Prepared by the Division of Emergency Medical Services

1. Medical Incident Report Form Education Module for 2009 BLS Basic Training Course (Complete Dataset) Prepared by the Division of Emergency Medical Services Prepared by the Division of Emergency Medical Services

2. Education Module Goals • Train new EMS personnel • Provide a review for experienced EMS personnel

3. Education Module Contents • Basic information & general instructions • Cardiac arrest highlight (yes, again) • 2009 MIRF dataset • SPHERE questions

4. Basic Information & General Instructions

5. Why the MIRF is Important • Medical • The MIRF (both electronic and paper) is part of the patient’s medical file. • The paper MIRF transfers information between patient care providers. • Legal • Confidentiality • Patient Refusal • MIRF Signature

6. Why the MIRF is Important (continued) • Quality Review • Agency and systemwide • Planning/Funding • Medic unit placement, levy funding • Research • Resuscitation Outcome Consortium (ROC) • Supporting Public Health with Emergency Responders (SPHERE)

7. Components of a Good Report • Completeness • All available information regarding the incident or patient care should be recorded. • Accuracy • Describe exactly what happened. • Correct spelling • Legibility (on paper forms)

8. Components of a Good Report(continued) • Narrative: use S.O.A.P format: • Subjective • Objective • Assessment • Plan

9. Basic Instructions • An electronic record is created by CAD/Dispatch for every call/incident. • When completing the paper (short) form in the field, use a ball point pen and press hard enough to mark through all copies. • Complete the electronic record verifying that the CAD information is accurate. • Refer to your agency protocols regarding exceptions to completing the paper (short) form. ******* • Agencies using the paper (long) form should complete a form for every call/incident.

10. Paper MIRF Pages • Agency copy • EMS copy • Medical Review copy • Patient copy • Cardiac worksheet (Short Form Only):A reminder sheet to assist EMS personnel in collecting CPR data in the field, and paramedics in assessing Acute Coronary Syndrome (ACS). Worksheet may be discarded. REVISED!

11. Completing the MIRF The person who provided primary care should: • Sign your name • Print your name • Write your EMS number

12. Patient Refusal • Follow the instructions on the back of the MIRF. • Fill in patient’s name, and the date. • Read the statement slowly & clearly to the patient. Ask if they understand what it says. • Have the patient/guardian sign in the appropriate spots. • If patient/guardian refuses or you are unable to obtain a signature, make a note to that effect. • Obtain a signature from a witness and note their EMS agency affiliation or address.

13. Cardiac Arrest Highlight

14. Cardiac Arrest Highlight Research findings from cardiac arrest data have improved patient care and saved lives. When CPR is performed by EMS personnel, fill out the ENTIRE CPR section including: • Was cardiac arrest witnessed? • Did patient arrest after EMS arrival? • Who initiated CPR? • Was AED/PAD used? • What was the initial arrest rhythm? • Did paramedics cease resuscitation upon arrival? • Estimated elapsed times • Time of return of spontaneous circulation • What was the patient outcome?

15. Cardiac Arrest Highlight (cont.) • Cardiac Arrest Witnessed • If someone directly saw or heard the patient collapse, then the arrest is considered witnessed and you should mark “Yes.” If the patient’s collapse was not seen or heard, but found after an unknown length of time, it is considered unwitnessed and you should mark “No.” • Arrest After Arrival of EMS Personnel • Did the arrest occur after the arrival of emergency personnel?

16. Cardiac Arrest Highlight (cont.) • CPR Initiated By • Indicate the first person to begin CPR: • 1 First Responder/Police • 2 Fire Department (BLS) • 3 Paramedic (ALS) • 4 Ambulance • 5 MD/RN • 6 Citizen with Dispatch Assistance • 7 Citizen without Dispatch Assistance • 8 CPR Not Attempted

17. Cardiac Arrest Highlight (cont.) • AED/PAD Used • Was AED/PAD used? • 1 Citizen – No Shock • 2 Citizen – Shock • 3 First Responder/Police – Shock • 4 First Responder/Police – No Shock

18. Cardiac Arrest Highlight (cont.) • Initial ECG Rhythm • First observed cardiac rhythm by EMT: • 01 Sinus Rhythm • 02 Asystole • 04 Other • 11 Ventricular Fibrillation • U0 Unknown

19. Cardiac Arrest Highlight (cont.) • Paramedics Cease Resuscitation On Arrival • Indicate if resuscitation was ceased by paramedics within the first few minutes of arrival on scene due to DNR orders, compelling reasons, or conditions not compatible with life. • Estimated Elapsed Time (minutes) from Collapse to Call • For witnessed arrest only; the estimated number of minutes between collapse of the patient and the reporting party reaching the correct agency by phone. If the collapse was unwitnessed or you cannot estimate the time, do not enter anything.

20. Cardiac Arrest Highlight (cont.) • Estimated Time (minutes) from Collapse to CPR • For witnessed arrests only, the estimated number of minutes from the patient’s collapse to the time CPR was initiated. • Time Return of Spontaneous Circulation • Time of the return of any palpable pulse. A palpable pulse would be one detectable by manual palpation of a major artery, usually the carotid.

21. Cardiac Arrest Highlight (cont.) • Patient Outcome • Complete for all cardiac arrest patients. • 01 DOA • 02 Expired at Scene (including during transport) • 03 Admitted to ER • 04 Expired at ER • 05 Admitted to Hospital • 06 Unknown

22. Cardiac Arrest Highlight (cont.) • When CPR is performed… • Mail the red copy of the MIRF and a printout of your electronic record and a copy of the defibrillation reading to the EMS Division within 4 days of the event.

23. 2009 MIRF Dataset • Procedures • Short Form Backer

24. Procedures • Mask • Gown/Apron If a mask or gown/apron is used at the scene, please check the appropriate box. NEW! NEW!

25. Short Form Backer NEW! • Acute Coronary Syndrome (ACS) Algorithm: The new acute coronary guide on the back cover is intended primarily for paramedics to help identify patients who could benefit from immediate coronary catheterization.

26. SPHERE Questions

27. SPHERE Questions: Hypertension If patient meets the following criteria: • At least 18 years old • Not transported by paramedics • Not in a nursing home • Blood Pressure: systolic > 160 OR diastolic > 100 Record the following information: • History of high blood pressure? (Hx of High BP) • Alert left with patient? • Confirm Address? • Confirm Phone?

28. SPHERE Questions (cont.): Diabetes If patient meets the following criteria: • At least 18 years old • Not transported by paramedics • Not in a nursing home • Glucose >= 175 (non diabetic) or >=300 (diabetic) Record the following information: • History of diabetes? • Alert left with patient? • Confirm Address? • Confirm Phone?

29. Medical Incident Report Form Education Module for 2009 BLS THE END Prepared by the Division of Emergency Medical Services Prepared by the Division of Emergency Medical Services