1996 Resolutions:

RESOLUTION # 96-01

NASEMSD Support of the

Graduated Driver Licensing System

WHEREAS, the U. S. Department of Transportations's National Highway Traffic Safety Administration (NHTSA) encourages states to implement a graduated driver licensing system to ease young drivers into the driving environment through more controlled exposure to progressively more difficult driving experiences and driver licensing stages, prior to full licensure, and

WHEREAS , in 1995, 6,220 young people, aged 15-20, died in motor vehicle crashes, and

WHEREAS, young drinking drivers are involved in fatal crashes at twice the rate as drivers aged 21 and older, and

WHEREAS, graduated licensing has been shown to reduce crashes among youthful drivers, and

WHEREAS , ten states have a three-stage licensing system and four states have two stages of licensing, and

THEREFORE, BE IT RESOLVED that the National Association of State EMS Directors supports graduated licensing systems.

Adopted in this form by unanimous vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

Wednesday, October 23, 1996

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RESOLUTION #96-02

National EMS Education & Practice Blueprint

WHEREAS, the National Association of State Emergency Medical Services Directors (NASEMSD) and National Council of State Emergency Medical Services Training Coordinators, Inc. (NCSEMSTC) endorsed the National EMS Education and Practice, and

WHEREAS, the NASEMSD and NCSEMSTC believe that the National EMS Education and Practice Blueprint is the basis for development of all the national standards, and

WHEREAS, the NASEMSD and NCSEMSTC believe that the National EMS Education and Practice Blueprint needs review, possible revision, and clarification, and

WHEREAS, the NASEMSD and NCSEMSTC believe that there is a need to consider other additional levels of out-of-hospital providers that may be different in name and/or scope of practice,

THEREFORE, BE IT RESOLVED that the NASEMSD and NCSEMSTC believe that the National EMS Education and Practice Blueprint Task Force be reconvened to address the issues of: 1) review possible revision, and clarification of National EMS Education and Practice Blueprint; 2) consider other additional levels of out-of-hospital providers that may be different in name and/or scope of practice; 3) address the development of a review process that takes into consideration establishing time frames for document review (both scheduled and emergency); and, 4) others as necessary.

Adopted in this form by unanimous vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

Wednesday, October 23, 1996

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RESOLUTION #96-03

National Training Standards

WHEREAS, the National Association of State Emergency Medical Services Directors (NASEMSD) and National Council of State Emergency Medical Services Training Coordinators, Inc. (NCSEMSTC) truly believe in and support the development and perpetuation of a National Training Standard for each level of, and all levels of, out-of-hospital providers in the United States of America and it's territories, and

WHEREAS, the NASEMSD and NCSEMSTC believe that the National Training Standard is the minimum cognitive, affective and psychomotor objectives necessary for training the specific levels of out-of-hospital providers, and

WHEREAS, the NASEMSD and NCSEMSTC believe that the National EMS Education and Practice Blueprint is the basis for development of all the National Training Standards,

THEREFORE, BE IT RESOLVED that the NASEMSD and NCSEMSTC recognize that the National Training Standards are the minimum cognitive, affective and psychomotor objectives contained in each of the curricula available from NHTSA and that the supporting documents (lesson plans and course guides) are guidelines for implementation by the various training programs.

Adopted in this form by vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

Tuesday, October 22, 1996

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RESOLUTION #96-05

NASEMSD CONCERNS WITH NATIONAL ACADEMY OF SCIENCES & EMS PERFORMANCE MEASURES

WHEREAS, the U S Department of Health & Human Services initiated a process of measuring health program outcomes as a result of the Government Performance & Reporting Act, and

WHEREAS, the Department of Health & Human Services established the Panel on Performance Measures and Data for Public Health Performance Partnership Grants for the purpose of collecting potential measures from individuals, professional organizations and governmental entities, and

WHEREAS , one of the targeted areas for inclusion in the Panel's work was emergency medical services (EMS), and

WHEREAS, the Panel has released their draft report in September of 1996, with a review and comment deadline of October 31, 1996, and

WHEREAS, the National Association of State EMS Directors has reviewed the draft outcome measure description for "Emergency Medical Services" contained in the document, and

WHEREAS, the membership of the National Association of State EMS Directors believes that the "rate of traumatic central nervous system injuries" with a numerator of traumatic brain injuries and a denominator of the total population of a state, can provide relevant information relating to injury prevention efforts.  However, the NASEMSD also believes this single performance measure is inadequate as an outcome measure of overall emergency medical services in a state or territory,

THEREFORE, BE IT RESOLVED that the National Association of State EMS Directors supports the concept of valid health outcome measures to provide assessment at the state level, but is in opposition of the use of the presently proposed measure for emergency medical services exclusively.

FURTHER, NASEMSD urges the Panel to work collaboratively with representative members of the national EMS community to develop meaningful outcome measures for emergency medical service programs.

Adopted in this form by vote of the membership, October 22, 1996:

President, Dan Manz

Secretary, Louise Goyette

Wednesday, October 23, 1996

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RESOLUTION # 96-07

Injury Control

WHEREAS, injury is the number one killer of persons age 1-44, and is a major epidemic affecting all age groups, and

WHEREAS, state and territorial emergency medical services offices are responsible for developing statewide EMS and trauma systems, and

WHEREAS, many state and territorial EMS offices are increasingly involved in developing injury prevention programs, and

WHEREAS, compared to other major public health problems, the amount of funding available for injury control programs is grossly inadequate to effectively address the injury epidemic,

THEREFORE, BE IT RESOLVED that the National Association of State EMS Directors requests that the U. S. Congress and all federal agencies involved in injury prevention and control programs work with NASEMSD and other national organizations involved in injury prevention and control to establish an adequate and ongoing source of funding for injury control programs at state and local health departments and EMS agencies, and

BE IT FURTHER RESOLVED, that the NASEMSD strongly recommends that federal funding for injury prevention and control be flexible enough to enable states to determine their own priorities.

Adopted in this form by unanimous vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

Tuesday, October 22, 1996

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RESOLUTION #96-08

NASEMSD Position on Public Access Defibrillation

WHEREAS, Sudden Cardiac Arrest is a major public health problem that results in over 350,000 deaths per year in the United States, and

WHEREAS, victims of Sudden Cardiac Arrest may be successfully resuscitated if certain interventions including defibrillation are delivered in a timely manner, and

WHEREAS, the response of Emergency Medical Services (EMS) personnel to patients in the community with Sudden Cardiac Arrest may at times be delayed in locations that are distant or are difficult to access, and

WHEREAS, the automated external defibrillator (AED) holds promise as a device that could be used effectively by the lay public (Public Access Defibrillation), and

WHEREAS , there is currently insufficient data as to the effectiveness, safety or costs of Public Access Defibrillation, and

WHEREAS, the American Heart Association is aggressively advocating legislation that encourages the placement of AEDs in public places and allows the lay public to administer defibrillation,

THEREFORE, BE IT RESOLVED that the National Association of State EMS Directors acknowledges the need for further scientific studies of the effectiveness, safety and costs of early defibrillation programs by the lay public, and

BE IT FURTHER RESOLVED that the National Association of State EMS Directors and individual state EMS directors should work collaboratively with the American Heart Association and other interested parties to ensure that the concept of early defibrillation is appropriately and expeditiously evaluated, and

BE IT FURTHER RESOLVED that the National Association of State EMS Directors strongly recommends that the American Heart Association postpone significant national or state legislative initiatives as well as widespread AED training of the lay public until further data are available.

Adopted in this form by vote of the membership, October 22, 1996:

President, Dan Manz

Secretary, Louise Goyette

Wednesday, October 23, 1996

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RESOLUTION #96-10

Funding for National Research

WHEREAS , it is a goal of the National Association of State Emergency Medical Services Directors (NASEMSD) to encourage research and evaluation in all areas of EMS, and

WHEREAS, NASEMSD was a participatory member of the National Highway Traffic Safety Administration (NHTSA) EMS Agenda for the Future project, and

WHEREAS, the EMS Agenda for the Future project calls for the involvement and/or support of EMS research by all those responsible for EMS structure, processes, and/or outcomes, and

WHEREAS, there is currently insufficient information regarding factors contributing to knowledge and skill retention for EMS personnel,

THEREFORE, BE IT RESOLVED that the National Association of State EMS Directors encourage the President, Congress, and the federal government to allocate funding to enable national research to answer questions concerning which factors impact skill and knowledge retention by EMS personnel, and

BE IT FURTHER RESOLVED if funding becomes available for nationwide research, that the NASEMSD would participate fully with in-kind contribution.

Adopted in this form by unanimous vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

Wednesday, October 23, 1996

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RESOLUTION #96-12

Endorsement of the EMS Agenda for the Future

WHEREAS, the purpose of the EMS Agenda for the Future is consistent with the mission and goals of the National Association of State Emergency Medical Services Directors (NASEMSD), and

WHEREAS, the NASEMSD was a participatory member in the development of the EMS Agenda for the Future, and

WHEREAS, the EMS Agenda for the Future is a guiding document for development of EMS systems beyond the turn of the century,

THEREFORE, BE IT RESOLVED that the National Association of State EMS Directors endorses the EMS Agenda for the Future and agrees to use it and to encourage its use among the broad EMS community, to the extent possible, as guidance for the continued evolution of EMS.

Adopted in this form by unanimous vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

Wednesday, October 23, 1996

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RESOLUTION #96-13

Elimination of the term Motor Vehicle "Accident"

WHEREAS, unintentional injury is a major source of trauma in the United States and motor vehicle crashes are the leading cause of unintentional injury, and

WHEREAS, in educating the American public about the need for motor vehicle injury prevention initiatives, it is essential that motorists recognize that motor vehicle injury is preventable.  Therefore, motor vehicle crashes should not be referred to as "accidents", a term that implies unpreventabililty, and

WHEREAS, the National Highway Traffic Safety Administration, has announced that it will strive to educate the public of the need to replace the term "accident" with the more accurate term "crash",

THEREFORE, BE IT RESOLVED that the National Association of State EMS Directors will support NHTSA's efforts to educate the American public that motor vehicle injury is preventable and about the need for appropriate terminology when referring to motor vehicle crashes, and

BE IT FURTHER RESOLVED that the National Association of State EMS Directors will strive to eliminate the term "accident" and utilize the term "crash" in the organization's communications and publications and to encourage similar efforts by the broad EMS community.

Adopted in this form by unanimous vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

Wednesday, October 23, 1996

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RESOLUTION #96-14

Administration of the Emergency Medical Services

WHEREAS, the National Association of State EMS Directors (NASEMSD) recognizes EMS is increasingly being integrated with other components of the health care delivery system, and

WHEREAS, the NASEMSD has observed this increased integration frequently resulting in fragmentation of state lead EMS agency authority and responsibility through the transfer or discontinuation of the administration of vital EMS System components, and

WHEREAS, the NASEMSD endorses the ten EMS System components identified by the National Highway Traffic Safety Administration (NHTSA) which include: Regulation and Policy; Resource Management; Human Resources and Training; Transportation; Facilities; Communication; Public Information and Education; Medical Direction; Trauma Systems; and Evaluation, and

WHEREAS, the NASEMSD supports the NHTSA model of assuring that the necessary components of a successful EMS System are coordinated by a single state EMS lead agency, and

WHEREAS, the National EMS for the Future Agenda reinforced the above core components and expanded them to include: EMS System Finance; EMS Information Systems; EMS Research; and Integration of Health Services; and

WHEREAS, the NASEMSD believes that state EMS lead agencies must retain their authority and responsibility for the all of the identified components of a comprehensive EMS System,

THEREFORE, BE IT RESOLVED, that the NASEMSD urges other EMS organizations and constituencies to adopt and promote the philosophy that state lead EMS agencies must possess  the authority and responsibility for all of the core components of an EMS System, and

BE IT FURTHER RESOLVED, that the NASEMSD supports the need, now more than ever, for state EMS lead agency participation in future public policy decisions relating to EMS and its integration into the health care delivery system.

Adopted in this form by unanimous vote of the membership, October 23, 1996:

President, Dan Manz

Secretary, Louise Goyette

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