NAEMSP News May 2014

MAY 2014

News

Vol. 23

NEWSLETTER OF THE NATIONAL ASSOCIATION OF EMS PHYSICIANS®

No. 2

President’s Corner Ritu Sahni, MD, MPH

NAEMSP® President (2013-2015)

In This Issue:

Celebrating 25 Years (Or More!) of Membership

NAEMSP® 25 Year Members . . . . . . 2 EMS Subspecialty Certification – A 30+ Year Effort . . . . . . . . . . . . . . . . 3 New CDC Study Finds Dramatic Increase in E-cigarette-related Calls to Poison Centerse . . . . . . . . . . 4 Accredited Program List Reaches 39 . . . . . . . . . . . . . . . . . . . . 4 Take Action to be Ready and Resilient . . . . . . . . . . . . . . . . . . . . . . . 5 Early Warning Scores Systems for Ambulance Service . . . . . . . . . . . . . . 6 Hydrogen Sulfide “Detergent,” Chemical Assisted Suicide: A Case Report and Literature Review . . . . . . 7 MONOC Bragging Rights . . . . . . . . . 8 EMS Calendars . . . . . . . . . . . . . . . . . 8 NAEMSP® Call for Abstracts 2015 . 10 NAEMSP® Call for 2015-2017 Board of Director Nominations . . . . 11 Nomination for NAEMSP® Awards . 12 NAEMSP®/Physio-Control EMS Medicine Medical Director Fellowship Application . . . . . . . . . . 13 Welcome New Members . . . . . . . . . 17

A

s many of you know NAEMSP® is celebrating its 30th Anniversary this year.

When Bob Bass, Ray Fowler and others held a small meeting of physicians interested in EMS medical direction, there was little thought that this group would develop into the national organization that NAEMSP® has become. What is even more astounding is that Ray Fowler had a laptop 30 years ago! Thankfully, many attendees of that meeting and in some of the early years are still members today.

In this time of looking forward, it is also important that we reflect back. As a young specialty, we are lucky. Many of our founding leaders and members are still active in the field and the Association.

Many have held leadership positions in the Association, major EMS systems and the Federal Government. It is important that we draw the collective knowledge of these members as we plot our future steps in this changing healthcare world. We can learn from their mistakes (again I am talking about Fowler) as well as their triumphs.

This specialty exists because of the

groundwork laid by our 25-year members.

As Fellowships have sprouted and more Fellows attend our conference, it is a great opportunity for the next generation of EMS Physicians to interact with and learn from the founding generation.

NAEMSP® will be honoring those who have been a member for at least 25 continuous years. 25-year members will receive a commemorative lapel pin and recognition in the NAEMSP® News (See page 3). They will, of course, receive a special ribbon to wear on their name badge at the conference (unless you subscribe to Dave Cone’s one ribbon rule!) and finally, they will receive a $25 discount on membership. This is all a small token that we can give in recognition of years of dedication and laying the groundwork that has created our subspecialty. Finally, I leave our membership with a challenge. At our next conference, seek out a member with a 25-year ribbon, buy them a beverage and ask for their thoughts and reflection on the future of EMS.  continued on page 2

NAEMSP® 25 Year Members Beth Adams, MA, RN, NREMT-P Roy L. Alson, PhD,MD,FACEP,FAAEM John F. Brown, MD Jeff J. Clawson, MD Leonard Cobb, MD James V. Dunford, MD, FACEP Douglas J. Floccare, MD, MPH, FACEP Raymond Fowler, MD Gregory R. Frailey, DO, FACOEP Susan M. Fuchs, MD, FAAP, FACEP Daniel G. Hankins, MD, FACEP David A. Hnatow, MD Kevin C. Hutton, MD, FACEP David P. Keseg, MD William Koenig, MD Jon R. Krohmer, MD, FACEP Wayne Lee, MD G. Patrick Lilja, MD Justin Maloney, MD Ross E. Megargel, DO, FACEP

Kenneth T. Miller, MD, PHD Joe A. Nelson, DO, MS, FACEP John A. Oakley Debra Perina, MD Peter T. Pons, MD Ronald Roth, MD Kathleen S. Schrank, MD Daniel Spaite, MD, FACEP Ronald Stewart, MD Robert E. Suter, DO, MHA Robert Swor, DO David P. Thomson, MS, MD, MPA, FACEP James Upchurch, MD Terence Valenzuela, MD, MPH Marvin Wayne, MD Arlo Weltge, MD, MPH Roger D. White, MD Michael R. Wilcox, MD Ken Zafren, MD

The National Association of EMS Physicians® is an organization of physicians and other professionals partnering to provide leadership and foster excellence in out-of-hospital emergency medical services.

The NAEMSP ® newsletter is designed to inform members of interesting developments in the field of EMS. Members are encouraged to send information which may be of interest to others reading this publication.

EXECUTIVE OFFICE STAFF LISTING

NAEMSP® News is the official newsletter of the National Association of EMS Physicians® (NAEMSP ®).

Opinions expressed in articles in NAEMSP® News are those of the authors and not necessarily those of NAEMSP ® nor the editor of NAEMSP® News.

Reproduction in whole or part is strictly forbidden without prior consent of the editor.

The NAEMSP ® Executive Office staff and email address information is listed below for your reference.

General email address to reach staff: info-NAEMSP@goAMP.com Executive Director, Jerrie Lynn Kind

Meeting Planner, CMP Megan Finnell

Association Manager / Grants Project Manager, Stephanie Newman

Administrative Assistant, Diane Conner

Copyright © 2014. The National Association of EMS Physicians®.

Correspondence and inquiries should be sent directly to: NAEMSP ® Executive Office, P. O. Box 15945-281, Lenexa, KS 66285-5945 913-895-4611; 800-228-3677; Fax: 913-895-4652 Email: info-NAEMSP@goAMP.com; Website: www.NAEMSP.org

Articles for inclusion in the newsletter must be submitted by email (Word).

To submit material for publication, contact the editor by telephone or email.

NAEMSP® News Editor, Joseph DeLucia: 314-422-1244.

Email: jlinde001@mail.com NAEMSP® Staff Contact, Stephanie Newman, Email: snewman@goAMP.com

NAEMSP ® NEWS

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MAY 2014

EMS Subspecialty Certification – A 30+ Year Effort

By Frances M. Spring, Communications Administrator, American Board of Emergency Medicine

A

merican Board of Emergency Medicine (ABEM) certified the first Emergency Medical Services (EMS) Physicians in 2013. This event capped a development process that began in the 1980s and continued through the American Board of Medical Specialties’ approval on Sept. 23, 2010. The EMS Task Force—all clinically active EMS physicians—was then formed and charged with developing the certification program. This included defining the appropriately qualified EMS physician and developing the Core Content of EMS Medicine (EMS Core Content). The EMS Core Content defines the scope of the newly recognized subspecialty. The Task Force sought clinically active EMS physicians, asking them about the types, frequency and importance of the tasks they performed in their clinical practice.

This helped gauge how well the tasks were reflected in the EMS Core Content. The Task Force then revised the EMS Core Content based on that feedback.

The required passing score was set at 143 (74.4%) correct. A total of 204 physicians passed the October examination, of which 195 are ABEM diplomates and nine are diplomates of other ABMS Member Boards.

In analyzing the candidate’s performance on the examination, it was found that fellowship training was tied to performance on the examination: 79% of candidates with some fellowship training passed, compared to 53% of candidates with no fellowship training. Historically, passing rates are lower for a first examination. This is especially true if a practice pathway exists because the candidate pool has marked heterogeneous practice backgrounds. As training becomes standardized, and the group taking the test becomes more homogeneous, it is expected that the passing rate will rise.

What’s Next?

Newly certified diplomates are automatically enrolled in ABEM’s EMS MOC program. The program’s requirements are:

The Task Force also worked to define the “Minimally Qualified EMS Subspecialty Candidate” (MQC). This definition was used to set the conceptual standard for the certification exam. The standard reflects what an EMS physician should know to be certified.

yy Complete four LLSA tests in the first five years of certification and 4 LLSA tests in the second five years of certification. yy Complete one practice improvement activity in the first five years of certification and one practice improvement activity in the second five years of certification. yy Complete one patient experience of care activity or peer survey in the first five years of certification and one patient experience of care activity or peer survey in the second five years of certification. yy Pass the EMS cognitive expertise exam in the second five years of EMS certification. yy Continually meet the ABEM Policy on Medical Licensure.

The Task Force then turned to developing the actual certification examination. Task Force members wrote the questions and each question was reviewed by all members of the Task Force.

The questions were evaluated for the quality of the information they contained and the level of difficulty they posed. After the examination, the responses were evaluated for how well each question discriminated between those who did well overall and those who did not. In addition, candidates could provide comments on each question and every comment was also evaluated. Based on all of these results, 192 questions were selected as meeting the content standards and were used for scoring.

The 2014 EMS LLSA Reading List is posted on the ABEM website and its associated test will be available on June 1, 2014.

An optional EMS LLSA CME activity also will be available for successful completion (10-15 credits for a cost of $30).

Future LLSA tests will be posted in June of even-numbered years. Diplomates of certifying boards other than ABEM who are meeting the MOC requirements of their primary board can receive credit toward EMS MOC LLSA and APP requirements.

ABEM diplomates who are also certified in EMS may count any Emergency Medicine LLSA, patient experience of care activity or peer survey to fulfill their EMS MOC requirements.

Before determining the final passing score, the EMS Task Force (and ultimately ABEM) considered: yy Potential for error in passing someone who is not minimally knowledgeable yy Knowledge of the relative ability of EMS experts used to create the exam and the recommended passing score yy Knowledge of ability of those taking the examination yy Trust in the quality of the passing score study

If you have any questions, please contact ABEM at 517-3324800, extension 387, or email subspecialties@abem.org. 

yy Impact on the profession NAEMSP ® NEWS

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MAY 2014

CDC Press Release Contact: CDC Media Relations 404-639-3286

New CDC Study Finds Dramatic Increase in E-cigarette-related Calls to Poison Centers Rapid rise highlights need to monitor nicotine exposure through e-cigarette liquid and prevent future poisonings The number of calls to poison centers involving e-cigarette liquids containing nicotine rose from one per month in September 2010 to 215 per month in February 2014, according to a CDC study published in today’s Morbidity and Mortality Weekly Report. The number of calls per month involving conventional cigarettes did not show a similar increase during the same time period.

More than half (51.1 percent) of the calls to poison centers due to e-cigarettes involved young children 5 years and under and about 42 percent of the poison calls involved people age 20 and older.

The analysis compared total monthly poison center calls involving e-cigarettes and conventional cigarettes and found the proportion of e-cigarette calls jumped from 0.3 percent in September 2010 to 41.7 percent in February 2014. Poisoning from conventional cigarettes is generally due to young children eating them. Poisoning related to e-cigarettes involves the liquid containing nicotine used in the devices and can occur in three ways: by ingestion, inhalation or absorption through the skin or eyes.

“This report raises another red flag about e-cigarettes – the liquid nicotine used in e-cigarettes can be hazardous,” said CDC Director Tom Frieden, MD, MPH. “Use of these products is skyrocketing and these poisonings will continue. E-cigarette liquids as currently sold are a threat to small children because they are not required to be childproof and they come in candy and fruit flavors that are appealing to children.” 

Accredited Program List Reaches 39

By David C. Cone, MD Chair, Council of EMS Fellowship Directors

The Council of EMS Fellowship Programs is pleased to announce that six additional EMS fellowship programs received ACGME accreditation in February, bringing the list to 39 programs.

A complete listing of approved programs and their directors is available on the Council website and also through the ACGME website. Twenty-four states now have one or more accredited fellowship programs. Several additional programs are filing accreditation applications with ACGME for consideration later this year. 

NAEMSP ® NEWS

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MAY 2014

Take Action to be Ready and Resilient

By Assistant Secretary for Preparedness and Response, Nicole Lurie, M.D.

America’s first PrepareAthon! National Day of Action is April 30. I encourage organizations and people across the country to participate. America’s PrepareAthon is a new campaign to increase every community’s ability to withstand disasters.

In 2012, natural disasters caused more than 450 weather-related fatalities and nearly 2,600 injuries. Every disaster holds the potential to impact health, but most people are still unprepared for emergencies. In the 2012 Federal Emergency Management Agency National Survey, only 39 percent of people reported having a household emergency plan, which included instructions for household members on where to go and what to do in an emergency.

This spring, America’s PrepareAthon! will focus on learning how to protect yourself and your family, how to help your co-workers and how to participate in community plans for emergencies such as tornadoes, floods, hurricanes and wildfires. This targeted national call to action highlights simple, specific steps individuals and organizations should take to increase their preparedness for a potential local disaster.

When we prepare and practice for an emergency in advance of the event, it makes a real difference in the whole community’s ability to take immediate and informed action. In turn, this enables everyone impacted to recover more quickly. In addition, participating in drills, exercises and trainings helps establish brain patterns that support quick and effective action during an emergency.

America’s PrepareAthon! provides instructions for educational discussions and simple drills for a range of disasters. The instructions will help employees, students and organization members understand which disasters could happen in the community, what to do to stay safe and how to take action to prepare and participate in making one’s community more resilient.

In addition, the HHS Office of the National Coordinator for Health Information Technology has developed a video game and video to help health care providers with disaster preparedness.

Building and sustaining resilience is a shared responsibility. It takes a whole community working together to effectively prepare for, respond to and recover from the destructive forces of nature and other emergencies. Your organization can find preparedness guides and resources to help your workplace, school, house of worship, community-based organization and the whole community practice specific preparedness activities necessary to stay safe before, during and after an emergency. Learn more about how your organization can play a role in your community’s readiness and resilience. Visit www.ready.gov/prepare. Plan an event for the national day of action and register it today. 

NAEMSP ® NEWS

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MAY 2014

EARLY WARNING SCORES SYSTEMS FOR AMBULANCE SERVICE

By David M. Williams, PhD

E

arly warning score (EWS) systems were first introduced in the 1990s and have been a key tool in patient safety systems in hospitals in the United Kingdom and United States.1 The aim is to predict when patients are deteriorating and intervene before they arrest.

Table 1 is the Qatar Early Warning Score (QEWS) used by the Hamad Medical Corporation Ambulance Service.

The EWS is a straightforward assessment and includes criteria already captured in a routine initial assessment. If assessment occurs early in the patient care encounter, it may act as a simple indicator of a need for more advanced care or the potential for deterioration. EWS may also be an effective tool for alerting a receiving facility of the severity of an incoming patient.

Ambulance services in the United States may learn from the experience of international peers and test the EWS in your EMS system. The Ambulance Service EWS is a low cost and simple method to support patient safety.

The EWS is an aggregate weighted score with six physiological parameters: Respiratory Rate, Oxygen Saturations, Heart Rate, Systolic Blood Pressure, Temperature and Neurological Status.

Assessment occurs when a patient’s vitals are assessed and each is scored.2 For example, a heart rate of 41 to 50 beats per minute would score a 1. If the aggregate score is greater than 3, a protocol is initiated and may result in a rapid response team intervention.

David M. Williams, PhD is an American ambulance service researcher and consultant. He is an improvement advisor for the Institute for Healthcare Improvement and provides improvement science consulting through his practice TrueSimple Improvement (www.tursimple.com). He also leads the international ambulance service consulting practice Medic Healthcare Group (www.medichealth.com). He currently works in North America, Europe and the Middle East. 

EWS in Ambulance Service Determining a patient’s condition is considered an early priority for the first caregiver to make patient contact. That assessment includes level of consciousness, vital signs and signs and systems. While some EMS systems may set triggers for results that fall outside of predetermined limits, there is not currently a universal tool to determining a patient is at risk.

ENDNOTES:

Ambulance services in the United Kingdom and Middle East have developed EWS systems for the prehospital care environment based on their exposure to the in hospital EWS in patient safety initiatives. The EWS can serve a dual purpose: 1) to predict patient acuity and the need for more advanced care in a tiered deployment model, and 2) to predict shortly after making patient contact if a patient is or has the potential of deterioration.

1. Morgan, R. J. M., Williams, F., & Wright, M. M. (1997). An early warning scoring system for detecting developing critical illness.

Clin Intensive Care,8(2), 100.

2 Royal College of Physicians (2012, July). National early warning score (NEWS): Standardising the assessment of acute-illness severity in the NHS. Report of a working party. London: RCP.

Table 1. Qatar Early Warning Score (QEWS)

Source: Hamad Medical Corporation Ambulance Service Clinical Guidelines

NAEMSP ® NEWS

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MAY 2014

Hydrogen Sulfide “Detergent,” Chemical Assisted Suicide: A Case Report and Literature Review

By Nabil El Sanadi, MD, MBA, FACEP, FACHE

The phenomenon of “detergent suicide”: The mixing of household chemicals containing hydrochloric acid (e.g., toilet bowl cleaner) and pesticides containing sulfur compounds, produce the highly toxic and flammable colorless gas hydrogen sulfide (H2S).

The use of this suicide method is very rare in the United States.

There have been several reports in the secular media. Fujita et al (4), advocate the use of hydroxocobalamin after H2S exposure as “possibly effective” for H2S poisoning.

Household chemicals that can be used to produce H2S include:

This gas when inhaled in a closed (poorly ventilated) space is uniformly fatal.

Acid Sources

The phenomenon is well documented in the medical literature from Japan (1, 2, and 3.) There are also several “How To” videos available on the Internet.

Our case involves a middle age male who was found pulseless and apneic by a Good Samaritan who was overwhelmed by the toxic fumes after opening the car door where the deceased was found.

There was a sign taped to the interior of car window where the deceased victim was found “Poison Gas, 911.”

Sulfur Sources

Lysol toilet bowl cleaner (9.5% HCl)

Pesticides (5-30% calcium polysulfides)

Sno Bol® toilet cleaner (15% HCl)

Spackling paste (1-2% zinc sulfide)

The Works® toilet bowl cleaner (15-25% HCl)

Garden fungicides (5-90% sulfur)

Blue-Lite® germicidal acid bowl cleaner (20.5% phosphoric acid)

Selected bath salts (25-35% sulfur)

®

Kaboom® shower, tub, and tile cleanser (5-7% urea-monohydrochloric acid)

First responders and Emergency Physicians must be vigilant to avoid secondary exposure and inadvertent injury.  REFERENCES: Suicide Fads: Frequency and Characteristics of Hydrogen Sulfide Suicides in the United States. Reedy, et al; West J Emerg Med. 2011;12(3):300-304.

The Impact Of Media Reports On The 2008 Outbreak Of Hydrogen Sulfide Suicides In Japan. Nakamura, et al; Int’l. J. Psychiatry In Medicine, Vol. 44(2) 133-140, 2012.

Japanese experience of hydrogen sulfide: the suicide craze in 2008.

Morii et al. Journal of Occupational Medicine and Toxicology 2010, 5:28.

A Fatal Case of Acute Hydrogen Sulfide Poisoning Caused by Hydrogen Sulfide: Hydroxocobalamin Therapy for Acute Hydrogen Sulfide Poisoning. Fujita, et al.; Journal of Analytical Toxicology, Vol. 35, March 2011. 

Despite the warning the Good Samaritan opened the door and inhaled a gas that smelled “like rotten eggs.” Firefighter paramedics responded to scene and pronounced the victim in the car dead and grossly decontaminated. The Good Samaritan was transported to the hospital and provided supportive measures including oxygen and cardiac monitoring. The Good Samaritan arrived to the emergency department with stable vital signs and no respiratory distress. He was observed, no specific antidote was administered; he was discharged home shortly thereafter.

NAEMSP ® NEWS

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MAY 2014

MONOC Bragging Rights

By Peter I. Dworsky Corporate Director of Support Services MONOC, New Jersey’s Hospital Service Corporation

T

he Monmouth Ocean Hospital Service Corporation Mobile Health Services is proud of three separate events in the last few months.

The most recent is accreditation from the Commission on Accreditation of Medical Transport Systems (CAMTS). This is the fifth national accreditation MONOC has achieved, making it the only entity in the United States, or internationally, to have attained CAAS, CAMTS, ACE, CAAHEP and CECBEMS accreditations.

MONOC is also proud to announce that three of their senior managers were chapter authors for a newly published book by Pearson Education, Management of Ambulance Services. The book provides a foundation for the next generation of ambulance service executives to build community ambulance services of the twenty-first century. The text offers nineteen chapters of “best practices” about the management of an ambulance service.

In February, two MONOC managers, Scott Matin and Peter Dworsky, were named as recipients of the 2013 JEMS EMS 10 innovation award for their development of an EMS safety video, Driving Responsibly: The Truth about Sirens. The video shows the research behind the compelling reasons for turning off the sirens and slowing down. MONOC has made the video available at no cost. For any agency wishing to download a copy click on http://www.monoc.org/sirenPSA2.cfm.

Each chapter was written by subject matter experts who are recognized experts in that area of ambulance service operation.

MONOC’s President and Chief Executive Officer, Vince Robbins, wrote the chapter, The History of Ambulance Services and Medical Transportation Systems in the United States and co-authored the chapter, Corporate Models for Ambulance Service Delivery. David Shotwell, Corporate Compliance Officer, wrote the chapter titled, Legal and Compliance Issues for Ambulance Services. Peter Dworsky, Corporate Director of Support Services, wrote the chapter, Safety Considerations for Ambulance Services.

For more info about MONOC and access to their resources click on www.monoc.org. 

EMSCalendar Be sure to check out the most updated version of the EMS Calendar at www.NAEMSP.org.

NAEMSP ® NEWS

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MAY 2014

NAEMSP ® NEWS

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MAY 2014

Call for Abstracts 2015

National Association of EMS Physicians® Jan. 23-24, 2015 Hyatt Regency New Orleans New Orleans, La.

Call for Abstracts and Submission Rules GENERAL INFORMATION The National Association of EMS Physicians® is calling for abstracts to be presented at the NAEMSP® 2015 Annual Meeting in New Orleans, Louisiana. Authors are urged to submit original EMS research. The full spectrum of research will be considered including basic science, clinical, epidemiological, health services, operational, economic qualitative and educational studies but the study question should have clear applicability to EMS practice. Investigators may be asked to provide documentation of research ethics approval or waiver as appropriate. Data splitting is not permitted; each abstract must have a distinct research question/hypothesis. Physicians, out-of-hospital care providers, students, research scientists, and administrators are all encouraged to participate.

All abstracts will be peer reviewed in a blinded fashion by multiple NAEMSP® Research Committee members. Abstracts will be selected for oral or poster presentation. The exact numbers in each category will be determined by the number of submissions, time and space limitations at the meeting venue, etc.

Oral presentations will be 10 minutes, followed by five minutes for discussion. Some posters will be displayed electronically while some will remain in the traditional printed format; on submission please indicate whether you would be interested in presenting electronically if your project is selected for a poster. A moderated session will be held for each print and electronic poster display.

Awards will be given for Best Scientific Presentation, Best Poster Presentation, Best Resident/Fellow Presentation and Best EMS Professional Presentation. In addition, ZOLL will sponsor the Best Cardiac Arrest Presentation and the National Disaster Life Support Foundation (NDLSF) will sponsor an award for Best Disaster Research. Awards will be presented at the Awards Luncheon at the Annual Meeting.

All accepted abstracts will be published in Prehospital Emergency Care (PEC), the official journal of NAEMSP®. Manuscript submission to PEC is encouraged, but not required. Research submitted for consideration may not have been published previously, though prior presentation within 90 days of the meeting is acceptable

ABSTRACTS MUST BE SUBMITTED ELECTRONICALLY through the dedicated submission site. To submit an abstract, visit NAEMSP®’s website at www.NAEMSP.org. The website will officially open in mid-June 2014. ★ ★ ★ DEADLINE: Friday, Aug. 15, 2014 ★ ★ ★ THE ABSTRACT DEADLINE IS FRIDAY AUG. 15, 2014. Abstracts must be received electronically by 12:00 p.m. Eastern Daylight Time, on Friday, Aug. 15, 2014. No exceptions will be granted.

Questions can be directed to the NAEMSP® Executive Office at 913-895-4776 or by email at cross@goAMP.com.

ELECTRONIC SUBMISSION RULES 1. Abstracts must be submitted electronically through the dedicated submission site.

2. Submissions must be received at the NAEMSP® Executive Office by 12:00 p.m. EDT on Friday, Aug. 15, 2014. Late submissions will not be considered.

3. To ensure blinding, no identifying information should appear in the abstract.

4. The abstract must include: a. Statement of purpose or hypothesis, with brief introductory material as needed. b. Statement of methods to clearly demonstrate how the study was carried out; include such information as design, setting, participants/ subjects, interventions/observations, etc. c. Summary of results presented in sufficient detail to support conclusion, with brief mention of statistics used (p values, confidence intervals, etc.) to reach conclusions. d. Statement of conclusions reached, with important limitations stated if needed. e. Word Count Limit: 350 words 5. In order to be considered for an award, a PDF of the poster presentation is due by 5:00 p.m. EDT on Monday, Dec. 29, 2014.

NAEMSP ® NEWS

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MAY 2014

National Association of EMS Physicians® (NAEMSP®)

Call for 2015-2017 Board of Director Nominations Ronald G. Pirrallo, MD, MHSA – Immediate Past President

The Nominations Committee is conducting the Call for Nominations for the 2015-2017 Board of Directors slate. The positions that will be elected by the membership in 2014 are: President-Elect, Secretary/Treasurer and three Physician Members-at-Large.

The individuals elected for the offices will each serve a two-year term.

The criteria for the open positions are listed below. This information will assist you in recommending for nomination the best candidate for the office. The ability to offer more than one candidate for each office is dependent upon receiving a sufficient number of nominations for each office from the membership.

You may recommend yourself or another NAEMSP® member for Board of Directors nomination by completing the electronic submission form. A representative sample of a candidate’s biography, which will appear on the ballot, can be downloaded from the nomination submission site. All recommendations MUST BE RECEIVED BY July 14, 2014 to be considered for the slate of candidates.

Recommendations should be submitted electronically to NAEMSP®’s Executive Office through the link located on the NAEMSP® website. The nominee will receive an e-mail acknowledgement of receipt of the Recommendation for Nomination form within two (2) business days of receipt. If such acknowledgement is not received within that time frame, please contact the NAEMSP® Executive Office at 913-895-4611. The slate of candidates will be compiled by the Nominations Committee and reviewed by the Board of Directors.

CANDIDATE CRITERIA AND POSITION DESCRIPTIONS The affairs of the Association are governed, supervised and controlled by the Board of Directors. The authority delegated to the Board requires that it set policies and make relevant decisions on behalf of the Association’s membership; therefore, Board Members should be the most knowledgeable about the activities and needs of the Association’s members. The Board’s duties include: yy ensuring that the needs of the membership are met yy approving and evaluating plans and policies of the Association yy budgetary approval and control yy monitoring and reviewing financial objectives yy long-term strategic planning PRESIDENT-ELECT (One position)  Prior NAEMSP® Board of Director experience for at least two years prior to nomination.  Ability to commit to the Board of Directors for two-year term as President-Elect, two-year term as President and two-year term as Immediate Past President.  Nominee must be a physician member in good standing of NAEMSP®.

SECRETARY/TREASURER (One position)  Nominee must be a physician member in good standing of NAEMSP®.  Prior committee/task force involvement required.  Ability to commit to the Board of Directors for a two-year term and act as peer representative of the membership.  Successful candidate will assume responsibility for the financial affairs of NAEMSP®; present written and verbal reports of the financial status of the association at meetings of the Board for Directors and at the Annual Conference; and perform other such duties as prescribed by the Board of Directors.

MEMBER-AT-LARGE (Three positions available)  Nominee must be a Physician member in good standing of NAEMSP®.  Prior ad hoc committee/task force involvement preferred.  Ability to commit to the Board of Directors for a two-year term and act as peer representative of the membership.

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MAY 2014

Nomination for NAEMSP® Awards Due Date: October 1, 2014

Candidate’s Name:____________________________________________________________________________________ Address:______________________________________________________________________________________________ _____________________________________________________________________________________________________ Telephone:_______________________________________ Fax:________________________________________________ Email: _______________________________________________________________________________________________ Your Name: __________________________________________________________________________________________ Telephone: _______________________________________ Email: ______________________________________________

NOMINATION FOR THE FOLLOWING AWARD:  Ronald D. Stewart Award This award is given annually to a person who has made a lasting, major contribution to the EMS community nationally. This is often considered a lifetime achievement award. Recent recipients have included Dr. Daniel Storer, Dr. Mickey Eisenberg, Jim Page, Dr. Jon Krohmer, Dr. Edward Cain, Dr. Roger White, Dr. William Jermyn, Dr. Daniel Spaite, Dr. Debra G. Perina, William E. Brown, Jr., Jeff J. Clawson and Norman M. Dinerman,

 Keith Neely Outstanding Contribution to EMS Award This award is presented to an active or past member of NAEMSP® (physician or non-physician) who has provided significant leadership to the association. Recent recipients have included Lawrence Brown, EMT-P, Dr. Ray Fowler, Dr. Rick Hunt, Dr. Ted Delbridge, Dr. Jullette Saussy, Dr. David Persse, Beth Adams, Dr. Robert O’Connor, Dr. Douglas Kupas, Dr. Brian Schwartz, Dr. James J. Menegazzi. E. Brooke Lerner and Dr. Michael Levy.

 Friends of EMS Award This award is presented to a individual who has been an advocate to further NAEMSP®'s mission nationally through influencing or implementing public policy. The award is typically given to a governmental individual or organization, EMS organization or congressional leader. Recent recipients have included Mr. Robert Niskanen, the Laerdal Family, Dr. Jeff Runge (NHTSA administrator), Drew Dawson (NHTSA EMS Chief), Dr. Richard Carmona (Former U.S. Surgeon General), Dan Kavanaugh (EMSC), Susan McHenry (NHTSA), William Ball (GM OnStar), Gary Freeman (ZOLL Medical Corporation), Dr. Richard C. Hunt (National Center for Injury Prevention and Control), Kevin McGinnis and Physio-Control.

REASON FOR NOMINATION (attach separate page if necessary):

Please submit form by October 1, 2014 to: NAEMSP®, Attn: Stephanie Newman at SNewman@goAMP.com or Fax: 913-895-4652 NAEMSP® is also soliciting applications for the EMS Fellowship Recognition Awards. Criteria for this recognition, and submission forms, are available on the NAEMSP® website under Fellowships. Submissions are due by Oct. 1, 2014.

NAEMSP ® NEWS

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MAY 2014

NAEMSP®/ PHYSIO-CONTROL EMS MEDICINE MEDICAL DIRECTOR FELLOWSHIP APPLICATION AND SELECTION PROCESS INFORMATION PURPOSE: To select the single best candidate to receive a 12 month, $80,000 EMS Fellowship Award annually.

TIMELINE: Open application process Close applications Notification of award Awardee announcement of fellowship site required

01 July (approximately) 01 October @ 5:00 pm central time 01 November (approximately) 15 December

New Fellowship Begins

01 July, 2015

SELECTION COMMITTEE: Formed annually by the NAEMSP® President with approval of the Board of Directors to include four (4) previous Physio-Control EMS Fellows and one (1) NAEMSP® Board Member.

Award Selection Committee Members Kevin Mackey Ronald Pirrallo Theodore Delbridge David Persse Christian Martin-Gill

NAEMSP Board representative Chair, 1991 1992 1993 2009

ELIGIBILITY: Expectation that the applicant will meet all qualifications for American Board of Emergency Medicine (ABEM) EMS subspecialty certification upon completion of the Fellowship.

1. Diplomate in good standing of any American Board of Medical Specialties (ABMS) member board or be a graduate of an ACGME accredited residency and eligible to take an ABMS member board-certifying examination at the anticipated commencement of fellowship.

2. The physician must be in compliance with the ABEM Policy on Medical Licensure. Licenses must be valid, full, unrestricted and unqualified, except for current residents of ACGME accredited programs who may possess an educational or temporary license.

3. Member in good standing of NAEMSP®.

4. Intended enrollment in an ACGME approved EMS Medicine Fellowship Program.

Only online applications accepted. Visit www.naemsp.org for link.

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MAY 2014

APPLICATION PACKET: All items must be completed and received through the NAEMSP® electronic submission web-based format prior to review.

1. Curriculum Vitae 2. Three letters of Recommendation clearly labeled with the applicant’s name and emailed to info-NAEMSP@goAMP.com. a. One from the Residency Training Program Director or equivalent. b. Two additional letters that address the applicant’s qualifications as a potential EMS fellow and the applicant’s potential for leadership as an EMS subspecialist.

3. Fellowship Interrogative (See Appendix A) 4. Signed Application Attestation Statement (See Appendix B) OVERVIEW OF APPLICATION PROCESS: Each applicant will be judged based on his/her potential for a career as an EMS medical director and to become a national leader in EMS. 1. The Award is designated for the successful applicant and dispersed to the fellowship program the awardee chooses for training. The awardee may apply to any ACGME accredited EMS fellowship program to complete his or her training.

2. Once the awardee is selected, he or she will have until 15 December to be accepted into and commit to an ACGME-accredited EMS fellowship program.

3. If for any reason the awardee is unable to or cannot be accepted into an ACGME-accredited EMS fellowship program by 15 December, the Award will be forfeited and an alternate applicant will be selected.

USE OF AWARD DOLLARS: 1. Award is for 12 months of contiguous training.

2. Award will be issued 01 July for $80,000 to the host Fellowship Program.

3. Award is intended to support the Fellow’s education and training costs. a. No funds may be used for facilities and administrative costs (“indirects”). b. No funds may be used for mentorship salary, secretarial support, equipment, or vehicle costs. c. Funds may be used for educational travel expenses.

4. Prior to dispersal of funds, host fellowship program must submit a 12 month budget to NAEMSP® for final approval.

AWARDEE REQUIREMENTS AND EXPECTATIONS: 1. Attend the NAEMSP® Annual Meeting.

2. Maintain NAEMSP® membership in good standing.

3. Provide 6 and 12 month progress reports that can be shared with the industry sponsor.

4. Visit the industry sponsors, at their invitation, for a mutually educational exchange of ideas and information.

5. Upon graduation, become ABEM EMS subspecialty certified.

Only online applications accepted. Visit www.naemsp.org for link.

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MAY 2014

APPENDIX A

NAEMSP®/PHYSIO-CONTROL EMS MEDICINE MEDICAL DIRECTOR FELLOWSHIP INTERROGATIVE

Instructions: Please answer the following 9 questions using 300 words or less for each.

Introspection 1. Why do you wish to receive this Award?

2. Why are you the most qualified to receive this Award?

3. What will you do if you don't receive this Award?

Character 4. Which of your attributes will make you an effective EMS Physician?

5. What are the most important values you demonstrate as a potential national EMS leader?

Vision 7. Where do you see yourself 5 years from now?

8. How do you plan to achieve this station?

Open Forum 9. Anything else you would like to share with the Selection Committee?

SAMPLE - DO NOT COPY OR DISTRIBUTE

Only online applications accepted. Visit www.naemsp.org for link.

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MAY 2014

APPENDIX B

NAEMSP®- PHYSIO-CONTROL EMS MEDICINE MEDICAL DIRECTOR FELLOWSHIP APPLICATION ATTESTATION STATEMENT

Print Full Name: ________________________________________

I attest that at the time of entrance into the EMS Fellowship:

1. I am a Diplomate in good standing of an American Board of Medical Specialties (ABMS) Member Board or will be a “Board Eligible” graduate of an ACGME accredited residency.

2. I comply with the ABEM Policy on Medical Licensure. Licenses must be valid, full, unrestricted and unqualified including educational or temporary licenses.

3. I am a member in good standing of NAEMSP®.

4. I agree to attend an ACGME accredited EMS Fellowship Program.

Signature: _____________________________

SAMPLE - DO NOT COPY OR DISTRIBUTE

Only online applications accepted. Visit www.naemsp.org for link.

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MAY 2014

Welcome

New Members

Karen Alldredge

Angela Lynn Finney

Christina Preusz

Mike Apostle

Louis Fornage

Ryan Patrick Ramsey, MD

Sheila Bernard

Ryan Hodnick, D.O., NREMT-P

Patrick Sinclair

Oliver Michael Berrett, MD

AJ Kirk

Daniel R. Swayze, MEMS, EMT-P

Thomas Boggs

Sean Kivlehan

Ammundeep Tagore

Travis Booke

Richard Lazar

John Travnicek

James M. Callahan, MD

Mark Luoto

Mike Verkest

Richard Davies

Jonathan Maitem

Eric Wellman

John Devine

Jim Morgan, DO, FAAEM

Kate D. Zimmerman, DO, FACEP

Raffi Djevalikian

Doug Nilson

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MAY 2014