Current Trauma Status Report - Southern Nevada Health District

More documents

Recommendations

Info

Inventory of Resources Prehospital Care The EMS Department is a section of the Clark County Health District. They regulate prehospital care as provided in Nevada Revised Statutes Chapter 450B and in the EMS regulations for Clark County Health District. EMS in the other counties in Nevada is overseen by the Nevada State Health Division. Communication The prehospital communication network includes a universal access number through the use of E-9-1- 1, except for cell phone calls and a few telephone companies that do not subscribe to the enhanced service. They have prioritized dispatch and post dispatch instructions provided by all dispatch centers. State regulation requires all dispatchers to be Emergency Medical Dispatch (EMD) certified. Communication between dispatch and the ambulance is provided by the 800-megahertz link for fire departments and by UHF for private ambulances. Similarly, ambulance to ambulance communication is provided by the 800 megahertz for fire departments and by UHF for private ambulances. VHF provides ambulance to hospital communication, and within six months there will be hospital-tohospital communication through the use of the 800 megahertz system. Air ambulances also are able to communicate with ground ambulances. Dispatch Following a traumatic injury, access to medical care is most often achieved through a request to the Enhanced (E) 9-1-1 system, which is available throughout the region except for calls received from cell phones and a limited area served by telephone companies that do not subscribe to the enhanced service. There are six first responders and three private transport-only agencies in Clark County. Dispatch is accomplished primarily by two Public Safety Answering Points (PSAPs). One is Fire Alarm Operations (FAO) for the North Las Vegas, Las Vegas and Clark County Fire Departments, which transfers calls to AMR and Southwest Ambulance for transport. The other main PSAP is in Henderson and dispatches Henderson’s fire and police. Mesquite also has its own dispatch. The dispatch centers have monthly quality improvement meetings to discuss dispatcher quality improvement. They are currently working on including a physician for QI of prehospital communication issues. The records for dispatch do not link with the trauma registry except by manual entry by the trauma centers. Provider Agencies All of the first responders transport except for Clark County Fire Department and North Las Vegas Fire Department. Las Vegas Fire & Rescue has both transport and non-transport units. By agreement, Las Vegas Fire & Rescue responds with a transport unit for all motor vehicle crashes (MVC). For all other calls, including non-MVC trauma, they send a non-transport unit, which is then supported by a private ambulance transport. The primary air ambulance transport is provided by Mercy Air and they have two stations in Clark County. There are 11 volunteer fire departments who serve the rural areas of the county. Both the two major ground providers are accredited by the Commission on Accreditation of Ambulance Services Page 31
(CAAS) and the air ambulance provider is also accredited by the Commission on Accreditation of Air Medical Services (CAAMS). These accreditation standards are incorporated into the processes that form the basis for prehospital patient care decisions, treatments and transfer protocols. The following table lists the Southern Nevada prehospital agencies. Exhibit 14 – Clark County EMS Providers Clark County EMS Providers Clark County Agencies (6) Boulder City Fire Dept. Clark County Fire Dept. Henderson Fire Dept. Las Vegas Fire and Rescue Mesquite Fire and Rescue North Las Vegas Fire Dept. Private Provider Agencies (3) American Medical Response (AMR) - Las Vegas AMR - Laughlin Southwest Ambulance Air Ambulance Services (3) Mercy Air Service, Inc. (Helicopter) Life Guard International, Inc. (Fixed Wing) Med Flight Air Ambulance, Inc. (Fixed Wing) Special Purpose Ambulance Agencies (4) Las Vegas Motor Speedway Specialized Medical Services, Inc. Motorsports Medical Services (Volunteer Agency) So. Nev. Vol. First Aid & Rescue Assn. (SNVFARA) CCFD Rural Volunteer Ambulance Agencies (11) Prehospital Data Currently the fire departments capture the prehospital care reports in an electronic format initiated based on the Clawson protocols for dispatching, while the ambulance providers provide the prehospital care report in hard copy format. Both types of stakeholders retain their records and data linkage is inadequate. In accordance with NRS 450B.810, NAC 450B.620, NAC 450B.645, and NAC 450B.766, the Nevada State Health Division EMS section, in cooperation with the Clark County Health District EMS Office, has adopted standards for prehospital data collection. Computer software and a web-based server have been provided for collecting and storing prehospital run reports and data obtained from all Nevada EMS/Fire agencies. While not every agency is required to install and utilize the provided software, each will soon be required to submit the required data elements in a format that will allow uploading to the web-based server. Las Vegas Fire & Rescue and local ambulance providers are expected to adopt a new software system, called Roam IT, allowing for a standardized electronic reporting of the prehospital care report to be in place by April 2004. The rollout of the new data collection and reporting system, utilizing the web-based server, is scheduled for July 2004. Data from prehospital care does not currently link with any trauma center data except by manual entry by the trauma center at UMC and with other hospitals reporting. Page 32
Page 1 and 2: SOUTHERN NEVADA CURRENT TRAUMA STAT
Page 3 and 4: Table of Contents Executive Summary
Page 5 and 6: Chronology of Trauma Care in Southe
Page 7 and 8: Exhibit 33 - Map Displaying Trauma
Page 9 and 10: • From January through April 2004
Page 11 and 12: Clearly trauma center staffing and
Page 13 and 14: A series of focus groups was also c
Page 15 and 16: • Information Management • Fina
Page 17 and 18: (This study did not attempt to meas
Page 19 and 20: County Health District Board of Hea
Page 21 and 22: on an average length of stay of 3.4
Page 23 and 24: Exhibit 8 - Projected Population Ch
Page 25 and 26: Trauma Stakeholder Interview Result
Page 27 and 28: three years, and felt that a Level
Page 29 and 30: EMS providers ranked Acute Care Fac
Page 31: Town Hall Meeting Comments A series
Page 35 and 36: Triage Criteria The determination o
Page 37 and 38: With the exception of the year 2000
Page 39 and 40: Exhibit 20 - Trauma Patients by Age
Page 41 and 42: The following chart shows that abou
Page 43 and 44: Exhibit 27 - Trauma Ground Transpor
Page 45 and 46: E codes enable the classification o
Page 47 and 48: The day of the week with the greate
Page 49 and 50: A different view of the 2002 trauma
Page 51 and 52: As part of The Abaris Group’s tra
Page 53 and 54: The table below summarizes the key
Page 55 and 56: All EMS and ED stakeholders appear
Page 57 and 58: Exhibit 43 - Specialty Physician Co
Page 59 and 60: Clark County Health District has id
Page 61 and 62: Trauma Center Standards by Level Th
Page 63 and 64: Nevada Trauma Registry Submission R
Page 65 and 66: Trauma Center Capacity Benchmark Da
Page 67 and 68: ED Diversion Hours by Hospital ED D
Page 69 and 70: • This region would not pass a ta
Page 71 and 72: • Instead of calling it a tax, we
Page 73 and 74: Mesquite Town Hall Meeting The foll
Page 75 and 76: North Las Vegas Town Hall Meeting T
Page 77 and 78: Las Vegas Town Hall Meeting The fol
Page 79 and 80: Trauma Center Funding Comparison St
Page 81 and 82: Los Angeles County, CA Los Angeles
Page 83 and 84:
Chronology of Trauma Care in Southe
Page 85 and 86:
January 22, 1999 December 10, 2001
Page 87 and 88:
List of Trauma System Assessment St
Page 89 and 90:
Southern Nevada Trauma System Asses
Page 91 and 92:
to hospitals that accept Medicare r
Page 93 and 94:
ehabilitation - services that seek
show all

Current Trauma Status Report - Southern Nevada Health District

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?