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Enhancing Emergency Medical Services in Maine: The Push for Standardized Protocols

This document outlines the initiatives led by Jay Bradshaw, Director of the Maine Emergency Medical Services Department, to enhance the efficiency of Emergency Medical Dispatch (EMD) in Maine. It highlights the mandatory certification for PSAP 9-1-1 call takers, the current training statistics, and the goal for statewide standardized protocols by 2008. The paper also details the different levels of EMS services ranging from First Responders to EMT-Paramedics, and discusses the responsibilities of the Department of Public Safety and its oversight committees in improving prehospital care.

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Enhancing Emergency Medical Services in Maine: The Push for Standardized Protocols

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  1. What’s the Rush? Jay Bradshaw, Director Maine Emergency Medical Services Department of Public Safety

  2. Emergency Medical Dispatch (EMD) • Partnership with ESCB • 1/1/07: Mandatory certification for all PSAP 9-1-1 call takers • ~60% currently EMD trained, but no QI • 3 similar, but different, training programs and pre-arrival protocols.

  3. Emergency Medical Dispatch (EMD) • 2008 Goal: Maine EMD program with statewide, standardized, protocols

  4. Emergency Medical Services (EMS) • 2 types of services: non-transporting / transporting (ambulances) • 4 license levels: • First Responder: AED, CPR, O2 • EMT: + nitro, ASA • EMT-Intermediate: + basic cardiac monitoring, advanced airway, medications

  5. Emergency Medical Services (EMS) • EMT-Paramedic • ACLS protocols • 12 lead EKG • PIFT • ALS provided on ~ 85% of all emergency calls (2005)

  6. Maine EMS • Department of Public Safety • Responsible for prehospital training curricula, licensing, treatment protocols, data, system oversight • Board of EMS • Medical Directions & Practices Board • Trauma Advisory Committee • Regional EMS

  7. Maine EMS • MDPB  CAC + MQF = HART

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