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Maryland s Emergency Medical

Objectives. Describe the Maryland EMS/Trauma System Discuss the current operationsDiscuss future plans from the current EMS Plan. Creation of the System. The history of the Maryland Trauma/EMS System begins with the initial Federal initiatives to develop EMS systems in the US. EMSS Act of 1972.

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Maryland s Emergency Medical

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    1. Maryland’s Emergency Medical /Trauma System Maryland Institute for Emergency Medical Services Systems

    2. Objectives Describe the Maryland EMS/Trauma System Discuss the current operations Discuss future plans from the current EMS Plan

    3. Creation of the System The history of the Maryland Trauma/EMS System begins with the initial Federal initiatives to develop EMS systems in the US

    4. EMSS Act of 1972

    5. The Vision The Maryland System was created by the vision and leadership of Dr. R Adams Cowley

    6. Findings of White Paper Needs identified to improve care: Training for EMS personnel and lay public Standards for ambulance services Communication between ambulances & ED’s Emergency department and ICU accessibility (24 hrs.) Mechanism for categorization of ED’s

    7. White Paper Findings Development of trauma registries Formation of hospital trauma committees Studies on trauma rehabilitation Replace lay coroners with medical examiners Autopsy of injured victims Multiple casualty disaster plans Research in trauma

    8. Components of an Optimal Trauma Care System

    9. Public Support for Trauma Centers 1973 -Governor Mandel issued an Executive Order to create the Maryland Institute of Emergency Medicine 1977- Senate Bill 852 combined the DEMS and MIEM to create one agency known as MIEMS 1978 - Dr. Cowley added “Systems” to the MIEMS now known as MIEMSS

    10. Specialty Referral Centers Specialty Referral Centers were included in the Maryland EMS System - 1970

    11. Specialty Centers Designated 1969 - Hyperbaric Medicine Center - STC 1970 - Burn Center - Balto. City Hospital 1971 - Peds Trauma - JHH 1975 - Raymond M. Curtis Hand Center 1979 - Maryland Eye Trauma Centers (Wilmer @ JHH & Georgetown) 1980 - Neurotrauma - STC 1983 - Perinatal Program - JHH & UMMS

    12. Areawide Trauma Centers 1978- The Echelons Care set standards for Areawide Trauma Centers The first three hospitals to be designated: Suburban Hospital Prince George’s Hospital Peninsula General Hospital

    13. Final Stage of System Development Completing the Continuum of Care 1982 – A comprehensive trauma rehabilitation unit opened at Montebello Center

    14. Reorganization of the System 1993- House Bill 1222 changed the system governance. The R Adams Cowley Shock Trauma Center was separated from MIEMSS. EMS Board was given regulatory authority MIEMSS established as the lead agency for the Maryland EMS/Trauma system

    15. The Renaissance of EMS/Trauma System: 1993 EMS Law EMS Plan to establish goals for trauma system and set priorities for MIEMSS - Develop criteria for the designation of trauma and specialty centers - Provisions for the evaluation and monitoring of the system

    19. Unique EMS System

    21. The Golden Hour The Probability of Survival

    26. Components of an Optimal Trauma Care System

    28. EMS Patient Distribution

    32. EMS PLAN: Public Health Model Regionalization of Health Care Services Health Care Work Force Issues Improvements in Safety and Quality of Care Health Care Financing and “Safety Net” Resources

    33. Current and Future Development State-wide Primary Stroke Centers State-wide STEMI Centers Evaluation of appropriate aeromedical transport Evaluation of trauma triage tool Improving data collection systems Adequate Funding

    34. Institute of Medicine Report: Emergency Medical Services at the Crossroads- 2006 Future of EMS/Trauma Systems Improving Coordination & Communication Regionalization Treatment-Triage-Transport Accountability National Performance Indicators

    35. Contact Information WWW.MIEMSS.org EMS Plan Annual Report Program information

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