department of emergency medicine innovative practice section · dermatological 1 cardiac 1 case...
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Department of Emergency Medicine
Innovative Practice Section
Maritime Medical Access Services Overview UNOLS RVOC – April 20, 2017
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GW Maritime Medical Access
o Founded in 1989
o Provides 24/7/365 Medical Advice to Vessels, Aircraft, & Remote Locations around the World.
o Board Certified, Practicing, Academic Emergency Medicine Physicians
o Clients include shipping, fishing, and research vessels, business aviation, cruise lines, pleasure craft, government teams & remote locations
o Medical, logistical & operational support
The GW Medical Faculty Associates 2
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GW MMA Physician Leadership Dr. Francis O’Connell Medical Director o 3 years with GW MMA o Coast Guard Academy Graduate o 10+ years of USCG service
Dr. Keith Boniface Associate Medical Director o 13 years with GW MMA o Maritime Health expert o National leader in emergency
ultrasonography
Dr. Neal Sikka Associate Medical Director o 12 years with GW MMA o National leader in telemedicine and m-
health
The GW Medical Faculty Associates 3
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GW MMA Staff
The GW Medical Faculty Associates 4
GW MMA Clinical Coordinators o Emergency & Remote Medicine Trained PA-Cs
o Case Management
o Newsletters & Medical Advisories
o Other Clinical & Administrative functions
GW MMA Program Administrator
o Primary client liaisons for all Services
o Direct and oversee all operations
o Provide ancillary support services
Alex Lee PA-C Drew Maurano PA-C
Kai Neander NRAEMT
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Worldwide Emergency Communication Center
o Communication & Operations hub for all
MMA services o Staffed by EMTs & Paramedics o Instant access to client information, medical
records, & medical formularies o Custom-built database of global medical
facilities & capabilities o Secure storage & management of medical &
operational records
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WECC Infrastructure & Technology
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Communications o Phone, e-mail, fax o Secure telemedicine systems o Secure video conferencing
Unified Medical Records Database o Custom-built electronic health record
Comprehensive Operational System o Custom-built operational database system
Telemedical Systems Compatibility o System-agnostic Communication Center o DigiGone & Tempus i2i
Integration with 52 Medical Specialties
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UNOLS 2016 Services Overview
36 Unique Cases o 2 Diversions o 2 Evacuations o NFFD - 22% of Cases o 11 UNOLS Vessels o Average of 6 days per case
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152 Encounters o 4.2 Encounters per Case o Average of 14 Minutes Per Encounter
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Cases By Month
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1 1
5
1
7
8
4
1 1
7
0
1
2
3
4
5
6
7
8
9
Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17
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2016 Cases By Chief Complaint
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Eyeproblem11%
RespiratoryandENT28%
Dermatological
14%
Orthopedic14%
Cardiac3%
Other11%
GI8%
Dental8%
Psychiatric3%
ChiefComplaint NumberofCasesRespiratory 5InfecHon-skin 4InfecHon-throat 4Orthopedic 4GI 3InfecHon-tooth 3InfecHon-eye 2InfecHon-other 2Eyeproblem 2InfecHouscontact 1AtraumaHcpain 1InfecHon-ear 1BackPain 1Psychiatricproblem 1Dermatological 1Cardiac 1
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Case Severities
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Minor- treat and release, requires minimal follow up o Upper respiratory infections, minor trauma
Intermediate-moderate acuity or complexity o Non-resolving infections, shortness of breath o Often results in NFFD
Major- high acuity patient o Bone fractures, appendicitis, potential for life threating emergency
Critical- Immediate life threatening emergency o Major hemorrhage, loss of consciousness, major cardiac
problems o No cases this year met this criteria
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Cases By Severity
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Minor67%
Intermediate19%
Major14%
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2016 Encounters By Vessel
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0
10
20
30
40
50
60
HUGHR.SHARP
Oceanus F.G.WALTONSMITH
ATLANTICEXPLORER
KILOMOANA SALLYRIDE NEILARMSTRONG
R/VSIKULIAQ ATLANTIS MARCUSG.LANGSETH
ROGERREVELLE
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Contact Us
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Maritime Medical Access 2120 L St NW Suite #530 Washington, DC 20037
Francis O’Connell MD Medical Director [email protected] 202-741-2936
Kai Neander Program Manager [email protected] 202-741-2918
“MMA has provided very fast responses with follow up questions and treatment that help crew members return to good health as quickly as possible.”
-Fishing Vessel Captain
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