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Orange County EMS Office of the Medical Director

Learn about the roles, scope of activities, and operations of the Office of the Medical Director in the Orange County EMS System. Gain updates on key clinical indicators, offload delays, and the latest EMS protocols.

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Orange County EMS Office of the Medical Director

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  1. Orange County EMS Office of the Medical Director George A. Ralls MD Medical Director Orange County EMS System

  2. Objectives • Describe roles within the office • Explain the primary scope of activities • Provide an update on OCEMS System operations

  3. Orange County Fire Rescue • Orlando Fire Department • Reedy Creek Emergency Services • Rural-Metro Ambulance • Health Central Ambulance • Apopka Fire Department • Winter Garden Fire Department • Ocoee Fire Department • GOAA

  4. The Orange County EMS System • Approximately 2000 EMT’s and Paramedics • 200,000 EMS calls yearly • 95,000 transports

  5. Office of the Medical Director • A division of the Orange County Health & Family Services Department • Primary mission • Provide Medical Direction (per FAC 64-E) for all agencies participating in the OC EMS System • Create a high level standard of care throughout Orange County

  6. Medical Direction

  7. Direct Medical Oversight

  8. On-Line Medical Control

  9. Orange County EMS System Medical Treatment Protocols Indirect Medical Oversight • Evidence Based • Updated version in effect Sept. 1, 2008

  10. Quality Management

  11. 06-07 Cardiac Arrest Summary

  12. April 2008 average offload time 8 minutes in focused study at four busiest ER’s

  13. Education & Research

  14. Continuing Education for EMTs and Paramedics • On-line, classroom, and face-to-face teaching • Teaching environment for physicians in training • ORMC and Florida Hospital resident physician rotation in EMS • FSU Medical student electives in EMS and EMS research

  15. Lead to statewide requirement for use of a monitoring device to improve patient safety

  16. Disaster Planning & Response

  17. Orange County Health & Medical disaster coordination (ESF-8) • Maintain PSN registry • Over 3400 OC citizens registered • Disaster Management Assistance Team • Urban Area Security Initiative-Medical Lead • Region 5 Domestic Security Taskforce

  18. Other Activities • EMS related COPCN review and submissions • EMS System enhancements through grant opportunities • Over $300,000 for EMS enhancements annually • Public health initiatives • Orange County Medical Clinic • AHA Certified Training Center • Approximately 5000 certifications processed in ’07-’08 • Liaison with clinical and administrative hospital personnel

  19. Summary • The office provides Medical Direction and support to OCEMS System agencies • Roles and responsibilities are diverse • Positive trends in key clinical indicators • Offload delays significantly improved • EMS protocols updated Sept. 2008

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