Austin-Travis County EMS (Texas)

From EMS Wiki

Geographical Configuration] edit[

Cities Served Austin Bee Cave Briarcliff Creedmoor Elgin Jonestown Lago Vista Lakeway Manor Pflugerville Rollingwood Round Rock Sunset Valley Volente West Lake Hills Counties Served Travis Unincorporated Areas Served Del Valle Elroy Manchaca Oak Hill Point Venture San Leanna The Hills Webberville State or Territory Texas Country United States Service Area Square Mileage 1022 Service Area Population-Residential 974,365

Medical Configuration] edit[
Organization Type Level of Government County Administrative Division Type of Organization Medical Director(s) Paul R. Hinchey M.D. Associate Medical Director(s) Mark Ackrell , M.D. , James Kempema , M.D. , Duke Kimbrough , M.D. Annual EMS Responses 110,000 Research Affiliates No established partnership , some collaboration with Seton Family of Hospitals.
Services Provided

Links] edit[
Website

Staffing] edit[
Staffing of Posts
Number of Full-Time Employees
Number of Part-Time Employees

Apparatus Configurations] add/edit[

Dispatch] edit[
Type of 911 Access E9-1-1
Type of Wireless 911 Access Phase II
Primary Landline PSAP
Primary Wireless PSAP
Secondary PSAP EMS
Dispatched by Secondary PSAP
Timestamp Record

Austin-Travis County EMS (ATCEMS) operates between 31 and 35 paramedic ambulances daily. This includes 3 paramedic rescue ambulances, 1 tactical paramedic ambulance and 1 hazardous materials paramedic ambulance. In addition, 6 paramedic command units are staffed each day which are equipped with Advanced Life Support equipment, special rescue & Weapons of Mass Destruction (WMD) equipment and multi-casualty gear but do not have transport capabilities. The Department provides a variety of special purpose units on an as needed basis including bike teams, motorcycle teams, cart teams, boat teams and special rescue teams.

ATCEMS response selection process is based on closest EMS unit without regard for city/county political boundaries. Ambulances are currently staffed with at least two paramedics and work a 48 hour work week schedule. Employee selection of a schedule/station is through a tenure based bid process every six months. The bidding and the on-call schedule has been developed by Austin-Travis County EMS in close cooperation and the Employee's Association. ATCEMS paramedics must attend department training and maintain their certifications with the Texas Department of State Health Services and the Austin-Travis County EMS System.

ATCEMS Rescue Paramedics provide immediate on-scene advanced life support medical care in rescue situations including vertical rope rescue, swift water rescue, confined space rescue and technical rescue. They must also maintain a specified physical conditioning level that is tested bi-annually.

ATCEMS Tactical Paramedics directly support the Austin Police Department SWAT team providing immediate on-scene advanced life support medical care to tactical team members, hostages, victims, bystanders, and suspects in the inner perimeter.

ATCEMS Haz-mat Paramedics integrate into hazardous materials operations with the Austin Fire Department Hazardous Materials Team, Travis County Hazardous Materials team and other regional CBRNE teams to provide immediate on-scene advanced life support medical care to hazardous materials team members, victims, bystanders, and other response personnel. Team members carry SCBA, PAPR's, multiple detectors and a wireless Panasonic Toughbook laptop with hazardous material diagnostic and medical treatment software.^[1]

References

1. ↑ Austin Travis County EMS

Drugs in Protocol] edit[
Activated Charcoal	Not in Scope
Adenosine	Not in Scope
Albuterol-Proventil	Not in Scope
Aminophylline	Not in Scope
Amiodarone-Cordarone	Not in Scope
Amyl Nitrite	Not in Scope
Aspirin	Not in Scope
Atropine Sulfate	Not in Scope
Benzocaine	Not in Scope
Calcium Chloride	Not in Scope
D5W	Not in Scope
Dextrose 25%	Not in Scope
Dextrose 50%	Not in Scope
Dexamethasone	Not in Scope
Diazepam-Valium	Not in Scope
Diltiazem-Cardizem	Not in Scope
Diphenhydramine-Benadryl	Not in Scope
Dobutamine-Dobutrex	Not in Scope
Dopamine-Inotropin	Not in Scope
Epinephrine-Adrenalin	Not in Scope
Epinephrine-Racemic	Not in Scope
Etomidate-Amidate	Not in Scope
Fentanyl-Sublimaze	Not in Scope
Flumazenil-Romazicon	Not in Scope
Furosemide-Lasix	Not in Scope
Glucagon-GlucaGen	Not in Scope
Haloperidol-Haldol	Not in Scope
Influenza Virus Vaccine	Not in Scope
Ipratropium-Atrovent	Not in Scope
Isoproterenol-Isuprel	Not in Scope
Isoetharine	Not in Scope
Ketamine	Not in Scope
Labatolol-Normodyne	Not in Scope
Lidocaine-Xylocaine	Not in Scope
Lidocaine Viscous	Not in Scope
Lorazepam-Ativan	Not in Scope
Magnesium Sulfate	Not in Scope
Metaprolol-Lopressor	Not in Scope
Metaproterenol-Alupent	Not in Scope
Methylene Blue	Not in Scope
Methylprednisolone-Solu Medrol
Metoclopramide-Reglan	Not in Scope
Midazolam-Versed	Not in Scope
Morphine Sulfate	Not in Scope
Nalaxone-Narcan	Not in Scope
Nifedipine-Procardia	Not in Scope
Nitroglycerin	Not in Scope
Norepinephrine-Levophed	Not in Scope
Ondansetron-Zofran	Not in Scope
Oxytocin-Pitocin	Not in Scope
Pancuronium-Pavulon	Not in Scope
Phenobarbital	Not in Scope
Phenylephrine	Not in Scope
Pralidoxime	Not in Scope
Procainamide-Pronestyl	Not in Scope
Prochlorperazine-Compazine	Not in Scope
Promethazine-Phenergan	Not in Scope
Sodium Bicarbonate	Not in Scope
Sodium Nitrite	Not in Scope
Sodium Thiosulfate	Not in Scope
Succinylcholine	Not in Scope
Terbutaline-Brethine	Not in Scope
Thiamine	Not in Scope
Toradol-Ketorolac	Not in Scope
Vasopressin-Pitressin	Not in Scope
Vecuronium-Norcuron	Not in Scope
Verapamil	Not in Scope
Add-In Drugs:

ALS Skills Performed] edit[
12 Lead Electrocardiograms	Not in Scope
12 Lead Interpretation	Not in Scope
Manual Defibrillation	Not in Scope
Transcutaneous Pacing	Not in Scope
Synchronized Cardioversion	Not in Scope
Valsalva Maneuvers	Not in Scope
Blood Draws	Not in Scope
Intervenous Catheters	Not in Scope
Insert Central Lines	Not in Scope
Access Central Lines	Not in Scope
Pericardiocentesis	Not in Scope
Needle Chest Decompression	Not in Scope
Chest Tubes	Not in Scope
Interosseous-Adult (IO)	Not in Scope
Interosseous-Pediatric (IO)	Not in Scope
Endotracheal Intubation-Adult	Not in Scope
Endotracheal Intubation-Pediatric	Not in Scope
Nasotracheal Intubation	Not in Scope
Rapid Sequence Intubation	Not in Scope
Retrograde Tracheal Intubation	Not in Scope
Needle Cricothyrotomy	Not in Scope
Surgical Cricothyrotomy	Not in Scope
Tracheal Suctioning	Not in Scope
Tracheal Meconium Suctioning	Not in Scope
Nasogastric Intubation	Not in Scope
Orogastric Intubation	Not in Scope
Therapeutic Hypothermia	Not in Scope
Episiotomy	Not in Scope
Escharotomy	Not in Scope