1. Prepared by the Division of Emergency Medical Services Refresher Course Medical Incident Report Form Education Module for 2008 Prepared by the Division of Emergency Medical Services

2. Education Module Goals Refresh EMS personnel on why the MIRF is important Update EMS personnel on changes to the 2008 MIRF

3. Education Module Contents Basic information & general instructions Cardiac arrest highlight 2008 MIRF changes

4. Basic Information & General Instructions

5. Why the MIRF is Important Medical –The entire MIRF (both electronic form and paper ‘short form’) is part of the patient’s medical file. –The MIRF transfers information between patient care providers. Legal –Confidentiality –Patient Refusal –MIRF Signature

6. Why is the MIRF is Important (continued) Quality Review Planning/Funding –Medic unit placement, levy funding Research –Resuscitation Outcome Consortium (ROC) –Supporting Public Health with Emergency Responders (SPHERE)

7. Components of a Good Report Completeness –All available information regarding the incident or patient care should be recorded. Accuracy –Describe exactly what happened. Correct spelling Legibility (on paper forms)

8. Components of a Good Report (continued) Narrative: use S.O.A.P format: –Subjective –Objective –Assessment –Plan

9. Basic Instructions An electronic record is created by CAD/Dispatch for every call/incident. When completing the paper (short) form in the field, use a ball point pen & press hard enough to mark through all copies. Complete the electronic record verifying that the CAD information is accurate. Refer to your agency protocols regarding exceptions to completing the paper (short) form. Agencies using the paper (long) form should complete a form for every call/incident.

10. MIRF Pages Agency copy EMS copy Medical Review copy Patient copy Cardiac worksheet (Short Form Only): A reminder sheet to assist EMS Personnel in collecting CPR data in the field. May be discarded.

11. Completing the MIRF The person who provided primary care should: Sign your name Print your name Write your EMS number

12. Follow the instructions on the back of the MIRF. Fill in patient’s name, and the date. Read the statement slowly & clearly to the patient. Ask if they understand what it says. Have the patient/guardian sign in the appropriate spots. If patient/guardian refuses or you are unable to obtain a signature, make a note to that effect. Obtain a signature from a witness and note their EMS agency affiliation or address. Patient Refusal

13. Cardiac Arrest Highlight

14. Research findings from cardiac arrest data have improved patient care and saved lives. When CPR is performed by EMS personnel, fill out the ENTIRE CPR section including: Was cardiac arrest witnessed? Did patient arrest after EMS arrival? Who initiated CPR? Was AED/PAD used? What was the initial arrest rhythm? Did paramedics cease resuscitation upon arrival? Estimated elapsed times Time of return of spontaneous circulation What was the patient outcome?

15. Cardiac Arrest Highlight (cont.) Cardiac Arrest Witnessed If someone directly saw or heard the patient collapse, then the arrest is considered witnessed and you should mark “Yes”. If the patient’s collapse was not seen or heard, but found after an unknown length of time, it is considered unwitnessed and you should mark “No”. Arrest After Arrival of EMS Personnel Did the arrest occur after the arrival of emergency personnel?

16. Cardiac Arrest Highlight (cont.) CPR Initiated By Indicate the first person to begin CPR: 1 First Responder/Police 2 Fire Department (BLS) 3 Paramedic (ALS) 4 Ambulance 5 MD/RN 6 Citizen with Dispatch Assistance 7 Citizen without Dispatch Assistance 8 CPR Not Attempted

17. Cardiac Arrest Highlight (cont.) AED/PAD Used Was AED/PAD used? 1 Citizen – No Shock 2 Citizen – Shock 3 First Responder/Police – Shock 4 First responder/Police – No Shock

18. Cardiac Arrest Highlight (cont.) Initial ECG Rhythm First observed cardiac rhythm by paramedic: 01 Sinus Rhythm 02 Asystole 03 PEA 04 Other 05 Atrial Fibrillation 11 Ventricular Fibrillation 12 Ventricular Tachycardia U0 Unknown

19. Cardiac Arrest Highlight (cont.) Paramedics Cease Resuscitation On Arrival Indicate if resuscitation was ceased by paramedics within the first few minutes of arrival on scene due to DNR orders, compelling reasons, or conditions not compatible with life. Estimated Elapsed Time (minutes) from Collapse to Call For witnessed arrest only; the estimated number of minutes between collapse of the patient and the reporting party reaching the correct agency by phone. If the collapse was unwitnessed or you cannot estimate the time, do not enter anything.

20. Cardiac Arrest Highlight (cont.) Estimated Time (minutes) from Collapse to CPR For witnessed arrests only, the estimated number of minutes from the patient’s collapse to the time CPR was initiated. Time Return of Spontaneous Circulation Time of the return of any palpable pulse. A palpable pulse would be one detectable by manual palpation of a major artery, usually the carotid.

21. Cardiac Arrest Highlight (cont.) Patient Outcome Complete for all cardiac arrest patients. 01 DOA 02 Expired at Scene (including during transport) 03 Admitted to ER 04 Expired at ER 05 Admitted to Hospital 06 Unknown

22. Cardiac Arrest Highlight (cont.) When CPR is performed… –Mail the red copy of the MIRF and a printout of your electronic record to the EMS Division within 4 days of the event.

23. 2008 MIRF Changes Incident Data (in alphabetical order) Patient Data (in alphabetical order)

24. Initial (Incident) Dispatch Code (IDC) The IDC is received from the dispatch center that dispatched your unit. If no IDC is given or obtainable, leave blank. Incident Data

25. Response Delay Type The response delays, if any, of the unit associated with the patient encounter. Incident Data (cont.) 130 Directions 140 Diversion 150 None 160 Safety 170 Traffic 180 Vehicle Failure 125 Crowd 135 Distance 145 HazMat 155 Other 165 Staff Delay 175 Vehicle Crash 185 Weather

26. Incident Data (cont.) Response Mode

27. Patient Data 1 Exam Only: Examined but no treatment performed 2 Exam & Assist: Treatment/medical assistance given 3 No Exam: Did not examine patient 4 Patient Refused Exam, Treatment, and/or Transport 5 Service Aid/Patient Assist: Patient needed help but did not need exam Action Taken

28. Flow Chart Patient Data (Cont.) Time Blood Pressure Pulse Rate Respiratory Rate ECG Rhythm* Oxygen* Pulse Oximetry Glucometry IV fluids (liters) DC Shock/AED Used Medications *Revised data elements (see next slide)

29. Flow Chart (cont.) Patient Data (Cont.) ECG Rhythm* 01 Sinus Rhythm 02 Asystole 03 PEA 04 Other 05 Atrial Fibrillation 11 Ventricular Fibrillation 12 Ventricular Tachycardia U0 Unknown

30. Flow Chart (cont.) Patient Data (Cont.) Oxygen Mechanism* 1 Non-rebreather 2 Nasal Cannula 3 Bag Valve Mask 4 Blow-By 5 Other (see Narrative) 6 BVM + ITD The notes section of the flow chart can be used for notes or for extended flow chart information

31. Mass Casualty Incident Indicates if existing EMS resources were overwhelmed and event was considered an MCI. MIRF Number Indicates pre-printed unique number located on MIRF Patient Data (Cont.)

32. Procedures Check all boxes for procedures performed. For procedures 12-31 only: write the procedure number and the EMS number of the person who performed the procedure Procedure: 36 – 12 Lead Procedure: 37 – End Tidal CO2/Capnography Patient Data (Cont.)

33. Transport Delay Type The transport delays, if any, of the unit associated with the patient encounter Patient Data (Cont.)

34. Prepared by the Division of Emergency Medical Services Medical Incident Report Form Education Module for 2008 Prepared by the Division of Emergency Medical Services THE END Refresher