Meeting Information

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.

The American College of Surgeons performed an assessment of the WA EMS & Trauma Care System. Full Report and Recommendations.

West Region Quality Improvement Forum (QIF)

Mission Statement:

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

May, 2019

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

Lessons learned:

  • 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.

March, 2019

  • 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.

November, 2018

  • 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.