preface e t - ms state department of healthmsdh.ms.gov/msdhsite/_static/resources/2642.pdfsystem is...

Emergency Medical Services, Report 2001, is acontinuation of the Division of Emergency Medical

Services’ ongoing assessment of Mississippi’semergency medical system. The Emergency MedicalServices Annual Report captures EMS activities througha year in review chapter, an overview of the MississippiEMS Operating Fund, and a yearly run report andprovider information. An addition to the report is asection pertaining to trauma, a rapidly expandingprogram within DEMS.

The Division of EMS dedicates performance toensuring high quality EMS care for all

Mississippians. Proper training and testing, inspectionsand surveillance for proper equipment and cert i fied staff ,and monitoring skills performed through the ru nr e p o rting system contribute to that assurance. The data isused by many entities in Mississippi, as well asn a t i o n a l ly. Mississippi’s prehospital data collectionsystem is one of the best in the country.

To use Emergency Medical Services, Annual Report2001, the reader should refer to —

Chapter 1 Mississippi Emergency MedicalServices Operating Fund

Chapter 2 Providers of Mississippi EMS

Chapter 3 Mississippi Emergency MedicalServices Information System

Chapter 4 Mississippi Trauma Care System

Chapter 5 Emergency Medical Services forChildren

Chapter 6 County Information

i

Preface

The Mississippi Emergency Medical ServicesOperating Fund (EMSOF) was established in 1982

through legislation that added $5 to fines assessedstatewide on hazardous moving traffic violations. Thefunds are then distributed per capita to eligiblegovernmental units (cities, counties, EMS districts) forlocal level EMS support. DEMS has administered theEMSOF since its establishment.

DEMS makes disbursements annually upon requestfrom each governmental unit. According to law,

these distributions must be used in addition to existingannual emergency medical services budgets of thegovernmental units.

Collections in fiscal year 2001 totaled $2,014,725 anddisbursements of $1,001,663 were distributed to one

EMS district, 7 cities, and 62 counties ruled eligible.

EMSOF Disbursements

The criteria used for determining priority for localexpenditures follow:

• Basic Life Support – To increase the availabilityand/or improve the quality of basic ambulanceservice as described in Sections 41-59-1 through41-59-49 of the Mississippi Code of 1972 asamended.

• Advanced Life Support – To increase theavailability and/or improve the quality ofadvanced life support services as defined inSections 41-60-11 through 49-60-13 of theMississippi Code of 1972 as amended.

• Regionalization – To support or increase supportfor the establishment, administration, and/orexpansion of EMS districts as defined in Sections41-59-51 through 41-59-59 of the MississippiCode of 1972 as amended.

The total collections since 1983 are $23,385,697;disbursements since 1984 are $20,814,793. Use of

the cumulative EMSOF disbursements are categorizedbelow.

Item Amount PercentAmbulances . . . . . . . . . .$7,724,297 . . . . . . . .38Escrow . . . . . . . . . . . . . . .$2,751,702 . . . . . . . .13ALS Equipment . . . . . . . .$2,066,751 . . . . . . . . .9Communications . . . . . . .$1,560,895 . . . . . . . . .8Personnel . . . . . . . . . . . . .$1,244.936 . . . . . . . . .6Training . . . . . . . . . . . . . .$1,277,316 . . . . . . . . .6BLS Equipment . . . . . . . .$1,037,151 . . . . . . . . .5Districts . . . . . . . . . . . . . .$1,061,521 . . . . . . . . .5Support Services . . . . . . .$1,777.056 . . . . . . . .10

FY’01 utilization remained similar to previous years,with 34 percent of funds purchasing new ambulances

or paying lease-purchase notes on ambulances.

Item Amount PercentAmbulance . . . . . . . . . . . . .$345,501 . . . . . . . .34Support Services . . . . . . . .$158,306 . . . . . . . .16Escrow . . . . . . . . . . . . . . . . .$86,090 . . . . . . . . .9ALS Equipment . . . . . . . . .$290,256 . . . . . . . .29Communication . . . . . . . . . .$50,568 . . . . . . . . .5Districts . . . . . . . . . . . . . . . .$18,295 . . . . . . . . .2Training . . . . . . . . . . . . . . . .$52,645 . . . . . . . . .6

1

Chapter 1 Emergency Medical Services Operating Fund

2

14 13

8

4

103

9

5

15

12

16

2

176

7

11

1

Chapter 2Providers Of Mississippi EMS

Personnel certified by the Credentialling Branch ofDEMS provide emergency medical care in

Mississippi. DEMS is responsible for ensuring thatquality emergency medical care is provided throughcoordination of training for all levels of emergencymedical technician (EMT) and EMS-Driver (EMS-D)certification, which is required for drivers of ambulancevehicles. Training for the EMS-D includes classroomand vehicle operation.

Branch staff also test all EMT candidates and certifythose who meet the required educational standards.

DEMS uses the National Registry of EmergencyMedical Technicians’ (NREMT) examination system.All levels of EMTs in Mississippi must performNational Registry practical skills and pass a writtenexamination to be certified. Mississippi adheres to thethree national standard levels of training for the EMT:

• EMT-Basic (EMT-B)• EMT-Intermediate (EMT-I)• EMT-Paramedic (EMT-P).

Numbers of certified personnel at each level in eachcounty are listed in the county summaries.

Emergency Medical Technician – Basic

EMT-Basic (EMT-B) is the first level of training inthe Emergency Medical Technician career structure.

The course covers all techniques of basic life supportand provides a solid foundation for care of injured or illpatients in the prehospital setting. The minimumclassroom time for the EMT-Basic course is 110 hours.Each student must also document five emergencyambulance runs and 10 hours clinical training tocomplete the course.

With the cooperation of the Gove rn o r ’s HighwaySafety Program, the Mississippi State

D e p a rtment of Health, the American College ofS u rgeons-Mississippi Committee on Trauma, and theMississippi Chapter of the American College ofE m e rg e n cy Physicians, the Mississippi Vo c a t i o n a l -Technical Education Division of the Department ofEducation offers the EMT-Basic training coursethrough the Mississippi Community College system.Also, approved A d vanced Life Support trainingp r ograms are authorized to provide EMT-B training. Inaddition to national training standards, state guidelinesassure standardization among all in-state EMT- Bc o u r s e s .

The map to theright indicates

the locationof educationalinstructionfacilitiesfor theEMT-Basicprogram.

1 – Coahoma Community College2 – Co-Lin Community College3 – East Central Community College4 – East Mississippi Community College5 – Forrest General Hospital6 – Hinds Community College7 – Holmes Community College8 – Itawamba Community College9 – Jones County Junior College

10 – Meridian Community College11 – Mississippi Delta Community College12 – Mississippi Gulf Coast Community College13 – Northeast Community College14 – Northwest Community College15 – Pearl River Community College16 – Southwest Community College17 – University Medical Center

3

5

2

3

1

4

6

7

8

Most Mississippi community colleges offer EMT-Basic courses within their college

district boundaries via satellite campuses.

In FY’01, 54 separate courses were provided throughthe community college system in Mississippi,

resulting in 506 individuals completing the course. Uponcompletion of an approved EMT course and verificationof competence in each of the required practical skillareas, students may apply to take the National Registryexamination, which is given four times a year. In FY’01,462 exams were administered with 240 passing scores of70 percent or greater — a pass rate of 52 percent.

The number of certified EMT-Bs in Mississippiis shown.

Year BasicsFY’99 . . . . .1,464FY’00 . . . . .1,343FY’01 . . . . .1,739

E m e r g e n cy Medical Technician —Basic

EMT-Intermediates (EMT-I) provide skills of EMT-Basics plus limited Advanced Life Support (ALS)

skills (defibrillation, initiate IV fluids, draw bloodsamples, and limited advanced airway management).The EMT-I training program includes a minimum of 150didactic hours, 40 hours of clinical, and 40 hours fieldexperience.

EMT-Paramedics (EMT-P) provide the highest level ofprehospital care. In addition to EMT-I skills, EMT-

Ps are trained to perform advanced cardiac resuscitation,medication, and advanced IV therapy for medical andtrauma emergencies along with advanced airwaymanagement. In addition to EMT-I, minimum hours forEMT-Paramedic training are 1,200 didactic, 250 clinical,and 250 field experience.

Mi s s i s s i p p i ’s eight A d vanced Life Support (ALS)educational programs teach at both the EMT-

I n t e rmediate and EMT- Paramedic levels. The U. S .D e p a rtment of Tr a n s p o rtation curriculum serves as thestandard for advanced training. Mississippi requiresALS training programs to be accredited by the JointR ev i ew Committee on Educational Programs for theE M T- Paramedic (JRCEMT-P), a branch of theCommission on Accreditation of Allied HealthEducational Programs (CAAHEP). All eight schools aref u l ly accredited.

The map illustrates thein-state distribution

of ALS educationalprograms.

1 – Forrest General Hospital

2 – Itawamba Community College

3 – Jones County Junior College

4 – Mississippi Gulf Coast Community College

5 – Northwest Community College

6 – Southwest Mississippi Regional Medical Center

7 – University Medical Center

8 – Holmes Community College

42 5 1 725

915

5174

526

127

4 6

346362

4

148

14

1 219

31332

1487824

55

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12252

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612

1 9 12 5 7 19 2 4

10621

586 51

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311

65 6 4 6 1618

7

837

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72416

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674108

2

154

18

68 11

271471

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148

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38

266 11 1

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3427

781

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98

113 5 5

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496

448

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22411

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231

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13

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111672

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3 3

5

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4

Concurrently, 89 exams were administered for theEMT-Intermediate with 67 passing scores resulting

in a 75 percent pass rate. For the EMT-Paramedic, 106exams were given with 58 students passing with a 55percent pass rate.

Below are the numbers of certified EMT-Is and EMT-Ps over the past three years.

Inter- Para-Year mediates medics

FY’99 . . .283 . .1,049FY’00 . . .240 . .1,143FY’01 . . .243 . .1,295

EMT-Intermediates Certified Livingin Each County.

EMT-ParamedicsCertified Livingin Each County.

Emergency Medical Services – Driver

Mississippi requires drivers of ambulance vehicles tobe EMS-Driver certified. Driver programs must

adhere to the U.S. Department of TransportationTraining Program in Operation of Emergency Vehicles.A number of other driver programs meeting thisstandard have been approved by DEMS. Approvedprograms in Mississippi include:

• Allsafe• Emergency Vehicles Operators Course• National Academy of Professional Driving• National Institute of Fire & EMS • National Safety Council (Coaching the

Emergency Vehicle Operator)• U. S. Fire Administration (Emergency Vehicle

Driving Training)• Volunteer Fire Insurance Service.

The chart below indicates the number of Mississippicertified EMS Drivers.

Compliance with MississippiEMS Law, Rules, and Regulations

The compliance branch assures compliance with thestate EMS Law, Rules, and Regulations. This

includes the licensing of ambulance services andinspection of vehicles. The compliance branch licensesambulance services by their level of care. The levelsinclude:

• Invalid Transfer

• Basic Life Support (BLS)• Advanced Life Support-Intermediate (ALS-

Intermediate)

• Advanced Life Support-Paramedic (ALS-Paramedic).

The Invalid Transfer level offers:• At minimum an EMS Driver • Transportation of non-emergency patients.

The Basic Life Support (BLS) level offers:• At minimum an EMS Driver and one EMT-Basic• Transportation of emergency and non-emergency

patients in prehospital and/or interfacilitysituations.

The Advanced Life Support-Intermediate (ALS-Intermediate) offers:

• At minimum an EMS Driver and one EMT-Intermediate

• Transportation of emergency and non-emergencypatients in prehospital and/or interfacilitysituations

• Administration of basic fluids through intravenouslines

• Cardiac defibrillation and/or more aggressiveairway management.

The Advanced Life Support-Paramedic (ALS-Paramedic) level offers:

• At minimum an EMS Driver and one EMT-Paramedic

• Transportation of emergency and non-emergencypatients in prehospital and/or interfacilitysituations

• Advanced airway management, cardiacmonitoring, drug therapy and/or advancedtechniques that exceed the level provided by anALS-Intermediate service.

Level of Ambulance ServiceLicensure in Mississippi

The compliance branch of the Division, understatutory authority of the Mississippi Annotated

Code, licenses ambulance services by location andissues permits for each vehicle operated. Licenses areissued for ground or air ambulance services. The graphillustrates the number of licensed ambulance services forFY’99, FY ‘00 and FY’01. These numbers arerepresented as fiscal years (July 1 – June 30).

In Mississippi, corporate ambulance service ownershipexceeds the number of hospital and government

owned ambulance services. This trend is similar to thenational trend towards privatization. However, 51 ofMississippi’s EMS providers are still hospital based,which include public, private, non-profit, church, andpublic-lease hospitals.

Service OwnershipCorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Volunteer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Total Services . . . . . . . . . . . . . . . . . . . . . . . . . . . .96

Paramedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72

Basic Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Intermediate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2Invalid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Critical Care Life Support-Air . . . . . . . . . . . . . . . . .3

Total Services . . . . . . . . . . . . . . . . . . . . . . . . . . . .90

5

6

Every ambulance vehicle permitted in the State ofMississippi is inspected an average of four times

annually to ensure compliance with EMS Law, Rules,and Regulations. The total number of ambulancespermitted for the fiscal years 1999, 2000 and 2001follow:

Included in this number are invalid vehicles, groundambulances, air ambulances, intensive care, and special

use ve h i c l e s .

Air Ambulance Service

Eight licensed providers offered air ambulanceservices in Mississippi for FY’01

• Acadian Air Medical Services, Lafayette,Louisiana

• Air Evac Lifeteam, Jackson, Tennessee• Hospital Wing, Memphis, Tennessee

• North Mississippi Medical Center AmbulanceService, Tupelo, Mississippi

• Ochsner Flight Care, New Orleans, Louisiana • Southeast Air Ambulance District, Hattiesburg,

Mississippi

• U n iversity Medical Center — Aircare, Jackson,M i s s i s s i p p i

• Critical Care Tr a n s p o rt, Birmingham, A l a b a m a

Air service is provided through helicopter and fixedwing aircraft. Seven licensed helicopter services

provide emergency scene flights to designated areas ofthe state. Complete state coverage of emergency airambulance service has not yet been accomplished. Non-emergency coverage is available statewide through 11helicopter and two fixed-wing aircraft.

Ground Ambulance Services

Five types of ground ambulance vehicles transportpatients in Mississippi: • Type 1 ambulances are cab and chassis

ambulances with separation between the caband patient care box

• Type 2 ambulances are van type ambulances• Type 3 ambulances are cab and chassis

ambulances without partition between the caband chassis

• Invalid vehicles are stretcher vans that may beType 1, 2, or 3

• Special-use vehicles are supervisory or sprint carspermitted for emergency operation in connectionwith emergency medical service calls.

Included in the above types of ambulances areintensive care units which provide specialized services

such as neonatal and cardiac transfers. Most ambulancesare the van Type 2 ambulances.

Mississippi established the first Mississippi EMSInformation System (MEMSIS) in 1992. Every

licensed ambulance service was required by law toreport every EMS response to the Division of EMS(DEMS), either by scannable form or electronically.This data collection system was modeled after theNational Highway Traffic Safety Administration’s(NHTSA) minimum data set for prehospital providers.In 1993, DEMS added the second component toMEMSIS. This second component maintainedinformation on testing, certification, and ambulancelicensing.

In FY’01, DEMS began the implementation of the newMEMSIS. The new MEMSIS is a paperless patient

encounter form system. Software is provided by DEMSto all licensed ambulance services. EMS encounterinformation is entered into the computer locally, and isthen transmitted to the state via a modem. The newsystem minimizes errors and shortens time framesof when information is available to fill report requests. Italso allows DEMS to collect a larger amount of data,which gives a better picture of EMS care in Mississippi.

The implementation of MEMSIS began with betatesting that was conducted by American Medical

Response-South and Kings Daughters Medical CenterAmbulance Service. Concurrently, DEMS upgraded thecertification portion of MEMSIS internally. In May,2000, deployment of the new software began. As ofJuly 1, 2001, all providers are required to submit datautilizing the new system.

The new MEMSIS has several significant changes.Previously, there were two types of calls, medical

and trauma, with interfacility transfers documented asmedical-calls. Now MEMSIS recognizes four types ofcalls, medical, trauma, transfers, (which are onlybetween acute care facilities), and transports.

In FY’01, data was collected in both the old scannableform system and the new electronic system. For the

purposes of this report, the data from both systems was

integrated as much as possible. However, discrepanciesmay be apparent, but will be resolved by FY’02, whenall providers will be online with the new system.

In FY’01, Mississippi providers responded to 313,402EMS calls. This number includes all emergency, non-emergency, medical transfer, and cancelled calls. Theresponses were made by 125 ground and eight airambulance services.

Age and gender statistics for patients encountered byEMS personnel in FY’01 are shown.

Age Male Female Total0-1 . . . . . . . . . . .1,645 . . . . . . . . .1,360 . . . . . . . .3,0081-4 . . . . . . . . . . .2,799 . . . . . . . . .2,071 . . . . . . . .4,8875-9 . . . . . . . . . . .1,923 . . . . . . . . .1,538 . . . . . . . .3,46510-14 . . . . . . . . .2,351 . . . . . . . . .2,400 . . . . . . . .4,75615-19 . . . . . . . . .6,409 . . . . . . . . .8,078 . . . . . . .14,50220-24 . . . . . . . . .6,900 . . . . . . . . .8,333 . . . . . . .15,25325-29 . . . . . . . . .6,036 . . . . . . . . .6,645 . . . . . . .12,69630-34 . . . . . . . . .6,090 . . . . . . . . .6,657 . . . . . . .12,75935-39 . . . . . . . . .7,640 . . . . . . . . .7,003 . . . . . . .14,65940-44 . . . . . . . . .8,541 . . . . . . . . .7,534 . . . . . . .16,08945-49 . . . . . . . . .8,173 . . . . . . . . .7,421 . . . . . . .15,61350-54 . . . . . . . . .8,079 . . . . . . . . .7,209 . . . . . . .15,29955-59 . . . . . . . . .8,404 . . . . . . . . .7,355 . . . . . . .15,76960-64 . . . . . . . . .7,160 . . . . . . . . .7,227 . . . . . . .14,39365-69 . . . . . . . . .8,665 . . . . . . . . .9,649 . . . . . . .18,35270-74 . . . . . . . . .9,928 . . . . . . . .12,942 . . . . . . .22,88675-79 . . . . . . . .10,740 . . . . . . . .15,448 . . . . . . .26,21380-84 . . . . . . . . .9,114 . . . . . . . .17,035 . . . . . . .26,17785-89 . . . . . . . . .6,257 . . . . . . . .16,239 . . . . . . .22,50890-94 . . . . . . . . .2,745 . . . . . . . .10,023 . . . . . . .12,77095+ . . . . . . . . . . .1,216 . . . . . . . . .4,702 . . . . . . . .6,033

Total calls received for FY’01 was 313,402.

Fifty-four percent of all EMS patients encounteredwere white, 40 percent were black, six percent were

Asian, American Indian, Hispanic, or Other.

As in previous years, over 50 percent occurr e db e t ween the hours of 8 a.m. and 4 p.m.

7

Chapter 3Mississippi Emergency Medical Services Information System

The highest call volume occurred on Friday, with 16percent of the total calls. A high percentage of EMS

calls result from medical transfers between facilities andto-and-from home. Most of these transfers occur duringthe week, resulting in higher percentages on these days.

The average response times for each EMS timecategory are listed.

TimeTime Category (in minutes)

Call received until dispatch . . . . . . . . . . . . . .0

Dispatched until enroute . . . . . . . . . . . . . . . . .0Enroute until on location . . . . . . . . . . . . . . .15

On scene time . . . . . . . . . . . . . . . . . . . . . . . .16

From scene to destination . . . . . . . . . . . . . . .26At destination until available . . . . . . . . . . . .10

Median Time Per Call . . . . . . . . . . . . . . . . . .67

The implementation of the 911 system has decreasedresponse times between calls received, dispatched,

and enroute. These all occur within seconds of oneanother. The longest times were spent on the scene andenroute to the final destination.

In FY’01, 37 percent of all incidents occurr e d in thepatient’s residence. Because of transfers made by EMS

providers either between facilities or from the hospitalafter being discharged, the second largest groupoccurred in the hospital.

Location PercentResidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Convalescent Facility . . . . . . . . . . . . . . . . . . . . . 10

State/Federal Highway . . . . . . . . . . . . . . . . . . . . . 7

City Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Recreational/Public Area . . . . . . . . . . . . . . . . . . . 5

Clinic/Doctor Office . . . . . . . . . . . . . . . . . . . . . . 4

County Road . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Industrial/Farm . . . . . . . . . . . . . . . . . . . . . . . . . 1

Restaurant/Bar . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Of the total number of calls received, 313,402resulted in prehospital care being given by EMS

personnel. This includes those patients transported bythe EMS, by other means, or treated at the scene but nottransported. Causes of no transport following an EMScall include:

8

Medical transfers are those made between acutecare facilities, extended care facilities, doctors’

o ffices and clinics, and patients’ homes. Emerg e n cycalls are norm a l ly transported to a hospital ore m e rg e n cy department. In FY’01, 205,700 people we r et r a n s p o rted to a Mississippi emerg e n cy department orhospital by EMS providers. Over 7,000 Mississippipatients were transported to Tennessee hospitals. Listedb e l ow are the 10 Mississippi hospitals receiving thel a rgest number of patients.

Hospital City ReceivedUniversity Medical Center . . . . . . . . . . . . .Jackson . . .14,375

North Mississippi Medical Center . . . . . . .Tupelo . . . .11,707

Forrest General Hospital . . . . . . . . . . . . .Hattiesburg . . .9,830

Memorial Hospital . . . . . . . . . . . . . . . . . . .Gulfport . . . .7,703

Mississippi Baptist Medical Center . . . . . .Jackson . . . .6,483

St. Dominic Memorial Hospital . . . . . . . . .Jackson . . . .6,061

South Central Regional Medical Center. . . .Laurel . . . . .5,297

Central Mississippi Medical Center . . . . . .Jackson . . . .4,926

Baptist Memorial HospitalDeSoto County . . . . . . . . . . . . . . . . . . .Southaven . . .4,845

Delta Regional Medical Center . . . . . . . .Greenville . . .4,494

Type of Call – Trauma

EMS providers responded to 83,347 trauma calls inFY’01. Numbers and types of trauma calls received

for FY’99, FY’00, and FY’01 are shown.

Type FY’99 FY’00 FY’01

MVC . . . . . .46,535 . . . . . . .47,371 . . . . . . .39,647

Fall . . . . . . . .18,210 . . . . . . .18,311 . . . . . . .16,055

Assault . . . . . .7,922 . . . . . . . .7,802 . . . . . . . .6,839

Gunshot . . . . .1,533 . . . . . . . .1,441 . . . . . . . .1,052

Stabbing . . . . .1,298 . . . . . . . .1,174 . . . . . . . .1,033

Other . . . . . . .3,633 . . . . . . . .7,332 . . . . . . . .6,464

Motor vehicle crashes (MVC) constituted over 56percent of all reported trauma calls in FY’01.

Trauma calls in the Other categ o ry include motorcy c l e ,b i cycle, pedestrian, wa t e r way, fi r e / bu rn, hazardousmaterials, mass casualty incidents, ATV incidents,fa rm / a griculture and industrial incidents.

DEMS collects injury information by body reg i o non all trauma calls. The head region received more

than 17,000 injuries in FY’01, making it the leadingi n j u ry site. In FY’01, over 83,000 separate injurieswere recorded for the following body reg i o n s .

Type TotalHead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16,949Arm/Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,752Leg/Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,433Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,853Face . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,183Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,549Hip/Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,613Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,412Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,072Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,531

The injuries recorded include:

Type TotalPain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48,675Lacerations . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,384Soft Tissue wounds . . . . . . . . . . . . . . . . . . . . . .8,842Blunt trauma . . . . . . . . . . . . . . . . . . . . . . . . . . .6,114Fractures/Dislocations . . . . . . . . . . . . . . . . . . . .4,902Penetrating wounds . . . . . . . . . . . . . . . . . . . . . .1,725Burns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,548Amputations . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157

Most of these are reported as obvious injuries toeach body region. Internal injuries are diffi c u l t

to determine in the prehospital setting; the patient,when complaining of pain to the affected area, isdocumented by EMS personnel with “pain” as the typeof injury, making this categ o ry signifi c a n t ly higherthan others. Lacerations to all of these areas arecommon in MVC’s, making this injury numerous.After pain, soft tissue wounds - along with lacerations- are the most common injuries sustained to theseareas.

Over 36 percent of all incidents originated in priva t eresidences. The age group receiving the most care

from EMS providers are those from 70 to 89. T h i sgroup uses the gr owing area in EMS — medicaltransfers conducted between medical facilities and/orp a t i e n t s ’ homes. Medical transfers decreased seve npercent, with total medical calls decreasing ten percent.Trauma calls have also decreased over FY’01. Motorvehicle crash (MVC) related calls totaled 39,647, the

9

l a rgest group of trauma calls in FY’01. In those casesr e p o rt e d, 25 percent used no protective device, also adecrease. Protective devices used follow :

Device Percent UsedLap Belt Only . . . . . . . . . . . . . . . . . . . . . .54 %

Safety Seat . . . . . . . . . . . . . . . . . . . . . . . . .2 %Air Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 %

Shoulder Belt Only . . . . . . . . . . . . . . . . . .53 %

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .9 %Automatic . . . . . . . . . . . . . . . . . . . . . . . . . .1 %

Type of Call – Medical

In the past, an ambulance was called for an emergencymedical condition, such as a heart attack, or in the

event of an accident causing a traumatic injury. Today,the growing area in EMS involves medical calls, morespecifically medical transfers. The number of medicalcalls and interfacility transfers in FY’98, FY’99, andFY’00 follow:

Illustrated are the illnesses and symptoms r e p o rted withthe medical calls received in FY’00.

Reported PercentWeakness . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28.5

Breathing Difficulty . . . . . . . . . . . . . . . . . . . .11.9Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.5

Chest Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.2

Altered Level of Conscious . . . . . . . . . . . . . . . .5.5Seizure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.4

Behavioral . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.1

Abdominal Distress . . . . . . . . . . . . . . . . . . . . . .2.9Syncope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.9

Diabetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.7

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.6Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.6

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.3Heart/Cardiac . . . . . . . . . . . . . . . . . . . . . . . . . .2.2

Cardiac Arrest . . . . . . . . . . . . . . . . . . . . . . . . . .2.0

Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.9Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.7

Drug/Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . .1.6

OB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.4

Weakness constitutes nearly 29 percent of the totalsymptoms and is commonly correlated with

medical interfacility transfers, making it significantlylarger.

Basic Life Support (BLS) procedures performed byEMS personnel involve the following:

PercentProcedure Amount of Total Calls

Oxygen therapy . . . . . . . . . . .100,237 . . . . .54

Spinal Immobilization . . . . . . .30,459 . . . . .16Crisis Intervention . . . . . . . . . .15,675 . . . . . .8

Airway . . . . . . . . . . . . . . . . . . .15,465 . . . . . .8

Wound Management . . . . . . . . .9,570 . . . . . .6Other . . . . . . . . . . . . . . . . . . . . .7,353 . . . . . .5

Splint Extremity . . . . . . . . . . . .3,952 . . . . . .2CPR . . . . . . . . . . . . . . . . . . . . . .2,617 . . . . . .1

10

Advanced Life Support (ALS) procedures can onlybe performed by personnel certified as an EMT-

Intermediate or higher. In FY’00, the following ALSprocedures were performed.

Type Number PercentCardiac Monitor . . . . . . . . . .199,884 . . . . .51

Vascular Access - Peripheral .103,239 . . . . .26Drug Administration . . . . . . . .32,297 . . . . . .8

Pulse Oximetry . . . . . . . . . . . .27,663 . . . . . .7

Blood Glucose Check . . . . . . .21,538 . . . . . .5Intubation - Nasal . . . . . . . . . . .1,566

Blood Drawn . . . . . . . . . . . . . . .1,396

Intubation - Oral . . . . . . . . . . . .1,311Intubation - Stoma . . . . . . . . . . . . . .6

As shown above, eight percent of all ALS proceduresinvolved the administration of approved drugs.

Those drugs administered and the number of times givenare shown.

Medication Administered

Activated Charcoal . . . . . . . . . . . . . . . . . . . . . . . . .13Adenosine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86

Aminophylline . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Aspirin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,935

Atropine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,164

Bretylol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28Bronchodilator . . . . . . . . . . . . . . . . . . . . . . . . .6,474

Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Decadron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37Demerol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215

Dextrose 50% . . . . . . . . . . . . . . . . . . . . . . . . . .2,851

Diazepam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .787Diphenhydramine . . . . . . . . . . . . . . . . . . . . . . . . . .83

Dopamine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

Epi (1:1000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722Epi (1:10000) . . . . . . . . . . . . . . . . . . . . . . . . . .3,581

Furosemide . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,419Glucagon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155

Isuprel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

Lidocaine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .733Mannitol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Morphine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,101

Naloxone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .605Nifedipine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

Nitroglycerine . . . . . . . . . . . . . . . . . . . . . . . . . .9,399Nitros Oxide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Oral Glucose . . . . . . . . . . . . . . . . . . . . . . . . . . . .129Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,995

Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37,046

Oxytocin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10Procainamide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Sodium Bicarb . . . . . . . . . . . . . . . . . . . . . . . . . . .510

Thaimine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206Vasopressor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Verapamil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

11

Trauma is a significant public health problem inMississippi. Trauma is the leading cause of death

for all age groups from birth to age 44. It is one of themost serious social, economic and medical problems ofour time. Serious injury and death resulting from traumaevents such as vehicle crashes, falls and firearms, claim2,000 lives and disable 6,000 Mississippians each year.Trauma victims require immediate, expert attention.

Passage of legislation during the 1991 Mississippilegislative session designated the Division of

Emergency Medical Services (DEMS), Mississippi StateDepartment of Health (MSDH), as the lead agency fortrauma system development in Mississippi. Since thepassage of this law, the Trauma Care Plan for the Stateof Mississippi has been written and adopted.

In 1992, DEMS took the first steps in developing astatewide trauma system by implementing a statewide

trauma registry. The trauma registry was originallyinstalled in five regional hospitals strategically locatedthroughout the state. To date, each hospital participatingin the Mississippi Trauma System is actively collectingtrauma data and submitting it to DEMS. This dataprovides a stable foundation for the development of theMississippi Trauma System.

In 1997, the Mississippi Legislature established theTrauma Care Task Force (TCTF) to review the status

of trauma and its impact on the public’s health. The taskforce focused on three developmental areas for theimplementation of a statewide trauma system:prevention and public awareness, financial support andlegislative authority, and prehospital and hospitalstandards of trauma care. The recommendations of theTCTF were formalized into a report that was presentedto the Governor and Legislature on December 15, 1997.The report was used as a guideline for drafting andsubsequent passage of House Bill 966, “an act relatingto a statewide Trauma Care System”.

The 1998 Legislature took to heart the report given tothem by the Trauma Care Task Force and passed

legislation (HB 966) giving the Division of EmergencyMedical Services, Mississippi State Department ofHealth the authority to develop a statewide trauma caresystem. This legislation also established a permanentfunding source through a $5 assessment on all moving

traffic violations, creating the Trauma Care Trust Fund.This money is available for administrative functions atboth the state and regional levels. The legislation alsoexpanded the Mississippi Emergency Medical ServicesAdvisory Council to include trauma professionals whomake up the Mississippi Trauma Advisory Committee(MTAC).

The passage of this legislation means many things todifferent entities. Participation in the statewide

system is voluntary. Hospitals and medical staff makethe decision on whether or not to participate. If an acutecare facility decides to participate, it works inconjunction with other facilities in its region to developregional trauma plans and protocols. Prehospitalproviders receive new trauma specific training, new fieldtriage protocols, and become more involved in theevaluation of patient outcomes.

The Mississippi Trauma Advisory Committee(MTAC) was developed as a subcommittee of the

EMS Advisory Council. In 1998, it developed theMississippi Trauma Care Regulations that weresubsequently adopted by the State Board of Health inOctober, 1998. These regulations describe therequirements for regional plan development and thetrauma center designation process. They also state thehospital requirements for trauma program development,which include the entire continuum of care from injuryto rehabilitation.

The Mississippi legislature added $6 million to theTrauma Care Trust Fund during the 1999 Legislature

Session. These additional monies brought the totalamount in the Trauma Care Trust Fund to about $8million per year. Legislators authorized annual fundingfor regional support and uncompensated trauma care asdefined by the trauma registry through regionalcontracts with the Department of Health, payable fromthe fund.

The funds became available on July 1, 1999, fordesignated trauma care regions through annual

contracts with the State Department of Health, Divisionof Emergency Medical Services. The first checks weredistributed in FY’00 after hospital designations wereannounced for Level I and II trauma centers.

12

Chapter 4Mississippi Trauma Care System

In FY’2001, a total of $6,538,545 was distributed fromthe Trauma Care Trust Fund for reimbursement of

uncompensated care. The fund was divided betweendesignated trauma centers and eligible physicians basedon allocation of 70% to hospitals and 30% to eligiblephysicians.

B y the end of FY 2001, the Mississippi StateDepartment of Health had provisionally designated

a total of 61 trauma centers which include two level I,five level II, twelve level III, and 42 level IV traumacenters. Additional hospitals are participating and haveapplied to be inspected in FY’02

Below is a chart representing the hospitals and theirlevels designated in FY’01.

13

Mississippi Designated Trauma Care Centersas of June 30, 2001

Hospital P/NP/D Level Address Administrator REGION

2500 North State StreetUniversity Medical Center D I Jackson, MS 39216 Fredrick D. Woodrell CENTRAL

877 Jefferson AvenueRegional Medical Center at Memphis D I Memphis, TN 38103 B ruce Steinhauer, MD DELTA

2809 Denny AvenueSinging River Hospital D II Pascagoula, MS 39581 Lynn Truelove COASTAL

1400 East Union StreetP.O. Box 5247

Delta Regional Medical Center D II Greenville, MS 38701 Ray Humphreys DELTA

2520 5th Street NorthP.O. Box 1307

Baptist Memorial Hospital - Golden Triangle D II Columbus, MS 39701 Dean Griffin NORTH

830 South GlosterNorth MS Medical Center - Tupelo D II Tupelo, MS 38801 Robert Otwell NORTH

6051 US Highway 49P.O. Box 16389

Forrest General Hospital D II Hattiesburg, MS 39404 William Oliver SOUTH EAST

2100 Highway 16 NorthRiver Region Health Systems D III Vicksburg, MS 39180 Phillip Clendenin CENTRAL

4500 13th StreetP.O. Box 1810

Memorial Hospital at Gulfport D III Gulfport, Ms 39501 James Kaigler COASTAL

3109 Bienville BoulevardOcean Springs Hospital D III Ocean Springs, MS 39564 Dwight L. Rimes COASTAL

1401 River RoadP.O. Box 1410

Greenwood Leflore Hospital D III Greenwood, MS 38935 Robert Barrett DELTA

2301 South Lamar Boulevard Baptist Memorial Hospital - North MS-Oxford D III Oxford, MS 38655 Jim Vandersteeg NORTH

1105 Earl Frye BoulevardP.O. Box 459

Gilmore Memorial Hospital D III Amory, MS 38821 Robert F. Letson NORTH


400 Hospital RoadP.O. Drawer 1506

Oktibbeha County Hospital D III Starkville, MS 39759 Arthur C. Kelly NORTH

1220 Jefferson StreetP.O. Box 607

South Central Regional Medical Center D III Laurel, MS 39441 Douglas Higginbottom SOUTH EAST

427 Highway 51 NorthP.O. Box 948

Kings Daughter’s Hospital - Brookhaven D III Brookhaven, MS 39601 Phillip Grady SOUTH WEST

129 Jefferson Davis Blvd.P.O. Box 1203

Natchez Community Hospital D III Natchez, MS 39120 David Anisworth SOUTH WEST

54 Seargent Prentiss DriveP.O. Box 1488

Natchez Regional Medical Center D III Natchez, MS 39121 Jack Houghton SOUTH WEST

215 Marion AvenueP.O. Box 1307

Southwest MS Regional Medical Center D III McComb, MS 39649 Norman M. Price SOUTH WEST

123 McComb AvenueP.O. Box 1004

Claiborne County Hospital D IV Port Gibson, MS 39150 Wanda Flemming CENTRAL

330 North BoardP.O. Box 428

Lackey Critical Access Hospital D IV Forest, MS 39074 Donna Riser CENTRAL

310 Ellis StreetP.O. Box 557

Leake Memorial Hospital D IV Carthage, MS 39051 Morris Bradley CENTRAL

Highway 16 EastP.O.Box 1607

Madison County Medical Center D IV Canton, MS 39046 Tommy Wiman CENTRAL

300 S.E. 3rd AvenueMagee General Hospital D IV Magee, MS 39111 Althea Crumpton CENTRAL

220 Highway 12 WestP.O. Box 677

Montfort Jones Memorial Hospital D IV Kosciusko, MS 39090 Thomas Bland CENTRAL

1102 Rose StreetP.O.Box 1288

Prentiss Regional Hospital D IV Prentiss, MS 39474 Mike Boleware CENTRAL

350 Crossgates BoulevardRankin Medical Center D IV Brandon, MS 39042 Davis A. Richards III CENTRAL

1030 River Oaks DriveP.O. Box 5100

River Oaks Hospital D IV Jackson, MS 39296 Jack Cleary CENTRAL

317 Highway 13 SouthP.O. Box 259

Scott Regional Hospital D IV Morton, Ms 39117 Michael R. Edwards CENTRAL

239 Bowling Green RoadUniversity Hospital & Clinic - Holmes D IV Lexington, MS 39095 Thomas Honaker CENTRAL

14


180 DeBuys RoadP.O. Box 4518

Gulf Coast Medical Center D IV Biloxi, MS 39531 Gary Stokes COASTAL

149 Drinkwater BoulevardP.O. Box 2790

Hancock Medical Center D IV Bay St Louis, MS 39521 Hal W. Leftwich COASTAL

901 East Sunflower RoadP.O. Box 1380

Bolivar Medical Center D IV Cleveland, MS 39732 Robert Hawley DELTA

140 Burke RoadCalhoun City Health Center D IV Calhoun City, MS 38916 James Franklin DELTA

605 South Archusa AvenueH. C. Watkins Memorial Hospital D IV Quitman, MS 39355 Fred Truesdale DELTA

840 North Oak AvenueP.O. Box 369

North SunFlower County Hospital D IV Ruleville, MS 38771 Robert Crook DELTA

1970 Hospital DriveP.O. Box 1218

Northwest MS Regional Medical Center D IV Clarksdale, MS 38614 John M. Faulkner DELTA

340 Getwell DriveP.O. Box 330

Quitman County Hospital D IV Marks, MS 38646 Richard E. Walker DELTA

121 East Baker StreetSouth Sunflower County Hospital D IV Indianola, MS 38751 Barbara Prichard DELTA

409 Tyler Holmes DriveTyler Holmes Memorial Hospital D IV Winona, MS 38967 Rosamond Tyler DELTA

25117 Highway 15Alliance Laird Hospital D IV Union, MS 39365 Margaret Muse EAST CENTRAL

210 Hospital DriveChoctaw Health Center - Philadelphia D IV Philadelphia, Ms 39350 James Wallace EAST CENTRAL

1001 Holland AvenueP.O. Box 648

Neshoba County General Hospital D IV Philadephia, MS 39350 Lawrence C. Graeber EAST CENTRAL

208 South Main Street P.O.Newton Regional Hospital D IV Box 299, Newton, MS 39345 Tim Thomas EAST CENTRAL

500 Veterans MemorialBoulevard

Webster Health Services, Inc. D IV Eupora, MS 39744 Harold H. Whitaker EAST CENTRAL

562 East MainP.O. Box 967

Winston Medical Center D IV Louisville, MS 39339 Dale Saulters EAST CENTRAL

835 Medical Center DriveClay County Medical Center D IV West Point, MS 39773 David M. Reid NORTH

100 Hospital StreetBaptist Memorial Hospital - Booneville D IV Booneville, MS 38829 Al Sypniewski NORTH

200 Highway 30 WestBaptist Memorial Hospital-Union County D IV New Albany, MS 38652 Zach Chandler NORTH

15


611 Alcorn DriveMagnolia Regional Health Center D IV Corinth, MS 38834 Douglas Garner NORTH

1777 Cyrtis DriveP.O. Box 860

North MS Health Services-luka Hospital D IV luka, MS 38852 James Carter NORTH

400 South Chestnut StreetP.O. Box 747

Pioneer Health Services D IV Aberdeen, MS 39730 William Magee NORTH

176 South Main Street P.O. Box 790,

Pontotoc Health Services D IV Pontotoc, Ms 38863 Fred B. Hood NORTH

1005 City Avenue NorthP.O. Box 499

Tippah County Hospital D IV Ripley, MS 38663 Jerry Green NORTH

Highway 8 EastP.O. Box 626,

Trace Regional Hospital D IV Houston, MS 38851 Gary Staten NORTH

Sixth & Holly StreetP.O. Box 1149

Covington County Hospital D IV Collins, MS 39428 Irving Hitt SOUTH EAST

1560 Sumrall RoadP.O. Box 630

Marrion General Hospital D IV Columbia, MS 39429 Jerry Howell SOUTH EAST

100 Hospital DriveWalthall County General Hospital D IV Tylertown, MS 39667 Jimmy Graves SOUTH EAST

950 Matthew DriveP.O. Box 1249

Wayne General Hospital D IV Waynesboro, MS 39367 Donald Hemeter SOUTH EAST

Highway 84 and UnionChurch RoadP.O. Box 636

Franklin County Memorial Hospital D IV Meadville, MS 39653 Lance Moak SOUTH WEST

P.O. Box 788Lawrence County Hospital D IV Monticello, MS 39654 Semmes Ross SOUTHWEST

16

The Emerg e n cy Medical Services for Children (EMSC)P r ogram is a federally-funded initiative designed to

reduce child and youth disability and death due to seve r eillness or injury. The first EMSC legislation was passed in1984. At present, all 50 states have received funding throughthe EMSC Program.The EMSC Program is jointlyadministered by the U.S. Department of Health and HumanS e rvices through the Health Resources and Serv i c e sA d m i n i s t r a t i o n ’s Maternal and Child Health Bureau and theU.S. Department of Tr a n s p o rt a t i o n ’s National HighwayTr a ffic Safety A d m i n i s t r a t i o n .

EMSC is the only Federal program that focuses oni m p r oving the quality of children’s emerg e n cy care. It

builds upon existing Emerg e n cy Medical Services (EMS)systems.Its goals are to ensure that state-of-the-arte m e rg e n cy medical care is ava i l a ble for ill or injuredchildren and adolescents, to ensure that pediatric service iswell integrated into an emerg e n cy medical services system,and to ensure that the entire spectrum of emerg e n cy serv i c e s- including primary prevention of illness and injury, acutecare, and rehabilitation - are provided to children andadolescents. To reach these goals, the EMSC Progr a mp r ovides grants to states to improve and enhance pediatrice m e rg e n cy care.

The Division of Emerg e n cy Medical Serv i c e s ,Mississippi State Department of Health was awarded the

EMSC Program Planning grant in August of 1998. T h egoals of the planning phase were to evaluate the current stateof pediatric care in Mississippi, to develop programs toi m p r ove the care of pediatric patients in the state, and tod evelop programs geared toward injury prevention andcommunity invo l vement in pediatric issues. This wa saccomplished by conducting a pediatric needs assessments u rvey.

As a result of this survey, two areas of need in pediatriccare were found: advanced pediatric education and

i n j u ry prevention programs. Programs were developed toaddress these needs.

DEMS was awarded the EMSC Program Implementationgrant in FY’00. This grant provided funding to

implement programs developed during the planning gr a n t .The programs implemented included advanced pediatriceducation courses and a comprehensive school-based injury

p r evention curriculum. The courses are Pediatric Educationfor Prehospital Professionals (PEPP) and Pediatric BasicTrauma Life Support (PBTLS). The injury preve n t i o nc u rriculum that was implemented was a program deve l o p e dby the National Fire Protection Association called RiskWa t c h .

PEPP represents a comprehensive source of prehospitalmedical information for the emergent care of infants and

children. It teaches prehospital professionals how to betterassess and manage ill or injured children. This course isadministered at eight sites across the State. This course hasbeen offered by the Mississippi EMSC Program toMississippi physicians, nurses, and all Mississippi cert i fi e de m e rg e n cy medical technicians at no cost to the participants.

Risk Watch is a comprehensive school-based injuryp r evention program designed for children in preschool

through eighth grade. The Mississippi EMSC Progr a mp r ovides the curriculum to any school in Mississippi thatwishes to participate in the program.

The PBTLS course is a one-day training program devo t e dto pediatric trauma care. This program prov i d e s

i n f o rmation about pediatric trauma and pediatric assessmentskills for critically injured children. The PBTLS course iso ffered by the Mississippi EMSC Program to Mississippip hysicians, nurses, and Mississippi cert i fied emerg e n cymedical technicians at no cost to the part i c i p a n t .

For FY’01, a total of 2,700 professionals were trained inboth the PEPP and PBTLS courses. Risk Watch has

been implemented in 20 schools across the State. It is thegoal of the Mississippi EMSC Program to expand thesep r ograms throughout the duration of the three-ye a rimplementation gr a n t .

In the coming years, the Mississippi EMSC Program plansto address several other areas of need as they pertain to

c h i l d r e n ’s issues. There remains much to be done to ensurechildren receive optimal medical care. Health carep r oviders, parents, careg ivers, teachers, and localo rganizations invo l ved with or interested in child health carecan play a significant role in the eff o rt to improve the carethat children receive in Mississippi.

17

Chapter 5Mississippi Emergency Medical Services For Children

18

Adams1990 Census Population . . . . . . . . . . . . . . . . . . . .35,356

Ambulance Service(s)• American Medical Response• Med Express

Level of Ground Service• Advanced Life Support-Paramedic

Air Ambulance Service(s)• University Medical Center - Aircare,

Non-Emergency• Acadian Air Medical Service, Emergency/Non-

Emergency• Ochsner Flight Team, Emergency/Non-

EmergencyNumber

Ambulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . .3,222EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .0EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . .$29,644• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0

EMSOF Grant Recipient• Did Not Apply

Alcorn1990 Census Population . . . . . . . . . . . . . . . . . . . .31,722

Ambulance Service(s)• Magnolia EMS


Air Ambulance Service(s)• Hospital Wing, Emerg e n cy / N o n - E m e rg e n cy• North Mississippi Medical Center Air Ambulance,

Non-Emergency• University Medical Center - Aircare,

Non-Emergency• Ochner Flight Team, Non-Emergency• Acadian Air Medical Service, Non-Emergency

NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . .5,546EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .5EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . .$17,278• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . .$14,177

EMSOF Grant Recipient• Alcorn County

EMSOF Grant User• Magnolia EMS

EMSOF Grant Purchases• Advanced Life Support Equipment

Chapter 6County Information

The following pages provide information on a county-by-county basis. Listed are the providers of

emergency medical care, both ground and air services,and the level and type each service provides, and the

number of certified EMTs at each level living in eachcounty. EMSOF grant money is based on population.The disbursements, collections, recipients, and uses ofEMSOF money are provided.

Amite1990 Census Population . . . . . . . . . . . . . . . . . . . .13,328

Ambulance Service(s)• Gloster Ambulance Service• Emergystat

Level of Ground Service • Basic Life Support• Advanced Life Support - Paramedic




Emergency

NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . . .274EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .0EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,429• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . .$5,365

EMSOF Grant Recipient• Amite County

EMSOF Grant User• Town of Liberty Volunteer Ambulance

EMSOF Grant Purchases• Support Services

Attala1990 Census Population . . . . . . . . . . . . . . . . . . . .18,481

Ambulance Service(s)• Willie Goss Ambulance Service

Level of Ground Service • Advanced Life Support-Paramedic

Air Ambulance Service(s)• Hospital Wing, Non-Emergency• North Mississippi Medical Center Air Ambulance,


Non-Emergency• Acadian Air Medical Service, Non-Emergency• Ochsner Flight Team, Non-Emergency

NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . .1,821EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .1EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . .$120,397• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . .$8,259

EMSOF Grant Recipient• Attala County• City of Kosciusko

EMSOF Grant User

EMSOF Grant Purchase• ALS• Regionalization• Communications

19

20

Benton1990 Census Population . . . . . . . . . . . . . . . . . . . . .8,046

Ambulance Service(s)• Medstar

Level of Ground Service • Advanced Life Support - Paramedic






EMSOF Grant Recipient• Not Eligible

Bolivar1990 Census Population . . . . . . . . . . . . . . . . . . . .41,875

Ambulance Service(s)• Bolivar County EMS


Air Ambulance Service(s)• Hospital Wing, Emerg e n cy / N o n - E m e rg e n cy• University Medical Center - Aircare,




EMSOF Grant Recipients• Bolivar County

EMSOF Grant User• Bolivar County EMS

EMSOF Grant Purchases• None

Calhoun 1990 Census Population . . . . . . . . . . . . . . . . . . . .14,908

Ambulance Service(s)• Calhoun Health Services






EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . .$10,016• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . .$6,663

EMSOF Grant Recipient• Calhoun County

EMSOF Grant User• STAT-CARE Ambulance Service

EMSOF Grant Purchase• Ambulance Purchase

Carroll1990 Census Population . . . . . . . . . . . . . . . . . . . . .9,237

Ambulance Service(s)• Med Stat EMS







EMSOF Grant Recipient• Carroll County

EMSOF Grant User• Med Stat EMS

EMSOF Grant Purchase• ALS Equipment• Regionalization

21

Chickasaw1990 Census Population . . . . . . . . . . . . . . . . . . . .18,085

Ambulance Service(s)• Emergystat - North Mississippi



Emergency/Non-Emergency• University Medical Center - Aircare,




EMSOF Grant Recipient• Chickasaw County

EMSOF Grant User• North Mississippi EMS Authority

EMSOF Grant Purchases• Regionalization

Choctaw1990 Census Population . . . . . . . . . . . . . . . . . . . . .9,071

Ambulance Service(s)• Emergystat - Central Mississippi






EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,627• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0


22

Claiborne1990 Census Population . . . . . . . . . . . . . . . . . . . .11,370

Ambulance Service(s)• Emergystat - Central




Emergency• Ochsner Flight Team, Non-Emergency



EMSOF Grant Recipient• Claiborne County

EMSOF Grant User• Claiborne County Hospital Ambulance Service

EMSOF Grant Purchases• ALS Expendures• Regionalization

Clarke1990 Census Population . . . . . . . . . . . . . . . . . . . .17,313

Ambulance Service(s)• Enterprise Volunteer Fire Department Ambulance

Service• Paratech, EMS, Incorporated

Level of Ground Service• Advanced Life Support-Paramedic• Basic Life Support



NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . . .824EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .1EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6


EMSOF Grant Recipient• Clarke County

EMSOF Grant User• Parateck Ambulance Service

EMSOF Grant Purchases• Escrow for Ambulance Purchase

23

Clay1990 Census Population . . . . . . . . . . . . . . . . . . . .21,120

Ambulance Service(s)• West Point-Clay County Ambulance Service







EMSOF Grant Recipient• Clay County

EMSOF Grant User• West Point-Clay County Ambulance Service


Coahoma1990 Census Population . . . . . . . . . . . . . . . . . . . .31,665

Ambulance Service(s)• Emergystat - Coahoma County


Air Ambulance Service(s)• Hospital Wing,

Emergency/Non-Emergency• North Mississippi Medical Center Air Ambulance,





EMSOF Grant Recipient• Coahoma County

EMSOF Grant User• Emergystat-Coahoma County


24

Copiah1990 Census Population . . . . . . . . . . . . . . . . . . . .27,592

Ambulance Service(s)• Hardy Wilson Memorial Hospital Ambulance

Service





NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . .1,416EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .1EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8


EMSOF Grant Recipient• Copiah County

EMSOF Grant User• Hardy Wilson Memorial Hospital Ambulance

Service

EMSOF Grant Purchases• Ambualnce Purchase

Covington1990 Census Population . . . . . . . . . . . . . . . . . . . .16,527

Ambulance Service(s)• A Superior Ambulance Provider• Covington County Hospital Ambulance Service


Air Ambulance Service(s)• Southeast Air Ambulance, Emergency• University Medical Center - Aircare,



Emergency



EMSOF Grant Recipient• Covington County

EMSOF Grant User• Covington County Hospital Ambulance Service


25

Desoto1990 Census Population . . . . . . . . . . . . . . . . . . . .67,910

Ambulance Service(s)• ASI, Incorporated• Hernando Ambulance Service• Horn Lake Ambulance Service• North Mississippi Ambulance Service - Desoto• Olive Branch Ambulance Service• Southaven Ambulance Service• DeSoto County EMS• Rural Metro





NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . .12,420EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . .11EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65


EMSOF Grant Recipients• Desoto County• City of Horn Lake• City of Hern a n d o• City of Olive Branch• City of Southaven

EMSOF Grant Users• Horn Lake Ambulance Service• Hernando Ambulance Service• Olive Branch Ambulance Service• Southaven Ambulance Service

EMSOF Grant Purchases• ALS Equipment• Ambulance Vehicle• Communications

Forrest1990 Census Population . . . . . . . . . . . . . . . . . . . .68,314

Ambulance Service(s)• AAA Ambulance Service • Southeast Air Ambulance District• A Superior Ambulance Provider





Emergency

NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . .10,012EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .3EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91


EMSOF Grant Recipient• Forrest County

EMSOF Grant User• Southeast Air Ambulance District

EMSOF Grant Purchase• Ambulance Vehicle

26

Franklin1990 Census Population . . . . . . . . . . . . . . . . . . . . .8,377

Ambulance Service(s)• Franklin County Ambulance Service

Level of Ground Service • Basic Life Support




Emergency



EMSOF Grant Recipient• Franklin County

EMSOF Grant User• Franklin County Ambulance Service

EMSOF Grant Purchase• Escrow for Ambulance Purchase

George1990 Census Population . . . . . . . . . . . . . . . . . . . .16,673

Ambulance Service(s)• George County Hospital Ambulance Service



Non-Emergency• Acadian Air Medical Service, Non-Emergency• Ochsner Flight Team, Emergency/Non-

Emergency



EMSOF Grant Recipient• George Country

EMSOF Grant User• George County Hospital Ambulance Service

EMSOF Grant Purchase• ALS

27

Greene1990 Census Population . . . . . . . . . . . . . . . . . . . .10,220

Ambulance Service(s)• Emergystat




Emergency



EMSOF Grant Recipient• Greene County



Grenada1990 Census Population . . . . . . . . . . . . . . . . . . . .21,555

Ambulance Service(s)• Grenada Lake Medical Center Ambulance Service







EMSOF Grant Recipient• Grenada County

EMSOF Grant User• Grenada Lake Medical Center Ambulance Service

EMSOF Grant Purchases• ALS Equipment• Ambulance Vehicle

28

Hancock1990 Census Population . . . . . . . . . . . . . . . . . . . .31,760

Ambulance Service(s)• American Medical Response - South





Emergency



EMSOF Grant Recipient• Hancock County

EMSOF Grant User• American Medical Response - South

EMSOF Grant Purchase• Communications• ALS• Training

Harrison1990 Census Population . . . . . . . . . . . . . . . . . . .165,365

Ambulance Service(s)• American Medical Response - South• Garden Park Medical Center Ambulance Service

Level of Ground Service • Advanced Life Support-Paramedic• Invalid Transport




Emergency

NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . .27,170EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .3EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . .$167,336• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . .$73,904

EMSOF Grant Recipient• Harrison County


EMSOF Grant Purchases• Support Services• Training• ALS• Communications

29

Hinds1990 Census Population . . . . . . . . . . . . . . . . . . .254,441

Ambulance Service(s)• American Medical Response - Central• Cardiac Emergency Network• Goss Ambulance Service• Neonatal Transport• University Medical Center - Aircare

Level of Ground Service • Advanced Life Support-Paramedic• Critical Care Life Support - Air




NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . .36,923EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .7EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . .$158,273• Disbursed . . . . . . . . . . . . . . . . . . . . . . . .$113,713

EMSOF Grant Recipient• Hinds County

EMSOF Grant User• American Medical Response - Central

EMSOF Grant Purchase• Support Services

Holmes1990 Census Population . . . . . . . . . . . . . . . . . . . .21,604

Ambulance Service(s)• University Hospital & Clinics - Holmes County

Ambulance Service








30

Humphreys1990 Census Population . . . . . . . . . . . . . . . . . . . .12,134

Ambulance Service(s)• Humphreys County Memorial Hospital

Ambulance Service


Air Ambulance Service(s)• American Medical Response,

Non-Emergency• Hospital Wing, Non-Emergency• Ochsner Flight Team, Non-Emergency• University Medical Center - Aircare,




EMSOF Grant Recipient• Humphrey’s County

EMSOF Grant User• Humphrey’s County Memorial Hospital• Ambulance Service


Issaquena1990 Census Population . . . . . . . . . . . . . . . . . . . . .1,909

Ambulance Service(s)• Sharkey-Issaquena Ambulance Service


Air Ambulance Service(s)• American Medical Response,

Emergency/Non-Emergency• Ochsner Flight Team, Non-Emergency• University Medical Center - Aircare,



NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .1EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0


EMSOF Grant Recipients• (See Sharkey County)

31

Itawamba1990 Census Population . . . . . . . . . . . . . . . . . . . .20,017

Ambulance Service(s)• North Mississippi Medical Center -

Fulton Ambulance Service







EMSOF Grant Recipient• Itawamba County

EMSOF Grant User• North Mississippi EMS Authority

EMSOF Grant Purchase• ALS• Training

Jackson1990 Census Population . . . . . . . . . . . . . . . . . . .115,243

Ambulance Service(s)• Acadian Ambulance Service





Emergency



EMSOF Grant Recipient• Jackson County


EMSOF Grant Purchases• Communications• Training• ALS Expenditures• Support Services

32

Jasper1990 Census Population . . . . . . . . . . . . . . . . . . . .17,114

Ambulance Service(s)• A Superior Ambulance Provider• Emserv Ambulance Service






EMSOF Grant Recipient• Jasper County

EMSOF Grant User• Jasper General Hospital Ambulance Service

EMSOF Grant Purchase• Support Services

Jefferson1990 Census Population . . . . . . . . . . . . . . . . . . . . .8,653

Ambulance Service(s)• American Medical Response• Emergystat - Central








33

Jefferson Davis1990 Census Population . . . . . . . . . . . . . . . . . . . .14,051

Ambulance Service(s)• AAA Ambulance Service





Emergency



EMSOF Grant Recipient• Jefferson Davis County



Jones1990 Census Population . . . . . . . . . . . . . . . . . . . .62,031

Ambulance Service(s)• A Superior Ambulance Provider• Emserv• AAA Ambulance Seervice







EMSOF Grant Recipient• Not Eligible

34

Kemper1990 Census Population . . . . . . . . . . . . . . . . . . . .10,356



Air Ambulance Service(s)• North Mississippi Medical Center Air Ambulance,





EMSOF Grant Recipient• Kemper County

EMSOF Grant User• Emergystat - Central

EMSOF Grant Purchases• Communications• Regionalization

Lafayette1990 Census Population . . . . . . . . . . . . . . . . . . . .31,826

Ambulance Service(s)• Baptist Memorial Hospital of North Mississippi





NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . .3,182EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .4EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24


EMSOF Grant Recipient• Lafayette County

EMSOF Grant User• North MS EMS Authority

EMSOF Grant Purchases• Escrow

35

Lamar1990 Census Population . . . . . . . . . . . . . . . . . . . .30,424

Ambulance Service(s)• AAA Ambulance Service• A Superior Ambulance Provider





Emergency



EMSOF Grant Recipient• Lamar County



Lauderdale1990 Census Population . . . . . . . . . . . . . . . . . . . .75,555

Ambulance Service(s)• Jeff Anderson Regional Medical Center

Ambulance Service• Metro Ambulance Service• Riley Memorial Hospital Ambulance Service






EMSOF Grant Recipient• Lauderdale County

EMSOF Grant User• Metro Ambulance


36

Lawrence1990 Census Population . . . . . . . . . . . . . . . . . . . .12,458

Ambulance Service(s)• Lawrence County Hospital Ambulance Service





Emergency



EMSOF Grant Recipient• Lawrence County

EMSOF Grant User• Lawrence County Hospital Ambulance Service

EMSOF Grant Purchase• Ambulance

Leake1990 Census Population . . . . . . . . . . . . . . . . . . . .18,436

Ambulance Service(s)• Carthage Emergency Medical Service• Malone Medical Transport







EMSOF Grant Recipients• Leake County

EMSOF Grant User• Carthage EMS

EMSOF Grant Purchases• Ambulance• Regionalization• ALS

37

Lee1990 Census Population . . . . . . . . . . . . . . . . . . . .65,581

Ambulance Service(s)• North Mississippi Medical Center Ambulance

Service• North Mississippi Medical Center Air Ambulance

Level of Ground Service • Advanced Life Support-Paramedic• Critical Care Life Support - Air






EMSOF Grant Recipient• Lee County

EMSOF Grant User• North Mississippi EMS Authority• North Mississippi Medical Center Ambulance

Service

EMSOF Grant Purchases• Training• ALS• Communications

Leflore1990 Census Population . . . . . . . . . . . . . . . . . . . .37,341

Ambulance Service(s)• Greenwood-Leflore County Hospital Ambulance

Service• Med Stat Ambulance Service

Level of Ground Service • Advanced Life Support-Paramedic• Basic Life Support






EMSOF Grant Recipient• Leflore County

EMSOF Grant User• Amstat EMS

EMSOF Grant Purchase• ALS• Regionalization

38

Lincoln1990 Census Population . . . . . . . . . . . . . . . . . . . .30,278

Ambulance Service(s)• Kings Daughters Medical Center Ambulance

Service





Emergency



EMSOF Grant Recipient• Lincoln County

EMSOF Grant User• Kings Daughters Hospital Ambulance Service

EMSOF Grant Purchase• Support Services• Escrow

Lowndes1990 Census Population . . . . . . . . . . . . . . . . . . . .59,308

Ambulance Service(s)• Baptist Memorial Hospital-Golden Triangle

Ambulance Service







EMSOF Grant Recipient• Lowndes County

EMSOF Grant User• Baptist Memorial Hospital Golden Triangle

Ambulance Service

EMSOF Grant Purchases• Support Services• Training• ALS

39

Madison1990 Census Population . . . . . . . . . . . . . . . . . . . .53,794

Ambulance Service(s)• American Medical Response - Central







EMSOF Grant Recipient• Madison County

EMSOF Grant User• American Medical Response

EMSOF Grant Purchase• Advanced Life Support Equipment• Escrow

Marion1990 Census Population . . . . . . . . . . . . . . . . . . . .25,544






Emergency



EMSOF Grant Recipient• Marion County



40

Marshall1990 Census Population . . . . . . . . . . . . . . . . . . . .30,361

Ambulance Service(s)• Med Star Ambulance Service• Emergystat Ambulance








Monroe1990 Census Population . . . . . . . . . . . . . . . . . . . .36,582

Ambulance Service(s)• Emergystat Ambulance• North Monroe County Ambulance Service







EMSOF Grant Recipient• Monroe County

EMSOF Grant User• Aberdeen Monroe County Ambulance Service


41

Montgomery1990 Census Population . . . . . . . . . . . . . . . . . . . .12,388

Ambulance Service(s)• MedStat Emergency Medical Service







EMSOF Grant Recipient• Montgomery County

EMSOF Grant Users• Med Stat EMS

EMSOF Grant Purchase• Advanced Life Support Equipment• Regionalization• Training

Neshoba1990 Census Population . . . . . . . . . . . . . . . . . . . .24,800

Ambulance Service(s)• Choctaw Health Center Ambulance Service• Neshoba County Hospital Ambulance Service







EMSOF Grant Recipient• Neshoba County

EMSOF Grant User• Neshoba County Ambulance Service


42

Newton1990 Census Population . . . . . . . . . . . . . . . . . . . .20,291







EMSOF Grant Recipient• Newton County

EMSOF Grant User• Emergystat of Newton County

EMSOF Grant Purchases• Ambulance Vehicle• ALS• Regionalization

Noxubee1990 Census Population . . . . . . . . . . . . . . . . . . . .12,604







EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . . . .$478• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . .$5,633

EMSOF Grant Recipient• Noxubee County

EMSOF Grant User• Noxubee County Emergency Services

EMSOF Grant Purchase• Escrow

43

Oktibbeha1990 Census Population . . . . . . . . . . . . . . . . . . . .38,375

Ambulance Service(s)• Oktibbeha County Hospital Ambulance Service







EMSOF Grant Recipients• City of Starkville• Oktibbeha County

EMSOF Grant User• Oktibbeha County Hospital Ambulance Service


Panola1990 Census Population . . . . . . . . . . . . . . . . . . . .29,996

Ambulance Service(s)• Emergystat - North Mississippi• Tri-Lakes Medical Center







EMSOF Grant Recipient• Panola County

EMSOF Grant User• South Panola Community Hospital Ambulance

Service

EMSOF Grant Purchases• Ambulance Vehicle• Communications

44

Pearl River1990 Census Population . . . . . . . . . . . . . . . . . . . .38,714

Ambulance Service(s)• AAA Ambulance Service• Emergystat Ambulance





Emergency



EMSOF Grant Recipient• Pearl River County



Perry1990 Census Population . . . . . . . . . . . . . . . . . . . .10,865





Emergency



EMSOF Grant Recipient• Perry County



45

Pike1990 Census Population . . . . . . . . . . . . . . . . . . . .36,882

Ambulance Service(s)• Southwest Mississippi Regional Medical Center

Ambulance Service





Emergency



EMSOF Grant Recipient• Pike County

EMSOF Grant User• Southwest Regional Medical Center Ambulance

Service


Pontotoc1990 Census Population . . . . . . . . . . . . . . . . . . . .22,237

Ambulance Service(s)• Pontotoc Health Services Center Ambulance

Service







EMSOF Grant Recipient• Pontotoc County

EMSOF Grant User• Pontotoc Health Services Ambulance Service

EMSOF Grant Purchase• Training

46

Prentiss1990 Census Population . . . . . . . . . . . . . . . . . . . .23,278

Ambulance Service(s)• North Mississippi Ambulance Service - Prentiss







EMSOF Grant Recipient• Prentiss County

EMSOF Grant User• Rural Metro

EMSOF Grant Purchases• ALS Equipment• Training

Quitman1990 Census Population . . . . . . . . . . . . . . . . . . . .10,490

Ambulance Service(s)• Quitman County Ambulance Service






EMS Operating Fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . . .$9.006• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . .$4,688

EMSOF Grant Recipient• Quitman County

EMSOF Grant User• Quitman County Ambulance Service


47

Rankin1990 Census Population . . . . . . . . . . . . . . . . . . . .87,161

Ambulance Service(s)• American Medical Response - Central• Acadian Ambulance Service





NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . .7,986EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .6EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68


EMSOF Grant Recipient• Did Not Qualfy

Scott1990 Census Population . . . . . . . . . . . . . . . . . . . .24,137







EMSOF Grant Recipient• Scott County

EMSOF Grant User• Emergystat of Scott County

EMSOF Grant Purchases• ALS

48

Sharkey1990 Census Population . . . . . . . . . . . . . . . . . . . . .7,066

Ambulance Service(s)• Sharkey-Issaquena Community Hospital

Ambulance Service







EMSOF Grant Recipient• Sharkey-Issaquena Counties

EMSOF Grant User• Sharkey-Issaquena Community Hospital

Ambulance Service

EMSOF Grant Purchases• Escrow for Ambulance Purchase

Simpson1990 Census Population . . . . . . . . . . . . . . . . . . . .23,953








EMSOF Grant Recipient• Simpson County

EMSOF Grant User• Emergystat Ambulance Service


49

Smith1990 Census Population . . . . . . . . . . . . . . . . . . . .14,798

Ambulance Service(s)• A Superior Ambulance Provider• Emergystat - Central • Emserv





NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . . .791EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .0EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8


EMSOF Grant Recipient• Smith County

EMSOF Grant User• Emergystat

EMSOF Grant Purchase• ALS• Regionalization

Stone1990 Census Population . . . . . . . . . . . . . . . . . . . .10,750






Emergency




50

Sunflower1990 Census Population . . . . . . . . . . . . . . . . . . . .32,867

Ambulance Service(s)• Medstat Ambulance Service







EMSOF Grant Recipient• Sunflower County

EMSOF Grant User• North Sunflower County Hospital Ambulance

Service• South Sunflower County Hospital Ambulance

Service


Tallahatchie1990 Census Population . . . . . . . . . . . . . . . . . . . .15,210

Ambulance Service(s)• Emergystat - Tallahatchie County







EMSOF Grant Recipient• Tallahatchie County

EMSOF Grant User• Emergystat


51

Tate1990 Census Population . . . . . . . . . . . . . . . . . . . .21,432

Ambulance Service(s)• Emergystat - North Mississippi• Tate County Ambulance Service

Level of Ground Service • Advanced Life Support-Intermediate• Advanced Life Support-Paramedic

Air Ambulance Service(s)• Hospital Wing, Emergency/Non-Emergency• North Mississippi Medical Center Air Ambulance,



NumberAmbulance Runs . . . . . . . . . . . . . . . . . . . . . . . . . . .3,045EMT-Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12EMT-Intermediates . . . . . . . . . . . . . . . . . . . . . . . . . . . .2EMT-Paramedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19


EMSOF Grant Recipient• Tate County

EMSOF Grant User• Tate County Ambulance Service


Tippah1990 Census Population . . . . . . . . . . . . . . . . . . . .19,523

Ambulance Service(s)• Tippah County Hospital Ambulance Service

Level of Ground Service • Advanced Life Support-Intermediate






EMSOF Grant Recipient• Tippah County

EMSOF Grant User• Tippah County Hospital Ambulance Service

EMSOF Grant Purchase• Escrow for Ambulance

52

Tishomingo1990 Census Population . . . . . . . . . . . . . . . . . . . .17,683

Ambulance Service(s)• Belmont Ambulance Service• Iuka Hospital Ambulance Service• Medical Transport Service, Inc.






EMS Operating fund• Collected . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,817• Disbursed . . . . . . . . . . . . . . . . . . . . . . . . . .$7,903

EMSOF Grant Recipient• Tishomingo County

EMSOF Grant User• Iuka Hospital Ambulance Service

EMSOF Grant Purchases• ALS Expenditures• Training• Support Services

Tunica1990 Census Population . . . . . . . . . . . . . . . . . . . . .8,164

Ambulance Service(s)• N o rth Mississippi A m bulance Service - Tu n i c a








53

Union1990 Census Population . . . . . . . . . . . . . . . . . . . .22,085

Ambulance Service(s)• Baptist Memorial Hospital Ambulance Service -

Union County







EMSOF Grant Recipient• Union County

EMSOF Grant User• BMH - Union County Ambulance Service

EMSOF Grant Purchase• Training

Walthall1990 Census Population . . . . . . . . . . . . . . . . . . . .14,352






Emergency



EMSOF Grant Recipient• Walthall County



54

Warren1990 Census Population . . . . . . . . . . . . . . . . . . . .47,880

Ambulance Service(s)• Vicksburg Fire Department Ambulance Service• River Region Health Systems Ambulance Service







EMSOF Grant Recipient• City of Vicksburg• Warren County

EMSOF Grant User• City of Vicksburg Ambulance Service

EMSOF Grant Purchases• ALS Expenditures

Washington1990 Census Population . . . . . . . . . . . . . . . . . . . .67,935

Ambulance Service(s)• Delta Regional Medical Center Ambulance

Service• Delta Transfer, Inc.• Emergystat of Greenville

Level of Ground Service • Advanced Life Support-Paramedic• Invalid Transport

Air Ambulance Service(s)• Hospital Wing, Non-Emergency• University Medical Center - Aircare,




EMSOF Grant Recipient• Washington County

EMSOF Grant User• Delta Regional Medical Center Ambulance

Services

EMSOF Grant Purchase• Ambulance

55

Wayne1990 Census Population . . . . . . . . . . . . . . . . . . . .19,517

Ambulance Service(s)• Wayne General Hospital Ambulance Service






EMSOF Grant Recipient• Wayne County

EMSOF Grant User• Wayne County General Hospital Ambulance

Service


Webster1990 Census Population . . . . . . . . . . . . . . . . . . . .10,222

Ambulance Service(s)• Webster Health Service, Incorporated







EMSOF Grant Recipient• Webster County

EMSOF Grant User• Webster Health Services, Incorporated


56

Wilkinson1990 Census Population . . . . . . . . . . . . . . . . . . . . .9,678

Ambulance Service(s)• American Medical Response• Emergystat Ambulance Service





Emergency




Winston1990 Census Population . . . . . . . . . . . . . . . . . . . .19,433









57

Yalobusha1990 Census Population . . . . . . . . . . . . . . . . . . . .12,033

Ambulance Service(s)• Yalobusha General Hospital Ambulance Service







EMSOF Grant Recipient• Yalobusha County

EMSOF Grant User• Yalobusha General Hospital

EMSOF Grant Purchase• Escrow for Ambulance

Yazoo1990 Census Population . . . . . . . . . . . . . . . . . . . .25,506



Air Ambulance Service(s)• Hospital Wing, Non-Emergency• University Medical Center - Aircare,





EMSOF Grant Recipient• Yazoo County

EMSOF Grant User• Burdine’s EMS Division of Emergystat

EMSOF Grant Purchase• Regionalization• Support Services• Training• Ambulance

58

Notes

59

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