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ET Study

Recommendations:

1. Hospital should notify OCMCA of known missed intubations to improve Quality Assurance.

Base Hospital Study

Recommendations:

* See current OCMCA Base Hospital protocol.

Pain Study

Recommendations:

Education Committee to develop education expectations for Oakland County EMS agencies for each of the following recommendations:

1. Scoring pain on 0-10 scale should be utilized for all types of pain.
2. Pain meds pre-hospital should be utilized more frequently.  Current use in indicated patients is less than 50% of patients in need.
3. OCMCA pre-hospital treatment of pain, while not at goal, exceeds the bleak National numbers of 10-20%. (OCMCA) medical: 47%; trauma: 24%).
4. EMS run sheet documentation is critical to the retrospective study of EMS personnel assessing and treating pain compassionately.

Restudy this year; approximately three months after education is completed.

Cardiac Arrest Study

• Education Committee to develop educational expectations.
• Endotracheal intubation retraining suggested to raise success rate to National comparative (93%).
• Educational reminder- Narcan, D50, and Bicarb not indicated unless specific patient history dictates use.
• “Saves” need better documentation regarding EKG findings and vitals.
• Documentation adequacy retraining (goal: 95% adequacy).