EMS World

FEB 2019

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | FEBRUARY 2019 27 data establish new pathways to more appro- priately manage high- and low-acuity patients. Through a joint partnership Baltimore initiated a modular, scalable, and robust community paramedicine program. We hope it can serve as a model for other programs across the nation. The operational construct for our model is a result of a firm link between providers and a supporting operational center, the emphasis on interprofessional expertise, and linkage to a contiguous EHR. This model can be used by other jurisdictions en bloc or through analysis of their patients' needs and applying relevant parts to their community. In time and with supporting evidence, we believe this program can serve as a funding source for EMS, supported by hospitals and insurers who are interested in maintaining the health of individuals beyond the hos- pital. Ultimately this isn't about EMS mak- ing people healthy—it's about EMS keeping people healthy. REFERENCES 1. Baltimore City Health Department. Community Health Assessment: Baltimore City, https://health.baltimorecity.gov/sites/ default/files/health/attachments/Baltimore%20City%20CHA%20 -%20Final%209.20.17.pdf. 2. Medicare.gov. Hospital Compare, www.medicare.gov/ hospitalcompare/search.html. ABOUT THE AUTHORS Erinn Harris, NRP, is a lieutenant at the Baltimore City Fire Department. Mark Fletcher, NRP, is deputy chief of EMS at the Baltimore City Fire Department. James Matz, NRP, is a battalion chief for the Baltimore City Fire Department. Colleen Landi, MS, CRNP, is lead nurse practitioner at the University of Maryland Medical Center and clinical program manager for the Baltimore City MIH program. Anita Hagley, NRP, RN, is a registered nurse and a paramedic and captain for the Baltimore City Fire Department. Jessica Thomas, CRT, is a paramedic with the Baltimore City Fire Department. Benoit Stryckman, MA, is a health economist at the University of Maryland School of Medicine. Rudy Dinglas, MPA, is an operations specialist for the Baltimore City Fire Department. David Marcozzi, MD, MHS-CL, FACEP, is associate professor and director of population health in the Department of Emergency Medicine at the University of Maryland School of Medicine. He is assistant chief medical officer for acute care at the University of Maryland Medical Center. The Baltimore City Fire Department is proud to be part of this partnership because we know the direct, positive impact it will have on the community we serve. —Niles R. Ford, Chief, BCFD Treat Proximal Third, Mid Shaft Fractures and More Find out more about Sager Splints models and application at www.sagersplints.com Email MINTORD@aol.com / Call 800-642-6468 for the name of Your Authorized Sager Distributor One Person Application Sager Splints immobilize long bone fractures of the leg, providing optimal and secure immobilization. h Sager Splints can be used to immobilize fractures of the Tibia & Fibula h Traction can be applied to proximal third & Mid Shaft Fractures of the Femur Use the Sager Traction Scale to set the amount of traction needed – Sager Splints do the rest. The Sager's dynamic function permits traction to decrease automatically as the muscle spasm releases. Your Patient will always have the correct amount of safe, secure traction.

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