rural ems for trb 2018-01 · triase screeržr-z rezi£t:ratžo-n facility disposition the who...
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Rural Emergency Medical ServicesDIA GAINOR, NASEMSO
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The Responders: Safe and Alive
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Rural EMS Personnel: Safe and Alive?
(this doesn’t add up for EMS)
Out of +/-400,000 non-fire???
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The Victims: Safe and Alive
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Clear the Roads? Clear the victims.
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The Golden Hour in the USA
43% of fatal motor vehicle crash victims reach a hospital alive
NHTSA, 2016
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When I’m queen for the day and until prevention is 100% successful:
Improve incident detection, 911 access, and Next Generation 911 system capabilities
Improve on-scene medical care, trauma triage, and transport decisions (destination and mode)
Assure access to trauma centers
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Level I adult and pediatric
Level 1 adult center
Burn Center
Level 2 adult center
Level 1 pediatric center
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In the future…??? Technology. Technology. Then more technology.
“Don’t Die” kit in every vehicle, motorcycle and bicycle
Every middle school grad knows what (and what not) to do post crash
Multisource deterministic contemporaneous records linkage
NTSB focus always includes the post-crash phase & research in post crash care is balanced
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And in the future…