Nassau Regional Emergency Medical Advisory Committee

Nassau Regional Emergency Medical Advisory Committee
RE M AC M eeting Summ ary
June 4, 2014
Present
Physician Members
Bernard Beckerman, M.D.
Exc
Anthony Boutin, M.D.
X
Allen Cherson, D.O.
Exc
Nenad Grlic, D.O.
X
John J. Hassett, Jr. M.D.
X
X
Neil B. Kirschen, M.D.
X
David S. Kugler, M.D. SEMAC
X
Josh Kugler, M.D.
Chair
Audi Liametz, M.D.
Josh Moskovitz, M.D.
X
Victor Politi, M.D.
John C. Rohe, M.D.
X
James Ryan, M.D.
Exc
Mark Safford, M.D.
V.C.
Exc
Joseph Stambouly, M.D.
Exc
Grace Ting, M.D.
Sec.
Exc
John Zaso, M.D.
X
Michael Zimmerman, M.D.
Joseph A. Zito, M.D.
Exc
Other Members
Present
Kenneth Adams, RN, EMT-P
Frank Chester, EMT-CC
Ann DeSimone, RN
Sean Finnegan, RN,EMT-P
Scott Glazer, EMT-CC
Mary Harms
John J. Hassett, EMT-CC
Ernest Heeren, EMT-CC
Judith Jax, R.N.
Thomas Kwiatkowski, MD
David Linzer, RN
Paul Napoli, EMT-CC
Evelyn Mulvaney
Vincent Papasodero, EMT-CC
Barry Rigney, RN, EMT-P
Vincent Stracuzzi, MD
Peter Timinelli, EMT-P
Jane Weiss, EMT-CC
Exc
X
X
Exc
X
X
X
X
X
X
X
X
Exc
X
Guest Physicians
Guests
Brian Sherwood, NYS DOH
Bernard Panzer, NYS DOH
Neal Smith
Richard Hush
X
X
X
X
Alan Schwalberg
X
Guests
Thomas Mastakouris
X
Call To Order
Call to order at 2:35PM by Dr J. Kugler, Chairman. Meeting held at Nassau Medical Society.
Approval of Minutes
MOTION to approve minutes of April 2, 2014, by Beckerman/Kirschen – passed unanimously.
In-coming: -- -- C. Robinson – Resignation from REMAC
o Dr. D. Murphy – Resignation from REMAC
o P. Timinelli – Response to request for member intentions
o Dr. A. Boutin – Response to request for member intentions
o REMSCo – Appointment of non-voting REMAC members
o NYS BEMS – Equipping Law Enforcement Officers with Naloxone
o Hempstead FD – Request to use Red Alert ePCR software
6/4/2014 – Nassau REMAC – 2 of 3
Oyster Bay FD – Request to use emsCharts ePCR software
Sea Cliff FD – Request to use emsCharts ePCR software
D. O’Grady – Resignation from REMAC Non-voting Membership
E. Mulvaney – Request Non-voting membership on REMAC
o Liametz – Resignation from REMAC Voting Membership
o
o
o
o
Out-going: -- P. Timinelli – Requesting Intentions re: REMAC Membership
o
o
o
o
G. Sikorski – Requesting Intentions re: REMAC Membership
C. Robinson – Requesting Intentions re: REMAC Membership
D. O’Grady – Requesting Intentions re: REMAC Membership
So. Farmingdale FD – Approved to operate at EMT-P Level
REPORTS
Chairman – (JK) – ACS trauma designation – all hospitals that applied for Level 1 may wind up with Level
2 designation.
SEMAC – (JK) – SEMAC has a meeting scheduled for tomorrow.
Q.I. Subcommittee – (BB) – Nothing to report.
Protocol Subcommittee – (JR) – No meeting.
Credentials Subcommittee – (DK) – Working on credentialing of MedCon physicians with the new
protocols.
Policy Subcommittee – (NK) – Met and we have 2nd motions to be presented under Unfinished
Business.
Regional Trauma Advisory Committee – (JJ) – No report.
Unfinished Business
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Medication Shortage – Drug shortages list was provided, some discussion but no resolution
to problem.
2nd Motion from Policy Subcommittee to revise Procedure II.G ALS Care Rendered Outside
Affiliated Agency’s Operating Certificate – Passed unanimously.
2nd Motion from Policy Subcommittee to revise Policy I.H Patient Transfer Guidelines –
Hassett/Zaso proposed change to remove “Standing Order” from paragraph III.A last line –
Passed unanimously with change.
2nd Motion from Policy Subcommittee to revise Policy I.E Drug & Equipment Exchange List –
Passed unanimously
2nd Motion to modify Protocol Appendix C to indicate quantities needed on ambulance and
storage and remove optional “//” for Sodium Bicarb and add optional “//” for Sodium
Thiosulfate, Hassett/Zaso proposed change to add a remark that when there is more than
one medication within a given class of medication the “Agency Medical Directors have
authority to decide which of the medications will be carried within a class of medications” –
Passed unanimously with change.
REMAC Voting Member actions – Motion by Hassett/Kirschen to request reappointment of
Dr. Boutin to voting member status – Passed unanimously. Motion by D.Kugler/Hassett to
request appointment of Dr. Kwiatkowski and Dr. Stracuzzi from non-voting membership to
voting membership – Passed unanimously. Motion by Hassett/D.Kugler to request
appointment of Dr. Axelrad (WUH) to voting membership – Passed unanimously.
6/4/2014 – Nassau REMAC – 3 of 3
New Business
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Hempstead FD – request to use Image Red Alert (Alpine) ePCR software and Oyster
Bay and Sea Cliff FD’s request to use emsCharts ePCR software – Motion to approve
request – D.Kugler/Hassett – passed unanimously.
Controlled substance requirement for System Medical Director to be listed – Brian
Sherwood and Bernard Panzer, NYS DOH BEMS Metro, were present and Brian
indicated that this could be interpreted as being an agency’s medical director but the
issue was still open to interpretation, will try to get further clarification.
Nasal naloxone – Barry Rigney raised issue that a FD Chief Officer is carrying & using
naloxone.
CPAP and other new equipment – Scott Glazer raised issue that the field is raising
question about the new equipment added to the protocols and training/use – J.Kugler
indicated that he would work up an “best practices” document. In the meantime any
questions should be referred to B. Sherwood.
Announcements
Bernard “Butch” Panzer (212-417-4455) was introduced by B. Sherwood, he is the replacement
for Bob Iovine who retired.
Motion to adjourn – Beckerman/Kirschen – meeting adjourned at 15:45PM.
Next Meeting Date:
Wednesday, August 6, 2014 at Medical Society Building –
1200 Stewart Avenue, Garden City

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