Protocols and PCR's – a Medical Director's Perspective

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Protocols and PCR’s – A Medical Director’s Perspective Stephen C. Ausband, M.D. FACEP Introduction One medical director’s perspective A few thoughts / conversation slides Group discussion Can’t comment on some specific items -disciplinary stuff HIPAA stuff “Hey, why does my medical director want us to…” My Background Milton Volunteer Fire Department 1989 – 1991 Undergrad: Averett University Red Oak Volunteer Fire Department 1991 – 1998 Medical School: East Carolina University School of Medicine Categorical Residency Emergency Medicine Ceffo Volunteer fire Department Medical Director EastCare air and ground transport (critical care and basic level, no EMS response) My Background Board Certified Emergency Medicine Board Certified Emergency Medical Services Medical Officer USAF-R Charleston AFB and Dover AFB (315th AW, 315th AMDS, 317th AS) Chief, Aerospace Medicine, Charleston AFB Flight Surgeon USAF-R Charleston AFB and Dover AFB (512th AW, 512th AMDS, 326th AS) chief, Flight Medicine My Background Attending physician Pitt County Memorial hospital Assistant Professor, Emergency Medicine, East Carolina University School of Medicine Attending Physician Roanoke Memorial Hospital Assistant Professor, Emergency Medicine, Virginia Tech Carilion School of Medicine Assistant Professor, Emergency Health Services, Jefferson College of Health Sciences My Background Medical Director: Carilion Clinic Patient Transport (35 ambulances, 3 helicopters, critical care, ALS, BLS, 911 response) Jefferson College of Health Sciences 4 year Paramedic program Bedford County Office of Fire and Rescue Hardy Rescue Squad Chamblissburg Rescue Squad Smith Mountain Lake Fire and Rescue Stewartsville Rescue Squad Shady Grove Fire Department Montvale Rescue Squad Moneta Rescue Squad Protocols What they are What they are not How to use How not to use How they change PCR’s What they are What they are not How to use How not to use How they change Medical director endorsement What the medical director can do What the medical director cannot do What difference does it make? Questions? .

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