HomeMy WebLinkAboutOutcome for Projects11. Outcome For Projects That Provide or Effect Direct Services To Victims:
A) Quantification of the situation in the most recent 12 months: From January 1, 2004 to December 31,
2004, the City of Miami Fire -Rescue (MFR) responded to 82,393 calls (alarms) for assistance which resulted in
over 592 patients requiring ventilation with the usage of a BVM and 388 patients requiring intubated ventilation
(usage of a BVM and an intubation tube, of which 292 were cardiac arrest patients). Our saved rate (pulse at
hospital) for year 2003 was at 16% (of which most of these never leave the hospital alive). Through MFR
supervisory reports and in light of the recent studies (including a report put out by the American Heart Association
in 2004) we believe our current BVM ventilation rate to be at 30 ventilations per minute.
B) Estimate of what the above numbers should become in the 12 months after this project's resources
are on-line: The number of alarms is expected to increase to 86,512 (5% increase) based on the projected
increase in the City's population. Due to the anticipated increase in alarms we can expect 621 patients requiring
mechanical ventilation (of which 306 are estimated to be cardiac arrest patients). Our ventilation rate will be at 12
ventilations per minute, which leads us to estimate that our saved rate (pulse at hospital) will increase by at least
12 additional patients, equivalent to 5%.
C) Justification and explanation of how above numbers are derived: The alarm number increase to 86,512
is based on the 5% increase over Year 2003 alarms coupled with the Year 2005 Residential and Commercial
building projections by the City's Planning Department. The increased number of mechanical ventilation and
cardiac arrest patients is due proportionately to the 5% increase in total alarms. The lowering of our ventilation
rate from 30 down to 12 per minute will be achieved by training and usage of the ETVs. The increased save rate
of 5% is a conservative estimate based on the report put out by the American Heart Association in 2004 which
documented that when ventilations were lowered from 30 down to 12 per minute, the save rate increased to 86%.
D) Other outcomes expected of this project: We anticipate that through better ventilation our total positive
patient outcomes will increase by at least 10%, 15 additional patients. The use of ETVs, will improve by 100%
the tidal volumes being delivered into the lungs and esophagus, improving sufficient oxygenation of the body. It
will decrease by 50% gastric distention of the stomach, and reduce by 50% the chance of aspirating gastric
contents. In addition, it will deliver 100% of the times proper information for our paramedics to measure the
progress on the patient while the procedure is taking place and allow our EMS personnel to concentrate on other
critical elements of resuscitation.
E) Integration into agency's five year plan: This project integrates well into the Five Year Strategic Plan of the
City of Miami. Specifically it addresses the Department's Goal #13 to "improve operations throughout the
deartment by researching and implementing new techniques and/or equipment to effect better deliveiy of
service and quality patient care."