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 www.nasemso.org or http://www.traumacoalition.org/correspond.htm . 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 http://www.cdc.gov/ncipc/dvp/electronic_aggression.htm. 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 http://hospitalsurgemodel.ahrq.gov. 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 www.bcm.edu/pdf/bestpractices.pdf . 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 http://www.dmphp.org/cgi/reprint/2/Supplement_1/S35. (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 http://archinte.ama-assn.org/cgi/content/abstract/168/16/1813 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 firstname.lastname@example.org. 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 https://asd.fema.gov/inter/nefrls/home.htm . 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 www.fema.gov/grants. 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 www.fema.gov/donations. 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 www.NVOAD.org. 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 http://www.cdc.gov/niosh/topics/flood/ 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 www.advocatesforems.org, 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 email@example.com. 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 www.ena.org. 2008 NAEMT Annual Meeting October 13-17, 2008. Las Vegas, Nevada. Conference web site: http://www.naemt.org/annualMeetingAndExpo/. 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. http://www.cdc.gov/niosh/review/public/139 2008 ACEP Annual Meeting. October 25-26, 2008, Council Meeting. October 27-30, 2008, Scientific Assembly. Chicago IL. See www.acep.org 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 http://bnc.ncemsi.org 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 http://www.marketaccess.org/booking_form.asp30. * NIOSH No Fit Respirator Workshop. November 6, 2008. Embassy Suites Airport, Pittsburgh, PA. The workshop is free but registration is required http://cpheo.sph.umn.edu/mcohs/. 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: http://www.emlrc.org/prepeds2008.htm 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 firstname.lastname@example.org. *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 http://www.ircp.info/ . --------------------------------------------------------------- NASEMSO Staff Contacts Elizabeth B. Armstrong, CAE, MAM / Executive Director (703) 538-1799 ext. 7 - email@example.com Melissa M. Trumbull / Program Manager (703) 538-1799 ext. 3 - firstname.lastname@example.org Sharon Kelly / Executive Assistant (703) 538-1799 ext. 2 - email@example.com Kathy Robinson / Program Advisor (703) 538-1799 ext. 4 – firstname.lastname@example.org Karen Thompson / Web Site Content Manager (828) 693-5045 - email@example.com 201 Park Washington Court Falls Church VA 22046 Phone: (703) 538-1799 Fax: (703) 241-5603 Website: www.nasemso.org --------------------------------------------------------------- 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 firstname.lastname@example.org or by calling 703.538.1799 x1708.
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