September Table of Contents NASEMSO Encourages Funding for Trauma by hubeybrown


									                                    September 15, 2008
Table of Contents

1. NASEMSO Encourages Funding for Trauma and EMS
2. CDC Issue Brief Available on Youth Violence and Electronic Aggression
3. Pennsylvania Reconsiders CON Process
4. New AHRQ Tool Estimates Resources Needed for Emergency Response
5. Baylor Partners with AMA to Develop New Disaster Triage Tool for the Elderly
6. Video and Presentation Now Available Online For Recent Webinar on High Vis Garments
7. Results Published on GWTG Quality Improvement Program
8. Baltimore 911 Program Reduces ER visits, Connects People to Care
9. Non-profit EMS Agencies Eligible to Apply for HeartRescue Grants
10. Improved Criteria for Emergency Medical Protective Clothing Now Available
11. National Emergency Family Registry and Locator System Resource Now Available
12. DHS Awards $63 Million in Emergency Preparedness Grants
13. Donations for Hurricane Victims Are Needed
14. NIOSH Storm and Flood Cleanup Topic Page Provides Resources for Hurricane Response Workers
15. AEMS Recruiting Members for Congressional Emergency Medical Services Caucus
16. Upcoming Events

  September is National Preparedness Month, a national effort to get families, communities and
        states to focus on plans for responding to public health emergency situations.

1. NASEMSO Encourages Funding for Trauma and EMS
As a signatory through the Coalition for American Trauma Care, NASEMSO supports a Continuing
Resolution to the FY 2009 Labor-HHS-Education Appropriations Bills that would reconstitute the HRSA
Trauma/EMS Program and continue funding for the EMS-C program. For more information or to view
the letters, visit the NASEMSO web site at or .

2. CDC Issue Brief Available on Youth Violence and Electronic Aggression
CDC’s Division of Adolescent and School Health and Division of Violence Prevention, along with the
Adolescent Health Goal Team, have developed “Electronic Media and Youth Violence: A CDC Issue Brief
for Educators and Caregivers.” The brief summarizes knowledge about this issue and provides
suggestions for educators and caregivers on how to safeguard children from becoming victims of
electronic aggression. Highlights from the research indicate that:
      9% to 35% of young people say they have been the victim of electronic aggression.
      A 50% increase in electronic aggression occurred between the years 2000 and 2005.
      Electronic aggression victims are significantly more likely to use drugs and alcohol, receive
        school detentions or suspension, skip school, experience in-person aggression, have emotional
        distress, and have relationship problems with their parents.
       Victimization occurs through all forms of technology: 25% in a chat room, 23% on a website, 67%
        with instant messaging, 25% through an e-mail, 16% with a text message.

These resources are available online at the following link: Electronic Media and Youth Violence: A CDC
Issue Brief for Educators and Caregivers. The parent tip sheet can be accessed at the following link:
Technology and Youth: Protecting Your Child from Electronic Aggression. For more information about
electronic aggression, please visit

3. Pennsylvania Reconsiders CON Process
Pennsylvania State Representative Phyllis Mundy has introduced House Bill 305 in an effort to bring back
the state's Certificate of Need program, which expired in 1996. Rep. Mundy believes the return of CON
laws will limit the purchase of overused high-tech equipment, clinically related health services, and
physician-owned surgical facilities that result in the duplication of services. Describing Pennsylvania's
healthcare system as enmeshed in a "technical arms race," Rep. Mundy says she's committed to
controlling its costs. For a copy of the Bill, which is currently in Committee, click here.

4. New AHRQ Tool Estimates Resources Needed for Emergency Response
HHS’ Agency for Healthcare Research and Quality has released a new Web-based interactive tool to help
hospitals and emergency planners identify resource requirements to treat an influx of patients due to
major disasters such as an influenza pandemic or a terrorist attack. The Hospital Surge Model provides
essential resource information for emergency planning strategies. It is able to estimate, by day, the
number and flow of casualties needing medical attention for scenarios selected by users. These
scenarios are consistent with the Homeland Security Council’s National Planning Scenarios. For instance,
planners can use the model to estimate how many patients each hospital unit will need to treat each day
following an event, casualty arrival patterns and peak days of patient care, day by day use of the
personnel, equipment, and supplies needed by each hospital to treat casualties, and a daily count of
anticipated deaths and patient discharges. The Hospital Surge Model was developed by AHRQ in
collaboration with HHS’ Office of the Assistant Secretary for Preparedness and Response. For more
details on the Hospital Surge Model, visit the AHRQ Web site at

5. Baylor Partners with AMA to Develop New Disaster Triage Tool for the Elderly
The Baylor College of Medicine along with the American Medical Association have published
“Recommendations for Best Practices in the Management of Elderly Disaster Victims,” which provides
detailed information for planners, clinicians, and policy makers responsible for frail elder and vulnerable
adults. It includes a literature review and annotated bibliography, and the description of the “Seniors
Without Families Triage” or SWiFT Tool to assess the needs of the frail and to identify or triage those
requiring care most rapidly. The SWiFT screening tool is recommended as a pre- and post-disaster triage
tool that can be used to assess and address the needs of this special population. It is important to note
that although the SWiFT tool was initially developed for community elders, its screening capabilities also
extend to other vulnerable adults with disabilities and those living in nursing homes or assisted living
facilities. Authors acknowledge the need for further testing to determine reliability and validity. The
document can be downloaded at .

In related news, Disaster Med Public Health Preparedness has published a special supplement to its
latest edition to describe a reconceptualization of triage as a population-based systemic process that
integrates care at all points of interaction between patients and the health care system. This system
identifies at minimum 4 orders of contact: first order, the community; second order, prehospital; third
order, facility; and fourth order, regional level. Authors feel that adopting this approach will ensure that
disaster response activities will occur in a comprehensive fashion that minimizes the patient care burden
at each subsequent order of intervention and reduces the overall need to ration care. The article is
available at (Subscription or fee required.)

6. Video/Presentation Now Available Online For Recent Webinar on High Vis Garments
Over 1,500 viewers logged on live to gain insight to the new Federal Highway Administration (FHWA)
regulation that takes effect November 24. During this hour long session Speakers Hari Kalla, MUTCD
Team Leader for FHWA’s Office of Operations and Janice Bradley, Technical Director of the International
Safety Equipment Association (ISEA) gave crucial information for understanding this new standard that
requires the use of high visibility clothing (as defined by the ANSI/ISEA 107 standard) when working in
the right-of-way on federal-aid highways. Their presentations and a video of this webinar are now online
for viewing here. There is no registration or cost for viewing this session. View now.

7. Results Published on GWTG Quality Improvement Program
Get With The Guidelines (GWTG) is a national quality improvement program sponsored and developed
by the American Heart Association. The objective of this study was to evaluate whether participation in
GWTG is associated with greater adherence to guidelines for coronary artery disease (CAD). Adherence
to the overall Hospital Compare composite measure was higher in GWTG-CAD hospitals than in non–
GWTG-CAD hospitals. To access the article, Lewis WR, et al. An organized approach to improvement in
guideline adherence for acute myocardial infarction. Archives of Internal Medicine 2008; 168:1813-1819
Sept 8 go to

Supporting Materials:
    Top Ten Things to Know
    Slide Set
    Summary Slide
    News Release
    Get With The GuidelinesSM
    AHA/ACC Guidelines for Secondary Prevention for Patients With Coronary and Other
       Atherosclerotic Vascular Disease: 2006 Update
    2007 STEMI Recommendations

8. Baltimore 911 Program Reduces ER Visits, Connects People to Care
A 12-week pilot program in Baltimore that connects frequent 911 nonemergency callers to medical care
and social services has reduced trips to the ER and saved $18,000 in ambulance costs. The city hopes to
expand the Baltimore HealthCare Access program, which also has resulted in significantly fewer
nonemergency calls. For more information, click here.

9. Non-profit EMS Agencies Eligible to Apply for HeartRescue Grants
This is a reminder for those interested in applying for a HeartRescue grant that the deadline is October
15th, 2008. The grants support school-based training in emergency activation and CPR. It does not cover
the purchase of AEDs. Organizations with 501(c)(3) status (an IRS determination letter verifying that
status is required with each application) are eligible to apply. Grants range in size from $5,000 to
$30,000 per year. The Foundation may make multi-year grants, typically for two to three years, with a
maximum of $30,000 per year. Please click here see below for the U.S. guidelines and a link to the
website for full details and access to the online application.

10. Improved Criteria for Emergency Medical Protective Clothing Now Available
NIOSH research is incorporated in the National Fire Protection Association’s NFPA1999 Standard on
Protective Clothing for Emergency Medical Operations, 2008 Edition. The technical standard provides a
new level of personal protective equipment (PPE) protection for the nation’s Emergency Medical Service.
The NIOSH research incorporated in the technical standard reflects NIOSH’s partnership with EMS
responders to learn about their PPE needs and identify appropriate technical performance levels for
equipment. Contact Angie Shepherd for more information The NFPA draft, released for
comment earlier this year, is available for download here.

11. National Emergency Family Registry and Locator System Resource Now Available
FEMA has activated its National Emergency Family Registry and Locator System (NEFRLS) to
help reunite families separated during recent storms by:

       Allowing people to register by entering their names and location into the system.
      Allowing people who have registered to give permission to up to seven (7) people to see
       the information they have entered, including their current contact information and/or a
       personally created message.
      Letting people search for messages left by displaced family or friends.

The primary use of this information is to facilitate reuniting displaced individuals, including
medical patients, with their families following a major disaster or emergency declared by the
President under the Stafford Act. Information on this system will only be available for up to 60
days after registration at which time a new registration would be required. The system is
activated only during a Presidentially declared disaster or emergency where people are
displaced. For more information, go to .

12. DHS Awards $63 Million in Emergency Preparedness Grants
The U.S. Department of Homeland Security's (DHS) Federal Emergency Management Agency
(FEMA) has announced approximately $63 million in grant awards to improve emergency
management and preparedness capabilities under the new Emergency Operations Centers
(EOC) Grant Program and the new Interoperable Emergency Communications Grant Program
(IECGP). More than $14.5 million in fiscal year (FY) 2008 EOC grant awards will help address
identified deficiencies and needs in order to support flexible, sustainable, secure and
interoperable EOCs. The FY 2008 IECGP awards $48.5 million to improve interoperable
emergency communications for response to natural disasters, acts of terrorism and other man-
made disasters. IECGP funding will assist states and territories in implementing their
components of Statewide Communications Interoperability Plans and aligning priorities with the
goals outlined in the National Emergency Communications Plan. For more information on the
EOC and IECGP grant programs, please visit

13. Donations for Hurricane Victims Are Needed
Financial contributions are needed to support relief activities for Hurricanes Gustav and Ike,
Tropical Storm Hanna, recovery activities for Northeast and Midwest floods and Tropical Storms
Dolly and Fay. Those who wish to provide assistance to support disaster relief efforts are
encouraged to contact the voluntary agency of their choice that they may normally contribute to
in times of disaster. For those who don't know who to reach, they can provide financial support,
donate needed product or donate time and skills through the National Donations Management
Network at The network is a Web-based portal through which
individuals and the private sector can offer their support to the voluntary organizations that are
actively engaged in ongoing disasters. In addition, National Voluntary Organizations Active in
Disaster (VOAD) is a membership organization of disaster relief and recovery nonprofit and faith
based organizations. For information on the voluntary agencies that play a vital role in disaster
recovery, visit the National VOAD site at

14. NIOSH Storm and Flood Cleanup Topic Page Provides Resources for Hurricane
Response Workers
NIOSH would like to remind you that the NIOSH Storm and Flood Clean up Topic Page is a resource for employers and workers to help prepare
in advance for anticipated response activities, and to prevent work-related injuries and illnesses
in the field once rescue, recovery, and clean-up begin. The page provides information on
recommendations for relief workers and emergency responders, assessment tools for hurricane
response, and links to information about hazards associated with storm and flood cleanup.

15. AEMS Recruiting Members for Congressional Emergency Medical Services Caucus
Advocates for EMS is promoting the formation of a Congressional caucus to educate Members
of Congress on federal policy issues affecting the diverse delivery of care that constitute EMS.
On its web site at, Advocates have provided instructions on how to
contact Members of Congress asking them to participate, a copy of the “Dear Colleague” letter
currently being circulated by Caucus Co-chairs, Congressmen Boustany (LA), Ruppersberger
(MD), and Walz (MN), and a list of members that have already joined the Caucus.

16. Upcoming Events (*denotes event is newly added)

2008 NASEMSO Annual Meeting, September 21-September 25, 2008, Hotel Murano (formerly Sheraton
Hotel), Tacoma, WA For more information contact Kathy Robinson, NASEMSO Program Advisor at (703)
538-1799, ext 4 or email

2008 ENA Annual Meeting. September 24-25, 2008, General Assembly. September 25-27, 2008
Scientific Assembly. Minneapolis Convention Center, Minneapolis, MN. Additional info available at

2008 NAEMT Annual Meeting October 13-17, 2008. Las Vegas, Nevada. Conference web site:

NIOSH is seeking input from stakeholders and manufacturers on the draft document, “The Potential
Modification of the NIOSH Statement of Standard for a Chemical, Biological, Radiological, and Nuclear
(CBRN) Full Facepiece Air-Purifying Respirator.” Comments will be accepted until October 16, 2008.

2008 ACEP Annual Meeting. October 25-26, 2008, Council Meeting. October 27-30, 2008, Scientific
Assembly. Chicago IL. See for additional information.

*The Big National Conference for Leaders of Little and Medium EMS Agencies. October 27-31, 2008
Creighton University, Omaha, Nebraska. Go to for specific details on each program
and registration.

Risk and Crisis Communication Forum. November 3, 2008. Capital Hilton, 1001 16th Street, NW,
Washington, DC 20036 (202) 393-1000. To register

* NIOSH No Fit Respirator Workshop. November 6, 2008. Embassy Suites Airport, Pittsburgh, PA. The
workshop is free but registration is required

The Emergency Medicine Learning Resource & Center (EMLC) and the Florida EMSC program is
presenting the 2008 Prehospital Pediatric Education Symposium November 11-12, 2008 in Orlando,
Florida. This symposium is designed to create an educational experience that will empower EMS and ED
personnel to provide the highest quality emergency care to their pediatric patients. Paramedics, EMT’s,
Nurses, Physician, Physicians Assistants and other allied health professionals involved in providing
pediatric emergency medical care should attend. Please go to:
for more information.

Mark Your Calendar: Rural EMS and Trauma Summit series conference-- Hosted by the Critical Illness
and Trauma Foundation. August 25-27, 2009. The Summit at Deer Valley Lodges Park City, UT. For
more information, contact Nels Sanddal at

*SAVE THE DATE!! Fifth Annual International Roundtable on Community Paramedicine and Rural
Healthcare Delivery. October 12-17, 2009 Auckland, New Zealand. For more information go to .

NASEMSO Staff Contacts
Elizabeth B. Armstrong, CAE, MAM / Executive Director
(703) 538-1799 ext. 7 -

Melissa M. Trumbull / Program Manager
(703) 538-1799 ext. 3 -

Sharon Kelly / Executive Assistant
(703) 538-1799 ext. 2 -

Kathy Robinson / Program Advisor
(703) 538-1799 ext. 4 –

Karen Thompson / Web Site Content Manager
(828) 693-5045 -

201 Park Washington Court
Falls Church VA 22046
Phone: (703) 538-1799
Fax: (703) 241-5603
The Washington Update is supported by a cooperative agreement between NASEMSO and NHTSA’s EMS Division.
Feel free to share this publication with your colleagues.

NASEMSO Washington Update is published two times a month by e-mail for association members and partners.
Comments should be directed to the Editor, Kathy Robinson via or by calling 703.538.1799

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