There are approximately 10,000 individual EMTs licensed,

The Wisconsin Ambulance Run Data System (WARDS) is functional with approximately 4,000 records submitted and three to four services added daily.

The Office of Justice Assistance (OJA) Grant has been approved for approximately 27 million, with money available for more disaster trailers.

The trauma registry project manager, Debi Peters, as also been named as the Acting Trauma Registrar for the State.

Thank you to Dan Williams and Larry Gilbertson for working tirelessly to keep the Wisconsin Trauma Care System website, and finding funding to preserve and maintain it.

The subcommittee is working with Staples for recording public service announcements on Injury Prevention.

Please notify Lynne Sears of the injury prevention activities occurring in your community for inclusion in the Trauma Care System Week campaign.

Thank you to Dan Williams and Helen Pullen for their work on the proclamation for Trauma Care System week.

Medical Control can override the Triage and Transport guidelines. The guidelines are intended to be used to assist in the proper patient management and transport of patients. These guidelines do not replace or reduce the responsibility of each facility and EMS provider to manage patients within the scope of practice of the services providing the transport.

The EMS run report is considered part of the medical record and needs to get to the receiving facility in a timely manner especially with the implementation of the State Trauma Registry. The "gray" area is the fact that though the administrative rules state the report needs to be given to the facility it does not give a timeline. Many EMS services go back to their home base and write the report and then send it in electronically or by fax. Often the patient has been transferred by then to a Trauma Center and then the EMS report is not received. There is agreement that more education needs to occur statewide. Steve Bane will bring this to the EMS Advisory board. Other issues regarding the EMS report was that colored copies do not copy well therefore it is recommended to keep it white, and secondary responder are not getting a report to the facility. Likewise First Responders are not required to have a written report. This will likely change in the future due to the increased skills they are now able to do.

Level III's are required to take ATLS according to the Administrative Rule. Level IV's may substitute either CALS or RTTDC for ATLS. To meet this requirement they must write a letter addressed to Dan Williams and sent to Marianne Peck requesting this waiver.

Marshfield is in the planning stages with Dr. Tom Foley to bring the RTTDC instructor course, possibly this summer, to Wisconsin. Marshfield will then be able to offer "train the trainer" courses in order to expand the availability of the course around the state.

Dr. Alex Buening and Lynn Hunt attended as advisors on CALS to STAC. CALS continues to add more instructors. Instructors will travel to the facility that is hosting the class. Rural Health has offered a grant to help offset the cost for WI facilities. STAC was informed that the third day lab is a requirement in order to receive the certificate. (Late entry - July, 2006 - After a conversation with Dr. Garber, in fact the lab is not required to obtain a certificate. The two day didactic portion offers a mannequin lab. The third day lab is with animals.)

There are 42 level fours that need to receive training one of the above mentioned courses.

Dr. Szlabick suggested that this item be returned to the working sub- committee for further review, to make a recommendation to STAC at a different date.

ATLS remains the recommended course for the trauma system in Wisconsin.

According to the DHFS legal department, RTACs may "close" their meetings for the Performance Improvement portion.

There is a potential list of site reviewers requested to form the Site Classification Subcommittee which will make final recommendations to DHFS on levels for trauma care facilities. It was suggested that Marianne should email them and confirm their willingness to serve on the subcommittee. Marianne will follow through.

The required training for site reviewers will occur November 3^rd and 4^th, 2006. Further information will be forthcoming.

STAC reviewed the packet required for trauma care facilities including the informational letter, and the survey schedule. John Folstad made a motion to accept the letter with a second by Karen Brasel. Steve Stroman made a motion to accept the schedule with a second by John Folstad. Jeff Grimm made a motion to randomly select hospitals for their site reviews with a second by Steve Stroman. Unanimous approval on all, motions carried.