POLST Registry Advisory Committee (PRAC) and POLST Task Force
The POLST Registry 2011 Annual Report has been published. The POLST Registry has demonstrated an incredible growth in its use. The PRAC met Oct. 8 and the POLST Task Force met on Sept. 20. The committees are working on an electronic submission POLST form. We also discussed further EMS educational outreach to make sure providers are aware of how to contact the POLST Registry. There is a proposed study to link POLST and trauma registries to evaluate the relationship between patients in both to see if there are any operational changes to be made.
The National Association of State EMS Officials (NASEMSO) Annual Conference
I represented the Oregon EMS and Trauma Systems program at this conference in Boise, Idaho, Sept. 23-27. EMS Office personnel including Director Mike Harryman, Professional Standards Representative Liz Morgan, EMS Deputy Director Kim Torris, and Trauma Program Coordinator MaiKia Moua also attended. The state EMS medical directors discussed developing regional and national EMS protocols (evidence-based) that are being funded by NHSTA and EMS-C. There was also a seminar on the three Advanced Automatic Crash Notification systems (OnStar, Ford, and Regis) and how they could work with PSAPs, EMS agencies and trauma centers. NHSTA is contracting for an hour-long online education module for EMS medical directors to potentially increase the use of this information by the EMS community.
State EMS Committee (SEMSC)
The SEMSC met Sept. 7. The meeting featured a demonstration of the state HAN and HOSCAP systems capacities. Oregon is now contributing EMS data to NEMSIS via the state Image Trend database. The EMS Office would like to get more EMS systems to contribute data to the state either by directly using Image Trend or by exporting current electronic data to it. The Oregon Board of Pharmacy discussed EMS medication shortages. A working group has since been developed and has had two conference calls to evaluate various options to mitigate this issue. There is discussion of EMS agencies being able to tap into the purchasing power of the state for pharmaceuticals with the potential of lower prices and less critical drug shortages.
The revised ORS section on Programs to Treat Allergic Response or Hypoglycemia has gone through public hearing and comment and has been finalized. The Oregon EMS Conference occurred last month in Bend and was well attended by the EMS community and staff members from the EMS and Trauma Systems office. Laurel Conley, EMT-P, Phil Engle and I assisted with pediatric trauma scenarios at the Simulation Preconference on Thursday at Central Oregon Community College. I attended the EMS Medical Director Forum on Friday to discuss the current challenges of the EMS system and what we can do together to look to the future. Staff also hosted the EMS Awards Dinner Friday night and led a Q&A session Saturday morning with conference attendees.
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