LOS ANGELES COUNTY EMS AGENCY INSIDE THIS ISSUE: EMERGENCY DEPARTMENTS 2 TRAUMA CENTERS 4 RETURN OF SPONTANEOUS CIRCULATION (ROSC) 7 STEMI RECEIVING CENTERS (SRC) 8 APPROVED STROKE CENTERS (ASC) 10 PEDIATRIC TRANSPORTS 13 EMS TRANSPORTS 14 EMS PROVIDER AGENCIES 15 CITIZEN CPR 16 DATA FACTS E M S SYS T E M R E P O R T OCTOBER 1, 2014 Message from the Director and Medical Director The 2014 EMS System Data Report provides an excellent opportunity for you our readers to see first-hand the expansion of the EMS Agency’s data capabilities. Since last year’s report, the number of fire departments utilizing electronic patient care records increased from five to 11, resulting in more timely and accurate data subm ission from our proCathy Chidester Director vider agencies. The County’s Hospital Specialty Care Center programs continue to submit data that pro- vides us the opportunity to measure outcomes and integrate our data to ensure that we measure the entire patient care continuum. The EMS Agency strives to provide data that:  Improves system transparency, public understanding of emergency medical incidents and the unique characteristics of emergency care delivery in specific areas of the County.  Is useful to system planners and results in informed public policy.  Identifies trends in injury and illness within Los Angeles County, identifying patient needs and opportunities for improving patient outcomes.  Creates public awareness of the care our Specialty Care Centers provide, thus improving access Dr. William Koenig and utilizaMedical Director tion of regionalized EMS care. The EMS System Data Report is a resource to assist with answering system questions and serves as a catalyst for change to improve the health of our community. Please enjoy this year’s edition. System Demographics 72 9-1-1 Receiving Hospitals EMS Provider Agencies BASE HOSPITAL SPECIAL POINTS OF INTEREST:  Trauma system data facts are in pages 4-6  ROSC & STEMI information are in pages 7-9  STROKE program information are in pages 10-12  EMS Provider Transports are in pages 14-16 42 EDAP (Emergency Department Approved for Pediatrics) 8 Pediatric Medical Centers 6 Pediatric Trauma Centers 14 Trauma Centers 21 Paramedic Base Hospitals 33 STEMI Receiving Centers 33 Approved Stroke Centers 54 Perinatal Centers 40 Hospitals with Neonatal Intensive Care Unit 9 SART (Sexual Assault Response Team) Centers 13 Disaster Resource Centers 32 Public Safety EMS Provider Agency 31 Licensed Basic Life Support Ambulance Operators 18 Licensed Advanced Life Support Ambulance Operators 18 Licensed Critical Care Transport Ambulance Operators 13 Licensed Ambulette Operators EMS Practitioners 3,786 Accredited Paramedics 7,681 Certified EMTs by LA Co EMS Agency 805 Certified Mobile Intensive Care Nurses EMS SYSTEM REPORT Page 2 Emergency Depar tment Volume Data Source: Self-Reported by Hospitals and TEMIS DATA FACTS Page 3 Emergency Depar tment Volume Catalina Island has a Stand-by Emergency Department Data Source: Self-Reported by Hospitals and TEMIS EMS SYSTEM REPORT Page 4 Mechanism of Injur y by Tr auma Center Catchment Area Other = Assault, Self-inflicted Injury, Sports, Work Related, Crush, Burns, Animal Bites Data Source: TEMIS-Trauma (CY 2013) DATA FACTS Page 5 Mode of Tr anspor t / Mor t ality / Tr anspor t T ime Patients that met LA County Trauma Center Criteria/Guidelines/Judgment Tr auma Patient Emer gency Depar tment Disposition EMS SYSTEM REPORT Helicopter EMS Tr anspor ts Data Source: Self-Reported by Helicopter EMS Providers Page 6 (CY 2013) DATA FACTS ROSC Volume (Return of Spontaneous Circulation) ROSC Patients: Received Therapeutic Hypothermia Page 7 EMS SYSTEM REPORT Page 8 Prehospital 12-Lead ECG is ST-Segment Elevation Myocardial Infar ction (STEMI) and Tr anspor ted to STEMI Receiving Centers CY 2013 DATA FACTS Page 9 STEMI Receiving Center Volume STEMI Tr ansfer s: Arrival at Referr al Facility to Ar ter y Opening at STEMI Receiving Center Data Source: LA SRC Database EMS SYSTEM REPORT Approved Stroke Center Patients Data Source: GWTG & LA Stroke Page 10 (CY 2013) DATA FACTS Page 11 Final Diagnosis of EMS Tr anspor ts to A p p r o v e d S t r o k e C e n t e r s (CY 2013) Note: 185 pa ents were transported to out of County hospitals EMS SYSTEM REPORT Ischemic Stroke: Median Times Page 12 (CY 2013) Data Source: GWTG & LA Stroke EMS Str oke Tr anspor t: Ischemic Str okes LKWT = Last Known Well Time  DATA FACTS Page 13 Chief Complaints of EMS Pediatric Tr anspor ts: 14 y e a r s o l d a n d y o u n g e r (CY 2013) Data Source: TEMIS: EMS & Base EMS SYSTEM REPORT Page 14 0th Blunt EMS Transports by Chief Complaint Trauma Medical 12% CY 2 0 1 3 Complaint Penetrating 51% mum? Cardiad Sh?rtl'less Respiratory cram-am COUNTYWIDE 6% 50% Newhall ALOC Santa Clarita Antelope Valley Behavioral 8% 2% I onlg?aln Abdominal Chest Pam Pain 5% 10% . 7'93 7% '1 ~=1,351 I fm? Glendale San Fernando Pasadenua Valley San Gabriel 139" a {Saran 5ft; 11% sun I'rg?n?ryiu . ingeles . 59% Mid-City .. West County . 13% . .. . East County . ?T?runy or ?It L, I - .3. Bea: . a. ?Jo-deg. 16% wiggling 45% ?41535 Metro Area South Bay! South! 13% Long Beach Southeast 15% 17% 9% 5% 1193 3% N: 7,01? Data Source: DATA FACTS Page 15 EMS Responses by 9-1-1 Jurisdictional Provider Agency (CY 2013) *incomplete data for 2011, 2012 &2013 **does not include all non‐transported pa ents Data Source: TEMIS-EMS EMS SYSTEM REPORT Page 16 Citizen (Bystander) Cardiopulmonary Resuscitation (CPR) Paramedic Base Hospital Contact for Online Medical Control N=206,930 CY 2013 Data Source: TEMISEMS & BASE EMS AGENCY To ensure timely, compassionate, and quality emergency and disaster medical services. 10100 Pioneer Boulevard, Ste. 200 Phone: 562-347-1500 E M S : D E D I C A T E D F O R L I F E Fax: 562-941-5835 Web: http//ems.dhs.lacounty.gov For data request please complete and submit the Data Request Form at http://ems.dhs.lacounty.gov/dhs/cms1_207416.pdf