Emergency Medical Services
Regional Conference

Buffalo, New York February 1973

 
FIRST ANNUAL REGIONAL CONFERENCE
ON EMERGENCY MEDICAL SERVICES

sponsored by
Lakes Area Regional Medical Program, Inc.

New York State Department of Health

and

Erie County Department of Health
Emergency Medical Care Committee

January 31, February 1, 2 and 3, 1973

Statler Hilton Hotel, Buffalo, New York
Golden Ballroom, Terrace Room

 

 

 

 

Objectives

To motivate individuals as well as organizations to develop
greater concern about Emergency Medical Services.

To promote the establishment of well-coordinated

county committees.

To develop interest in and support for Emergency

Medical Services.

 
ee ee ne

CONTENTS

 

 

 

CHAPTER PAGE
PERSPECTIVES, a Total System
Foreword 0... eect ene cee cent n eee sent neenentnntes iv
SEIZE THE DAY
INCOCUCTION 2. cece cece cee eee enn e ene e ne eunnenenanes Vv
1 FIRST ENCOUNTERS
regional involvement . 2.2... 0... ccc ec cece cece cece eneeneaes 1
regional viewpoints... 0.2... cece ccc cee cece ne ee eee sneneanes 2
2 CHALLENGE
before the emergency ........... cece e ences Ween ence eee eee 3
3 RESPONSE
view from Albany 1.0.2.0... 0. cece ec cece e eee ence tenenseanes 5
learning from experience ....... 0... c cc cece cece cece eee euteeues 6
4 VOICES
panel discussions ....... 0... ccc cc ce cee eee een sneenetetneges 8
5 INTERLOCK
Workshop reports 6. eee ect e eee ee ne nenneeanes 11
6 TRENDS
making it Work . 0... cece ee eee e tere eee neunnanes 14
7 PARTICIPANTS ....... 0... ccc ccc ccc cee nen e eee eeentnennnas 18

ii
 

 

PERSPECTIVES, a Total System

foreword

This conference served as a prelude to the community action now
developing throughout the Lakes Area region. It established the
perspective of a ‘total system’ of emergency medical services that deals
with the patient at the point of incident through to the return of that
patient to full time participation in the community as a productive
individual. This perspective provides a framework, a viable perimeter
within which persons involved in emergency medical services can
develop a working sense of integral participation.

Each phase of this system is dependent upon the individuals behind
the total process. The continuum of high quality care is dependent
upon individuals, not equipment. Cooperation between those indivi-
duals is essential. Cooperation is not an ideal to be pined for, it is a
prerequisite to be demanded by each constituent of the emergency
medica! services system. It is the artery to improved emergency service
and it cannot be delegated; it must be contributed spontaneously.

Throughout western New York and northwestern Pennsylvania, we
continue to see evidence of a trend toward regional cooperation within
the Emergency Medical Services constituency. The spontaneity of this
cooperation provided the initial momentum behind this conference and
will certainly provide the real initiative for an improved Emergency
Medical Services System throughout the Lakes Area region. May these
pages provide the proper testimony to that enthusiasm and productive
spontaneity.

 

 

Lakes Area Regitghal Medical Program, Inc.

iv
eer necrnnnteRO REAR vi

Seizing an opportunity and making it work, these are the pathways
that a conference can offer. A successful conference can be informative,
productive, and exciting. The First Annual Regional Conference on
Emergency Medical Services, held February 1-3, 1973, in Buffalo, New

York, was all three.

It brought people representing the range of professions and organiza-
tions involved with emergency services into what became a major
‘confrontation’. This confrontation enabled people to juxtapose indivi-
dual roles into a perspective of combined effort, and to examine where
and why that combination fails.

People exchanged expertise that brought health care deficits to light,
deficits that were outside the realm of individual roles and priorities. It
decentralized thought and broadened involvement. And it provided an
exchange of ideas that will be the foundation of an improved emer-

gency health care system.

Nurses, physicians, public health personnel, volunteer firemen, Civil
Defense and Red Cross representatives, ambulance and emergency
squad members, hospital administrators, police officers — 206 people
attended this four-day conference, and they made it work.

SEIZE IHE DAY

introduction
program participants chat informally

ROY
at
Renin

Ree ty

In April 1971, William E. Mosher, M.D., Commissioner,
Erie County Department of Health, appointed the members
of the Erie County Emergency Medical Care ‘‘Biue Ribbon”
Committee. This committee and the program staff of the
Lakes Area Regional Medical Program, Inc. became in-
volved in writing a grant request for funds to establish an
Emergency Medical Services Project with three major
phases: research, Medical Emergency Technician training,
and emergency medical communications. This grant request
was submitted to the Regional Advisory Group of the
Lakes Area Regional Medical Program, Inc. and after
lengthy consideration found its way to the Regional Medi-
cal Program Services division of HEW in Washington. The
program was funded in June 1972.

Blue Ribbon Committee

This Blue Ribbon Committee initially looked to those
people that could be involved in the problem of emergency
medical service. They were each partially involved in solving
different facets of that problem and individual priorities
often had to be subsumed into a broader perspective. The
focus was on a ‘total’ system in which individual priorities
were assimilated and effectively strengthened. This had to

FIRST ENCOUNTERS

regional involvement

 

be done systematically. Agencies such as the Lakes Area
Regional Medical Program, Inc., have the resources and
professional expertise to help encourage and coordinate
such efforts. John R.F. Ingall, M.D., Executive Director of
the Lakes Area Regional Medical Program, Inc. emphasized
the need for a systematic approach that can channel
emotional involvement into a more realistic and effective
effort. “We want to know what the problem is; we want to
state it, to state our needs and to document them to insure
that we are responding to them when we state the solution.
We want to know where we are going and what must be
done to get there. We want to know the time frame we have
to work with and the investment, not only in hard cash but
in staffing time, necessary to make that a reasonable time
frame. We must be able to judge our performance.”

it is not always enough to seize an opportunity; one has
to be able to make it work. In order for a collective effort
to work, the need, the priority of needs, and the objectives
must be clearly established and understood. The work of
the Blue Ribbon Committee speaks well for a constructive
federal-state-local partnership in meeting documented emer-

gency needs.
 

 

 

regional viewpoints

Kenneth H. Eckhert, M.D., President, Comprehensive
Health Planning Council of Western New York, Inc., dis-
cussed the Partnership for Health Laws passed by Congress
in 1966 and 1967. These laws gave rise to areawide
Comprehensive Health Planning groups. Dr. Eckert concen-
trated on the concept behind partnerships in health — that
very important relationships exist between health providers
and the communities they serve. The development of these
relationships demands an active dialogue that can determine
priorities reflective of realistic needs. Emergency Medical
Services generate the most emotive and dramatic visibility
in the health care delivery system. It incorporates the most
diversive elements of social services — police, firemen,
ambulance squads, civil services, Red Cross, health centers,
volunteer and commercial health services, medical pro-
fessionals, para-professionals, social clubs, telephone com-
panies, etc:, each concerned with particular mandated
functions and priorities. This diversity creates the need for
dialogues, understandings, and partnerships. Agencies such

as the Lakes Area Regional Medical Program, Inc. and
Comprehensive Health Planning exist to augment and to
help coordinate such an inclusive network of participation.
There exists the need to make that dialogue formal, to
make it solid enough to be a sound base upon which a total
emergency medical system can be founded.

LaVerne Campbell, M.D., Regional Health Director, New
York State Department of Health, referred to the legislative
concept of citizens having the ‘‘right to receive’’ emergency
medical care that would give them a ‘fighting chance to
survive”. But he also stressed that representive government
on any level cannot do it alone, that organizations such as
the Lakes Area Regional Medical Program, Inc. and the
Comprehensive Health Planning Council of Western New
York, Inc. together with state and county medical societies,
hospital associations, and volunteer groups must initiate the
real force behind a total system. Government provides the
aid; the community must provide the action.
Call to Action

A comprehensive call to action was expressed by James
H. Cosgriff, Jr., M.D., Chairman, Erie County Emergency
Medical Care Committee, Director, Emergency Medical
Services Project. He cited the most important statistics that
lead to nationwide concern about the adequacy of emer-
gency medica! care services in the United States. “In 1970,
more than 110,000 Americans died of accidental causes,
half due to automobile accidents. This was the third leading
cause of death in all age groups and the leading cause of
death up to age 37, cutting short an unknown number of
potentially productive lives. Six hundred thousand Ameri-
cans died of heart disease, of whom more than half
succumbed before medical care could be obtained. These
statistics generated considerable interest in the care of the
acutely ill and injured. Through the exchange of many
national meetings, guidelines were then established by the
U.S. Department of Transportation; the National Research
Council; the American Medical Association; the Depart-
ment of Health Education and Welfare; the American
College of Surgeons; and others. Special interest organiza-
tions, such as the Emergency Department of Nurses Associ-
ation, were formed as the need for community action
became apparent. Concern and involvement broadened.
Funds were made available through state and local levels for
evaluating specific aspects of the problem.”

Dr. Cosgriff called for a “sweeping change in philos-
ophy” on the part of all concerned in emergency health
care delivery. ““The ambulance should be the extended arm
of the hospital; the emergency medical technician should be
the extended arm of the physician. To be operational,
appropriate legislative changes and training programs are
needed along with reassessment of the roles for each
member of the emergency care team. The responsibility for
solutions cannot rest alone with with isolated groups — it
must be multi-disciplined. Individuals or groups may act as
catalysts in guiding forces in the formation of an emergency
care committee. This vehicle can provide meaningful direc-
tion by simultaneously coordinating both lay and profes-
sional activities in the field of emergency health services.”

CHALLENGE

Oelore the emergency

 

Bad eats Bae Me aie

dr. cosgriff

“It is worth every dollar, every hour, every effort your
community can expend to bring swift and skillful help to
people in urgent need. And the time for action is today,
before the emergency.”
 

GENERAL METHODOLOGY

Inventory of Existing Health Services
Assessment of Community Needs
Recommendations for Appropriate Action

 

INVENTORY

 

  
 

 
 

Availability & Training of
Emergency Medical Technicians

 

Emergency Communications

 
 
 
 

  
  
 
 

  
 
 

 

Hospital Emergency Facilities

 

Ambulance Dispatch

Ambulance Service S

ASSESSMENT OF NEEDS

   

Adequacy of Services

   

Day-to-Day & Disaster

 
 
   
 

 

RECOMMENDATIONS
FOR ACTION

 
 
   

   
 
  
  

Research & Data Collection Hospital Facilities

Communications System

 
  

 

   

Highway and Transportation Training and Education

   

Ambulance & Rescue Equipment

 
 
Donald C. Walker, M.D., Director, Bureau of Emergency
Health Services, applied this same approach to the methods
used by the New York State Department of Health. In
order to enable every community in the state to analyze its
EMS on a sound statistica! basis, the Bureau of Emergency
Health Services has two evaluation tools at its disposal. One
is a standard inventory form of resources through which
they have published a survey of emergency facilities in the
state. The second is the uniform ambulance report form in
which they have documented approximately 22% of all the
pre-hospital emergency health care incidents in the state,
exclusive of New York City, during the period of January
1971 through December. These are the main problems
indicated in the survey: ,

0 fragmentation of emergency patient care between the
pre-hospital and emergency department phase of
management.

0 fack of integration of local emergency health services
with those of other social service areas.

OQ the need to formalize mutual aid agreements.

QO the need to involve local health officials and health
agencies in planning and operation.

QO the need for a state-wide compatible emergency
health services communication system.

CO the need for an accurate cost/benefit analysis of
ambulance and emergency department services.

0 the need to develop training programs for emergency
medical technicians.

O the need for easy public access to the emergency
health system.

Q the need to orient ambulance personnel of fire and
police agencies to the importance of their emergency
duties.

Othe need for a definitive plan or procedure for rapid
transport of the ill or injured patient to a medical
center.

RESPONSE

Niew from Albany

oO the need for the development of a comprehensive
state-wide plan to handle man made or natural
disasters.

On the basis of these established needs, recommenda-
tions can be made. Dr. Walker stressed that the applicability
of such recommendations vary with the location, as do the
needs. The following are recommendations that have been
made, some of which are contained in current drafts of
proposed state legislation:

QO the establishment of legislation and regulations that
are realistic, with adequate standards in training,
staffing, equipment and procedures for ambulance
service, emergency department facilities, and emer-
gency personnel,

QO affiliation of ambulance services with appropriate
hospital receiving facilities.

0 availability of adequate two-way communication be-
tween ambulance services and emergency facilities.

QO development of a state-wide emergency health service
radio frequency capability with integration of cur-
rently available resources.

O development of a realistic cost/benefit analysis for
commercial and volunteer services.

O utilization of an expert representative advisory coun-
cil on emergency health services at the state level.

O determination of the feasibility of helicopter
utilization.

QO retention of all ambulance services and resources
under a grandfather provision with the gradual
phasing-in of newly developed standards through
orientation and education.

O development of a statewide comprehensive disaster
plan.

Q continuing education in emergency health services for
physicians, nurses, ambulance attendants, emergency
personnel and for the general public.
 

 

 

 

learning from experience

Problems vary with localities, as do the solutions to those
problems. No one type of ambulance service will meet the
needs of every community. Two very different answers to
this problem were described by Costas T. Lambrew, M.D.,
Chief, Division of Cardiology, Nassau County Medical
Center and William Nowil!, M.D., Anesthetist, Arnot-Ogden
Memorial Hospital, Elmira, New York.

Dr. Lambrew described the efforts in Nassau County, a
highly populated urban area, to construct an ambulatory
network that would be comprehensive enough to respond
to the population’s needs. The Nassau County Police
Department Special Emergency Services Bureau transports
60% of the county’s total volume of emergency patients;
while 71 volunteer fire departments transport the other
40%.

The Police system is manned by 61 full time civilian
employees of the police department and is equipped by 21
vehicles plus two helicopters. The average response time of
these vehicles is 6 to 8 minutes, while the average transit
time is 7.4 minutes. The vehicles are bought from federal
surplus, reconstructed, and put into service.

The drivers have basic Emergency Medical Training, 140
hours of advanced training, and hospital study covering
cardiovascular disease. They work in Intensive Care Units
and learn the use of monitoring equipment. They are
provided with a communication package which consists of a
GE portable radio that communicates with the hospitals
and transmits EKG simultaneously. It is interfaced with a
portable defibrillator. There are two tape recorders which
will record and facilitate retrospective analysis.

The total cost of this package is $6,000. As Dr.
Lambrew stated, “it is a low cost system; it is versatile,
portable and adaptable to the needs of our area. It enables
us to effectively integrate pre-hospital and hospital phase of
acute care.”

Shockmobile In Use

Dr. Nowill described the efforts in Chemung County, a
rural region, to construct a method of emergency medical
care delivery for a less concentrated population. The
Chemung County Heart Branch of the Southern Tier Heart
Association developed and implemented a Shockmobile
Unit that literally extends the hospital to reach the people.

Devices in the Shockmobile monitor the EKG and pulse,
display them on a cardioscope and record them on a
constantly playing tape. One channel of the radio transmits
two-way voice communication between the ambulance and
the hospital. The second channel transmits the electrocardi-

ogram.

There is a one year training course for the ambulance
attendants. Initially they attend a series of lectures on
electrocardiography. They are taught how to start intra-
venous infusions, pass endotracheal and Levine tubes, and
how to recognize and treat arrhythmias. Anesthesiologists
teach them the physicology of respiration and cardiac
action. They observe in operating rooms, Coronary Care
units, emergency rooms and delivery rooms, learning to
recognize the acute problems of patients in these areas.
They undertake continuous periods of refresher courses and
are subject to direct supervision during actual operation of
the Shockmobile.

Similar types of shockmobiles exist in Florida, Washing-
ton, and West Virginia. Different sizes and types are
available and determined by local need. This unit in
Chemung County costs $45,000 with the special equip-
ment.

Emergency health problems present communities with a
challenge — to organize, to think, to vocalize those
thoughts, and to coordinate action. This is community
response, and most important, it is effective.
 

pa

 

shockmobile
 

NOICES

panel discussions

Voices are the real force behind any conference.
They reflect ideas and project the power that
moves ideas into action. This conference proved to
be no exception. The panel discussions created an
energy that ignited a volley of questions, answers,
and new ideas. Some highlights of these discussions
follow:

“Team cooperation is the key. Emergency department
physicians, registered nurses, licensed practical nurses,
emergency medical technicians, and clerk staff must learn
to think and to act together. Each one must learn to respect
the knowledge and skills of others.” co

“We start with the prejudice that emergency medical
systems are not going to be the same in all portions of the
country and that there are very definite reasons for having
the differences.” o

 

... because that guy sitting down there,

that little guy way down there in the corner,

he is the person that is going to take the training
and maybe he has an idea, a little idea,

and that single idea can be worth millions...

William Wutz, Jr.
Western New York Volunteer Fire Association

“The Highway Act of 1966 was a recognition of the need
to do something about the carnage on the nation’s high-
ways. It asked the states to implement highway safety
programs which were to be developed in accordance with
eighteen established standards. It made funds available
under two sections of the Act: section 402 was the grant
and aid assistance programs; section 403 was a research and
development program. These funds are proportioned to the
states through a formula based on the number of road miles
and the population of the states.”” o

“The name of the game is reduction of response time. It is
no platitude to talk about efforts taking place now in New
York State to determine exactly what that means. With
data and information, we will be able to know where our
priorities must exist in our own programs: a communica-
tions system? Emergency Medical Technician training

programs? new ambulances? better equipment? WHAT
SHOULD WE BE DOING?” o

 

dr. huntley makes a point
ee ED 8 OU

“We have to take stock of our local situations and develop
our own strategies.” a

“If the attendant has completed a certain level of training,
he should be permitted to perform that level of compe
tency provided he is in communication with a hospital.” o

“The officer is constantly schooled to keep up with
changing laws, but not once is he schooled in advanced first
aid, unless his particular department wants him to be.” a

“We have not done enough, nor have other branches of
county and city government, in the preventive areas. The
fact that less than 30% of the population use automobile
seat belts indicates the low priority people seem to have in
the attempt to prevent disability from automobile
accidents.” O

“EDNA, the Emergency Department Nurses Association,
has been working toward education programs for emer-
gency nurses on a national and local level.” a

“The number of hospitals has gone up 14%,

the number of hospital beds has gone up 56%,

the number of patient admissions has gone up 60%,

the number of inpatient days has gone up 41%,

the number of emergency department visits has gone up
380% between 1954 and 1971.

Only 20%, maybe 25% in certain areas, can be categorized
as clinical emergencies. .

Less than 10% of all patients seen in a hospital emergency
arrive there by ambulance.” O

“THE HOSPITAL EMERGENCY DEPARTMENT IS BE-
COMING A MAJOR SOURCE OF HEALTH CARE IN
THE UNITED STATES.” o

“tn Russia most communities have coordinated communi-
cations dispatch systems, 24-hour services and a physician
on every run. It would take at least 15 years for the United
States to achieve this system of emergency medical

services.” O

“Physicians responsible for emergency room coverage
should be trained in medical emergency procedures. He or
she should have at least the equivalent training of an
emergency medical technician.” O

“f& coordinated program of health care includes detection,
treatment, and then review, review, review.” B

“Every injury should be treated as though it were the only
injury. You can not compromise.” O

“A police officer is not only a tool to protect his fellow
man, he is a tool to help him survive.” oO

“in Erie County, New York, there are ambulance attendant
training classes as large as 150 when there should be a
maximum of 45 per class. We have an excess of 5,000
volunteers to be trained. We will have to start a new class
every week for two years before we hope to cover the

group.” O

“Volunteer fire service has been in existence since 625 B.C.,
so they are not new.”” O

“The Empire State Rescue and First Aid Association was
formed in 1954, chartered by New York State to provide a
means by which persons trom all the disciplines of emer-
gency medical care could come together and discuss com-
mon problems such as training, education, communication,
and legislation.” o

“The emergency department is the one entry point into the
United States’ health care system that cannot control the
number and type of people that are admitted. It may not
send people away; if it does it is placing itself in legal
jeopardy.” 0

“It is not a matter of ‘if’ anymore; it is a matter of how
rapidly Emergency Medical Service councils develop and
WHEN.” o
 

“There is an interlock jn our area — nurses, doctors,
technicians, advisory ph ysicians, police, firemen,

‘ambulance and rescue squads —
working together.”

people fitting together,

 

70
 

An interlock is not an easy concept to understand; nor is it
easily achieved. It is a coordination so complete that the
operation of one part automatically brings about or pre-
vents the operation of another. If it is a human interlock, it
is a system so well understood and developed that each
person is integral to the total operation. The workshop
provided a period of introduction between those people
that are involved in the total system of emergency medical
care. It provided a time to learn the faces and facts behind
this system. In turn, this interchange created the incentive
to further refine ideas into coordinated thought and action.

The nine counties that make up the Lakes Area Regional
Medical Program, Inc. were divided into groups according
to geographical location, population, and already estab-
lished alliances. They were charged to evaluate the deficits
in their emergency medical service system. Each group
presented similar needs and priorities, but different strat-
egies, reflecting individualized methods of response. These
are the beginnings, the start of dialogues that eventually do
MAKE THINGS WORK.

Group I. Genesee, Allegany, and Wyoming Counties

This group discussed a wide range of needs and concluded
that an Emergency Medical Service Committee must in-
clude a representative cross-section of people and services
involved with the emergency system.

Assessed Needs:

* to determine the feasibility for a regional helicopter
transport system. .

e to coordinate and equip an emergency communica-
‘tions system.

« to formalize a mutual aid system that would co-
ordinate tri-county resources for emergency medical
services.

* to develop regional disaster planning.

Recommendation: a,
Each county is currently developing an Emergency
Medical Services Committee. It was recommended
that such a committee should have a representation
that includes physicians, nurses, allied-health person-
nel, fire and rescue squads, ambulance services, police

17

INTFERLOCK

workshop reports

(local and state), the Sheriff’s Department, legislators,
local industries, state and county highway depart-
ments, health agencies, Red Cross, Chamber of Com-
merce, Civil Defense, and !ocal service clubs.

Group I. Cattaraugus, (N.Y.), McKean and Erie, Pennsyl-
vania, counties

This group developed three main areas of concern: physical
resources, manpower resources, and coordination of effort.

Physical resources:
¢ to develop hospital-based ambulance facilities.

¢ helicopter transportation feasibility — acquisition and
maintenance costs — regional sharing.

»* to survey emergency room equipment and
organization.

* to update package disaster hospitals

Manpower resources:
e to survey and organize physician coverage in emer-
gency rooms.
* to implement and to encourage training of ambulance
attendants in emergency medical treatment and
procedures.

Coordination of effort:
e to coordinate a more effective communications sys-

tem, hospital to ambulance; hospital to hospital; and
finally, hospital to hospital between counties.

« to implement written transfer agreements between
local hospitals and between county hospitals in an
effort to coordinate shared resources.

* to coordinate effective Emergency Medical Services
Committees within each county and to promote an
active EMS network between counties.

e to promote public awareness concerning what chan-
‘nels of emergency medical! care are available within
the tri-county area.

Group II. Niagara County

This group discussed the formation of an Emergency
Medical Services Council. As they expressed it: “We do
have an EMS committee, and we are beginning to
function.”
Recommendations:

clarification of direction

community representation

funding resources

documented data to formalize need

regional coordination of an EMS network for disaster
planning and shared resources

an effective communications system — hospital to
ambulance and hospital to hospital

Group IV. Chautauqua County

This group indicated that they were in the process of
forming an Emergency Medical Services Council and had
addressed themselves to the needs and priorities involved in
its formation.

Recommendations:

* inclusive representation by those people and organiza-
tions directly and indirectly involved in emergency
medical services
comprehensive inventory of area services and re-
sources
regional sharing of specialized resources and services
training of ambulance attendents in both vehicle
operation and emergency medical treatment
clarification of legal status for volunteer fire depart-
ments that often provide emergency transportation
coordination and development of existing communi-
cations system as it functions in emergency medical
service

 

Group V. Erie County, New York

The Erie County Department of Health Emergency Medical
Care Committee was formed in April, 1971, Researchers
have surveyed eighteen Erie County hospitals and four in
Niagara and Cattaraugus counties; fifty-three volunteer fire
ambulance/rescue squads; and three emergency first aid
squads. Emergency Medical Technician training began in
October 1972. Educational materials, equipment, supplies
and training aids were secured. Physician instructors were
recruited and Erie Community College is now granting
three credits for the course. A cardiac care project was
developed. Purchase, installation and Operation of an emer-
gency medical communications system is anticipated for
1973.

With this background of activity, this group stressed the
need for two types of communication: technical and

interpersonal.

Recommendations:

« Emergency Medical Services Councils should not only
foster a wide representation, but individualized con-
tacts between the represented constituencies.
Communications cannot exist without cooperation
between communicators: cooperation cannot exist
without understanding; and understanding is based
upon shared knowledge.

New Committments:
* To formalize a more comprehensive dialogue between

chautauqua county group in discussion

12
the components of their emergency medical services
system; to educate those components and to up-date
that education as individual roles are expanded.

To promote personal cooperation by holding peri-
odical sessions where informal dialogues can take
place that will express individual prejudices and

needs.
To “OPEN THE COMMUNICATIONS”.

13
To motivate greater concern; to promote county councils,
to develop support; to stimulate a trend toward an im-
proved emergency medical services system — the objectives
of this conference were clearly not meant as ‘ends’. They
provide the beginnings — of dialogues, efforts, and actions.

The growth of a trend depends upon the people who
understand its direction and believe in it enough to make it

14

   

continue to grow. Communications are being opened.
Dialogues are continuing throughout the entire Lakes Area
region. The conference which was informative and exciting
is proving the real force of its productivity. Evidence of this
trend toward an improved region-wide Emergency Medical
Services System is evidence of a successful First Annual
Regional Conference on Emergency Medical Services.

 

emergency room
 

emergency technician training

15
 

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17
 

Speakers

John C. Border, M.D.

Director, Trauma Research Center
E.J. Meyer Memorial Hospital
Buffalo, New York

LaVerne E. Campbell, M.D.

Regional Health Director

New York State Department of Health
Buffalo, New York

James H. Cosgriff, Jr., M.D.
Chairman, Erie County Emergency Medical Care Committee;
Director, Emergency Medical Services Project;

Chairman, New York State Technical Advisory Committee on

Emergency Medical Care
Buffalo, New York

Kenneth H. Eckhert, M.D.

President, Comprehensive Health Planning Council of
Western New York, inc.

Buffalo, New York

Robert F. Ehinger, M.D.

Assistant Regional Health Director
New York State Department of Health
Buffalo, New York

Roger Fenlon

Coordinator, Emergency Health Services
Erie County Department of Health
Buffalo, New York

Mildred Fincke, R.N., B.S.

Director of Emergency/Ambulatory Nursing Services
Allegheny General Hospital

Pittsburgh, Pennsylvania

John Guevin
President, New York State Ambulance Owner's Association

Troy, New York

Geoffrey Gibson, PhD.

Sociology Department

State University of New York at Buffalo
Buffalo, New York

18

William L. Glaszier, M.D.
Vice-President of Medical-Dental Staff
Tri County Memoria! Hospital
Gowanda, New York

Harvey D. Grant

Senior Instructor

Delaware State Fire School
Emergency Care Training Coordinator
Dover, Delaware

Robert W. Harris

Executive Director

Western New York Hosptial Association
Buffalo, New York

Irvin E. Hendryson, M.D.

Director, Priority Health Care

University of New Mexico, School of Medicine
Albuquerque, New Mexico

Henry C. Huntley, M.D., M.P.H.

Director, Division of Emergency Health Services

Health Services and Mental Health Administration

United States Department of Health, Education and Welfare
Rockville, Maryland

John R.F. Ingall, M.D.

Executive Director

Lakes Area Regional Medical Program, Inc.
Buffalo, New York

David C. Krieman

Emergency Medical Care Representative
New York State Department of Health
Buffalo, New York

Costas T. Lambrew, M.D.

Chief, Division of Cardiology

Nassau County Medical Center

East Meadow, Long Island, New York

Edward Lauman, Communications Coordinator
Bureau of Emergency Health Services

New York State Department of Health

Albany, New York
William E. Mosher, M.D.
Commissioner

Erie County Department of Health
Buffalo, New York

F. James Murphy
President, Western New York Hospital Association

Buffalo, New York

William Nowill, M.D.
Anesthetist

Arnot-Ogden Memorial Hospital
Elmira, New York

Edward V. Regan
County Executive
Erie County
Buffalo, New York

Lawrence R. Rose, M.D.
Project Manager, Emergency Medical Services,

Regional Medical Program, Health Services and Mental

Health Administration
Rockville, Maryland

Captain Shirl J. Stephany
United States Coast Guard

Assigned to Nationa! Highway Traffic Safety Administration

Emergency Medical Services Division
Washington, D.C.

Richard J. Stoll

Past President, Empire State Rescue and First Aid
Association

Buffalo, New York

Donald C. Walker, M.D.

Director, Bureau of Emergency Health Services
New York State Department of Health
Albany, New York

Planning Committee

James H. Cosgriff, Jr., M.D.

Erie County Emergency Medical Care Committee
Director, Emergency Medical Services Project;

Chairman, New York State Technical Advisory Committee on

Emergency Medical Care
Buffalo, New York

Roger J. Fenlon

Coordinator, Emergency Health Services
Erie County Department of Health
Buffalo, New York

Martin B. Gerowitz
Comprehensive Health Planning Council of Western New York, Inc.
Buffalo, New York

Geoffrey Gibson, Ph.D.

Department of Sociology

State University of New York at Buffalo
Buffalo, New York

Robert W. Harris

Executive Director

Western New York Hospital Association
Buffalo, New York

E. Ray Hodge
Buffalo Area Chapter
American Red Cross
Buffalo, New York

Patricia Shine Hoff
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

Onalee H. Johnson

School of Nursing

State University of New York at Buffalo
Buffalo, New York

Lance J. Kohn, Sr.

Empire State Rescue and First Aid Association

First Aid Captain-1st Vice President Grand Island Fire Co.
3509 Wallace Drive

Grand Island, New York

David C. Krieman

Emergency Medical Care Representative
New York State Department of Health
Buffalo, New York

Raymond A. Nowak
New York State Ambulance Owner's Association

Troy, New York

Michael Summers
Western New York Police Conference

Richard F. Treccase
Executive Officer Erie County Medical Society
Buffalo, New York

William A. Wutz, Jr.
Western New York Volunteer Fire Association
Buffalo, New York
 

Anthony Zerbo, Jr.
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

Ragistrants

William Abraham

Volunteer Fireman

Western New York Emergency Medical Association
Buffalo, New York

Raymond J. Allen
27 West State Street
Wellsville, New York

Anita and Florence Anderson
M.E.T.
Wellsville, New York

Donald C. Anderson

Supervisor

Gowanda Ambulance Service Corp.
Gowanda, New York

Douglas H. Baker

President

LaSalle Ambulance Service Inc.
1609 Main Street

Buffalo, New York

Virginia Barker, R.N., Ed.D.
Dean, School of Nursing
Alfred, New York

William Barndollar
240 N. Elficott
Williamsville, New York

Eve Bayle

Sister’s Hospital
2157 Main Street
Buffalo, New York

Robert Jay Beebee

Lakes Area Regional Medical Program, Inc.
2929 Main Street

Buffalo, New York

Leslie A. Beck

Jamestown Fire Department
199 Hazeltine Avenue
Jamestown, New York

Julianna Bednarz

Lakes Area Regional Medical Program, Inc.
2929 Main Street

Buffalo, New York

Joseph J. Belezak

Fire Chief

North Tonawanda Fire Department
28 Hyland Avenue

N. Tonawanda, New York

Frederick Biddell
Emergency Medical Services System
Buffalo, New York

H. Stanley Biryla
Rescue Captain

Hillcrest Fire Co. O-P.
57 Green Meadow Drive
Orchard Park, New York

Alan Blatt

Cal-span Corporation
4455 Genesee Street
Buffalo, New York

John Bleecher

Medical Emergency Technician
Eggertsville Hose Company
230 Lamont Drive

Buffalo, New York

Sandra Bogdanowicz
Emergency Medical Services System
Buffalo, New York

Neil Bohnert
Spencer Hospital
Meadville, Pennsylvania

Alfred L. Brandt, M.E.T.

Instructor-Also, American Red Cross Instructor
Kenmore Volunteer Fire Dept. Rescue Squad
194 Washington Avenue

Kenmore, New York

David Buck

Lakes Area Regional Medical Program, Inc.
2929 Main Street

Buffalo, New York

20
Amy Burgett, RN
69 Oak Street
Wellsville, New York

Phyllis Burley

Philip J. Burns
Administrator

Doctors Hospital

300 Two Mile Creek Road
Tonawanda, New York

Virginia B. Brown

Chautauqua Opportunities, Inc.
12 Blanchard Street

Mayville, New York

Lioyd Cannedy
Administrator
Bradford Hospital
Bradford, Pennsylvania

Miss Joyce Carey, RN
Charge Surgical E.R.
Children’s Hospital
Buffalo, New York

Miss Joyce Carey, RN
485 Hewett Avenue
Buffalo, New York

John Clarkson
Jamestown Police Department
Jamestown, New York

Isabelle M. Clifford

Director, Home Health Services
Erie County Health Department
147 Marine Drive 6D

Buffalo, New York

Jerry Close
State University of New York at Buffalo
Buffalo, New York

Margaret D. Connelly, R.N.
Public Health Nursing Service
Belmont, New York

George M. Cooper, M.D.
Assistant Medica! Director

Erie County Dept. Social Services
5800 Lake Shore Road

Hamburg, New York

William D. Couell

Assistant Chief

Orchard Park Fire Co. Rescue Squad
17 Harvard Place

Orchard Park, New York

William Crage
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

Dennis Crosby

Allied Chemical Corporation
78 Grand Boulevard
Cheektowaga, New York

Walter Curry

EMS Coordinator

Central New York Regional Medical Program
716 East Washington Street

Syracuse, New York

Robert A. Dame

Medical Department-First Aid Instructor
Ford Motor Company-Buffalo Stamping Plant
78 Errington Terrace

Orchard Park, New York

E.H. Deuchler

Fire Alarm Dispatcher
Civil Defense

222 Hartford Avenue
Kenmore, New York

Harold Dewey

Carlton A. Dick

Chief of Training
Buffalo Fire Department
671 Eggert Road
Buffalo, New York

Beverly Drezek
Emergency Medical Services System
Buffalo, New York

Rose Dziekonski
Emergency Medica! Services
Buffalo, New York

Frank R. Episcopo, M.D.
Veterans Administration Hospital
Erie, Pennsylvania

21
 

James Ehinger, M.D.
Mercy Hospital E.R.
665 Main Street

West Seneca, New York

Mr, and Mrs. Erwin (Shockmobile)
Elmira, New York

Roy H. Fabry

E.J. Meyer Memorial Hospital
462 Grider Street

Buffalo, New York

Fred C. Fahey

President

Mohawk Ambulance & Oxygen Service Inc.
787 State Street

Schenectady, New York

George C. Feisthamel

EMS Coordinator

Mid State Committee on Area Wide Health Planning
800 Park Avenue

Utica, New York

Irwin Felsen, M.D.

President, Regional Advisory Group

Lakes Area Regional Medical Program, Inc.
Wellsville, New York

Ted Fleth, Jr.
72 South Main Street
Holley, New York

Willard Flynn

Corporate Safety Officer
Sierra Research Corporation
247 Cayuga Road
Cheektowaga, New York

Linda Frutig
Kenmore Mercy Hospital
Buffalo, New York

Helen M. Fyda

Staff Nurse

WNY Association of Industrial Nurses
535 Washington Street

Buffalo, New York

Timothy J. Garrison
1257 Wehrle Drive
Williamsville, New York

Janet L. Gelsinger
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

Mary Giles, DNS

Jones Memorial Hospital!
Cooks Road

Alfred Station, New York

Alberto J. Gonzales, M.D.
Buffalo Columbus Hospital
300 Niagara Street
Buffalo, New York

John N. Good

Chautauqua County Department of Health
Environmental Health Services

Health & Social Services Building
Mayville, New York

Mrs. Patricia Gordon, RN
St. Jerome Hospital

16 Bank Street

Batavia, New York

Franklin E. Grimes Sr.

Cattaraugus County Health Planning
Box 48

Knapp Creek, New York

Susan Haber
Emergency Medical Services System
Buffalo, New York

Wanda S. Hackney

George W. Halliwell

Executive Secretary

Western New York Burn Treatment Center
4838 Tonawanda Creek Road

N. Tonawanda, New York

Jean Hanna
708 West 34th Street
Erie, Pennsylvania

Donald Haseley

First Aid Captain

Sanborn Fire Company, Inc.
5811 Buffalo Street
Sanborn, New York

22
Robert A. Hayman

Research Electronics Engineer
Calspan Corporation

4455 Genesee Street

Buffalo, New York

William Hilt

Driver (Supervisor)
City Ambulance Service
300 Niagara Street
Buffalo, New York

Robert J. Hochreiter
Auto Investigator
Calspan Corporation
974 Dodge Road
Buffalo, New York

E. Ray Hodge

Executive Director

Greater Buffalo Regional Chapter
American Red Cross

786. Delaware Avenue

Buffalo, New York

Neil Hodgson
E.J. Meyer Memorial Hospital
Buffalo, New York

Patricia S. Hoff, R.N.
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

George W. Holliwell

WNY Burn Treatment Center
4838 Tonawanda Creek Road
North Tonawanda, New York

George Howardell and Edwin Adams
Marketing/Engineering

Sierra Research Corporation

247 Cayuga Road

Cheektowaga, New York

John J. Hufchock

EMS Coordinator, North Country Area (CHP)
Central New York Regional Medicat Program
746 Fulton Street

Carthage, New York

Richard E, Hummert, Jr.
Ambulance Attendant
Emergency Hospital

108 Pine Street

Buffalo, New York

Samuel T. Ingram

Mary Ireland

Staff Nurse

WNY Association of Industrial Nurses
535 Washington Street

Buffalo, New York

Mrs. Vera D. Johnson, RN

Director, Nursing and Health Programs
Greater Buffalo Regional Chapter
American Red Cross

786 Delaware Avenue

Buffalo, New York

Doris Jones

Niagara Community Action Program
Project Director

220 First Street

Niagara Falls, New York

Algie L. Jordan

Georgia Regional Medical Program
938 Peachtree Street

Atlanta, Georgia

William D. Kelly

Chautauqua County Civil Defense
McClenathan Mobil Cts.
Fredonia, New York

Bonnie Kirisits
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

Rev. Donald W. Kirkwood
Fire District No. 6
West Seneca, New York

Robert C. Kochersberger, Ed.D.

Jamestown Community College
Jamestown, New York

23
 

 

Lance J. Kohn, Sr.

First Aid Captain- 1st Vice President
Grand Island Fire Company

3509 Wallace Drive

Grand Island, New York

Herbert Kranzmann
41 Revere Drive
Grand Island, New York

Mathew J. Kropp, Sr.
North Java Fire Company
4269 Rt. 98

North Java, New York

Mathew J. Kropp, Jr.
4269 Rt. 98
North Java, New York

Frederick Lamb, Sr.
Sr. Instructor, Red Cross
360 Sunset Terrace
Orchard Park, New York

Mary Langstoff
Kenmore Mercy Hospital
Buffalo, New York

Mr. and Mrs. Lewis
Elmira, New York

Donald R. Lewis
Assistant Administrator
St. Jerome Hospital

16 Bank Street

Batavia, New York

Terry Link
Boston Emergency Squad
Boston, New York

Mary Looker, RN
Bradford Hospital
Bradford, Pennsylvania

Marion L. Loucks
118 Allenhurst Road
Buffalo, New York

David B. Lyon
President

Medical Oxygen Service
Quinby Park

Hamburg, New York

John A, McCraith

Deputy Fire Company Coordinator
7 Lambert Avenue

Fredonia, New York

Gene Madden
American Red Cross
Jamestown, New York

Richard Makuch

Western New York Police Association Inc.
747 Deer Street

Dunkirk, New York

Thomas M. Mangan

Niagara County Community College
Asst. Prof. of Biology

3111 Saunders Settlement Road
Sanborn, New York

Victoria Markellis, M.D.
Commissioner of Health

Genesee County Health Department
3837 Main Street

Batavia, New York

Joan Marsh, RN
157 East Pearl Street
Wellsville, New York

Miss Sandra Lou Maslach, RN
U.S. Army Nurse Corp

125 South Martin Street
Dunkirk, New York

Mrs. Loraine C. Mathewson
Assistant Administrator
Buffalo Columbus Hospital
300 Niagara Street

Buffalo, New York

James McCormack, Ph.D.
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

Wilbur Mauk
Health Association of Niagara County, Inc.
Niagara Falls, New York

Anthony A. Merlino, M.D.
Chief of Medicine

Buffalo Columbus Hospital
300 Niagara Street
Buffalo, New York

24
R. Miller
Sierra Research
Buffalo, New York

Robert Miller

Lakes Area Regional Medical Program, Inc.

Buffalo, New York

Mary M. Mogan

Regional Director of Nursing

New York State Department of Health
584 Delaware Avenue

Buffalo, New York

Verna Morris, RN
W.C.A. Hospital
Jamestown, New York

Mrs. Alfretta Moynikan, RN
St. Jerome Hospital

16 Bank Street

Batavia, New York

Matthew Mrowczynski

Warren A. Mutz

Medical Society County of Erie
1514 Marine Trust Building
Buffalo, New York

Ray Nicholas
New York State Health Department
Albany, New York

John Owen
8235 Greiner Road
Williamsville, New York

Donald C. Oswald

Member, Board of Directors
Inter-Community Memoria! Hospital
2600 William Street

Newfane, New York

N. Donald Peifer
Tri-County Memorial
100 Memorial Drive

Shirley Pemberton
Emergency Hospital
Buffalo, New York

Ralph M. Peters

Assistant Supervisor

Gowanda Ambulance Service Corp.
30 St. Johns Place

Gowanda, New York

Diane Pinchoff
Lakes Area Regional Medical Program, Inc.
Buffalo, New York

Ronald W. Plewniak
First Aid Captain

Harris Volunteer Fire Co.
4580 Boncrest E.
Williamsville, New York

Irene Polowy, RN

Night Nurse - Emergency Room
Millard Fillmore Hospital

3 Gates Circle

Buffalo, New York

Constance Poodry

Basil Potter
Sierra Research
Buffalo, New York

Thomas Power
Cattaraugus County Health Department
Olean, New York

Joseph Reynolds

Telephone Lecture Network

Lakes Area Regional Medical! Program, Inc.
Buffalo, New York

Herbert R. Riemen
Assistant Vice President
Sisters of Charity Hospital!
2157 Main Street

Buffalo, New York

Frank T. Riforgiato, M.D.
President of Medical Staff
Buffalo Columbus Hospital
300 Niagara Street
Buffalo, New York

Harold B. Sanderson

Owner and Operator

Seneca Ambulance & Oxygen Service
32 State Street

Seneca Falls, New York

Mrs. Joyce J. Schenk

Friendly Lake Volunteer Fire Company
P.O. Box 416

Friendly Lake, New York

25
 

 

James A. Schindler

Assistant Administrator, Admin. Resident
Deaconess Hospital

1001 Humboldt Parkway

Buffalo, New York

Mrs. Ruth Schniett, RN

Supervisor, Out-patient Department
Children’s Hospital

Buffalo, New York

Robert W. Schober
Fire Fighter
Kenilworth Fire Co.
74 Hawthorne Avenue
Buffalo, New York

Norman Schuller
East Aurora Rescue Squad-First Aid
East Aurora, New York

Mrs. D.S. Schwartz
385 Oakwood Avenue
East Aurora, New York

Carolyn G. Seymour
Development Department
County Office Building
Model Counties Development
Mayville, New York

Wilson W. Shaw, M.D.
W.C.A. Hospital
Jamestown, New York

Jasper Shealey
Emergency Medical Services
Buffalo, New York

Lucia Shealey
Emergency Medical Services
Buffalo, New York

Floyd Silliman
1869 Cornwall Road
South Wales, New York

Robert Sinclair
Mennen-Greatbatch
10123 Main Street
Clarence, New York

Dr. Donald Snyder

Project Administrator
Comprehensive Care Center
7008 Errick Road

N. Tonawanda, New York

Dean C. Sommers

Administrator

HHA Administrative Services, Inc.
233 Coronation Drive

Amherst, New York

Russell Sparcino
Ambulance Supervisor
Emergency Hospital
108 Pine Street
Buffalo, New York

Lawrence E. Sparks
North Tonawanda Fire Department
North Tonawanda, New York

Richard Stabler

Division Safety

Sierra Research Corporation
247 Cayuga Road
Cheektowaga, New York

Jutius G. Stapf
President

Wilson Fire Company
186 Lake Street
Wilson, New York

Dick Stevens
Comprehensive Health Planning
Syracuse, New York

William F. St. John
325 Norwood
Rochester, New York

A. Patricia Stopen, R.N.

Box 190
Wyoming County Board of Supervisors-Emergency Care

Training Program
400 North Main Street
Warsaw, New York

26
William A. Stoppani

Administrator

{nter-Community Memorial Hospital
9600 William Street

Newfane, New York

Moir P. Tanner

Vice President

Homemakers Upstate Group, Inc.
235 North Street

Buffalo, New York

Joseph C. Tedesco, M.D.
Buffalo Columbus Hospital
300 Niagara Street
Buffalo, New York

Elaine Tette

Sister Thecla

Asst. Director Mrs. Sirmce
Sisters Hospital

2157 Main Street

Buffalo, New York

Donald B: Thomas, M.D.

1st Deputy Health Commissioner
Erie County Health Department
95 Franklin Street

Buffalo, New York

Richard F. Treccase

Executive Officer

Medical Society County of Erie
1514 Marine Trust Building
Buffalo, New York

Joseph F. Turner, Jr,
Administrator

Lockport Memorial Hospital
521 East Avenue

Lockport, New York

Mrs. Jerrie L. Van Every, RN

Head Nurse Emergency Department
EDNA Chapter President

Meyer Memorial Hospital

135 Ivyhurst Road

Eggertsville, New York

Charles P. Voltz, M.D.

Director of Out of Hospital Services
Sisters of Charity Hospital

Buffalo, New York

Arthur Wade

Grand Island Fire Company
Treasurer

5177 East River Road
Grand tsland, New York

Dan E. Waite

Niagara Mohawk Power Corporation
106 Point Drive North

Dunkirk, New York

Mary Wolford, RN
Bradford Hospital
Bradford, Pennsylvania

Susan L. Walsh

N.Y. State Senate Health Committee
Room 611612

N.L.O.B.

State Capitol

Albany, New York

Michael Walters
Emergency Medical Services
Buffalo, New York

John L. Worden, Ph.D.
St. Bonaventure University
Olean, New York

Paul A. Wheeler

Director of Safety Programs
Greater Buffalo Regional Chapter
American Red Cross

786 Delaware Avenue

Buffalo, New York

Eugene P. Wilczewski

Executive Director

Comprehensive Health Planning Council of Western New York Inc.
Suite 300

Genesee Building

Buffalo, New York

27
 

 

 

Jeffrey J. Woeppel
Administrative Resident
Deaconess Hospital
Buffalo, New York

Ellen K. Wolfe

Public Health instructor
Millard Fillmore Hospital
School of Nursing

1290 Delaware Avenue
Buffalo, New York

William Wutz

Emergency Medical Services
Buffalo, New York

Kurt Mathiebe

Lakes Area Regional Medical Program, Inc.

Buffalo, New York

28
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lakes area regional medical program, inc.

new york state department of health

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emergency medical care commitiee

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