2011 Annual Report Contents

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2011 Annual Report Contents 2010–2011 ANNUAL REPORT CONTENTS MIEMSS insidefrontcover Mission/Vision/KeyGoals iv FromtheEMSBoardChairman 1 MIEMSS FromtheExecutiveDirector 2 Administration 3 AeromedicalOperations 4 AttorneyGeneral’sOffice 4 CommunicationsEngineeringServices 5 ComplianceOffice 6 DoNotResuscitateProgram 6 EducationalSupportServices 7 EmergencyHealthServicesDepartment, UniversityofMarylandBaltimoreCounty 8 EmergencyMedicalServicesforChildren 9 EMRC/SYSCOM 16 GovernmentAffairs 17 HealthcareFacilities&SpecialPrograms 18 InformationTechnology 21 LicensureandCertification 25 MarylandCriticalIncidentStressManagementProgram 26 MedicalDirector’sOffice 26 QualityManagement 27 RegionalPrograms(RegionsI,II,III,IV,andV)&EmergencyOperations 29 StateOfficeofCommercialAmbulanceLicensingandRegulation 36 MarylandTraumaandSpecialtyReferralCenters Overview 37 TraumaCenterCategorization 38 AdultTraumaCenters PARC:RAdamsCowleyShockTraumaCenter 38 LevelI: JohnsHopkinsHospital 40 LevelII: JohnsHopkinsBayviewMedicalCenter 42 PrinceGeorge’sHospitalCenter 43 SinaiHospital 44 SuburbanHospital 45 LevelIII: MeritusMedicalCenter 47 PeninsulaRegionalMedicalCenter 47 WesternMarylandRegionalMedicalCenter 48 i SpecialtyReferralCenters AdultBurns: JohnsHopkinsBurnCenter,JohnsHopkinsBayviewMedicalCenter 49 BurnCenterattheWashingtonHospitalCenter 50 PediatricBurns: JohnsHopkinsChildren’sCenter 50 Children’sNationalMedicalCenter 51 TheCurtisNationalHandCenter,UnionMemorialHospital 52 HyperbaricMedicineCenter,RAdamsCowleyShockTraumaCenter 53 MarylandEyeTraumaCenterTheJohnsHopkinsWilmerEyeInstitute 54 NeurotraumaCenter,RAdamsCowleyShockTraumaCenter 55 PediatricTraumaCenter,TheJohnsHopkinsChildren’sCenter 55 PediatricTraumaCenter,Children’sNationalMedicalCenter 57 PoisonConsultationCenter,MarylandPoisonCenter 58 Rehabilitation 60 MarylandEMSStatistics(Tables&Graphs) 61 MarylandTraumaStatistics CombinedAdult&PediatricTraumaStatisticsReport 65 MarylandAdultTraumaStatisticsReport(Tables&Graphs) TotalCasesReportedbyTraumaCenters(3-YearComparison) 65 OccurrenceofInjurybyCounty 66 ResidenceofPatientsbyCounty 66 PatientswithProtectiveDevicesatTimeofTraumaIncident 66 GenderofPatients 66 ModeofPatientTransporttoTraumaCenters 67 OriginofPatientTransporttoTraumaCenters 67 EmergencyDepartmentArrivalsbyDayofWeek 67 EmergencyDepartmentArrivalsbyTimeofDay 67 NumberofDeathsbyAge 68 NumberofInjuriesbyAge 68 NumberofInjuriesandDeathsbyAge 68 EtiologyofInjuriestoPatients 68 BloodAlcoholContentofPatientsbyInjuryType 68 EtiologyofInjuriesbyAgesofPatients 69 EtiologyDistributionforPatientswithBluntInjuries 69 EtiologyDistributionforPatientswithPenetratingInjuries 69 AgeDistributionofPatients 69 InjuryTypeDistributionofPatients 69 FinalDispositionofPatients 70 InjurySeverityScoresofPatientswithPenetratingInjuries 70 InjurySeverityScorebyInjuryType 70 InjurySeverityScoresofPatientswithBluntInjuries 70 InjurySeverityScoresofPatientswithEitherBluntorPenetratingInjuries 70 ii MarylandAdultBurnStatistics(Tables&Graphs) TotalNumberofAdultBurnCases 71 SeasonofYear 71 TimeofArrival 71 PlaceofInjury 71 OccurrenceofInjurybyCounty 72 ResidenceofPatientsbyCounty 72 ModeofPatientTransport 72 EtiologyofInjuriesbyAge 73 FinalDispositionofPatients 73 GenderDistribution 73 NumberofInjuriesbyAge 73 MarylandPediatricTraumaStatisticsReport(Tables&Graphs) TotalCasesTreatedatPediatricTraumaCenters 74 EmergencyDepartmentArrivalsbyTimeofDay 74 EmergencyDepartmentArrivalsbyDayofWeek 74 GenderProfile 74 OutcomeProfile 74 ModeofTransport 75 OriginofPatientTransport 75 NumberofInjuriesandDeathsbyAge 75 DispositionofPatients 75 EtiologyofInjuriesbyAges 75 InjuryType 76 NumberofInjuriesbyAge 76 MechanismofInjury 76 NumberofDeathsbyAge 76 EtiologyofInjuriesbyAges 76 ResidenceofPatientsbyCounty 77 OccurrenceofInjurybyCounty 77 ChildrenwithProtectiveDevicesatTimeofTraumaIncident 77 MarylandPediatricBurnStatisticsReport(Tables&Graphs) TotalNumberofPediatricBurnCases 78 PlaceofInjury 78 SeasonofYearDistribution 78 TimeofArrivalDistribution 78 OccurrenceofInjurybyCounty 79 ResidenceofPatientsbyCounty 79 ModeofPatientTransporttoBurnCenters 79 EtiologyofInjuriesbyAges 80 FinalDispositionofPatients 80 TotalBodySurfaceAreaBurnedbyLengthofStayinDays 80 GenderDistribution 80 NumberofInjuriesbyAge 80 NationalStudyCenterforTraumaandEMS 81 CurrentListingofEMSBoard,StatewideEMSAdvisoryCouncil, andMIEMSSExecutiveDirector 83 iii Mission/Vision/Key Goals MISSION ConsistentwithMarylandlawandguidedbytheEMSPlan,toprovidethe resources(communications,infrastructure,grants,andtraining),leadership(vision, expertise,andcoordination),andoversight(medical,regulatory,andadministrative) necessaryforMaryland’sstatewideemergencymedicalservices(EMS)systemto functionoptimallyandtoprovideeffectivecaretopatientsbyreducingpreventable deaths,disability,anddiscomfort. VISION TobeastateEMSsystemacknowledgedasaleaderforprovidingthehighest qualitypatientcareandthatissoughtouttohelpotherEMSsystemsattainthesame levelofqualitycare. KEY GOALS • Providehighqualitymedicalcaretoindividualsreceivingemergencymedical services. •Maintainawell-functioningemergencymedicalservicessystem. Allegany Washington Carroll Cecil Garrett I III Harford II Baltimore Frederick County Baltimore Kent Howard City Montgomery Anne Queen Arundel Anne’s Caroline Talbot Prince George’s V Charles Calvert IV Dorchester Wicomico St. Mary’s Worcester Somerset iv FROM THE EMS BOARD CHAIRMAN We are in the midst Centers” is the latest achievement in our efforts to of major changes that improveoutcomeforcardiacpatientsandwaspreceded will advance the practice bydesignationofhospitalsas“PrimaryStrokeCenters” of prehospital emergency for treatment of stroke patients. Thus, EMS providers medicalcareinMaryland, canrapidlyassesstheselife-threateningconditionsinthe Donald L. DeVries, Jr., Esq. furtherintegratetheopera- field, use sophisticated communications equipment to Chairman, EMS Board tionofthestatewideEMS alerttheclosestdesignatedhospitalastopatientcondi- systemwithothercomponentsofMaryland’shealthcare tion,andrapidlytransportthepatienttotheappropriate system,andstrengthenourpublicsafetyroots. hospitalfortreatment. Assoonastheyarenotified,the NewnationalstandardsforEMSeducationarechang- designatedhospitalwillmobilizethenecessarymedical ingprehospitalcarethroughoutthecountry. Maryland’s expertiseandhospitalequipmentforswiftandeffective transitiontothenewnationalstandardsforEMSprovid- treatmentofthesetime-criticalconditions. ers and for EMS educational programs began several Alsoduringthepastyear,planningforthereplace- years ago. The new national EMS education standards ment of the medevac helicopter fleet was completed definethecompetenciesforeachlevelofEMScertifica- withtheapprovalofaStatecontractforthepurchaseof tion / licensure and integrate the skills and knowledge new helicopters. The first two of the new helicopters, taughtaspartoftheneweducationstandardsintoeach expectedtobedeliveredinthespringof2012,willbegin certification level. They will also increase state-to-state thetransitiontoamodernfleetwithup-to-dateavionics, consistencyamongthevariouslevelsofEMSproviders medicalequipment,andsafetyenhancements. throughoutthecountry.Additionalchangeswillcomein Inaddition,anevaluationoftheneedsofourstate- thenextseveralyearsasAdvancedLifeSupporteduca- wide communications system began this year that will tional programs in Maryland work to achieve national helpidentifythenextgenerationoftheMIEMSScom- accreditation. Transition to the new national standards municationssystem. Thesystem,whichhandlesnearly willhelptokeepMarylandonthecuttingedgeofstate 400,000radioandphonecallseachyearwithEMSpro- EMS systems in the United States for the foreseeable viderswhoprovideemergencycareatthescene,isout- future.Aswecontinueoureffortstoensuretheimple- modedandmanycomponentsarenearingobsolescence. mentationofthesenewstandards,wewillalsocontinue Theongoingoperationofthecommunicationssystemisa toremainresponsivetotheuniqueneedsofMaryland’s vitallinchpintotheoperationoftheentirestatewideEMS EMSSystem. systemanditsreplacementwillbeafocusofourefforts OurEMSsystemcontinuestobuildontheresults aswemoveforward. of medical research into the effectiveness of prehospi- Fromitscreationnearlytwodecadesago,Maryland’s talcareandto further integrate with other components currentEMSsystemcontinuesitsevolutiontoensurethat of Maryland’s health care system. We have brought itfullymeetsthechallengesoftodayandtomorrow. Our increasedfocustotreatmentforemergencypatientswho pastsuccessesareduetothehardworkanddedication areatspecialrisk,includingstrokeandcardiacpatients. ofourmanypartners,andthespiritofcooperativeexcel- The designation of hospitals as “Cardiac Interventional lencethatissoevidentintheirefforts. 1 MIEMSS FROM THE EXECUTIVE DIRECTOR We are so fortunate crashesareasignificantriskforEMSpersonnelandfor toliveinMarylandwhere thepatientstheytransport:whilemanycrashesareminor, our statewide emergency somearenot. TheAmbulanceSafetyTaskForcedevel- medical system has been oped consensus guidelines with recommendations on heraldedasamodelforthe waystoincreaseambulancesafetyandreduceambulance Robert R. Bass, MD, FACEP Executive Director, MIEMSS nation. Our EMS system crashesacrossthestate. TheTaskForcerecommenda- is a highly integrated and tions,includingbestpractices,willreleasedataStatewide
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