Emergency Medical Services Response to Motor Vehicle Crashes in Rural Areas (2013) / Chapter Skim
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Pages 31-40
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From page 31... ...
31 CHAPTER FOUR CASE EXAMPLES • Nebraska: Interview was conducted with representatives of the Nebraska Department of Health and Human Services, the EMS program administrator, the EMS program coordinator, and the EMS program training coordinator. • Vermont: Interview was conducted with the EMS deputy director, an employee of the Vermont Department of Health, Office of Public Health Preparedness and EMS.
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32 Arkansas Arkansas recently began using trauma triage guidelines for ECS. These guidelines require the use of a centralized call center, referred to as "Trauma Call," for every trauma-related response.
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33 4-minute delay was associated with using these devices. The study found that delays were caused by the devices being faulty or difficult to operate.
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34 Equipment and Preparation Nebraska Vehicle readiness has not been an issue in EMS response in Nebraska. An occasional ambulance has had to be jumped or has not started, but no issues are noteworthy.
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35 Broadband service in the state is improving, which will provide the needed communication backbone. Arkansas A pilot project has deployed telemedicine, including live video feeds and various biometrics, between EMS vehicles and emergency departments.
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36 assembled that will detail what is and not working, and make recommendations. West Virginia West Virginia has identified challenges in EMS staff recruitment and retention.
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37 • Engineering solutions, such as center line rumble strips and median cable barrier • EMS response times • Legislative recommendations, including primary seat belt law, primary texting law (currently in place) , and secondary cell phone usage law (set to become primary in July 2013)
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38 Vermont Crash data are housed in the traffic safety office. A system is being deployed to place EMS records online.
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39 On-Scene and Transport Issues Idaho StateComm monitors CCTV along key roadways to aid in managing crash scenes. Idaho responders understand the importance of quick incident clearance to minimize the occurrence of secondary crashes and the disruption of traffic flow that impacts commerce.
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40 StateComm is co-located with Idaho State Police. Arkansas The DOT works with the Governor's Highway Safety Office (part of the Arkansas State Police)
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