Suzanne Martens provides a medical director report on EMS/Trauma activities in Wisconsin. She discusses revisiting the concept of a just culture that balances accountability with good intent. As medical director, her activities include advising various EMS councils and committees, reviewing protocols, and investigating a dozen cases. Her latest project is developing additional training for EMRs to administer IM epinephrine for anaphylaxis. Future projects include further protocol edits, defining new EMS roles, and improving data collection and resources.

1. WI EMS/Trauma
Medical Director Report
Suzanne Martens, MD, FACEP, MPH, EMT
Paramedic Systems of Wisconsin
9/16/2016

2. WI EMS/Trauma
Medical Director Report
• Just Culture Revisit
• Medical Director Activities
• Future Projects
Wisconsin Department of Health Services: Office of Preparedness and Emergency Health Care 2

3. Just Culture Revisit

4. Assume Good Intent
Just Culture – Not Blame. Also not carefree.
A just culture has zero tolerance for reckless behavior.

5. Activities
Projects
Hours
Suzanne Martens, MD, FACEP, MPH, EMT
WI EMS/Trauma Medical Director

6.  Office of Rural Health EMS
surveys
 Wisconsin Technical College
System EMS Training Center
Advisory Council
 AHA WI STEMI Conference
 WEMSA Annual Meeting
 National Society of EMS
Officials
 EMS Board & Subcommittees
 Physician Advisory Committee
 State Trauma Advisory Council
 various RTACs
 Healthcare Coalition Advisory
Group
 Medical Surge Expert Panel
I represent EMS,
or at least observe for ideas at:

7. WI DHS EMS Section Resource
EMS Section medical resource
• Phone, email, meetings, moving to Skype
Protocol Reviews
• Especially for Paramedic versus Critical Care questions or
definitions
Investigations
• About a dozen
• With emphasis on patient care and safety, professionalism, scope
or protocol violation, controlled substances use and handling
Wisconsin Department of Health Services: Office of Preparedness and Emergency Health Care 7

8. LATEST PROJECT
Suzanne Martens, MD, FACEP, MPH, EMT
WI EMS/Trauma Medical Director

9. Anaphylaxis & IM Epinephrine
Administration by the WI EMR
Advanced Skill
Requires Additional Training and Approval
WI DHS Office of Preparedness & Emergency Health Care

10. Develop & Define Medical Director Job
Description, Requirements, Hours

11. Future Projects
• 2 pages of edits for the protocols on the website; on-going
project
• Develop the Advanced Airway Assistant definition and training
• Follow the new advanced skills as to their impact and safety
• Critical Care Interfacility Transport data
• Resource library or references, FAQs and answers
• Best practices; and what to avoid
• Facilitating the name change process to utilize legal
information from the DMV similar to the NR or Nursing Board
• Visit to different agencies, systems and regions
• Update the available approved slide backgrounds
• Master the art of government paperwork approval
Wisconsin Department of Health Services:
Office of Preparedness and Emergency Health Care
11

12. Contact Information
Suzanne Martens, MD
WI EMS/Trauma Medical Director
608-266-1568
SMartensMD@ Gmail.com
Suzanne.Martens@dhs.wisconsin.gov
Wisconsin Department of Health Services:
Office of Preparedness and Emergency Health Care
12