S-SV EMS REGIONAL GROUND EMS QI REPORT 018 YTD UPDATED 11-07-018 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
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
GROUND EMS RESPONSE CALL DATA Ground EMS Response Call Data Type of Service Requested 911 Response Interfacility/Medical Transport 114 9948 1171 10749 11159 10917 11794 11137 10830 10944 1837 1 1850 173 1899 178 197 1881 1731 1401 911 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 15-39 yo 40-4 yo 5 yo 4% 19% 47% 53% 48% 9% Page 1
EMS SPECIALTY PATIENT DATA EMS Specialty Patient Data 911 Trauma Triage Criteria Pt. Count 148 18 173 194 18 13 191 17 175 184 911 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 0:13 911 Stroke Pt. Count 15 1 11 19 173 17 1 17 15 19 911 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
EMS SPECIALTY PATIENT DATA EMS Specialty Patient Data (continued) 911 STEMI Pt. Count 38 3 47 53 37 37 35 33 35 911 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 0:13 911 Cardiac Arrest Pt. Count Manual CPR Mechanical CPR 93 71 10 85 85 70 94 77 7 74 4 3 5 4 3 4 5 3 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
EMS MEDICATION & PROCEDURE UTILIZATION EMS Medication & Procedure Utilization 911 Patient Medication Administration Count and % (018) Medication Count % Medication Count % Activated Charcoal 3 0.09% Epinephrine 1:10,000 995 7.3% Adenosine 17 0.53% Fentanyl 4559 11.15% Albuterol 438 10.58% Glucagon 143 0.35% Amiodarone 188 0.4% Glucose Oral 4 1.13% Aspirin 4473 10.94% Ipratropium 3490 8.53% Atropine 194 0.47% Lidocaine 41 0.10% Calcium Chloride 5 0.0% Midazolam 87.13% D10% 13 0.03% Morphine 178 3.1% D50% 897.41% Naloxone 74 1.77% Diphenhydramine 48 1.05% Nitroglycerin 754 1.51% Dopamine 14 0.03% Ondansetron 8455 0.7% Epinephrine 1:1,000 14 0.40% Sodium Bicarb. 58 0.14% Procedures Performed Patient Count Syncronized Cardioversion Pt. Count 3 7 5 5 1 4 Transcutaneous Pacing Pt. Count 11 5 5 4 5 4 Page 4
EMS MEDICATION & PROCEDURE UTILIZATION EMS Medication & Procedure Utilization (continued) Physical Restraint Pt. Count Chemical Restraint Pt. Count 3 9 38 35 3 4 40 31 41 40 1 1 0 1 0 Commercial Tourniquet Pt. Count Hemostatic Dressing Pt. Count 8 8 9 4 3 3 3 1 1 1 1 0 0 0 0 0 0 Pediatric Intraosseous Access Pt. Count Adult Intraosseous Access Pt. Count 105 73 75 80 73 71 75 7 88 75 3 1 4 4 1 3 1 3 Page 5
EMS MEDICATION & PROCEDURE UTILIZATION EMS Medication & Procedure Utilization (continued) Orotracheal Intubation Pt. Count Nasotracheal Intubation Pt. Count 4 45 47 58 41 4 5 35 51 1 1 1 0 0 1 0 King Airway Pt. Count i-gel Airway Device Pt. Count 48 38 45 35 43 34 47 3 13 7 9 0 0 0 0 0 0 0 Needle Thoracostomy Pt. Count Needle Cricothyrotomy Pt. Count 4 3 3 1 1 1 0 0 0 0 0 0 0 0 0 Page
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
S-SV EMS CONTACT INFORMATION S-SV EMS Contact Information Sierra Sacramento Valley Emergency Medical Services Agency www.ssvems.com Rocklin Office 5995 Pacific Street Rocklin, CA 9577 (91) 5-170 Redding Office 77 Bechelli Lane Rocklin, CA 900 (530) 7-17 Page 8