orange county ems office of the medical director george a. ralls md medical director orange county...
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Orange County EMS Office of the Medical Director
George A. Ralls MD
Medical Director
Orange County EMS System
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Objectives
• Describe roles within the office
• Explain the primary scope of activities
• Provide an update on OCEMS System operations
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Orange County Fire RescueOrlando Fire DepartmentReedy Creek Emergency ServicesRural-Metro AmbulanceHealth Central AmbulanceApopka Fire DepartmentWinter Garden Fire DepartmentOcoee Fire DepartmentGOAA
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The Orange County EMS System
• Approximately 2000 EMT’s and Paramedics
• 200,000 EMS calls yearly
• 95,000 transports
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Office of the Medical Director
• A division of the Orange County Health & Family Services Department
• Primary mission– Provide Medical Direction (per FAC 64-E)
for all agencies participating in the OC EMS System
– Create a high level standard of care throughout Orange County
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Assistant MD's Admin Asst
EMS Fellow Quality Manager
Admin Asst
Quality Coordinator Compliance Officer
Admin Spec Admin Spec
Project Coordinator
EMS Manager
Medical Director
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Medical Direction
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Orange County EMS System Medical Treatment Protocols
• Evidence Based
• Updated version in effect Sept. 1, 2008
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Quality Management
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06-07 Cardiac Arrest Summary
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April 2008 average offload time 8 minutes in focused study at four busiest ER’s
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Education & Research
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• Continuing Education for EMTs and Paramedics– On-line, classroom, and face-to-face
teaching
• Teaching environment for physicians in training– ORMC and Florida Hospital resident
physician rotation in EMS– FSU Medical student electives in EMS and
EMS research
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Lead to statewide requirement for use of a monitoring device to improve patient safety
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Disaster Planning & Response
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• Orange County Health & Medical disaster coordination (ESF-8)
• Maintain PSN registry• Over 3400 OC citizens registered
• Disaster Management Assistance Team
• Urban Area Security Initiative-Medical Lead
• Region 5 Domestic Security Taskforce
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Other Activities
• EMS related COPCN review and submissions• EMS System enhancements through grant
opportunities– Over $300,000 for EMS enhancements annually
• Public health initiatives– Orange County Medical Clinic– AHA Certified Training Center
• Approximately 5000 certifications processed in ’07-’08
• Liaison with clinical and administrative hospital personnel
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Summary
• The office provides Medical Direction and support to OCEMS System agencies
• Roles and responsibilities are diverse
• Positive trends in key clinical indicators
• Offload delays significantly improved
• EMS protocols updated Sept. 2008