This honor is especially meaningful since FORTUNE and its research partner, Great Place to Work Institute, administer their Trust Index© survey to a sample of our associates to evaluate the strength of our culture. The results show that OhioHealth’s culture is strong and that associates are highly engaged and highly valued. That is so important to providing excellent quality care, and for us, that’s at the heart of this recognition.

“With penetrating trauma … the motto ‘scoop and run’ is what it’s about,” said Dr. Doug Paul, medical director of trauma services at Grant Medical Center. “The bottom line is that penetrating wounds put holes in things that need clamped, a stitch in them or a finger on them.”

Paul said even gunshot wounds to the heart no longer mean certain death.

“We’ve probably had six of those in the last 12 months who have gone out of here through the front door,” Paul said.

Still, the line between life and death remains razor-thin.

Read the full article at:

http://www.dispatch.com/content/stories/local/2012/01/20/more-gunshot-victims-survive.html

For a while, Dec. 15 was like any other day for Robbin Goods.

The violence-prevention educator with the nonprofit Community for New Direction was working with students at Ohio Avenue Elementary School on the city’s East Side. Then her heart stopped.

Goods, 35, was taken to Grant Medical Center and was kept under observation for a week. She said doctors weren’t sure why she went into cardiac arrest but told her the school’s defibrillator kept her alive.

“Her incident had essentially a textbook response,” said Mark Huckaby, EMS coordinator at Grant and a volunteer with the American Heart Association.

Read the full article at:

http://www.dispatch.com/content/stories/local/2012/01/29/to-your-health/electrical-shock-brought-counselor-back-into-rhythm.html

Lifelink One Minute Drill: 12-lead ECGs in Suspected Cardiac Patients

Acquisition and Transmission:

Acquire and transmit the 12-lead ECG immediately after identifying a potential cardiac patient.  When possible, do this on-scene where the patient was found before moving the patient to the ambulance. If you cannot acquire and transmit from where the patient was found, move the patient to the ambulance and do it there immediately while stationary.

If the scene is a health care setting and a 12-lead ECG was performed prior to your arrival, perform an additional 12-lead ECG and transmit it.

12-lead vs 6-lead ECGs:

Do not perform a Quick-6! A Quick-6 is the terminology used by some in reference to performing an ECG of the limb and augmented limb leads only. A 6-lead ECG cannot “see” as large an area of the heart as a 12-lead. If you do a 6-lead ECG, you will miss infarcts in the precordial leads and these anatomic regions: septal, anterior, lower lateral

Key Points:

• To diagnose a STEMI, you must acquire and transmit a 12-lead ECG immediately. Think about it before doing anything else.
• Do not perform a “Quick-6” ECG. It wastes valuable time.

https://www.nremt.org/nremt/about/transition_policy.asp

The NREMT transition policy only applies to EMS professionals with National Registry certification. It does not relate to those with state EMT and Paramedic certification only.

For questions, contact the NREMT:

National Registry of Emergency Medical Technicians

Rocco V. Morando Building. 6610 Busch Blvd., P.O. Box 29233, Columbus, Ohio 43229

Phone: (614) 888-4484 Fax: (614) 888-8920

This training will be presented by Scott Warrwick, JD, MLHR, CEQC, SPHR, who focuses on assisting organizations to prevent employment law issues from occurring while improving employee relations. For more information on Scott or the training, please visit: www.scottwarrick.com

This training is available to anyone employed in the public sector for $20 and will be offered on three separate dates:

• January 13^th
• January 20^th
• February 23^rd

Each session will run from 8 am to 12 pm.

If you have questions or would like to enroll in a training session, please contact Terra Metzger, HR Technician, at tmetzger@westlickingfire.org or 740-927-8600.

www.granttrauma.com

In 2010, there were 12,256 crashes at intersections in Ohio during the shopping season – 4,329 people were injured and 33 people were killed. Most crashes were angle and rear-end collisions, often caused by motorists following too close to other vehicles or misjudging the gap in traffic when turning at an intersection or driveway.

Please be extra cautious as you travel and work. To provide a margin of safety, fully stop at all intersection even if the signal light is green for your direction of travel. Remember that others may not hear your sirens or horns until you are in very close proximity. Park and work with safety in mind at scenes, especially those on or near high-speed roadways. We want you around to enjoy time with your family and friends.

ODOT Urges Holiday Shoppers: Be Extra Cautious

Intersection crashes increase during holidays

COLUMBUS (November 23, 2011) – Although the holidays are the most wonderful time of the year, they can also be one of the most dangerous as motorists are more likely to be involved in a crash – especially at busy intersections near malls and shopping districts.

According to the Ohio Department of Transportation, intersection crashes spiked nearly 20 percent during the 2010 holiday shopping season (Thanksgiving to Christmas day) when compared to other months of the year. In addition, intersection crashes increase dramatically on Sunday, which is typically the safest day to travel throughout the year.

“Heavy traffic, complex traffic patterns and multiple driveways near intersections increase the potential for people and vehicles to collide,” said ODOT Director Jerry Wray. “You can avoid a crash and reduce the risk of serious injuries by being patient and giving walking, riding or driving your full attention around malls this holiday season.”

In 2010, there were 12,256 crashes at intersections in Ohio during the shopping season – 4,329 people were injured and 33 people were killed. Most crashes were angle and rear-end collisions, often caused by motorists following too close to other vehicles or misjudging the gap in traffic when turning at an intersection or driveway.

Cell phones, texting and other distractions are also an increasing concern. The National Highway Traffic Safety Administration estimates that about 23 percent of all crashes nationwide involve cell phone use.

“You can prevent crashes in Ohio by ‘parking’ your cell phone until your vehicle is safely parked,” Wray added. “No call or text is worth the potential risk.”

In Central Ohio, the increase in intersection crashes is even more dramatic at the following popular shopping corridors:

· 75% Increase on and in areas adjacent to I-71/Polaris/Gemini Parkways

· 49% Increase on and in areas adjacent to I-270 and Tuttle Boulevard

· 35% Increase on and in areas adjacent to I-270/SR 161/Rt. 3 and Easton Way

· 22% Increase on and in areas adjacent to I-70/Hamilton Road

ODOT urges drivers to keep these intersection safety tips in mind to protect themselves and their passengers this holiday season:

1. Stay alert, slow down and drive defensively when approaching an intersection. Allow extra time to get to your destination.

2. Avoid distractions such as using a mobile phone, eating, drinking and listening to loud music while driving.

3. Don’t try to beat a red light. Traffic signals are there to guide motorists through complex turns and other traffic movements, as well as provide safe crossings for pedestrians and bicyclists.

4. Be cautious, even with a green light, and look both ways before entering an intersection to make sure all cross traffic has stopped.

5. Never change lanes in an intersection. Changing lanes increases confusion and adds to the complexity of successfully navigating through an intersection.

6. Watch for increased pedestrian and bicycle traffic at intersections.

7. Buckle up. It can significantly increase your chance of surviving a crash.

8. Do not drink and drive. Impaired driving is a leading cause of fatalities and serious injuries.

9. Maintain a safe stopping distance between you and the vehicle ahead. ODOT recommends one car length for every 10 mph.

10. Don’t crowd the plow. The holidays mean the return of snow and ice conditions. Increase your distance between cars, trucks and plows during storm events. If you have to pass a plow, use extreme caution and beware of the snow cloud.

Intersection safety is one of the major roadway safety initiatives in ODOT’s “Every Move You Make, Keep it Safe” campaign. Programs include Safe Routes to Schools, Roadway Departure Crash Reduction and Intersection Safety. The public is invited to find out more by visiting www.everymove.ohio.gov.

From the Ohio Division of EMS; reprinted from http://www.publichealth.va.gov/

Rabies ALERT

Veterans of Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND) who were bitten or exposed in some other way to the saliva of a warm-blooded animal while deployed, should be evaluated for the risk of rabies exposure by a health care professional.

Your risk of being exposed to rabies is much higher if you served in parts of the world including Iraq and Afghanistan, where domestic animals are not vaccinated against rabies. Recently a U.S. soldier who had served in Afghanistan died of rabies. Contact your nearest VA health care facility or your health care provider if you think you may be at risk.

OEF/OIF/OND Veterans may have been exposed to rabies

OEF/OIF/OND Veterans who were bitten or had contact with the saliva from a warm-blooded animal such as a dog, cat, bat, fox, skunk, raccoon, mongoose or jackal while deployed in the previous 18 months are advised to seek medical care. This includes those Veterans who did not have a complete medical evaluation or post-exposure prophylaxis (rabies vaccine and immunoglobulin) following an exposure incident. Rabies prophylaxis is treatment given after exposure to prevent rabies.

If you are unsure whether you received appropriate care, you must be evaluated. If you were exposed more than 18 months ago, you are at lower risk but still can be evaluated by VA if you are enrolled. Veterans not enrolled in the VA health care system, find out if you qualify for VA health care.

Rabies symptoms

If you were exposed to rabies, you may not have any symptoms. By the time any symptoms appear, rabies often cannot be successfully treated. As the disease progresses, the person may experience delirium, hallucinations, slight or partial paralysis, anxiety, confusion, increase in saliva, difficulty swallowing, fear of water, and insomnia. Death usually occurs within days of the onset of these symptoms.

What should I do if I was bitten or exposed while deployed?

Get evaluated today. Discuss what happened and what, if any, treatment you received with your health care provider. It is often impossible to know if the animal you had contact with had rabies. Rabies is a very serious disease. VA wants to understand your specific case and discuss treatment options with you. Your health care provider will help you do this.

If you are concerned about your risk for rabies, talk to your health care provider or contact your nearest VA health care facility.

We apologize for the delay.

Recently, Grant hosted a seminar for potential patients who wanted to learn more about the new procedure. “People are genuinely interested in this technology” said Robert Bartley III, MD. And not only does the MAKO robot have a busy schedule, but it’s getting rave reviews as well. Sharat Kusuma, MD, orthopedic surgeon at Grant, shared one patient’s success: “One patient who had the procedure done was amazed at how fast he recovered. He had been having knee pain for nearly seven years and he couldn’t believe how easy the surgery was for him.”

A Veteran’s Mobile Unit — which promotes enrollment and awareness of the Veterans Affairs Healthcare System — will be making its way to Grant Medical Center on Tues., Nov. 15. The mobile unit will offer veterans the opportunity to apply for veteran healthcare and complete the initial health and physical exam. All data will be entered into the Veterans Affairs database as a “Registered/Enrolled”  patient. Any veteran seeking to confirm their eligibility should bring a copy of their DD-214 military discharge document or a photo ID. The Veteran’s Mobile Unit will be stationed on S. Grant Ave directly in front of the associate entrance canopy near the front of the main hospital from 9 a.m. to 2 p.m.

OHIO TRANSITION PLAN TO ADDRESS NREMT STATE-APPROVED TRANSITION
COURSE
October 5, 2011

NREMT TRANSITION POLICY NOTICE
Ohio EMS providers have recently received a notice from the National Registry
of EMTs (NREMT) regarding a “Transition Plan” to maintain their NREMT
certification. The NREMT Transition Policy, adopted June 8, 2011, requires the
current holder of a NREMT certificate to complete a state-approved transition
course in order to be eligible for its National EMS Certification.

The NREMT Transition Policy only affects those Ohio EMS providers who wish
to maintain their NREMT certification. The Ohio Revised Code and the
Administrative Code do not require EMS providers with current and valid Ohio
certificates to practice to also hold a National EMS Certification.

OHIO TRANSITION PLAN
The State EMS Board has adopted the National EMS Education Standards and
the National EMS Scope of Practice Model as a minimum guideline for Ohio EMS
providers. The action does not reduce the current Ohio EMS scope of
practice in fact additional psychomotor skills have been added to the draft
Ohio curriculum and scope of practice rules. The State EMS Board is in the
final steps of the rule revision process and expects the new Ohio curriculum,
scope of practice and EMS titles rules to become effective by mid-February
2012.

The draft curriculum rules include refresher programs that will meet the
national scope of practice model, the Ohio specialty topic renewal
requirements and the NREMT Transition Policy, which requires a state-
approved course. The draft curriculum and refresher rules are based on the
national EMS education standards as well as the standards established by the
EMS Board. The Ohio Refresher programs will be the only courses approved by
the State Board to meet the NREMT transition criteria.

The draft rules are currently posted on the EMS website under DRAFT RULES
FOR PUBLIC COMMENT – http://www.ems.ohio.gov/ems_laws.stm. The draft
rules are expected to go to the Ohio EMS Board in October for approval, to
public hearing in December and to the legislative committee, JCARR, in January
2012. If this timetable is met, the rules should become effective in February
2012. Again, these are draft rules and have not been approved.

Please visit the EMS web site for updates www.ems.ohio.gov and watch for e-
mail announcements from an EMS listserv. Please use the following link to
register to receive EMS listserv announcements:

http://www.ems.ohio.gov/ems_outreach.stm

THE OHIOHEALTH STROKE NETWORK

The OhioHealth Stroke Network uses advanced telemedicine to connect emergency teams at community hospitals to specialists in critical care and stroke at our OhioHealth facilities in Columbus, Ohio. So your patients get the advantages of local, immediate care, plus expert guidance and cutting-edge treatment. This network approach ensures the highest quality of care and best possible outcomes for your critical patients.

How the Stroke Network works:

When your EMS team arrives with a patient showing symptoms of a stroke, they will be met by a clinical team that will examine the patient and run initial tests. Depending on the test results and the type of stroke, an appropriate care plan will be determined. Emergency doctors and nurses at the local level will provide direct care for the patient. They will connect with OhioHealth stroke specialists and an on-call neurologist for additional evaluation and guidance, using the innovative REACH Call™ telestroke application via mobile cart. This equipment gives the local team an extra set of eyes to help evaluate the patient’s specific situation and provide the correct course of action as immediately as possible. After the initial exams and tests are completed, the team will decide if the patient should remain at the local hospital or be transferred to an OhioHealth Primary Stroke Center: Riverside Methodist Hospital or Grant Medical Center.

Either way, know that there is a team of experts–the OhioHealth Stroke Network– on call 24 hours a day, 7 days a week, 365 days a year, working to care for the members of your community.

FOR IMMEDIATE RELEASE: September 13, 2011

Contact: China Dodley, Public Information Officer  (614)-466-2551

New Law Revises the Requirements for Ambulance Staffing and Driver Requirements

It also revises priorities for distributing grant funding, specifies additional titles used by EMS personnel and extends a moratorium on issuing fireworks manufacturer and wholesale licenses. 

(COLUMBUS)

 –A new law revising the requirements for staffing ambulances takes effect Sept. 23, 2011. The Ohio Fire Chiefs Association spearheaded the legislation [Substitute H.B 128] in an effort to improve driver safety and reduce the number of emergency vehicle–related crashes. 

“The Division of EMS’ goal is to educate Ohio’s EMS community regarding the new requirements to ensure that our providers remain in compliance and continue providing the highest level of care to their patients,” said Executive Director of the Division of EMS Jeffrey Leaming. “The revised priorities for grants and the specification of titles for EMS personnel help us move one step closer to the national EMS education standard and program accreditation.” The Board adopted the national accreditation of the state’s paramedic training programs in February 2010, requiring Ohio-accredited paramedic programs be nationally accredited through the Commission on Accreditation of Allied Health Education Program by 2018. Grant funding has been added to assist Ohio Paramedic Training Programs that are in the process of obtaining national accreditation.

The bill: 



Revises the requirements for staffing ambulances. The new requirements vary, depending on whether the ambulance is traveling to the emergency scene or from the emergency scene and carrying a patient, and whether the emergency medical service is a volunteer organization or is substantially utilizing volunteers. The bill also establishes who may drive ambulances, generally requiring a first responder or EMT, or with proper staffing a certified firefighter. (Ohio Revised Code Section 4765.43 http://codes.ohio.gov/orc/4765.43)



Revises the priorities for distributing grants for emergency medical services, including giving priority to paramedic programs seeking national accreditation. 



Allows entities that provide ambulance, emergency medical, and nonemergency patient transport services on behalf of townships to collect and retain any fee that the township may charge for each run involving such services.



Add new National certification level titles to the existing certification titles. Ohio will add Emergency Medical Responder to the First Responder level; EMT will be added to the EMT-Basic level to now mean the Basic level only; Advanced-EMT will be added to the current Intermediate level, and the EMTParamedic level will be simply “Paramedic.”

-MORE

B. 128 continued …

PAGE 2



Imposes a general moratorium until December 15, 2015, on the issuance of licenses for fireworks manufacturers, fireworks wholesalers, and the geographic transfer of those licenses.

A complete synopsis of Substitute H.B. 128 can be found online at http://www.lsc.state.oh.us/analyses129/11-

hb128-129.pdf 

Frequently Asked Questions have been added to the Division of EMS Web site as an additional resource. Visit

www.ems.ohio.gov

# # #

Dr. Schreiber will challenge our current thinking in fluid resuscitation and associated coagulapathies. He is a nationally renowned traumatologist with extensive research in the areas of fluid resuscitation and coagulapathies. A well‐known lecturer, Dr. Schreiber has spoken at several national trauma meetings including the 2011 Trauma Critical Care Acute Care Surgery conference in Las Vegas. Currently he is a professor and the Chief of the Division of Trauma and Critical Care for Oregon Health & Science University in Portland, Oregon. He has authored numerous articles on coagulapathy and complications from fluid resuscitation. Furthermore, he is a native Ohioan and we welcome him back to the Midwest.

Janet Froetscher is the President and CEO of the National Safety Council. She is passionate on the risk of distracted driving and has appeared on several national television programs including Oprah and Dateline advocating for injury prevention. She has been influential in advocating for six states to pass no hand held cell phone use laws while driving. She tirelessly continues to help other states in the same direction. Her dedication to preventing distracted driving, including texting while driving, is an integral part of trauma injury prevention. She has a message that we can all communicate to our patients, families, and friends.

After this informative two days you should be able to effectively handle these challenges. Grant Medical Center continues to strive to be the leader in trauma care for Ohio setting pace with national programs in treatment, service, research, and innovation. We continually challenge the status quo of health care and work tirelessly to “Improve the health of those we serve.” 

Contact Info:

Sean Mahoney, MSN, RN, Grant Trauma Program, 111 S. Grant Ave, Columbus, OH., 43215

Phone: 614‐566‐9726 Fax: 614‐566‐8392 E‐mail: smahoney@ohiohealth.com

2012 Paramedic School Start Dates:

• 1 Unit Day Class – January 4, 2012
• 2 Unit Day Class – April 5, 2012
• Night Class – August 16, 2012
• 3 Unit Day Class – September 6, 2012

For more information, please visit: http://www.grantlifelink.com/emseducation/paramedic

The course is designed for healthcare providers that may assess or manage a stroke patient, including hospital and pre-hospital professionals.

Learning Goals:

Describe why early treatment may result in a marked reduction in risk of disability

Identify the five main stroke syndromes and relate them to pathophysiology and clinical signs

Perform focused evaluation to identify stroke, its location and severity, and t-PA contraindications

Key Components:

Hands-on skills training

Instructors simulate stroke syndromes

Learners perform the MEND Examination, a unique neurologic assessment tool developed for the UM ASLS course

Computer-based multimedia skills training

Interactive discussions

Didactic sessions

Class schedule and registration form is available on our Outreach Education page at:

www.grantlifelink.com/outreach

For more information, email lifelink (at) ohiohealth (dot) com or call the LifeLink office at (614) 566-9111 Option 1.

Handouts are now available for download at:  http://www.grantlifelink.com/obconference2011