S-SV EMS REGIONAL GROUND EMS QI REPORT 2018 YTD UPDATED

Transcription

1 S-SV EMS REGIONAL GROUND EMS QI REPORT 018 YTD UPDATED Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful execution; it represents the wise choice of many alternatives. William A. Foster

2 TABLE OF CONTENTS Contents Ground EMS Response Call Data 1 EMS Specialty Patient Data EMS Medication & Procedure Utilization 4 S-SV EMS Contact Information 8

3 GROUND EMS RESPONSE CALL DATA Ground EMS Response Call Data Type of Service Requested 911 Response Interfacility/Medical Transport Patient Types (018) 911 Call Dispositions (018) Medical Trauma EMS Transport Cancel/Refusal % 4% 78% 7% 911 Patient Genders (018) 911 Patient Ages (018) Female Male 0-14 yo yo 40-4 yo 5 yo 4% 19% 47% 53% 48% 9% Page 1

4 EMS SPECIALTY PATIENT DATA EMS Specialty Patient Data 911 Trauma Triage Criteria Pt. Count Trauma Triage Criteria Pt. Average EMS Times (H:MM) Scene Time Dispatch to Hospital Arrival Time 0:43 0:44 0:45 0:44 0:47 0:44 0:45 0:47 0:4 0:41 0:1 0:14 0:14 0:14 0:14 0:14 0:17 0:18 0:15 0: Stroke Pt. Count Stroke Pt. Average EMS Times (H:MM) Scene Time Dispatch to Hospital Arrival Time 0:3 0:33 0:33 0:35 0:33 0:33 0:33 0:34 0:33 0:3 0:1 0:11 0:11 0:11 0:11 0:1 0:1 0:11 0:11 0:1 Page

5 EMS SPECIALTY PATIENT DATA EMS Specialty Patient Data (continued) 911 STEMI Pt. Count STEMI Pt. Average EMS Times (H:MM) Scene Time Dispatch to Hospital Arrival Time 0:41 0:4 0:38 0:43 0:47 0:41 0:34 0:43 0:43 0:3 0:13 0:1 0:1 0:1 0:13 0:14 0:1 0:14 0:13 0: Cardiac Arrest Pt. Count Manual CPR Mechanical CPR Bystander CPR/AED Use (018) Prehospital ROSC (018) 18% 3% 34% 3% 1% CPR AED APPLIED AED SHOCK DELIVERED MANUAL CPR MECHANICAL CPR Page 3

6 EMS MEDICATION & PROCEDURE UTILIZATION EMS Medication & Procedure Utilization 911 Patient Medication Administration Count and % (018) Medication Count % Medication Count % Activated Charcoal % Epinephrine 1:10, % Adenosine % Fentanyl % Albuterol % Glucagon % Amiodarone % Glucose Oral % Aspirin % Ipratropium % Atropine % Lidocaine % Calcium Chloride 5 0.0% Midazolam 87.13% D10% % Morphine % D50% % Naloxone % Diphenhydramine % Nitroglycerin % Dopamine % Ondansetron % Epinephrine 1:1, % Sodium Bicarb % Procedures Performed Patient Count Syncronized Cardioversion Pt. Count Transcutaneous Pacing Pt. Count Page 4

7 EMS MEDICATION & PROCEDURE UTILIZATION EMS Medication & Procedure Utilization (continued) Physical Restraint Pt. Count Chemical Restraint Pt. Count Commercial Tourniquet Pt. Count Hemostatic Dressing Pt. Count Pediatric Intraosseous Access Pt. Count Adult Intraosseous Access Pt. Count Page 5

8 EMS MEDICATION & PROCEDURE UTILIZATION EMS Medication & Procedure Utilization (continued) Orotracheal Intubation Pt. Count Nasotracheal Intubation Pt. Count King Airway Pt. Count i-gel Airway Device Pt. Count Needle Thoracostomy Pt. Count Needle Cricothyrotomy Pt. Count Page

9 EMS MEDICATION & PROCEDURE UTILIZATION EMS Medication & Procedure Utilization (continued) 018 EMS Procedure Success Rates Pediatric Intraosseous Access Adult Intraosseous Access 13% 5% 87% 95% Orotracheal Intubation Nasotracheal Intubation 40% 0% 55% 45% King Airway i-gel Airway Device 11% % 89% 78% Needle Thoracostomy Needle Cricotyrotomy 5% 0% 95% 100% Page 7

10 S-SV EMS CONTACT INFORMATION S-SV EMS Contact Information Sierra Sacramento Valley Emergency Medical Services Agency Rocklin Office 5995 Pacific Street Rocklin, CA 9577 (91) Redding Office 77 Bechelli Lane Rocklin, CA 900 (530) 7-17 Page 8