2. MISSOURI BUREAU OF Inspect, License, Accredit and Investigate: 218 Ground ambulance services. 13 Air Ambulance Services. 324 EMS Training Entities 16,016 EMT-Basics 40 EMT-Intermediates 7,815 EMT-Paramedics EMERGENCY MEDICAL SERVICES

3. THE FOUNDATION FOR THE SYSTEM LIVES IN 190.243.1 RSM O. shall shall shall “Severely injured patients shall be transported to a trauma center. Patients who suffer a STEMI, as defined in section 190.100, shall be transported to a STEMI center. Patients who suffer a stroke, as defined in section 190.100, shall be transported to a stroke center.”

4. 19 CSR 30-40.790 Establishes protocols for transporting suspected stroke or STEMI patients by severity and time of onset to the Stroke or STEMI center where resources exist to provide appropriate care. Transport Protocol for Stroke and STEMI Patients “SATATE TRANSPORT PROTOCOL”

5. 19 CSR 30-40.770 COMMUNITY BASED OR REGIONAL PLAN FOR EMERGENCY MEDICAL SERVICES FOR TRAUMA, STEMI OR STROKE. The rule establishes the procedures for submission of a community based or regional plan for the transportation of patients to a stoke, STEMI or trauma centers.

6. Les Jobe, MBA Missouri Department of Health & Senior Services Division of Regulation and Licensure Bureau of Emergency Medical Services Les.Jobe@health.mo.gov (573) 751-6356