1 / 19

The Big Baby Blue Southeast Region 1st Regional Trauma Care Conference January 9, 2009 Tem

ceri
Download Presentation

The Big Baby Blue Southeast Region 1st Regional Trauma Care Conference January 9, 2009 Tem

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    3. The four LEMSA’s, geographically representThe four LEMSA’s, geographically represent

    4. Not critical of ANY of the criteria, this is a learning exercise that will open us later for discussionNot critical of ANY of the criteria, this is a learning exercise that will open us later for discussion

    5. Trauma Triage The Tale of Humpty Dumpty

    6. Origins 1793 In battlefield care & transport 1871 Through the Looking Glass is published 1896 First recorded Auto v Ped fatality. A 44 y/o mother stepped off the curb and went into history as the first person to be killed by an auto in Britain. The British Coroner warned, “This must never happen again!” 1913 ACS is founded 1966-1st trauma unit in Cook County Chicago & the White Paper 2009-Trauma Systems moving forward

    7. Humpty Dumpty growled out. `… Why, if ever I did fall off -- which there's no chance of -- but if I did --' Here he pursed up his lips, and looked so solemn and grand that Alice could hardly help laughing. `If I did fall,' he went on, `the King has promised me -- ah, you may turn pale, if you like! You didn't think I was going to say that, did you? The King has promised me -- with his very own mouth -- to -- to --' `To send all his horses and all his men,' Alice interrupted, rather unwisely.

    8. TIME aka The Golden Hour Development of triage criteria Development of regulations Development of EMS, trauma systems, trauma centers Today we are here to review the criteria

    9. ACS & PHTLS Criteria The Gold Standard

    10. ICEMA Criteria

    11. REMSA Criteria

    12. Imperial County Criteria

    13. San Diego County Criteria

    15. THE FALL THINGS TO CONSIDER Are we setting ourselves up? Differences by design? Each LEMSA’s population Each LEMSA’s recreation Each LEMSA’s resources

    16. AFTER THE FALL Over and under triage Impact towards sending Increased Air utilization for long transports Impact towards receiving Pt records EMTLA Continuation of Care If we standardize the physiologic component will IC be sending more ptsIf we standardize the physiologic component will IC be sending more pts

    17. THE WALL Barriers to Regionalization Same language, is it needed? Increase or decrease in volume? Data consistency? Registries? Crossing county lines…(omg!) Providers out of service time? Funding? Repatriation? QI? Standardize language, scoring, definitions Data dictionary Standard registry More or reduced county crossings Will we be increasing out of service time- OC triaged off gurneys quickly Who pays for itStandardize language, scoring, definitions Data dictionary Standard registry More or reduced county crossings Will we be increasing out of service time- OC triaged off gurneys quickly Who pays for it

    18. Moral of the Story…

    19. The End Acknowledgements to Patrice Shepherd for graphic design Bruce Barton for discussion points My husband for his tolerance while using our holiday time to prepare.

More Related