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1986-1987Cityof Paris P.O. BOX 1037 ❑ PARIS, TEXAS 75460 ❑ (214) 785 -7511 June 27, 1966 City of Paris Emergency Medical Service Advisory Board Minutes of Meeting June 29, 1986 7:30 P.M. The meeting was called to order by Dr. Bob Schneider at 7 :40 P.M. Those present included: Dr. Bert Strom Dr. Bill Woodruff Art Hastings, Adminstrator L-P. MCCuisti0rt David Jackson, Administrator St. Joseph Gene Gandy - Attorney Steve Burgin - _E.M.S. Bob Love - E.M.S. Item 1. This carryover discussion was for a review of E.M.S. time averages spent on critical care and cardiac responses. I't was reported by E.M.S. representatives that due to circumstances beyond our control the information was not yet available. Regular calls for such would continue to be sent for review and data compilation would be soon forthcoming. Item 2. Do Not Resusitate (DNR) orders for the terminal patient was again discussed. At the May 16, 1936 meeting, each entitity was to review the legalities with respective attorneys and other staff. It was reported this meeting that there were no objections to the plan as outlined. Plans were made to formalize the program and continue the activation process. It was approved that the plan would be presented to each Hospitals physician staff and then to the Lamar /Delta Medical Society for formal approval. This was to be carried out as follows: (1) A presentation committee consisting of Dr. Bob Schneider, Gene Gandy, and Bill Woodruff would meet Thursday, July 31, 1986, 7:30 P.M. at Dr. Schneiders residence to finalize a presentation package /program explaining D.N.R. and mechanisms of use. (_2) Dr. Burt Strom would present the plan to the L.P. McCuistion staff August 12, 1986 at 6:00 P.M. their regular meeting. (.3).Dr. Bill Woodruff would present the plan to St. Joseph staff at their regular meeting August 19, 1986, 6:00 P.M. (4) Steve Burgin E.M.S., will explain the plan to the County Judge and Attorney and also keep the City Manager and Attorney briefed. (5) On September Z, 1986 the presentation committee will present the plan to the Lamar /Delta Medical Society and ask for adoption. Item 3. Gene Gandy requested a discussion of out of jurisdiction E.M.S. involvment, either on duty or in an off -duty mode, for the next meeting. Item 4. The next meeting date for this Advisory group was set for September 25, 7:30 P.M., Chamber of Commerce. Item 5. Meeting was adjourned 3:45 P.M. ifs �y City of Paris P.O. BOX 1037 ❑ PARIS, TEXAS 75460 C (214) 785 -7511 September 29, 1986 MEMORANDUM: TO: EMS Advisory Board FROM: Steve Burgin, Fire Chief There will be a meeting of the Emergency Medical Service Advisory Board, Thursday, October 23, 1986, 7:30 P.M. at the Chamber of Commerce, 1651 Clarksville Street. Agenda Items: 1. Resuscitative Staticts - Bob Love EMT, Paramedic 2. D.N.R. Orders Dr. Bob Schneider 3. Other Please make all efforts to attend. Thank you teve Burgin, Fir Chief cc: Dr. Bob Schneider T.K. Haynes, City Manager Dr. Bill Woodruff Brady Fisher, Judge Dr. Bert Strom Sister Mary Eustance, St. Joseph Gene Gandy Art Hastings, McCuistion 4�RjS' z City of Paris P.O. BOX 1037 ❑ PARIS, TEXAS 75460 7 (214) 785 -7511 ov October 23, 1986 MEMORANDUM TO: Medical Review Board FROM: Bob Love EMT /Paramedic SUBJECT: Cardiac Arrest Calls The City of Paris EMS has responded to seventy eight full arrest calls since April 1, 1985 until September 1, 1986. Of these seventy eight patients thirteen made it to ICU, four of these patients were released from hospital and went home. .. -. Eleven of the thirteen patients who went to ICJ had CPR in progress when advanced life support ambulance arrived on scene. ALS Ambulance arrived-on scene within four minutes for other two patients. All patients that were transferred to ICU had ALS unit on scene with —in nine minutes. Average on scene time for all seventy eight calls was 22.3 minutes,longest time on scene was 43 minutes (this patient went to ICU). Shortest time on scene was 8 minutes, also went to ICU. There will be a comparison study ready for your review at the next meeting. =s + s ® 6 July 28, 1987 TO: E.M.S. Advisory Board FROM: Steve Burgin, Fire Chief SUBJECT: Agenda As a reminder, the advisory board will meet at 7:00 P.M., Thursday July 30, 1987 at the Chamber of commerce, 1651 Clarksville Street, Paris Texas. Agenda: 1. Critical Care Review 2. New Protocol issued. 3. E.M.S. Reserve format. 4. Gene Gandy: Trauma Airway Management 5. Other Please make all efforts to attend. Thank you, Steve Burgin, Fire Chief cc: Dr. Bob Schneider Dr. Bill Woodruff Michael Malone, City Manager Bob Burns, Judge Dr. Bert Strom Sister Mary Eustance, St. Joseph Gene Gandy Anthony Daigle, McCuistion P.O. BOX 1037 • PARIS, TEXAS 75460 • 214.785.7511 f � August S, 1987 MINUTES: EMERGENCY MEDICAL SERVICE ADVISORY BOARD MEETING July 30, 1987 This meeting convened at 7:00 P.M. with the following members present: Dr. Bob Schneider Gene Gandy Steve Burgin Dr. Burt Strom Dr. Bill Woodruff Anthony Daigle Max Ludake Item I, critical care was opened for discussion by chairman Dr. Bob Schneider. A short discussion on the appreatness of cases reviewed was held. All physicians agreed that care levels were high, that times on the scene were good and that they had no problems requiring discussion. Mr. Daigle, administrator of L.P. McCuistion presented two possible problems, stating one, that he had Emergency Room Staff saying patient families were often heard complaining of poor response arrival times. Also that he had heard of one case in particular, the near drowning at Spencers, where it was allegedly ten minutes from call to E.M.S. arrival. To review such cases, it was agreed to specifically review tape recordings of the Spencer incident and then random recordings of other calls. A report would then be forwarded to the committee for review. Item 2, It was stated by Mr. Daigle that McCuistion staff wanted copies of run sheets placed in the patient file. After discussion, it was agreed to begin such practice again at both hospitals. Item 3, Service complaints were discussed, which was again stated, comming to Emergency Room Staff after E.M.S. left, etc. Burgin - suggested that a form be provided, placed in both Emergency Rooms, and given to persons wishing to make a report, and forward to E.M.S.. This was accepted. P.O. BOX 1037 • PARIS, TEXAS 75460 • 214. 785 -7511 Item 4, The new protocol was issued to those attending, format explained, and only small discussion was held. Item 5, Gene Gandy opened discussion on trauma airway management, explaining a need for clarification and unity on the use of endotracheal intubation versus esophaegeal airway insertion. It was explained that most areas are accepting use of the E.T. Tube as proper, that written subject matter recommends such procedure and that it was felt to be appropriate. After agreement by E.M.S. Medical Advisors, Doctors Woodruff and Strom; Dr. Bob Schneider stated that the technique would be documented and presented to the medical society for total physician approval and then entered into protocol. This was accepted. There being no further business, the meeting adjourned.