THE UNDISCOVERED COUNTRY
Steve Adkisson RN AEMT-P
Upstate Medical University
My Journey…….
I was happy
I love (still do) Trauma patients
Everything was fine
Then something horrible
happened
Then a strange
women appeared
Soooo….have you ever
thought of being a
Trauma Outreach
Coordinator
The serpent had indeed
come to Eden
WHAT IS TRAUMA OUTREACH
Off to research!!!
 Green Book definition
 Looked Online
 Looked at my community
GREEN BOOK
 CD17-1 Level I and II
centers , however, must
engage in public and
professional education
 CD 17-3 All Trauma
centers must be
involved in prevention
activities
 CD17-6 In Level I, II and
III trauma centers, the
hospital must provide a
mechanism to offer
trauma related
education to nurses
involved in Trauma care
 Cd-18-1 All trauma
centers, regardless of
resources must
participate in injury
prevention
 Intramural
 Education and development
 Extramural
 Community
 Injury Prevention
 Pre-Hospital Systems
 Professional Development
Education
 In House education
 Anyone who transfers
patients to you
 And other things
Intramural
 Promoting your service line in the
Hospital (we are not the ED)


What we are a trauma Center???!!!!
Trauma is a surgical issue
 Nursing Trauma Education



Real-time after action Debriefing
Trauma Resuscitation course
Auditing ATLS
 Be Readily available to the Hospital
staff
 Extramural
 Community
 Injury Prevention
 “Injury prevention is one of the
principle areas we can affect
Trauma outcomes”
 The science of Trauma
treatment has hit a plateau
 Injury Prevention is specific to
the needs of the community
 Data and QI (PIPS) Drive
injury prevention
PRIMARY INJURY
PREVENTION
 LNMBA Lets Not met by
accident
 Reality based injury awareness
program
 Includes area high schools
and colleges
 Held in house and out of
house
 60 classes a year
SECONDARY INJURY
PREVENTION
Helmet Safety Program
•Provides at cost
bicycle and ski
helmets
•State fair 4th year
running
•In 4 hours we fitted 750
children with helmets
•Educated some 3000 on
the need for brain safety
•Joint Venture with
Neurosurgery
 Professional
Development
Education
 ATLS Advance Trauma Life
Support

15-20 Courses a year
 RTTDC

2-3 a year
 Helicopter Training

2 a year
 Trauma Resuscitation Class

Monthly
 ATOM Course

2-3 a year
 Per fused cadaver Course
Syracuse Services
14 counties
28 hospitals
Farthest Northern Point
178 miles
 Outreach to your system
 Regional center that cover 28
Hospitals
 5 REMACS
 Meet annually with all Hospitals
that send you patients
 Review data
 RTAC
Regional Trauma Advisory
Committee
EMS Pre-Hospital
“You are not building a Trauma
Program you are building a
Trauma System”
Jeffrey P. Salomone, MD, FACS,
NREMT-P
 Establish a rapport and
working relationship with
EMS agencies
 Be involved in policy
development and committee
activity’s
 Meet with REMACS and
SEMAC
 Involve them in your QI
process
Look for Opportunities
Ft Drum
Initiative
•Training with and
training Ft Drum
medics
•Blackhawk Training
program
•Medic cadaver lab
•Medics in the ED
 The Outreach /Injury person is
 Your PR
 Marketing
 Eyes and Ears
 Troubleshooter
 Connection point to the Trauma
system as a whole
 Resource for everyone
 Beware line 26……………………