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Operational and Emergency Medical Services

National Park Service U.S. Department of the Interior. Operational and Emergency Medical Services. Dean A. Ross, Deputy Chief National Park Service Emergency Services. Mission Requirement.

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Operational and Emergency Medical Services

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  1. National Park Service U.S. Department of the Interior Operational and EmergencyMedical Services Dean A. Ross, Deputy Chief National Park Service Emergency Services “To those devoid of imagination a blank place on the map is a useless waste; to others, the most valuable part.” Aldo Leopold

  2. Mission Requirement 16 USC 1-4. Generally known as the “Organic Act,” authorizes the NPS and provides the authorities to provide emergency services to visitors and employees.

  3. Operational Space Mission Space: • Manages 9.2% of US Lands • Many ecosystems and biomes • Highest 20,328 feet • Lowest -282 feet • Warmest/Coldest Critical Missions: • Emergency Medical Services (>15,000 patients/year) • Search and Rescue (>5000 search and rescues/year) • Homeland Security (icon, border and counter-narcoterrorism) • Law Enforcement/Protection • Aviation • Collateral Structure Fire, Wildland Fire, Diving

  4. NPS EMS System • 137 EMS Programs • 2286 EMS providers • 544 ALS (AEMT, EMTP) • 52 ALS (RN, PA) • 1690 BLS (EMR, EMT) • 4 National Medical Directors • 148 Local EMS Advisors • Six Levels of Practice • EMR • Remote EMR * • EMT • AEMT • Parkmedic * • Paramedic * Advanced Scope

  5. NPS EMS Patient Care • Encounters >90,000 /Year • Patients >15,000/Year • 65% Basic Life Support • 28% Advanced Life Support • 7% Cardiac Care • 51% Trauma • 49% Medical • Transports > 10,000/Year • 89% Ground • 8% Air • 3% Vessel • Fatalities ~300/Year • 62% Traumatic • 38% Medical

  6. NPS Electronic Patient Care Record • Effects of ePCR use (started in FY 2008) • Created a more evidence based practice • Used to establish Quality Improvement/Assurance • Refined/New Protocols and Procedures • Epidemiological Surveillance • Injury Prevention • Risk Management • BLS/ALS Formulary • Notification • Future • Android/iOS Interface • IMARS/SMIS Integration

  7. EMS Program-Additional • NPS operates 3 Emergency Care Clinics • Yosemite (NPS Staffed) • Grand Canyon (Contract) • Yellowstone (Contract) • CISM and Clinical Psychology • > 500 CISM Peers • > 40 Psychologists • Hotline • Risk Management • Operational Leadership • Operational Risk Mgmt.

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