Northern Ohio Trauma System
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EMS Overview

Education

The Northern Ohio Trauma System’s (NOTS) goal is to improve patient outcomes and decrease the mortality of the trauma patient through research, collaboration and education. For NOTS to be effective, this research, collaboration and education begins with EMS. The fire and EMS services in the region are our first responders to trauma, and their initial assessment, treatment and decisions impact patient outcomes. Early recognition of injury through the initial assessment and triage, their decisions on how to transport the patient, and patient destination all impact survivability of an insult.

NOTS has an EMS Committee that meets every other month, composed of physicians, hospital coordinators, fire chiefs and EMS providers representing Ashtabula, Lake, Geauga, Cuyahoga, Medina and Lorain counties. The NOTS EMS Committee is committed to supporting EMS through communication, education and research. The communication will be available through various avenues, keeping EMS informed on the trends in trauma. Our education is available at no cost to fire/EMS services throughout our region. Lastly, NOTS is involved in trauma research, and EMS plays a role in this as well. The group will support the area EMS Coordinators from various hospitals by providing educational resources and personnel to help meet the needs of their providers. The goal is to continue to decrease mortality, improve patient care and ultimately get the right patient to the right place, at the right time.

Interesting Geriatric Facts

In 2012, the CDC reported that there were 2.4 million falls in patients over the age of 65.

  • 1/3 of these patients required hospitalization
  • The costs associated with geriatric falls in 2012 was $30 billion

During the natural aging process, the human brain can shrink by up to 30%

  • Creates space within the cranial vault
  • Leads to “bridging” blood vessels
  • Increases the risk of traumatic brain injury in the geriatric population

Research has demonstrated a significant increase in mortality in the geriatric population who suffer greater than three rib fractures.

  • One study reveals a 19% increase in mortality for each rib fracture beyond the third
  • A second study reports mortality for 1-2 ribs at 4%, greater than 6 ribs at 32%

Studies have revealed a 20-25% mortality rate within the first year in patients 70 years and greater who suffer a hip fracture.

  • Nearly 95% of all hip fractures result from falls

Please contact us for suggestions and/or comments:
Tod Baker, EMSI, Paramedic
Northern Ohio Trauma System
EMS Coordinator
216.778.7036
Tbaker4@metrohealth.org