March 3, 2011 EMS Advisory Council MINUTES 8:30 Fire Rescue Conference Room SE MONTEREY ROAD, STUART, FLORIDA 34994

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1 March 3, 2011 EMS Advisory Council MINUTES 8:30 Fire Rescue Conference Room SE MONTEREY ROAD, STUART, FLORIDA PRESENT Chairperson...Joseph Ferrara Vice Chairperson...Robert Seaman Medical Director...Lillian Avner We Care Ambulance...Bobby Barakos IRSC...Tera Barnes Stuart Fire Rescue...David Dyal AMR Ambulance...Kevin Meehan Town of Jupiter Island...Ted Gonzales MMHS...Brad Guiffin Coastal Ambulance...Kenneth Hancock MCHD...Nancy Kermes MMHS/S-ED...Fred Mollica All County Ambulance...John Salvesen Coastal Ambulance...Steve Wolfberg Martin County Sheriff s Office...Ed Kirkpatrick ABSENT Martin County Fire Rescue...Jon Belding Sewall s Point PD...Eric Cerniglia AMR Ambulance...Mike Fulton AMR Ambulance...Bill Hall Lay Person...John Henneessee We Care Ambulance...Nicholas Keriazis IRSC...Karen Kozac Air Methods...Ray Lauer AMR Ambulance...Brooke Liddle MMMC...Janice Meadows Stuart Police Dept...Bruce Onizchak MCHD...Maureen Ryan Stuart Fire Rescue...Lori Sunderman All County Ambulance...Eddie Szymczyk STAFF PRESENT Bureau Chief, Rescue / Martin County Fire Rescue...Daniel Harshburger Emergency Management Agency Director/Martin County Fire Rescue.Keith Holman Executive Aide...Margy Mills Division Chief, Operations...Daniel Wouters 1. CALL TO ORDER The meeting was called to order at 08:30 am.

2 2. APPROVAL OF MINUTES: December 2, 2010 Motion to approve December 2, 2010 minutes by Dan Wouters, seconded by Ted Gonzales, approved unanimously. 3. UNFINISHED BUSINESS Actual times for 911 call Division Chief Wouters reported that he s working with Joe LaViano to see if there s a way to capture the actual time of a 911 call o There is no automated way to do this o Maybe available, but it would require two separate systems (Seaman) o Meeting today for consolidated CAD 4. NEW BUSINESS Introduction of New Council Members and Membership List Karen Kozak will be the alternate for IRSC Fire Rescue Chief Lori Sunderman will be the alternate for Stuart Fire Rescue Sergeant Ron Crouse will be the alternate for Town of Jupiter Island Tina Ciechanowski will be the alternate for Sewall s Point Police Department John Henneessee is the new Lay Person representative. Name Change for Coastal Care Might be a D/B/A, rather than full name change to Advanced Medical Transport to allow for better name recognition County Attorney needs something more official than an request. TC Palm Scanner Concerns TC Palm has scanner system for Palm Beach County and the Treasure Coast o 2-3 second delay o Very disconcerting all broadcasts are heard publicly o HIPAA violation? We are not violating HIPAA because no patient info is disclosed but addresses are Gate codes, phone, alarm, etc., are communicated over the radio as well (Gonzales) Changed policy, nothing over the air (Gonzales) o Law enforcement broadcasts can be heard by criminals o Letter sent to Scripps Unethical Immoral Dangerous! o FFC is also sending a letter as is the FL Police and Sheriffs o Many concerns state-wide as well as nation-wide o Statutory resolution being sought Will be challenged o Major Seaman and Rhonda Irons helped draft a letter. Will get copy to group. Other counties are doing the same Unified bases for the Treasure Coast Maybe it will snowball into something bigger. o Law enforcement officers and fire rescue personnel lives could be put in jeopardy. Encrypted radio system is the only remedy but it s very expensive (Ferrara) o $2 million to go to full encrypted system Page 2 of 2

3 5. COMMENTS Medical Director Dr. Lillian Avner Cyano Kits o Research shows close to 90% of closed fire structure deaths are the result of cyanide, not fire and smoke o Any exposure to closed structure fire smoke can result in cyanide poisoning Does not always result in instant death. Affected can go home after exposure not feeling well and die much later than originally exposed. Anyone feeling sick should seek immediate attention (Cyano Kit) Kits are available at both Martin North and South People going to the ER after exposure should say that they were involved in a closed structure fire and that they think they have cyanide poisoning. Firefighters should not even touch equipment bare handed while cleaning up after a fire. Can be absorbed through skin, do not have to inhale. o Vitamin B easy to inject for initial treatment followed by the sodium cyanide treatment (Hancock) Emergency Management Agency Director Keith Holman Overview of emergency training opportunities coming o Intro to Emergency Operations Center o Responsibilities in Command o ICS ISC 300 and 400 classes coming up Free! o Incident Action Plan o Statewide Hurricane Exercise May 23 & 24 Simulate Francis-like storm Primarily a search, rescue and recovery activity o CERT training March 12 & 13 Basics on fire suppression, medical, etc. MMHS - Brad Guiffin Rescue runs up volumes up! Admissions Unit in place o Much better than last year o Less diversions Tradition o Construction April 2012 o Open late 2013 Moving to EPIC o Prepare for some delays at initiation Coastal Ambulance Kenneth Hancock Working to restructure entire operation, procedures, etc. Mandatory monthly training programs Protocol review o Inter-facility protocols to be re-written Purchased equipment for two bariatric trucks o Training on this as well Looking to purchase one or two new ambulances Page 3 of 3

4 EMS budget council working with Tera (Wolfberg) o Critical care training o 1 ½ year majority of medics educated o Medics rotated through ERs, etc to work with nurses to get familiar with techniques. IRSC Tera Barnes Critical Care and EMT course curriculum o Rotations into hospital units Requirement for accreditation to be incorporated o Based on University of Maryland course o Roll out class in August semester Enrollment o Paramedics up o EMT down MCFR Dan Wouters Child Services Council o Developed training awareness program for drowning prevention Educate younger children Several events planned throughout the County EMS Grant $$ to purchase educational items Start pool inspection program Pediatric cardiac training in conjunction with this Tera has students that may be willing to help. EMS Week - May 15 through 21 o Large event planned at IRSP on Sat., May 21 st o Educate the public Drug shortages still on-going MCDOH Nancy Kermes Restructuring going on o Less duplication around the state Special Olympics at Jensen Beach on March 12 th o Stand-by ambulance? All County John Salvesen New General Manger Carl McKenney o Will be here next EMSAC meeting We Care Bobby Barakos Updated vehicles and equipment Grants available! Stuart Fire Rescue Dave Dyal Still dealing with drug shortages. New building in the city Allegro o Independent & assisted living o 3 stories o Impact on MM-S o Wood Frame!!! o No CO yet. Building still belongs to contractor o Monthly rent will be in the area of $4,000 (all inclusive) Page 4 of 4

5 MCFR Joseph Ferrara Light weight truss UL Class was outstanding o More operational consideration Arctic Sun does work! o 53 year old patient good save! Cooled right away Full neuro functioning Jupiter Island Ted Gonzales ISO Process o 2 officers dedicated to work with MCFR o Pre-plans for new residents New Administrative Assistant - Robert Garlow MOU up to date AMR Kevin Meehan EMSC (Parent company) purchased Curtiss Dupiler & Rice. o Private equity company o Sale 4-5 weeks away o Majority of stock holders in favor o No immediate changes anticipated Electronic PCR seems to work very well o Better trip reports o Better billing 6. ADJOURN There was no further business, Dave Dyal motioned to adjourn, this was seconded by Ted Gonzales and unanimously approved. The meeting was adjourned at 9:48 am. Recorded and Prepared by: Margy Mills/Executive Aide, Martin County Fire Rescue Date Joseph V. Ferrara, Chairperson Date Page 5 of 5

Please Note Meeting Location

Please Note Meeting Location Meeting of DISTRICT 10 Local Emergency Planning Committee (LEPC) For Hazardous Materials Thursday, February 7, 2013-10:00 a.m. Martin County Public Safety Complex AGENDA 800 SE Monterey Road Stuart, Florida