1. EMS Physicians
“We still make house calls!”
Jay MacNeal, DO, MPH, NREMT-P
EMS Medical Director

2. MD-1 Basics
• 2012 Chevy Tahoe
• Certified Emergency Vehicle
– Emergency lighting/Siren
– Rock and Walworth County Public Safety Radios
– Maps/GPS
– Personal Protective Equipment
– Extrication Equipment
– Rehab supplies

3. MD-1 Medical Equipment
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LUCAS 2 Mechanical CPR Device
Zoll X Series Monitor
Glidescope Video Intubation
Medications with secure storage
Chest tubes
Tourniquets
Field Amputation Equipment
Triage Kit
Field Trial Equipment

4. MD-1 Medical Equipment

5. MD-1 Integration into EMS System
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Approval from State EMS Office
Emergency Vehicle Permit from RCSO
Approval of radio use by 911 and local Chiefs
Meeting with Fire, EMS, Law Enforcement
MD-1 and equipment part of EMS training
MD-1 at disaster drills and mass gatherings

7. MD-1 Activation
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Request from Incident Commander to 911
Mercy Switchboard receives call from 911
IRM page and cell text to MD-1 Physicians
MD-1 responds to page and responds
EMS physician talks to crews enroute to scene

8. MD-1 Responses
• 6 Tactical EMS
– Difficult airways managed with MD-1 resources
• 20 MVAs
– Patients triaged and treated with MD-1 resources
• 1 Pediatric PNB
– Survived!
• 5 STEMI
– MD-1 driving by at dispatch time
• 40 PNB
– Persistent VFIB treated with MD-1 resources, Survived!
– Blizzard conditions required MD-1 four wheel drive
• 15 Medical Calls

9. MD-1 First Official Request

11. MD-1 I43 Southbound

15. Prolonged Incidents

24. MD-1 Community Relations
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FM and AM radio interviews
Gazette articles
Local Vision TV interview
Farm Rescue Training Article
Numerous Community Events
FD Open Houses
NAEMSP Lecture on MD-1
Describing the program at gas pumps

25. Comments from the Field
• “He’s more like a Paramedic than a real
doctor”
• “It’s nice to have an extra set of hands”
• “I was nervous you’d come and try to take
over, now I see that you’re just there to help”
• “That was my first field intubation, and I felt
better having a doc there for me as backup”

26. System Changes
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LUCAS 2 Deployment
Video Intubation Evaluation On Going
RSA medication and protocol change
Instant feedback/QA
On call EMS Physician cell phone
Increased respect for EMS field activities

27. EMS Future
• EMS Subspecialty
• Community Paramedics
• Managed Care
Stay Safe and Thank You for all that you do for
your community and patients!