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Ritz Carlton Patient Satisfaction in EMS
Ritz Carlton Patient Satisfaction in EMS
By Peter Antevy MD
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Join me: There’s still time to join us in Las Vegas for the 2024 MIH Summit! Two and a half days of learning and networking await. Register at…
Join me: There’s still time to join us in Las Vegas for the 2024 MIH Summit! Two and a half days of learning and networking await. Register at…
Liked by Peter Antevy MD
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This is a brilliant idea.....using an IO to start an IV. But it comes with lots of questions. ⇨ Why would this be necessary? ⇨ Is this for EMS or…
This is a brilliant idea.....using an IO to start an IV. But it comes with lots of questions. ⇨ Why would this be necessary? ⇨ Is this for EMS or…
Shared by Peter Antevy MD
Experience
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Children's Hospital of Pittsburgh
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Looking back, this was one of the best decisions I have ever made along this wonderful journey. Attending a top level school without the amenities of living Stateside provided me enormous growth and maturity. Thank you St. George's for a wonderful education and the opportunities this career has opened up for me.
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Licenses & Certifications
Publications
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Faster time to automated elevation of the head and thorax during cardiopulmonary resuscitation increases the probability of return of spontaneous circulation
Resuscitation
Abstract
Objectives: Resuscitation in the Head Up position improves outcomes in animals treated with active compression decompression cardiopulmonary resuscitation and an impedance threshold device (ACD + ITD CPR). We assessed impact of time to deployment of an automated Head Up position (AHUP) based bundle of care after out-of-hospital cardiac arrest on return of spontaneous circulation (ROSC).
Methods: Observational data were analyzed from a patient registry. Patients received treatment…Abstract
Objectives: Resuscitation in the Head Up position improves outcomes in animals treated with active compression decompression cardiopulmonary resuscitation and an impedance threshold device (ACD + ITD CPR). We assessed impact of time to deployment of an automated Head Up position (AHUP) based bundle of care after out-of-hospital cardiac arrest on return of spontaneous circulation (ROSC).
Methods: Observational data were analyzed from a patient registry. Patients received treatment with 1) ACD + and/or automated CPR 2) an ITD and 3) an AHUP device. Probability of ROSC (ROSCprob) from the 9-1-1 call to AHUP device placement was assessed with a restricted cubic spline model and linear regression.
Results: Of 11 sites, 6 recorded the interval from 9-1-1 to AHUP device (n = 227). ROSCprob for all rhythms was 34%(77/227). Median age (range) was 66 years (19-101) and 68% men. The ROSCprob for shockable rhythms was 47%(18/38). Minutes from 9-1-1 to AHUP device (median, range) varied between sites: 1) 6.4(4,15), 2) 8.0(5,19), 3) 9.9(4, 12), 4) 14.1(6, 36), 5) 15.9(6, 34), 6) 19.0(8, 38),(p = 0.0001). ROSCprob also varied; 1) 55.1%(16/29), 2) 60%(3/5), 3) 50%(3/6), 4) 22.7%(17/75), 5) 26.4%(9/34), and 6) 37.1%(29/78), (p = 0.019). For all rhythms between 4 and 12 min (n = 85), ROSCprob declined 5.6% for every minute elapsed (p = 0.024). For shockable rhythms, between 6 and 15 min (n = 23), ROSCprob declined 9.0% for every minute elapsed (p = 0.006).
Conclusions: Faster time to deployment of an AHUP based bundle of care is associated with higher incidence of ROSC. This must be considered when evaluating and implementing this bundle.Other authorsSee publication -
When a Child Dies: The Parents' Perspective
EMS World Magazine
When the death of a child comes without warning, the shock and disbelief can be overwhelming for their parents, family and friends. In such cases, there is no opportunity to prepare, to say good-bye, to resolve any misunderstandings, tell them you love them or to prevent what happened. It is traumatic and it shatters the assumptions of what we believe the world should be and causes us to search for answers to questions that cannot be answered.
A child’s death is a loss that affects a…When the death of a child comes without warning, the shock and disbelief can be overwhelming for their parents, family and friends. In such cases, there is no opportunity to prepare, to say good-bye, to resolve any misunderstandings, tell them you love them or to prevent what happened. It is traumatic and it shatters the assumptions of what we believe the world should be and causes us to search for answers to questions that cannot be answered.
A child’s death is a loss that affects a very large number of people. All are affected—fathers, mothers, brothers, sisters, grandparents, extended family as well as the community at large.
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The need to prioritize education of the public regarding stroke symptoms and faster activation of the 9-1-1 system.
Prehospital Emergency Care
Following acute stroke onset, time elapsed for EMS response and transport is relatively short compared to the lengthy intervals elapsing between symptom onset and 9-1-1 system activation, regardless of demographics. Exploration of innovative strategies to improve public education regarding stroke symptoms and immediate 9-1-1 system activation are strongly recommended.
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To EHR is Inhumane--Addressing the Shortcomings of the Interface
Medscape
Only time will tell if the EHR can adopt a level of humanity that puts the patient back in the center, breaks free from its silos, and allows clinicians to give their patients more of a human touch.
Other authorsSee publication -
Confirming the Clinical Safety and Feasibility of a Bundled Methodology to Improve Cardiopulmonary Resuscitation Involving a Head-Up/Torso-Up Chest Compression Technique
Critical Care Medicine
Objectives: Combined with devices that enhance venous return out of the brain and into the thorax, preclinical outcomes are improved significantly using a synergistic bundled approach involving mild elevation of the head and chest during cardiopulmonary resuscitation. The objective here was to confirm clinical safety/feasibility of this bundled approach including use of mechanical cardiopulmonary resuscitation provided at a head-up angle. Measurements and Main Results: No problems were observed…
Objectives: Combined with devices that enhance venous return out of the brain and into the thorax, preclinical outcomes are improved significantly using a synergistic bundled approach involving mild elevation of the head and chest during cardiopulmonary resuscitation. The objective here was to confirm clinical safety/feasibility of this bundled approach including use of mechanical cardiopulmonary resuscitation provided at a head-up angle. Measurements and Main Results: No problems were observed with head-up/torso-up positioning (n = 1,489), but resuscitation rates rose significantly during the transition period (April to June 2015) with an ensuing sustained doubling of those rates over the next 2 years (mean, 34.22%; range, 29.76-39.42%; n = 1,356 vs 17.87%; range, 14.81-20.13%, for 806 patients treated prior to the transition; p < 0.0001). Outcomes improved across all subgroups. Response intervals, clinical presentations and indications for attempting resuscitation remained unchanged. Resuscitation rates in 2015-2017 remained proportional to neurologically intact survival (similar to 35-40%) wherever tracked. Conclusions: The head-up/torso-up cardiopulmonary resuscitation bundle was feasible and associated with an immediate, steady rise in resuscitation rates during implementation followed by a sustained doubling of the number of out-of-hospital cardiac arrest patients being resuscitated. These findings make a compelling case that this bundled technique will improve out-of-hospital cardiac arrest outcomes significantly in other clinical evaluations.
Other authorsSee publication -
10 things to know to improve pediatric out-of-hospital cardiac arrest survival in your community
EMS1.com
Easy problems have easy answers – complex problems require complex answers. However, in pediatrics, we’ve taken an easy problem and made it unnecessarily complicated. Pediatric resuscitation isn’t that complex (BVM – compressions – Epi), yet over the last 3 decades we’ve been convinced otherwise. Why? Many have focused on one thing – getting the child’s weight. We’ve been convinced that a single tool or widget will get us through a difficult pediatric call. It’s time to change this…
Easy problems have easy answers – complex problems require complex answers. However, in pediatrics, we’ve taken an easy problem and made it unnecessarily complicated. Pediatric resuscitation isn’t that complex (BVM – compressions – Epi), yet over the last 3 decades we’ve been convinced otherwise. Why? Many have focused on one thing – getting the child’s weight. We’ve been convinced that a single tool or widget will get us through a difficult pediatric call. It’s time to change this mentality.
As a pediatric emergency physician for 17 years, and EMS medical director for the last 7, I have seen both sides of the story and have much greater clarity and insight into something that has eluded us for some time. There is one thing that is undeniably true, yet is contrary to popular belief – success in pediatric arrest relies highly on efforts prior to arrival on scene. This includes the efforts of bystanders, the 9-1-1 call-takers, and those of EMS professionals. Some of these ideas are contrarian, yet we now have data to back them up. Here are 10-steps your agency can take to improve pediatric out-of-hospital cardiac survival in your community. -
Race/ethnic Disparities in the Time from Stroke Symptom Onset to Hospital Arrival among Stroke Patients Arriving by EMS in the Florida-Puerto Rico Stroke Registry (P4.307)
Neurology
Race/ethnic differences were observed in the time from stroke onset to hospital arrival among EMSTARS patients, driven by differences in time from onset to 911 call. Culturally-tailored intervention programs are needed to educate the public, especially black communities, about stroke symptoms and the importance of immediate 911 activation.
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How Care Collaboration Is Improving Patient Outcomes
EMS World Magazine
This month's cover story of EMSWorld (EMS - EMT - Paramedic - Emergency Medical Services) Magazine details the mobile integrated health program started 18 months ago in Broward and Miami-Dade Counties. The program uses highly skilled paramedics to bring the ER to the patient's home and video conference with their physician. Thus far they have seen over 1400 acutely ill Medicare patients and have kept 84% of them at home.
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Racial-Ethnic Disparities in Acute Stroke Care in the Florida-Puerto Rico Collaboration to Reduce Stroke Disparities Study
Journal of the American Heart Association
Proud to collaborate with such a talented group of individuals.
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How Would Use of Flow-Focused Adjuncts, Passive Ventilation and Head-Up CPR Affect All-Rhythm Cardiac Arrest Resuscitation Rates in a Large, Complex EMS System?
Circulation
Abstract
Introduction: Sprawling and multi-ethnic with extremes of age / socioeconomics, Palm Beach County (PBC), FL (pop. 1.4 mill) has still realized short term survival rates (hospital admission) akin to nationwide data for out of hospital cardiac arrest (OOHCA). Then, in early 2015, a new medical direction/training team at PBC Fire Rescue (PBCFR) re-focused on nontraditional protocols including flow oriented CPR methods and head/torso up positioning. The purpose of this analysis was…Abstract
Introduction: Sprawling and multi-ethnic with extremes of age / socioeconomics, Palm Beach County (PBC), FL (pop. 1.4 mill) has still realized short term survival rates (hospital admission) akin to nationwide data for out of hospital cardiac arrest (OOHCA). Then, in early 2015, a new medical direction/training team at PBC Fire Rescue (PBCFR) re-focused on nontraditional protocols including flow oriented CPR methods and head/torso up positioning. The purpose of this analysis was to evaluate how these nontraditional tactics would affect outcomes.
Methods: All OOHCA cases (all rhythms) in PBC were followed over 2 years (2014-15). In 2015, PBCFR crews were trained to: 1) ensure proper use of mechanical CPR (Lucas©); 2) apply O2 but defer ventilation 6 mins; 3) apply impedance threshold devices; 4) raise the backboard 30o (head/torso up position). With neuro-intact hospital discharge data not available before 2015, short term survival was used for consistent comparisons. Quarterly reports were run to identify any periodic variations or incremental effects during protocol transition (late Quarter 1 / early Quarter 2, 2015).
Results: Among 1,304 consecutive OOHCA cases in 2014-15, survival rates (Fig 1) were fairly constant in 2014 (17.4% mean, range 15-20%) but rose steadily during the transition with an ensuing sustained doubling of survival (36.0%; range 35-37%). Outcome improved across subgroups while response intervals, indications for initiating CPR and bystander CPR rates were unchanged. Regionally in 2015, hospital admission rates were found to remain proportional to neuro-intact discharge.
Conclusions: Though using historically-controlled data that did not examine the relative influence of each non-traditional CPR method, the immediate, steady rise in resuscitation rates seen in the transition phase (which endured) still makes a strong case that re-searching novel approaches can help EMS further improve OOHCA outcomes, even in large, complex settings.Other authors -
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The Argument for Public Access Bleeding Kits
EMS World
If the general public can be given sanction to take action to stop life-threatening bleeding by providing access to tourniquets and other bleeding-control equipment, many lives can be saved. The town of Davie was recognized as one of the leading municipalities in the country that has already added severe-bleeding kits to community AEDs.
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A Comparison of Medications in 38 Pediatric EMS Protocols to Those Listed on the Broselow Length-Based Tape
Prehospital Emergency Care
Abstract*
Background: Pediatric Advanced Life Support guidelines set forth by the American Heart Association recommends use of a length-based resuscitation tape (LBT) by healthcare providers. Pediatric medication errors in the pre-hospital setting have been studied by numerous investigators, occur frequently and are potentially fatal. This study seeks to compare pediatric drug dosages from large and small EMS agencies to those listed on the Broselow LBT and determine discordance…Abstract*
Background: Pediatric Advanced Life Support guidelines set forth by the American Heart Association recommends use of a length-based resuscitation tape (LBT) by healthcare providers. Pediatric medication errors in the pre-hospital setting have been studied by numerous investigators, occur frequently and are potentially fatal. This study seeks to compare pediatric drug dosages from large and small EMS agencies to those listed on the Broselow LBT and determine discordance rates.
Methods: We first sought to determine the percentage of medications on the Broselow LBT found at incongruent dosages compared to the EMS protocols. We then determined the total number of medications from each EMS protocol that were not present on the Broselow LBT. For each EMS agency, the sum of incongruent medications and missing medications was divided by the total number of medications to determine the overall discordance rate for each EMS agency. Finally, we calculated the frequency of each of the medications in each EMS protocol that were missing from the Broselow LBT, as well as those that were listed at incongruent doses.
Results: Thirty-eight EMS protocols were reviewed. Of medications listed in both the Broselow LBT and EMS protocol, 10% were listed at a dose at least 30% greater than that recommended by the EMS protocol. On average, 38% of EMS protocol medications were not listed on the Broselow LBT. This calculated to a total average medication discordance rate of 49% (Range 32-63%,SD 8%). Further analysis revealed that five medications represented 62% of the missing medications: Epinephrine 1:1000 IM, Ondansetron, Diphenhydramine, Morphine, and Albuterol. Three medications accounted for 84% of the incongruent dosages: Midazolam, Fentanyl, and Diazepam.
Conclusion: A significant discrepancy exists between the pediatric drug dosages found in 38 EMS protocols and those listed on the Broselow Length-Based Tape.
Other authorsSee publication -
A Revolution in Stroke Care
EMS World Magazine
The Society of Neurointerventional Surgery has introduced a new term to define stroke patients who have a similar acute vascular emergency. Emergent large vessel occlusion (ELVO) was coined in order to signal the healthcare community that stroke is an acute vascular emergency.6 With that, the primary goals for acute ischemic stroke diagnosis and management have changed. This article discusses the recent stroke publications and how they will revolutionize treatment of patients both in the field…
The Society of Neurointerventional Surgery has introduced a new term to define stroke patients who have a similar acute vascular emergency. Emergent large vessel occlusion (ELVO) was coined in order to signal the healthcare community that stroke is an acute vascular emergency.6 With that, the primary goals for acute ischemic stroke diagnosis and management have changed. This article discusses the recent stroke publications and how they will revolutionize treatment of patients both in the field and in the hospital.
Other authors -
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Ritz Carlton Patient Satisfaction in EMS
Carolina Fire Rescue EMS Journal
Patient satisfaction can sometimes feel like a burden to the health care provider, especially when the situation, based on the circumstances, is negative from the outset. It turns out, however, that making someone “happy” during a time of pain and suffering is complex, yet not as negative as it would appear on the surface.
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Kids and Strokes - are they little adults?
Carolina Fire Rescue EMS Journal
A major emphasis must be placed on public awareness of pediatric stroke. The AHA must include pediatric stroke in the same campaign as for adults. Physicians and sub-specialists must educate parents of at-risk children about the signs and symptoms of pediatric stroke. EMS personnel need to keep pediatric stroke high on their list of potential problems, specifically in high-risk children and also in those who present with classic stroke symptoms. The concept that “kids don’t get strokes” should…
A major emphasis must be placed on public awareness of pediatric stroke. The AHA must include pediatric stroke in the same campaign as for adults. Physicians and sub-specialists must educate parents of at-risk children about the signs and symptoms of pediatric stroke. EMS personnel need to keep pediatric stroke high on their list of potential problems, specifically in high-risk children and also in those who present with classic stroke symptoms. The concept that “kids don’t get strokes” should be revised to “kids absolutely get strokes,” and did I mention that kids are just little adults?
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Cracking the Code to Pre-hospital Pediatric Care
Carolina Fire Rescue EMS Journal
Pediatric arrest patients deserve the same opportunity to walk out of the hospital and to that end we must mandate on-scene resuscitation for at least two minutes (one round of CPR) before moving off scene. Proficient and confident teams will remain on scene until ROSC is achieved, similar to the expectation in the adult scenario, while others may consider staying on scene within the confines of the ambulance. While this may be a culture change that will be difficult to obtain, consideration of…
Pediatric arrest patients deserve the same opportunity to walk out of the hospital and to that end we must mandate on-scene resuscitation for at least two minutes (one round of CPR) before moving off scene. Proficient and confident teams will remain on scene until ROSC is achieved, similar to the expectation in the adult scenario, while others may consider staying on scene within the confines of the ambulance. While this may be a culture change that will be difficult to obtain, consideration of age-based resuscitation will facilitate the transition. Attention to outcomes must be the number one priority and department champions on every level are required for such a change to occur.
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Comparison of a Hybrid Pediatric Weight Estimation Method (Handtevy) to the Broselow Length Based Tape
ACEP 2014 Abstract
Study Objectives: The 2010 Pediatric Advanced Life Support (PALS) guidelines state that length-based tapes (LBT) are more accurate than age-based methods in the prediction of body weight (Class IIa, LOE C). A novel hybrid pediatric age and length-based weight estimation method (Handtevy) has been described to significantly improve accuracy in a pre-hospital pediatric simulation trial compared to the Broselow system. The primary objective of this study was to validate the correlation between…
Study Objectives: The 2010 Pediatric Advanced Life Support (PALS) guidelines state that length-based tapes (LBT) are more accurate than age-based methods in the prediction of body weight (Class IIa, LOE C). A novel hybrid pediatric age and length-based weight estimation method (Handtevy) has been described to significantly improve accuracy in a pre-hospital pediatric simulation trial compared to the Broselow system. The primary objective of this study was to validate the correlation between predicted weights using the Handtevy age-based system and published pediatric normal weights. The secondary objective was to compare the predictive validity of the Handtevy LBT to the Broselow LBT.
Results: Rater agreement between the Handtevy age-based system and measured NHANES weights shows a significant prediction, with 71% of the variance accounted for in the model. A Bland-Altman plot demonstrates only 5.5% percent of the measurements outside of the limits of agreement (95% CI, -25.67 to 24.12). In a comparison of the two length based tapes, paired t-tests demonstrate that the Handtevy LBT is more accurate 62% of the time. Both length based techniques become less accurate as a subject’s weight increases. To compare the Handtevy age-based system to the Broselow LBT, pairwise comparisons were used to compare the percentage difference between predicted and actual weights for each BMI category. The Handtevy age-based system performed statistically better (p < 0.05) for underweight, normal weight, and obese children. No difference was found for overweight children.
Conclusion: Predicted weights from the Handtevy age-based weight estimation method accurately predict pediatric normal weights. A comparison of two length-based tapes demonstrates increased accuracy of the Handtevy LBT over the Broselow LBT. The Handtevy age-based system outperforms the Broselow LBT for underweight, normal weight, and obese children.Other authors -
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Handtevy Method Helps Providers Rapidly Calculate Pediatric Drug Dosages
JEMS
The difficulty in treating critically ill children is pervasive. The key to success in a pediatric resuscitation relies on access to tools and knowledge of reliable algorithms, but also the psychology of the provider.
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Pediatric drug dosages using a hybrid age-length system is efficient and effective
EMS World Magazine
The Handtevy System uses a unique “hybrid” approach that addresses the psychological hurdles pre-hospital providers encounter during low volume-high stress pediatric calls.
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Management of Fingertip Injuries
Up to Date
Nail bed injuries and fingertip avulsions occur frequently and may have significant associated functional or cosmetic morbidity. These injuries are commonly treated in an outpatient setting. Nail bed lacerations require careful repair and measures to preserve the nail folds and germinal matrix. Complete fingertip avulsions require debridement, cleansing, and local wound care.
The repair of nail bed lacerations and fingertip avulsions are reviewed here. The management of subungual…Nail bed injuries and fingertip avulsions occur frequently and may have significant associated functional or cosmetic morbidity. These injuries are commonly treated in an outpatient setting. Nail bed lacerations require careful repair and measures to preserve the nail folds and germinal matrix. Complete fingertip avulsions require debridement, cleansing, and local wound care.
The repair of nail bed lacerations and fingertip avulsions are reviewed here. The management of subungual hematoma is discussed separately.Other authors -
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Evaluation of a Transthecal Digital Nerve Block in the Injured Pediatric Patient
Pediatric Emergency Care
Abstract
Background: Digital anesthesia in the pediatric population has traditionally been accomplished using a ring block that requires multiple injections. A modified transthecal digital nerve block is a single-injection technique of the midproximal phalanx that has been shown to be technically simple and highly effective in adults.
Objective: To describe the success rate of the modified transthecal digital nerve block in children.
Results: Between November 2003 and March…Abstract
Background: Digital anesthesia in the pediatric population has traditionally been accomplished using a ring block that requires multiple injections. A modified transthecal digital nerve block is a single-injection technique of the midproximal phalanx that has been shown to be technically simple and highly effective in adults.
Objective: To describe the success rate of the modified transthecal digital nerve block in children.
Results: Between November 2003 and March 2004, 48 patients (50 digits) requiring digital anesthesia were enrolled into the study. The mean age of patients was 8.3 years (median, 7.6 years; range, 0.7-17.5 years). Twenty-four (50%) were boys and 30 whites (62.5%). Overall, the transthecal digital nerve block technique was successful in 47 (94%) of the 50 digits (95% confidence interval [CI], 83%-98%), including 37 (97%) of 38 fingers (95% CI, 85%-99%) and 10 (83%) of 12 thumbs (95% CI, 54%-96%). Forty-seven (94%) of the 50 digits had a recorded pain score of 0 five minutes after injection. Mean (SD) procedure time was 113 (24.8) seconds, and mean (SD) anesthetic volume was 2.13 (0.61) mL. No adverse events were reported.
Conclusions: The single-injection modified transthecal digital nerve block is a safe and effective method for digital anesthesia in children. These data confirm the applicability of transthecal digital nerve block for children with finger and thumb injuries that require minor surgical procedures.Other authorsSee publication -
Management of Finger Injuries
Textbook of Pediatric Emergency Procedures
Honors & Awards
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Ralph A. Marrinson EMS Lifetime Achievement Award
First There First Care Annual Conference
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NAEMT EMS Medical Director of the Year
NAEMT
Peter Antevy, MD has served as the Medical Director for a number of EMS agencies throughout Broward, Palm Beach and Dade Counties in Florida since 2010, and contributed significantly to advancing the quality of care delivered. He is also a longstanding medical director for two paramedic training programs and several mobile integrated healthcare (MIH) programs. Colleague Capt. Petar Hossick remarked, “Dr. Antevy has taken commitment to clinical excellence in EMS to a whole new level by guiding…
Peter Antevy, MD has served as the Medical Director for a number of EMS agencies throughout Broward, Palm Beach and Dade Counties in Florida since 2010, and contributed significantly to advancing the quality of care delivered. He is also a longstanding medical director for two paramedic training programs and several mobile integrated healthcare (MIH) programs. Colleague Capt. Petar Hossick remarked, “Dr. Antevy has taken commitment to clinical excellence in EMS to a whole new level by guiding the critical decision-making skills of his paramedics throughout their career.” Dr. Antevy has authored studies and spearheaded a system used to expedite resuscitative care for children. “Dr. Antevy has made very significant contributions that have improved the emergency care of children and their families,” said colleague Chief Juan Cardona of the Coral Springs/Parkland Fire Department. Board certified in both EMS and Pediatric Emergency Medicine, Dr. Antevy has received many awards, including the prestigious Ron J. Anderson Memorial Award, for his efforts to improve the outcomes of critically ill and injured children. He is involved in his departments’ continuous quality improvement (CQI) programs and has seen dramatic improvements in the outcomes of cardiac arrest patients. This year, he helped bring the Seattle Resuscitation Academy to Florida and has demonstrated a significant impact on prehospital cardiac arrest outcomes. Dr. Antevy has pioneered initiatives including the placement of severe bleeding kits in AED cabinets and the creation of the Florida Stroke Registry. Davie Fire Rescue’s Chief Julie Downey commented, “Dr. Antevy has been a strong leader at the local, state and national level and has been the spark that has created positive change in so many aspects of EMS.”
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Ron J. Anderson Award
Eagles Coalition
Winners of the Ron J. Anderson Award are selected by the members of the U.S. Metropolitan Municipalities Emergency Medical Services Medical Directors Consortium, the de facto coalition of jurisdictional 9-1-1 system medical directors for the nation’s most populous cities, as well as the medical directors/lead medical officers for key related federal agencies and units such as the FBI, U.S. Secret Service, White House Medical Unit, Immigration and Customs Enforcement, and the U.S. Department of…
Winners of the Ron J. Anderson Award are selected by the members of the U.S. Metropolitan Municipalities Emergency Medical Services Medical Directors Consortium, the de facto coalition of jurisdictional 9-1-1 system medical directors for the nation’s most populous cities, as well as the medical directors/lead medical officers for key related federal agencies and units such as the FBI, U.S. Secret Service, White House Medical Unit, Immigration and Customs Enforcement, and the U.S. Department of Homeland Security. Collectively, this small, but cohesive, cadre of about two dozen emergency care physicians is responsible for the day-to-day out-of-hospital 9-1-1 emergency and resuscitative care for about 50,000,000 Americans as well as for guiding the medical aspects of homeland security and disaster mitigation in the nation’s highest-risk venues.
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Raymond H. Alexander, MD, EMS Medical Director of the Year (Florida)
Florida Department of Health, Emergency Medical Services (EMS) program
TALLAHASSEE - The Department of Health, Emergency Medical Services (EMS) program is pleased to announce the recipients of the 2014 Excellence in EMS Awards in recognition of National EMS Week. This marks the 24th year the EMS program is honoring outstanding Florida EMS organizations and individuals who make a positive impact on local EMS throughout the state. The 2014 statewide EMS awards are sponsored by the Emergency Medicine Learning & Resource Center (EMLRC)
“The EMS program is…TALLAHASSEE - The Department of Health, Emergency Medical Services (EMS) program is pleased to announce the recipients of the 2014 Excellence in EMS Awards in recognition of National EMS Week. This marks the 24th year the EMS program is honoring outstanding Florida EMS organizations and individuals who make a positive impact on local EMS throughout the state. The 2014 statewide EMS awards are sponsored by the Emergency Medicine Learning & Resource Center (EMLRC)
“The EMS program is honored to recognize the outstanding efforts of Florida's men and women who serve their community, saving lives, with excellence in emergency medical services,” said John C. Bixler, EMS Program Administrator. “Congratulations to these recipients for their significant contributions to EMS in Florida. We thank everyone for their participation in this program and encourage you to recognize all of the outstanding individuals and organizations in your area during EMS Week.”
Awards will be presented at 5:30 p.m. on July 16 at the Caribe Royal in Orlando in conjunction with the State EMS Advisory Council meetings and the EMLRC’s 40th Annual Clinical Conference on Emergency Medical Services (ClinCon). -
EMS 10 Innovator in EMS
JEMS
This is the seventh year of the EMS 10 Innovators in EMS program, jointly sponsored by Physio-Control and JEMS. The program has a simple mission but a powerful objective: identify
some of the best innovators in the EMS industry and alert the EMS community to their achievements to help providers and patients in the future.
The EMS 10 innovators selection committee judged this year’s nominees on their hard work, dedication and selfless efforts in 2014 and selected the individuals or…This is the seventh year of the EMS 10 Innovators in EMS program, jointly sponsored by Physio-Control and JEMS. The program has a simple mission but a powerful objective: identify
some of the best innovators in the EMS industry and alert the EMS community to their achievements to help providers and patients in the future.
The EMS 10 innovators selection committee judged this year’s nominees on their hard work, dedication and selfless efforts in 2014 and selected the individuals or pairs they felt exhibited the innovations that can have the greatest impact on the future of EMS.
Languages
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Spanish
Limited working proficiency
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Hebrew
Limited working proficiency
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Yoruba
Elementary proficiency
Organizations
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NAEMSP Florida Chapter
President
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National Association of EMS Physicians
Pediatric Committee Member
- Present
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If you're in EMS there's no doubt you have a continuous quality improvement (CQI) program. But it's very time consuming and often times not…
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Congratulations to Dr. Barbara Sharief on winning the election as Florida State Senator, District 35. Dr. Sharief is a member of the National Black…
Congratulations to Dr. Barbara Sharief on winning the election as Florida State Senator, District 35. Dr. Sharief is a member of the National Black…
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