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2011 Annual Report


Message from the Medical Director

Dr.  Warren  Tripp,  MD   Stoughton  Area  EMS  Medical  Director    

Emergency  Medical  Services  in  the  Stoughton  community  are  functioning  well.  The  local   Stoughton  area  EMS  medics  are  EMT-­‐Intermediate  Technicians.  This  current  level  of  training   provides  for  intravenous  therapy  as  well  as  life  saving  defibrillation  for   those  in  cardiac  arrest.       I  have  been  the  Medical  Director  for  SAEMS  since  1999.  At  that  time  the  agency  was  an  EMT-­‐ Basic  with  defibrillation  and  CombiTube  skills.  These  skills  were  essential  for  life  saving   interventions  for  heart  and  breathing  related  collapse  but  didn’t  provide  for  rehydration  nor   treatment  of  common  diabetic  low  blood  sugar  reactions,  common  asthmatic  breathing  calls   for  help  or  opiate  overdoses.       Dane  County’s  EMS  training  allowed  for  us  to  provide  first  these  advanced  medical  skills  of   albuterol  nebulization  for  asthmatics  and  glucagon  injections  for  diabetics  along  with  aspirin  for   chest  pain  thought  to  be  from  cardiac  causes.  It  also  provided  intramuscular  injection  of  Narcan   to  reverse  coma  from  narcotics.       The  next  step  was  to  be  able  to  start  intravenous  rehydration  with  the  next  step  up  to   Intermediate  Technician  the  current  level  of  care  at  our  service.  This  not  only  provides   resuscitation  fluids  to  those  in  cardiac  arrest  but  also  allows  for  rehydration  and  access  to   injectable  medications  including  Dextrose  (sugar)  for  diabetics  and  Narcan  the  medication  that   reverses  the  coma  caused  by  heroin  and  other  opiate  use/abuse.       Currently  our  EMS  can  also  support  breathing  with  CPAP  (continuous  positive  airway  pressure)   as  well  as  insert  King  LT  airways  into  those  unconscious  and  not  breathing.    If  the  patient  has   poor  veins  the  EMS  has  been  trained  recently  to  insert  cannulas  into  the  bone  for  intraosseous   (through  the  bone)  infusions.       Most  of  the  Stoughton  EMS  District  has  a  short  transport  time  to  Stoughton  Hospital  where  I   work  as  the  Medical  Director  of  the  Hospital  Emergency  Services.    The  Hospital  contracts  with   SWEA  (Southern  Wisconsin  Emergency  Associates)  to  provide  Board  Certified  Emergency   Physicians  that  can  receive  and  treat  all  patients’,  medical  and  traumatic,  young  and  old   alike.  Some  of  the  more  Northern  areas  of  the  District  tend  to  be  nearly  as  close  to  the  Madison   area  Hospitals  and  do  get  paramedics  from  the  City  for  911  directed  life  and  death   emergencies.  Stoughton  medics  then  work  with  the  paramedics  in  these  cases  and  transport  to   the  appropriate  hospital  in  the  County.       EMS  is  a  constantly  changing  and  evolving  area  of  healthcare  but  Stoughton  can  certainly  be   proud  of  their  local  medics  and  the  Stoughton  Hospital.  I  know  that  I  am!    


Major  changes  occurred  in  2011  with  all  city  departments  learning,  identifying,  and  implementing  a  new   budget  process  called  Budgeting  for  Outcomes.  The  concept  is  based  on  departments  submitting  a  cost   for  services  (Offer),  identifying  inputs,  outputs  and  outcomes.  Our  department  had  two  Offers:     “Your  Emergency  is  Our  Emergency”,  which  focuses  on  three  key  elements:        1.)  Emergency  Preparedness  -­‐  Mitigation,  Response,  Recovery  &  Resource  Management    2.)  Pre-­‐Hospital  Medical  Care    3.)  Data  Collection/Data  Management        “Your  Life  –  Our  Purpose”,  which  focuses  on  two  key  elements:          1.)  Public  Relations  &  Community  Education      2.)  Public  Health  &  Awareness  through  EMS     This  annual  report  is  a  reflection  of  the  new  data  system  management  we  have  implemented  utilizing   software  called  Image  Trend.  The  data  is  generated  from  our  Patient  Care  Reports  (PCRs).  Throughout   this  report  you  will  notice  more  detailed  information  associated  with  visual  graphs.       As  in  past  years,  our  service  continues  to  be  busy.  In  2011,  Stoughton  Area  EMS  responded  to  1,314   calls.  This  call  volume  is  the  second  highest  on  record;  and,  just  falling  short  (by  4  calls)  of  the  2010  all   time  high  of  1,318  calls.       Our  service  is  very  fortunate  to  have  Dr.  Warren  Tripp,  MD  as  our  Medical  Director.  Dr.  Tripp  is  highly   respected  by  our  members.  He  is  dedicated,  pro-­‐active,  approachable,  and  we  all  consider  him  a  mentor   and  a  friend.  Each  month,  during  our  training  sessions,  Dr.  Tripp  reviews  Patient  Care  Reports  (PCRs),   providing  feedback,  positive  reinforcement,  gentle  reminders  and  sharing  of  his  extensive  medical   knowledge.  Our  standards  of  care  and  ongoing  quality  improvement  are  in  direct  relationship  to  his   visions  and  guidance.       Our  members  are  the  backbone  of  our  organization,  and  our  most  valuable  resource.  Most  people  are   not  aware  of  the  amount  of  mandated  training,  skill  requirements  and  on-­‐call  hours  the  members  must   maintain  to  be  a  member  of  our  service  and  State  of  WI  licensed.  I  appreciate  each  and  every  member   of  our  service.  We  are  who  we  are  because  of  them!       Last,  but  not  least,  I  thank  Mayor  Donna  Olson  and  all  the  Stoughton  City  Council  members  for  their   support  throughout  this  past  year.                       Sincerely,         Cathy  J.  Rigdon,  CEM,  Director   Stoughton  Area  EMS        


2011 Board of Directors

2011 Holiday Committee

Dr. Warren Tripp Cathy Rigdon, EMS Director Garry Hanson, EMS Ass’t. Director Ed Bailey, EMS Training Director Kristin Ott, EMS Personnel Director Bill Brue, Member at Large Renee Taylor, Member at Large Dave Erdman, Member at Large Jerry Hendrickson, Member at Large

Dave Erdman, Chair Jenifer Allred Melanie Meckley Meegan Rowe Pam Barrett Kate Collins Chris Dargis

2012 Vehicle Purchasing Committee Steve Wiese, Chair Peggy Hendrickson Derek Weum Pat Shields Jen Allred Rich Smithback Dave Erdman Bryce Bronstad Jeremy Beck Darwin Belcourt


Alphabetic  Order Name Allred, Jennifer Bailey, Ed Barrett, Pamela Beck, Jeremy Belcourt, Darwin Boersma, Andrew Brue, Bill Christofferson, Robert Collins, Kate Dargis, Chris Eddy, Christopher Erdman, David Erdman, Mary Griffin, Scott Hale, Lucas Halverson, Chris Hanson, Garry Hendrickson, Jerry Hendrickson, Peggy Holm, Scott Hruska, Nathan Johnson, Ann Johnson, Luke Keniston, Wanda Kreider, Linda Manthe, Karl Meckley, Melanie Ott, Kristin

Pulley,  Steve Rigdon, Cathy Rigdon, Terry Rowe, Meegan Ruef, Scott Schieldt, Bette Schimelpfenig, Lisa Shields, Patrick Smithback, Richard Sveum, Susan Taylor, Renee Vernig, Dave Weum, Derek

Wiese,  Steve TOTALS

S t a

 

Years  of  Service  Order

Years of Service (as of 12/31/2011) 5 22 4 1 4 3 32 1 1 29 8 3 10 22 4 20 22 6 8 14 1 5 3 10 6 3 3 14 10 18 3 1 4 3 8 2 3 3 8 13 3 6 349

Name Brue, Bill Dargis, Chris Hanson, Garry Bailey, Ed Griffin, Scott Halverson, Chris Rigdon, Cathy Holm, Scott Ott, Kristin Vernig, Dave Keniston, Wanda Erdman, Mary

Pulley,  Steve Eddy, Christopher Schimelpfenig, Lisa Taylor, Renee Hendrickson, Peggy

Wiese,  Steve Kreider, Linda Hendrickson, Jerry Johnson, Ann Allred, Jennifer Ruef, Scott Barrett, Pamela Belcourt, Darwin Hale, Lucas Boersma, Andrew Erdman, David Manthe, Karl Weum, Derek Schieldt, Bette Smithback, Richard Sveum, Susan Johnson, Luke Rigdon, Terry Meckley, Melanie Shields, Patrick Collins, Kate Rowe, Meegan Hruska, Nathan Beck, Jeremy Christofferson, Robert TOTALS

Average years of service = 8.31

S t a

Years of Service (as of 12/31/2011) 32 29 22 22 22 20 18 14 14 13 10 10 10 8 8 8 8 6 6 6 5 5 4 4 4 4 3 3 3 3 3 3 3 3 3 3 2 1 1 1 1 1 349


Alphabetic  Order Name

Primary Ambulance (R-88)

Allred, Jennifer Bailey, Ed Barrett, Pamela Beck, Jeremy Belcourt, Darwin Boersma, Andrew Brue, Bill Christofferson, Robert Collins, Kate Dargis, Chris Eddy, Christopher Erdman, David Erdman, Mary Griffin, Scott Hale, Lucas Halverson, Chris Hanson, Garry Hendrickson, Jerry Hendrickson, Peggy Holm, Scott Hruska, Nathan Johnson, Ann Johnson, Luke Keniston, Wanda Kreider, Linda Manthe, Karl Meckley, Melanie Ott, Kristin Peterson, Jenna Phillips, Sean

493 3,576 581 449 512 376 1,103 174 975 732 292 2,260 2,770 2,006 407 244 179 680 361 425 40 16 215 1,190 198 382 732 552 189 37

Pulley,  Steve Rigdon, Cathy Rigdon, Terry Rowe, Meegan Ruef, Scott Schieldt, Bette Schimelpfenig, Lisa Shields, Patrick Smithback, Richard Sullivan, Justin Sveum, Susan Taylor, Renee Vernig, Dave Weum, Derek

Wiese,  Steve Annual Call Total

Participation  Order

Back-up Total Annual Ambulance Call Hours (R-87)

Percent

371

98 1,445 432 110 101 73 980 46 230 45 273 1,274 191 535 0 0 170 287 15 105 0 0 109 159 2 18 18 284 0 0 3 364 0 16 0 122 369 10 150 0 184 0 81 26 26

591 5,021 1,013 559 613 449 2,083 220 1,205 777 565 3,534 2,961 2,541 407 244 349 967 376 530 40 16 324 1,349 200 400 750 836 189 37 272 1,080 43 392 325 509 1,933 638 661 0 395 479 269 571 397

1.59% 13.53% 2.73% 1.51% 1.65% 1.21% 5.61% 0.59% 3.25% 2.09% 1.52% 9.52% 7.98% 6.85% 1.10% 0.66% 0.94% 2.61% 1.01% 1.43% 0.11% 0.04% 0.87% 3.64% 0.54% 1.08% 2.02% 2.25% 0.51% 0.10% 0.73% 2.91% 0.12% 1.06% 0.88% 1.37% 5.21% 1.72% 1.78% 0.00% 1.06% 1.29% 0.72% 1.54% 1.07%

28,759

8,351

37,110

100.00%

269 716 43 376 325 387 1,564 628 511 0 211 479 188 545

Name Bailey, Ed Erdman, David Erdman, Mary Griffin, Scott Brue, Bill Schimelpfenig, Lisa Keniston, Wanda Collins, Kate Rigdon, Cathy Barrett, Pamela Hendrickson, Jerry Ott, Kristin Dargis, Chris Meckley, Melanie Smithback, Richard Shields, Patrick Belcourt, Darwin Allred, Jennifer Weum, Derek Eddy, Christopher Beck, Jeremy Holm, Scott Schieldt, Bette Taylor, Renee Boersma, Andrew Hale, Lucas Manthe, Karl

Primary Ambulance (R-88) 3,576 2,260 2,770 2,006 1,103 1,564 1,190 975 716 581 680 552 732 732 511 628 512 493 545 292 449 425 387 479 376 407 382

Back-up Total Annual Ambulance Call Hours (R-87)

Wiese,  Steve

371

Sveum, Susan Rowe, Meegan Hendrickson, Peggy Hanson, Garry Ruef, Scott Johnson, Luke

211 376 361 179 325 215

Pulley,  Steve

269

Vernig, Dave Halverson, Chris Christofferson, Robert Kreider, Linda Peterson, Jenna Rigdon, Terry Hruska, Nathan Phillips, Sean Johnson, Ann Sullivan, Justin

188 244 174 198 189 43 40 37 16 0

1,445 1,274 191 535 980 369 159 230 364 432 287 284 45 18 150 10 101 98 26 273 110 105 122 0 73 0 18 26 184 16 15 170 0 109 3 81 0 46 2 0 0 0 0 0 0

Annual Call Total

28,759

8,351

Percent

5,021 3,534 2,961 2,541 2,083 1,933 1,349 1,205 1,080 1,013 967 836 777 750 661 638 613 591 571 565 559 530 509 479 449 407 400 397 395 392 376 349 325 324 272 269 244 220 200 189 43 40 37 16 0

13.53% 9.52% 7.98% 6.85% 5.61% 5.21% 3.64% 3.25% 2.91% 2.73% 2.61% 2.25% 2.09% 2.02% 1.78% 1.72% 1.65% 1.59% 1.54% 1.52% 1.51% 1.43% 1.37% 1.29% 1.21% 1.10% 1.08% 1.07% 1.06% 1.06% 1.01% 0.94% 0.88% 0.87% 0.73% 0.72% 0.66% 0.59% 0.54% 0.51% 0.12% 0.11% 0.10% 0.04% 0.00%

37,110

100.00%

In 2011, Members of Stoughton Area EMS dedicated 37,110 hours of their time to be on call. *  EMTs  are  required  to  maintain  a  minimum  o f  60-­‐hours  o n  call  per  quarter  for  the  primary  ambulance. *  The  back-­‐up  ambulance  is  scheduled  7  days  a  week  from  9p  to  5a  (no  minimum  requirements). *  Members  listed  in  this  report  that  are  under  the  minimum  o n-­‐call  hrs  were  either  new,  o r  o n  leave  of  absence.


Alphabetic  Order Name Allred, Jennifer Bailey, Ed Barrett, Pamela Beck, Jeremy Belcourt, Darwin Boersma, Andrew Brue, Bill Christofferson, Robert Collins, Kate Dargis, Chris Eddy, Christopher Erdman, David Erdman, Mary Griffin, Scott Hale, Lucas Halverson, Chris Hanson, Garry Hendrickson, Jerry Hendrickson, Peggy Holm, Scott Hruska, Nathan Johnson, Ann Johnson, Luke Keniston, Wanda Kreider, Linda Manthe, Karl Meckley, Melanie Ott, Kristin Phillips, Sean

Pulley,  Steve Rigdon, Cathy Rigdon, Terry Rowe, Meegan Ruef, Scott Schieldt, Bette Schimelpfenig, Lisa Shields, Patrick Smithback, Richard Sullivan, Justin Sveum, Susan Taylor, Renee Vernig, Dave Weum, Derek

Wiese,  Steve Annual Call Total

Participation  Order

Crew Members Incident Participation

Percent

87 487 80 119 63 41 197 24 111 72 41 279 362 270 64 17 21 92 63 43 13 2 22 162 24 53 122 91 4 33 109 44 51 35 69 221 89 117 2 23 75 35 87 56

6.62% 37.06% 6.09% 9.06% 4.79% 3.12% 14.99% 1.83% 8.45% 5.48% 3.12% 21.23% 27.55% 20.55% 4.87% 1.29% 1.60% 7.00% 4.79% 3.27% 0.99% 0.15% 1.67% 12.33% 1.83% 4.03% 9.28% 6.93% 0.30% 2.51% 8.30% 3.35% 3.88% 2.66% 5.25% 16.82% 6.77% 8.90% 0.15% 1.75% 5.71% 2.66% 6.62% 4.26% 1314

Name Bailey, Ed Erdman, Mary Erdman, David Griffin, Scott Schimelpfenig, Lisa Brue, Bill Keniston, Wanda Meckley, Melanie Beck, Jeremy Smithback, Richard Collins, Kate Rigdon, Cathy Hendrickson, Jerry Ott, Kristin Shields, Patrick Allred, Jennifer Weum, Derek Barrett, Pamela Taylor, Renee Dargis, Chris Schieldt, Bette Hale, Lucas Belcourt, Darwin Hendrickson, Peggy

Wiese,  Steve Manthe, Karl Rowe, Meegan Rigdon, Terry Holm, Scott Boersma, Andrew Eddy, Christopher Ruef, Scott Vernig, Dave

Pulley,  Steve Christofferson, Robert Kreider, Linda Sveum, Susan Johnson, Luke Hanson, Garry Halverson, Chris Hruska, Nathan Phillips, Sean Johnson, Ann Sullivan, Justin Annual Call Total

Crew Members Incident Participation

Percent

487 362 279 270 221 197 162 122 119 117 111 109 92 91 89 87 87 80 75 72 69 64 63 63 56 53 51 44 43 41 41 35 35 33 24 24 23 22 21 17 13 4 2 2

37.06% 27.55% 21.23% 20.55% 16.82% 14.99% 12.33% 9.28% 9.06% 8.90% 8.45% 8.30% 7.00% 6.93% 6.77% 6.62% 6.62% 6.09% 5.71% 5.48% 5.25% 4.87% 4.79% 4.79% 4.26% 4.03% 3.88% 3.35% 3.27% 3.12% 3.12% 2.66% 2.66% 2.51% 1.83% 1.83% 1.75% 1.67% 1.60% 1.29% 0.99% 0.30% 0.15% 0.15% 1314

This  data  reflects  the  number  o f  paid  EMS  calls.  I t  does  not  represent  the  total  number  o f  calls  that  a  member  may   have  responded  to  as  a  "first  responder"  to  assist  the  primary  crew.


Type  of  Training

Hours  per  training

Monthly  Training   MATC  Courses  -­‐  IV  Tech MATC  Courses  -­‐  Basic  Refresher Orientation(s) Conferences Misc.  Trainings  -­‐  Director Misc.  Trainings  -­‐  Admin.  Ass't.

22 90 30 10 13 80 96

Total  Annual  Training  Hours

Number of Total participants 41 4 36 4 10 1 1

902 360 1,080 40 130 80 96 2,688


Operational  Revenues

Operational  Budget Revenues

Billing   Less  Medicare/Medicade  Writeoffs Anticipated  Collectable  Revenue

Total

%  of  Budget

$751,107.60

135.00%

-­‐$194,732

-­‐35.00%

$556,376

100.00%

Less  Medicare/ Medicade   Writeoffs -­‐$194,732

Billing $751,107.60


Expenses

Salary  Personnel  (Director/Admin  Ass't)

Total

%  of  Budget

$97,957

17.77%

$104,345

18.93%

$21,362

3.87%

Health  Insurance  -­‐  Admin.  Assistant

$7,401

1.34%

Longevity  -­‐  Volunteers

$6,535

1.19%

 Fitness  Membership

$3,000

0.54%

Telephone  

$3,660

0.66%

Travel,  Training,  Conferences

$7,390

1.34%

Wages  -­‐  Volunteers Benefits  -­‐  Salary  Personnel

Salary  Personnel   (Director/Admin   Ass't) $1,200 $240

Wages  -­‐ Volunteers

$4,350

Benefits  -­‐ Salary  Personnel

$75

Health  Insurance   -­‐ Admin.   Assistant

$59,918

Longevity  -­‐ Volunteers

$97,957

$6,000

Fitness  Membership

$21,630

$6,675

Telephone  

Travel,  Training,   Conferences $18,000

Medical  Director  Contract

Medical  Director  Contract

$10,000

1.81%

Billing  Services

$40,734

7.39%

Billing  Services ALS  Intercept

ALS  Intercept

$0

0.00%

Utilities/Maintenance

$15,228

2.76%

Equipment/Maintenance  Contracts

$13,739

2.49%

Misc.

$4,911

0.89%

Office  Supplies

$2,000

0.36%

Rent

$45,000

8.16%

Depreciation/Sinking  Fund

$50,000

9.07%

Administration  Expense  

$18,000

3.26%

Vehicle  Expense

$6,675

1.21%

Vehicle  Fuel

$6,000

1.09%

$21,630

3.92%

$240

0.04%

$75

0.01%

Public  Relations

$1,200

0.22%

Uniform  Expense

$4,350

0.79%

Capital  EMS  Remodel  -­‐  Loan  Payment

$59,918

10.87%

Total  Operating  Expenses

$551,350

100.00%

Operational  Supplies Building  Maintenance Background  Checks  (DOJ)

Utilities/Maintenance $50,000

$104,345

Equipment/Maintenance   Contracts Misc.

Office  Supplies Rent $45,000

Depreciation/Sinking   Fund Administration   Expense   $21,362

Vehicle  Expense

$13,739

Vehicle  Fuel $40,734

$2,000

Operational  Supplies

$15,228 $7,401

$4,911

Building  Maintenance Background  Checks  (DOJ)

$0

$6,535

$10,000 $7,390

$3,660

$3,000

Public  Relations Uniform  Expense Capital  EMS  Remodel  -­‐ Loan  Payment


Annual  Call   Volume

Year

#  of  Runs

2003

1,004

1,400

2004

1,135

1,200

2005

1,294

1,000

2006

1,180

800

2007

1,275

600

2008

1,292

400

2009

1,318

200

2010

1,263

0

2011

1,314

2003

2004

2005

2006

2007

2008

2009

2010

2011


Time  Period   (Military   Sun Mon Tues Wed Thurs Fri Hours)

Sat

0001-­‐0300 0301-­‐0600 1601-­‐0900 0901-­‐1200 1201-­‐1500 1501-­‐1800 1801-­‐2100 2101-­‐0000 Unknown

16 12 17 30 22 33 26 15 0

19 12 22 40 28 31 28 19 0

13 8 33 37 32 30 24 25 0

8 7 17 20 24 22 33 22 0

11 13 15 28 22 26 28 14 0

18 15 19 28 27 31 38 29 0

18 15 32 41 31 29 31 28 0

Total

171

199

202

153

157

205

225

#  of   Runs 103 82 155 224 186 202 208 152 2

%  of   Runs

Number  of  call  per  in  3  hour  increments 250

7.84% 6.24% 200 11.80% 150 17.05% 14.16% 100 15.37% 15.83% 50 11.57% 0 0.15%

1314 100.00%

0001-­‐0300 0301-­‐0600 1601-­‐0900 0901-­‐1200 1201-­‐1500 1501-­‐1800 1801-­‐2100 2101-­‐0000

Note:  Unknown  category  represents  the  few  times  the  911  Center  was  unable  to  record  data  due  to  multi-­‐agency/multi-­‐response. 2011  Call  trends  show  highest  call  volume  on  weekdays  between  0:9:00    to  12:00,  then  remaining  steady  from  12:00  to  23:00. 2011  Call  trends  also  show  subtle  variations  between  days  of  week  (annual  average  by  day  calculates  to  187.71%).

Unknown


Anaphylactic  Reaction Animal  Bite Assult Asthma  Exacerbation Auto  vs.  Pedestrian Back  Pain  (Non-­‐Traumatic/Recent  Trauma) Breathing  Problems Burns Cardiac  Arrest Chest  Pain Chocking CO  Poisoning/Hazmat Diabetic  Problem Electrocution Fall  Victim Fever Fire  Standby Head  I njury Headache Heart  Problems Heat/Cold  Exposure Hemorrhage/Laceration Ingestion/Poisoning Invalid  Assist/Lifting  Assist MCI  (Multi  C asuality  I ncident Medical  Alarm Not  Known Other Overdose Pain Pregnancy/Childbirth Psychiatric  Problems Respiratory  Arrest Respiratory  Distress Siezure/Convulsions Sick  Person Standby Stroke/CVA Suicide  Treatment/Attempt Traffic/Transportation  Accident Transfer/Interfacility/Palliative  C are Traumatic  I njury Unnsconscious/Fainting Unknown  Problem/Man  Down Unknown      

3 4 9 1 4 19 113 4 10 91 9 6 22 2 208 3 6 8 7 13 3 34 8 3 2 4 1 58 29 56 6 8 2 7 27 110 5 41 4 115 19 33 72 32 4 1314

0.23% 0.30% 0.68% 0.08% 0.30% 1.45% 8.60% 0.30% 0.76% 6.93% 0.68% 0.46% 1.67% 0.15% 15.83% 0.23% 0.46% 0.61% 0.53% 0.99% 0.23% 2.59% 0.61% 0.23% 0.15% 0.30% 0.08% 4.41% 2.21% 4.26% 0.46% 0.61% 0.15% 0.53% 2.05% 8.37% 0.38% 3.12% 0.30% 8.75% 1.45% 2.51% 5.48% 2.44% 0.30% 100.00%


Medication  Administration

#  o f  Runs

%  o f  Runs

Albuterol  Sulfate

49

3.85%

Aspirin

60

4.71%

Dextrose  50%  (D50)

5

0.39%

Epi-­‐Pen  (Adult)

2

0.16%

Glucagon

9

0.71%

Glucose  (Oral)

12

0.94%

Nitroglycerin

42

3.30%

Aspirin 60

Dextrose  50% 5

Epi-­‐Pen  (Adult) 2

Albuterol  Sulfate 49

Glucose  (Oral)   12 Nytroglycerin 42

Oxygen  

(By  Nebulizer)

11

Normal  Saline Oxygen

345 99

No  Meds  Given 316

5

0.39%

35

2.75%

188

14.77%

Oxygen  by  Nebulizer

11

0.86%

Oxygen    by  Positive  Pressure  Device

11

0.86%

316

24.82%

1273

100.00%

Oxygen  (by  Blow  By) Oxygen  by  Mask Oxygen  by  Nasal  Cannula

No  meds  given

Epi-­‐Pen  (Adult)

Glucose  (Oral)

Normal  Saline 345

Oxygen

Normal  Saline

(by  Nasal  Cannula)

7.78% 6.60%

Dextrose  50%  (D50)

Nitroglycerin

27.10%

84

Aspirin

Glucagon

188

Oxygen

Oxygen  (non-­‐rebreather  mask)

Albuterol  Sulfate

Oxygen Oxygen 99

(Possitive  Pressure)

11

Oxygen  (non-­‐rebreather  m ask) Oxygen  (by  Blow  By) Oxygen

Oxygen

(non-­‐Rebreath  mask)

(by  mask)

35

Oxygen  by  M ask

84

Oxygen

(by  Blow  By) 5

Oxygen  by  Nasal  Cannula Oxygen  by  Nebulizer Oxygen    by  Positive  Pressure  Device No  m eds  given


Response  Zones Municipality Albion,  Town  of Cambridge,  Villiage  of Christiana,  Town  of Deerfield,  Town  of Dunkirk,  Town  of Dunn,  Town  of Edgerton,  City  of Oregon,  City  of Pleasant  Springs,  Town  of Rutland,  Town  of Stoughton,  City  of

#  of  Runs %  of  Runs 1 2 30 2 60 74 5 3 78 16 1043

0.08% 0.15% 2.28% 0.15% 4.57% 5.63% 0.38% 0.23% 5.94% 1.22% 79.38%

1314

100.00%

2

1

30

2 60

74 5

3

Albion,  Town  of Cambridge,  Villiage  of

78

Christiana,  Town  of

16

Deerfield,  Town  of Dunkirk,  Town  of Dunn,  Town  of

Stoughton 1043  

Edgerton,  City  of Oregon,  City  of Pleasant  Springs,  Town  of Rutland,  Town  of Stoughton,  City  of


Transport  Mode  TO  Scene Initial  Lights  &  Siren,  downgraded  to  no  Lights  &  Siren Initial  No  Lights  &  Siren,  Upgraded  to  Lights  &  Siren Lights  &  Sirens No  Lights  &  Sirens

#  of   Runs 10 2 1038 264

%  of   Runs 0.76% 0.15% 79.00% 20.09%

Initial  Lights  &  Siren,  downgraded  to  no  Lights  &  Siren

264

1314 100.00% Note:  Response  mode  to  scene  is  set  by  911  Center  Dispatch  Codes   A  -­‐  Alpha  calls  =  no  lights  &  sirens B  =  Bravo  calls  can  be  identified  as  either  no  lights  &  sirens,  or  lights  and  sirens. C  -­‐  Charlie  Calls  =  Lights  and  Sirens. D  -­‐  Delta  Calls  =  Lights  and  Sirens. E  -­‐  Echo  calls  =  lights  and  Sirens O  -­‐  Omega  Calls  =  no  lights  and  Sirens

Initial  No  Lights  &  Siren,  Upgraded  to  Lights  &  Siren 1038

Lights  &  Sirens No  Lights  &  Sirens


911  Page  to  Enroute  Time 4

Minutes #  of  Runs %  of  Runs 0    to  1 2  to  3 4  to  5 >  5 Unknown

67 149 545 549 4

5.10% 11.34% 41.48% 41.78% 0.30%

1314

100.00%

0    to  1 67

149

549

2  to  3 4  to  5

545

>  5

Unknown

Enroute  to  Scene Minutes #  of  Runs %  of  Runs 0    to  5 6  to  10 11  to  15 >15 Unknown

1005 237 30 17 25

76.48% 18.04% 2.28% 1.29% 1.90%

1314

100.00%

30

17

25

0    to  5 6  to  10

237

11  to  15 1005

>15 Unknown

“Unknown” describes incidents of no transports

cancelled calls, fire standby and/or scene standby.


At  Scene  -­‐  Leave  Scene Minutes #  of  Runs %  of  Runs 0    to  10 11  to  20 21  to  30 >30 Unknown

0    to  10

39

189 693 240 39 153

14.38% 52.74% 18.26% 2.97% 11.64%

1314

100.00%

11  to  20

153 189

21  to  30

240 693

>30 Unknown

On  scene  times  (according  to  Stoughton  Area  EMS  &  Dane  County's  Quality   Assurance/Quality  Improvement  (QA/QI)  Standards  should  be  20  minutes  or  less.  All  calls   with  on  scene  times  over  20  minutes  must  identify  reason  for  extended  time. Leave  Scene  -­‐  To  Hospital Minutes #  of  Runs %  of  Runs 0    to  5 6  to  10 11  to  15 >15 Unknown

537 273 43 302 159

40.87% 20.78% 3.27% 22.98% 12.10%

1314

100.00%

0    to  5 159

537

302

43

6  to  10

273

11  to  15 >15 Unknown

“Unknown” describes incidents of no transports

cancelled calls, fire standby and/or scene standby.


At  Hospital  -­‐  Leave  Hospital Minutes #  of  Runs %  of  Runs 0    to  5 6  to  10 11  to  15 >15 Unknown

314 370 113 375 142

23.90% 28.16% 8.60% 28.54% 10.81%

1314

100.00%

0    to  5 142

6  to  10

314

11  to  15

375

>15

370

113

Unknown

Average  Run  Times Response

Minutes

Enroute To  Scene At  Scene To  Destination Back  In  Service

07:54 04:23 34:57 11:56 23:05

Total  Hours

1:22:15

07:54

Enroute To  Scene

23:05

11:56

04:23

At  Scene 34:57

To  Destination Back  In  Service

  This  data  shows  average  run  times  from  page,  enroute,  at  scene,  to  hospital  and  when   crew  calls  the  911  Center  to  say  they  are  "back  in  service".  This  data  does  not  include     the  time  it  takes  the  crew  to  leave  the  hospital,  return  to  quarters,  resock  the   ambulance,  clean  vehicle  and  complete  patient  care  report  (PCR).  

“Unknown” describes incidents of no transports

cancelled calls, fire standby and/or scene standby.


Fire Law Not  Applicable Other Other  Health  Care  Provider Rescue  (Paramedic  Intercept) Utilities

92 544 27 24 240 2 2

9.75% 57.63% 2.86% 2.54% 25.42% 0.21% 0.21%

944

100.00%

EMS  Mututal  Aid

Fire Law Not  Applicable Other

Other  Health  Care  Provider Rescue  (Paramedic  Intercept) Utilities


Transport  Mode  FROM  Scene Initial  Lights  &  Siren,  downgraded  to  no  Lights  &  Siren Initial  No  Lights  &  Siren,  Upgraded  to  Lights  &  Siren Lights  &  Sirens No  Lights  &  Sirens Unknown (no  transport/no  patient  c ontact)

#  of   Runs

%  of   Runs

6 12 148 891

0.46% 0.91% 11.26%

257

19.56%

1314

32.19%

257

148

Initial  Lights  &  Siren,  downgraded  to  no  Lights  &   Siren Initial  No  Lights  &  Siren,  Upgraded  to  Lights  &  Siren Lights  &  Sirens

891

No  Lights  &  Sirens Unknown (no  transport/no  patient  contact)

Note:  Response  mode  FROM  scene  is  determined  at  the  discression  of  the  EMTs  based  on  patient  condition. A  -­‐  Alpha  calls  =  no  lights  &  sirens B  =  Bravo  calls  can  be  identified  as  either  no  lights  &  sirens,  or  lights  and  sirens. C  -­‐  Charlie  Calls  =  Lights  and  sirens. D  -­‐  Delta  Calls  =  Lights  and  Sirens. E  -­‐  Echo  calls  =  lights  and  sirens O  -­‐  Omega  Calls  =  no  lights  and  sirens

“Unknown” describes incidents of no transports

cancelled calls, fire standby and/or scene standby.


Gender

#  of  Runs %  of  Runs

Female

Female

685

52.13%

Male Unknown

572

43.53%

57

4.34%

1314

100.00%

(no  transport/no  patient  c ontact)

Age  Less  than  1 1  -­‐  4 5  -­‐  9 10  -­‐  14 15  -­‐  19 20  -­‐  24 25  -­‐  34 35  -­‐  44 45  -­‐  54 55  -­‐  64 65  -­‐  74 75  -­‐  84 85  + Unknown (no  transport/no  patient  c ontact)

0.91% 1.14% 0.84% 2.59% 3.42% 3.65% 7.31% 6.77% 8.60% 14.46% 10.58% 16.29% 17.81%

74 1314

5.63% 100.00%

Unknown (no  transport/no   patient  contact)

Number  of  calls  by  Age

#  of  Runs %  of  Runs 12 15 11 34 45 48 96 89 113 190 139 214 234

Male

250 200 150

100 50 0

“Unknown” describes incidents of no transports

cancelled calls, fire standby and/or scene standby.


Transport  by  Destination  Report Veterans   Hospital 12

01/01/11  to  12/31/11 Destination Air  Transport  (Medflight) Fort  Atkinson Meriter St.  Marys Stoughton  Hospital UW  Hospital  &  Clinic Veterans  Hospital Subtotal  of  transported  calls No  transport/Not  Know/Not  Applicable Total  Annual  Calls

#  of  Runs 4 2 82 119 767 82 12

%  of  Runs UW  Hospital   0.37% &  Clinics 0.19% 82 7.68% 11.14% 71.82% 7.68% Stoughton   1.12%

1068 246 1314  

100.00%

Hospital 767

Air  Transport  (Medflight) Med  Flight 4 Fort  Atkinson 2 Meriter 82 St.  Marys 119

Fort  Atkinson Meriter St.  Marys Stoughton  Hospital

UW  Hospital  &  Clinic Veterans  Hospital


Average  Run  Mileage Miles

#  of  Runs %  of  Runs

0    to  5 6  to  10 11  to  15 16  to  20 >20 Unknown

750 21 32 184 67 260

57.08% 1.60% 2.44% 14.00% 5.10% 19.79%

1314

100.00%

0    to  5 6  to  10 260

67

750

184 32

11  to  15 16  to  20 >20 Unknown

21

Average  Run  Mileage  includes  only  loaded  miles  (when  a  patient  is  in  the  vehicle).  EMS  is   only  allowed  to  bill  mileage  when  transporting  a  patient  to  a  destination.  

“Unknown” describes incidents of no transports

cancelled calls, fire standby and/or scene standby.


Response  Delays Directions Distance Diversion Other Safety Staff  Delay Vehicle  Crash Weather No  delays/Not  applicable

#  of  Runs %  of  Runs 1 3 1 8 2 2 1 6 1297

0.08% 0.23% 0.08% 0.61% 0.15% 0.15% 0.08% 0.45% 98.18%

1321

100.00%

Directions Distance Diversion Other Safety Staff  Delay Vehicle  Crash Weather No  delays/Not  applicable

Note:  Response  Delay  category  allows  writer  to  enter  more  than  one  reason  for  response  delay  when  applicable.  Therefore,  number  of  response   delays  exceed  total  number  of  annual  calls  (1,314).


Stoughton Area EMS CPR Program Recognizing and knowing how to respond in an emergency can be intimidating. SAEMS routinely offers American Heart Association outlined courses in CPR and First Aid for lay rescuers and healthcare providers alike. These learned actions can aid in a swift recovery and even prevent death. In 2011, SAEMS instructed 38 courses with 152 individuals attending. Instruction time equaled an impressive 128 hours. Participants varied in background from: local industry, interested citizens, daycare providers and healthcare professionals. This is no doubt a benefit to all in the City of Stoughton.To the participants of the SAEMS 2011 CPR/First Aid program, we thank you for your dedication to knowledge. 2011 CPR Coordinators: Doris Burdick (Retired June, 2011) Pam Barrett 2011 CPR Instructors: Bill Brue Pam Barrett Doris Burdick Lisa Schimelpfenig Renee Taylor


Stoughton Hospital Liaison In 2007, Beth Amos, R.N. accepted the position of Stoughton Hospital to Stoughton Area EMS Liaison. This position acts as an intermediary between the staff of the Stoughton Hospital Emergency Department and the volunteers of Stoughton Area EMS. Annually, over 71% of SAEMS transports are to Stoughton Hospital. This position provides an important role between our agencies. Beth served this position with exceptional dedication. During her tenure, Beth attended SAEMS monthly meetings, performed annual IV access training (we used Gummy Worms as veins, very creative!), reported on feedback from the emergency department and vice versa, performed annual flu vaccination, performed TB testing, coordinated an appreciation dinner at Stoughton Hospital with full medical jeopardy gaming and most importantly, reinforced with volunteers of SAEMS that we are an integral part of emergency medicine. Beth’s history is as vibrant as her dedication to SAEMS. Beth has worked at Stoughton Hospital as an Emergency Department R.N. for many years. Beth is a scrabble diva and enjoys scuba diving. Beth has authored 6 books and has over 200 free lance articles to her credit. Beth reports, “I suppose it was my love of reading that led to my love of writing”. Beth writes current fiction under the pen name of Annelise Ryan. Sadly, for SAEMS, Beth has accepted a position at St. Mary’s - Janesville in the emergency department and has regrettably resigned her position as the SAEMS/Stoughton Hospital Liaison. We wish Beth the very best in her future adventures.


I expend a special thanks to my Leadership Team. They dedicate many hours of their time to help with duties that can not be accomplished with a staff of only two full-time employees. Leadership Team: Garry Hanson, Assistant Director Ed Bailey, Training Director Kristin Ott, Personnel Director Peggy Hendrickson, Infection Control Officer Renee Taylor, Quality Improvement/Quality Assurance Officer Jerry Hendrickson, Interim Squad Leader, Monday’s Squad Scott Holm, Squad Leader, Tuesday’s Squad Bill Brue, Squad Leader, Wednesday’s Squad Lisa Schimelpfenig, Squad Leader, Thursday’s Squad David Vernig, Squad Leader, Friday’s Squad. Thank you for all you!


Just as 911 calls are unpredictable, so are the work days here in the EMS office. People would not only be surprised to see the volume of work that is done in the office, but also the variety. Lisa wears many hats. As EMS Administrative Assistant, she truly is my right hand person for the day-to-day operations. Lisa’s dedication to her job and our service does not waiver; whether it is administrative work, maintenance, coordinating efforts/schedules, cleaning, CPR/First Aid Instructions or mentoring fellow employees, Lisa is always dependable. I could not ask for a better Administrative Assistant than Lisa Schimelpfenig. In my eyes, she is second to none! Thanks Lisa for all you do for our members, and for me.


Partnering with the Stoughton Street Department, for vehicle maintenance, has proven to be efficient and effective and has resulted in a proven cost savings to our department. Having the ability to utilize Bryce Bronstad, the city’s professional vehicle mechanic, has been a Godsend to EMS. Bryce has assisted our service with weekly maintenance requests, repairs, oil changes, tire rotations, mechanical problem-solving and annual vehicle maintenance budget planning. Since Bryce has assisted the EMS, we have taken our vehicles to a dealership less than five times (for warranty issues). We know how busy Bryce is with other city vehicles, and we appreciate all he does to keep our vehicles running. Thanks Bryce for all you do!


Responding to an emergency is only one part of a coordinated effort in proving a safe and healthy community. Throughout the year, our EMS department partners with many of the other city departments, community events and committees. Here are examples of our partnerships: Interdepartmental cooperation: •  Stoughton Police (response/assistance/sharing space during EMS remodel) •  Stoughton Fire (response/assistance/sharing space during EMS remodel) •  Stoughton Streets (response/assistance) •  Stoughton Utilities (response/assistance) •  Stoughton Senior Center (follow-up on needs/referrals) •  Stoughton Media (videotaping monthly meetings/audio visual needs) •  Stoughton Planning & Development (design/remodel of EMS building and building maintenance).

County Participation/partnerships: •  Dane County EMS Association - Director Rigdon •  Dane County ALS (Advanced Life Support) Subcommittee – Director Rigdon •  Dane County BLS (Basic Life Support) Subcommittee – Director Rigdon •  Dane County Operational Practices Subcommittee – Training Director Bailey •  Dane County Medical Advisory Subcommittee - Dr. Warren Tripp/Dir. Rigdon •  Dane County Emergency Operations Center (EOC) training – Director Rigdon


Community Events/Partnerships •  Stoughton Jr. Fair •  Annual Syttende Mai Celebration •  911 Remembrance Celebration, hosted by Christ the King Church •  Stoughton Police Department’s Safety Camp •  Stoughton Schools – Football games, participation in Health Care Careers •  Community CPR/First Aid/CCR Courses •  Daycare/Boy Scout/Girl Scout/individual family tours of facility, vehicles •  Memorial Day parade • Senior Center Bingo – EMS participated by sponsoring and calling one of the bingo events Emergency Preparedness: •  Dane County Airport Fire Exercise. •  EMS Director obtained State of WI certification as an Emergency Manager


Cardiac Save

Stoughton EMS had one cardiac save this year. It involved a middle aged male at work who had a cardiac event. One of our EMTs works at the same facility and was the first responder to provide compressions. Other agencies on scene were: facility nurse, Stoughton Police, Stoughton Fire, MedFlight. EMTs Members credited for save:

Scott Ruef Betty Schieldt

Ed Bailey Steve Wiese

Congratulations!

As we look forward to 2012 and beyond, we know there are many goals left to accomplish. We continue to learn new skills, implement new technologies, look for efficiencies, membership recruitment and retention, all while maintaining financial stability. In addition to maintaining our busy schedule, responding to our high call volume, in 2012, we will: •  Continue to track and report on measureable outcomes •  Implement an electronic scheduling program •  Purchase new defibrillators •  Purchase a new ambulance •  Prepare for implementation of new countywide radio system •  Host an Open House


2011 Annual Report