Emergency Medical Services

1
Emergency Medical Services

• Systems Overview

2
State Emergency Medical Services

• Branch of-
• Health Resources Administration
• Includes Injury Prevention Branch (2001)
• Donna Maiava, Branch Chief
• Emergency Medical Services Advisory Committee
  EMSAC
• 6 State Medical Directors

3
Mission

• To administer, maintain, and operate a State
  comprehensive emergency medical services system
  throughout Hawaii that is designed to reduce
  medical emergency deaths, injuries, and permanent
  long-term disability through the implementation
  of a fully integrated cohesive network of related
  components. The state system provides for the
  arrangement of personnel, facilities and such
  equipment, primarily in the pre-hospital setting,
  for the effective and coordinated delivery of
  health care services under emergency conditions
  whether occurring as a result of the patient's
  condition, natural disasters, or other causes.
  Hawaii Revised Statutes 321-221

4
Structure

• EMS IP Branch
• Medical Directors
• Emergency Medical Services Advisory Committee
  (EMSAC)

• MAUAI KAUAI
• American Medical Response

• OAHU
• Honolulu City County Emergency Medical Services
  Division

• HAWAII
• Hawaii County Fire Department

5
Ambulance Stations
6
Oahu

• 16 Units
• 2 Rapid Response Units
• 1 Special Events
• 1Mil. Pop.
• Funding 17 M

7
Maui

• Maui
• 7 Units
• 117,644 Pop.
• Funding 5.8M

American Medical Response AMR

• Molokai
• 1 Unit
• 7,404 Pop.

• Lanai
• 1 Unit
• 3,193 Pop.

8
Kauai

• Kauai
• 5 Units
• 55,000 Pop.
• Dispatch Kauai Police Dept.
• 1 Emergency Response
• 1 Transfer Unit
• Funding 3.3M

9
Big Island

• Hawaii County Fire
• 14 Units
• 1 Medical Helicopter
• 130,000 Pop.
• 18 Engine Companies
• Funding 7.6M

10
Annual Salaries

• Emergency Medical Technician (EMT)
• 29,500-
• 31,700

• Paramedic
• Mobile Intensive Care Technician (MICT)
• 42,000-
• 43,372

• Dispatch
• 18,432-
• 31,620

11
Training

• Emergency Medical Technician (EMT)
• 350 Hours

• Paramedic
• Mobile Intensive Care Technician (MICT)
• 1250 Hours

• Dispatch
• 40 Hours

12
MEDICOM

• Statewide medical communication network
• Links major hospitals
• Allows ambulance personnel to communicate with
  the Hospitals
• State Funded

13
JARGON

• Automated External Defibrillator
• Advance Life Support
• Ambulance Report Form
• Basic Life Support
• Cardiac Arrest
• Cardiopulmonary Arrest Resuscitation
• Chemical, Biological, Radiological, Nuclear, and
  Explosive
• Comfort Care Only
• Disaster Medical Assistance Team
• Emergency Medical Dispatch/Dispatcher

• AED
• ALS
• ARF
• BLS
• Code 500
• CPR
• CBRNE
• CCO
• DMAT
• EMD

14
JARGON (Cont.)

• Emergency Medical Services
• Emergency Medical Services Injury Prevention
  Branch
• Emergency Medical Services Advisory Committee
• Emergency Medical Technician
• Hazardous Materials Event
• Mortality Morbidity Committee
• Motor Vehicle Accident
• Motor Vehicle Crash

• EMS
• EMSIPB
• EMSAC
• EMT
• HAZMAT
• MM
• MVA
• MVC

15
Jargon (Personnel)

• Emergency Medical Technician
• Intermediate or
• Emergency Medical Technician- Intermediate
• Mobile Intensive Care Technician

• EMT
• EMT-I
• MICT

16
Jargon (Organizations)

• American Medical Response
• City County of Honolulu Emergency Medical
  Services
• Hawaii Air Ambulance
• Hawaii County Fire Department
• Healthcare Association of Hawaii
• Honolulu Fire Department
• Honolulu Police Department
• Military Assistance to Safety and Traffic
• 68th Medical Detachment

• AMR
• City
• HAA
• HCFD
• HAH
• HFD
• HPD
• MAST
• 68th MED

17
Jargon (Organizations cont.)

• Kapiolani Community College
• The Queens Medical Center

• KCC
• Queens or QMC