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dib <br />40 <br />8. Outcome measurable: Degree to which need will be met or changed. ;Use only the space provided) <br />The outcome of this project will improve and expand EMS on a countywide basis by upgrading the <br />existing level of EKG equipment carried by all of the licensed ALS ambulances in the EMS Division. <br />These new LifePac 12's will reduce the need for high maintenance of older and out dated EKG units <br />currently in use and will increase the reliability and accuracy of the patient's EKG. LifePac 12s also <br />serve as a platform for other medical diagnostic equipment, i.e. SA02 monitors, ETCOZ monitors, <br />NIBP monitors and other technologies. It will provide patients and physicians with the most accurate <br />and up-to-date mechanisms for ALS cardiac care and patient monitoring. This new equipment will <br />allow for the ability to view more than one waveform at a time. The 4 wire lead selection allows the <br />ability to obtain readings in Leads I, II, III, AVR, AVL and AVF which when used by our <br />department's cardiac alert program spotlights Acute Myocardial Infarctions with early recognition and <br />proves to be a positive bonus for early detection. This option will be used with the Indian River <br />County Emergency Medical Services AMI protocol. It will also allow for a significant decrease from <br />door to drug time in thrombolytic administration from over 40 minutes to less than 10 minutes and <br />significantly improve prehospital medical care to cardiac as well as all monitored patients. <br />Additional improvements can be measured by an upgrade in service at one station and by adding EMS <br />service at a new location. The first station will go from a BLS first response to an ALS licensed <br />transport unit to be located at Emergency Services Station S and at the projected Emergency Services <br />Station 11 to be located on the north barrier island. Both locations will be staffed by Paramedics and <br />licenced ALS ambulances. Two of the ten LifePac 12s will be placed at these locations. <br />The tenth unit will provide all EMS staff with a training tool for use by the EMS training officer as <br />well as provide for a higher level of back up service for use at stand-bys and special events. <br />Work activities and time frames: Indicate procedure for delivery of project. (use only the space <br />provided) <br />Ten LifePacl2 units would be purchased within 90 days of grant approval. One month for staff <br />training on the new equipment with full implementation 120 days post approval. The entire EMS staff <br />has already completed the necessary 12 lead training :u facilitate the start of ilie program. <br />