Trauma Coordinators Meet 11:30 am - 12:00 pm QIF meets 12:00 pm - 3:00 pm. Meeting Schedule
Contact the WREMS office at 360-705-9019 for more information.
Brian Beerbower, MD
Vice Chairs: Tony Kuzma, EMT-P, Wendy Rife, RN
West Region Trauma System
West Region designated trauma facilities.
More information is available on the Dept of Health website.
West Region Quality Improvement Forum (QIF)
Continuously Strive to Optimize EMS/Trauma Patient Care and Outcome
West Region Trauma Quality Improvement Forum Information
West Region Quality Improvement Plan
More information can be found on the Dept of Health website.
Lessons Learned from Pierce County CQI Committee Case Reviews
Stroke lessons learned:
Document the actual clock time of LNW on ePCR
Give LAMS/SSS in verbal report to ED as well as document it on the ePCR
CARES lessons learned:
PAD - EMS needs to urge the public to use AEDs to improve survival rate
Implement dispatcher assisted CPR
Implement high performance CPR
With a broken steering wheel, always assess the anterior neck by visual and palpation. Alert the hospital of a potential difficult airway if a fractured larynx is suspected, so they can be prepared for it. Reassess, reassess, reassess
Obtain the patient’s emergency contact person’s information as soon as possible without compromising patient care, this may prove valuable later to gain patient history.
Sometimes being conservative is better for patients - do what is right for the patient at the right time.
Identify what/if any medication the patient is taking as part of the early assessment.
Good communication between agencies and facilities is a must
Don’t assume a chronic patient is fabricating or feigning their condition.
The AutoPulse system is extremely helpful for prolonged transports
Always remember to carry your portable radio, even if you think you will be away from your rig for just a short while
September, 2018 CQI
There is an increased risk of stroke with sepsis
Stroke with sepsis doesn’t present in the usual way
Black spots (called Janeway lesions) on digits indicate clots scattered throughout the body that could point to sepsis.
EMS providers need to dig deeper in taking history if the patient has any of these risk fictors in the past year: Hypotension, new onset a-fib, inflammatory response, endocarditis, coagulotherapies, vasculopathies.