Acute Care

Doctors Going Over Document

The Acute Care Division is responsible for the development, implementation, and management of emergency healthcare system programs and initiatives to improve care to patients across the region. The focus of these programs revolves around both pre-hospital and hospital facets of care provided to trauma, cardiac, stroke, pediatric, and perinatal patients.

If you would like more information on STRAC Acute Care, please Contact Us.

Acute Care Programs

In an effort to expand access to Sexual Assault Nurse Examiner (SANE) services throughout our region, STRAC has launched centralized dispatching of SANE nurses through MEDCOM. This initiative was made possible through a regional Memorandum of Understanding (MOU) with our member hospitals, and our contracted SANE provider, creating a coordinated system.

Hospitals and law enforcement can now contact MEDCOM 24/7 to request a certified SANE nurse. Upon receiving a request, MEDCOM immediately coordinates with the contracted provider to dispatch a nurse directly to the requesting facility. This new centralized system streamlines the process, ensuring that survivors receive expert care more quickly and efficiently.

Previously, many survivors faced delays or needed to be transferred to specific hospitals for a forensic exam. Now, adult patients can be seen at a variety of hospitals across the region, reducing the need for unnecessary transport and allowing survivors to receive care closer to home. This change significantly improves access, shortens wait times for examinations, and supports a trauma-informed response for survivors of sexual assault.

Please note that pediatric patients will continue to receive care at the CHRISTUS Children’s Hospital. However, with this new regional approach, adult survivors have more options and faster access to expert forensic nursing care when and where they need it most.

Regional / Statewide Project History:

  • The Texas EMS Wristband project originated from Senate Bill 800 as a statewide project sponsored by the 86th Texas Legislature.
  • Beginning in December 2020, Regional Advisory Councils (RACs) across the state have led the development and implementation of this project with participating hospitals and EMS agencies.
  • The GOAL is to provide a unique identifier to be used to link records or patient data delivered from EMS throughout the continuum of care.

 

Benefit of the Wristband:

  • Establish patient accountability during mass casualty incidents (MCI), evacuations, disasters and throughout the continuum of care
  • Increase the ability to collect accurate patient information
  • Expedite record reconciliation and matching across various agencies/systems
  • Facilitate outcome sharing between prehospital and hospital agencies
  • Provide time and cost savings in locating and access records across multiple systems

 

Overview:

  • EMS or Prehospital Transport will place a wristband on ALL transported patients and record the ID# in their electronic patient care report (ePCR)
  • Receiving medical facilities will leave the wristband on the patient and record the ID# in their electronic medical record (EMR)

Committees and Workgroups

Air Medical Providers Advisory Group
Chair: Eric Epley, EMT-P
Meets: First Thursday, Monthly
1:30PM - 2:30PM
Cardiac Coordinators
Chair: Yadhira Franco, RN
Meets: Third Thursday, Monthly
9:00AM - 10:00AM
Cardiac Systems Committee
Co-Chairs: Jorge Alvarez, MD, FACC
Stephen Harper, MD
Meets: Third Thursday, Monthly
8:00AM - 9:00AM
Cardiac Systems PI
Co-Chairs: Jorge Alvarez, MD, FACC
Stephen Harper, MD
Meets: Third Thursday, Monthly
7:30AM - 8:00AM
Education
Co-Chairs: Brandy Martinez, RN
Mike Shown, LP
Meets: Second Tuesday, Monthly
10:00AM - 11:30AM
Emergency Department Operations
Co-Chairs: Ralph Riviello, MD
Pam Dwyer, RN
Meets: Fourth Monday, Monthly
2:30PM - 4:00PM
EMS Leaders
Co-Chairs: David Jung, LP
Casey Ebrom, EMT-P, FP-C
Meets: First Friday, Even Months
10:00AM - 12:00PM
EMS Medical Directors
Chair: David Miramontes, MD
Meets: First Tuesday, Odd Months
12:00PM - 1:00PM
Injury Prevention
Co-Chairs: Brandy Martinez, RN
Christina Miramontes, RN
Meets: First Friday, Bimonthly
9:00AM - 10:00AM
MEDCOM Advisory Group
Chair: Ronald Stewart, MD
Meets: Second Tuesday, Monthly
2:30PM - 4:00PM
Pediatric Systems Committee
Co-Chair: Lillian Liao, MD
Ian Mitchell, MD
Meets: First Thursday, Monthly
7:30AM - 9:00AM
Perinatal Systems Committee
Co-Chairs: Michael Battista, MD
Nichole Van de Putte, MD
Meets: First Thursday, Monthly
12:00PM - 1:00PM
Regional Whole Blood Committee
Chair: Donald Jenkins, MD, FACS
Meets: Second Thursday, Monthly
1:00PM - 2:00PM
Resuscitation Committee
Chair: David Miramontes, MD
Meets: First Tuesday, Monthly
7:30AM - 9:00AM
Sepsis Committee
Chair: Bryan Everitt, MD
Meets: Third Tuesday, Monthly
9:30AM - 10:30AM
Stroke Coordinators
Co-Chairs: Bonnie Blanchard, RN
Michele Patterson, RN
Meets: Second Thursday, Monthly
9:00AM - 10:00AM
Stroke Systems/PI Committee
Co-Chairs: Lee Birnbaum, MD
Adam Blanchette, MD
Meets: Second Thursday, Monthly
7:30AM - 9:00AM
Trauma Coordinators Committee
Chair: Gina Pickard, RN
Chillon Montgomery, RN, LP
Meets: First Friday, Even Months
11:00AM - 12:00PM

Acute Care Resources

TitleCategoriesLinkhf:doc_categories
Regional Transfer Packetquick-reference
Pulsara – Daily Use (EMS Course)education
Psychiatric Inpatient Facility Capabilities Gridquick-reference
EMS Time Out Form (MIST)form
Regional Carbon Monoxide Guidelinesguideline
EMS Door Access Reportingguide
Psychiatric Transfer Form – Pediatricform
Injury Prevention Observances – 2025schedule
Hospital Selection Guidequick-reference
Regional Heat Stroke Guidelinesguideline
Narcan Administration Guidelines for LEguideline
SAIF Cardiogenic Shock Projectwhite-paper
Stroke Program Manager Manualmanual
Anticoagulation for PE Algorithmalgorithms
Clinical Practice Guidelines for Anticoagulation for PEguideline
Community Stroke Support Groupsquick-reference
RICO Member Applicationapplications
Regional Early Heart Attack Care (Spanish)quick-reference
Regional Early Heart Attack Care (English)quick-reference
Maternal Survey Planning Handoutpresentation
Perinatal QAPI Overviewpresentation
COVID-19 Testing for Behavioral Health Patientswhite-paper
Radio Check Proceduresradio-communication
General Radio Communication Techniquesradio-communication
Road Rules for Kids | Nemoursroad-safety
Prevent Heatstroke | Safe Kids Worldwideheat-safety
Sepsis Alert Protocolguideline
Regional MCI Alarmalgorithms
PI Case Review Formform
Injury Prevention Infographicsinfographic
Falls and Fall Prevention | National Institute on Agingfall-prevention
Guide to Community-Based Fall Prevention Program | CDCfall-prevention
Fall Prevention: Simple Tips | Mayo Clinicfall-prevention
Learning Center – Concussion | NFHSconcussion-awareness
Heads Up Program | CDCconcussion-awareness
Responding to a Concussion for Coaches | CDCconcussion-awareness
What is a Concussion? | CDCconcussion-awareness
Gun Safety | University Healthfirearm-injury-prevention
Be Smart | Be Smart for Kidsfirearm-injury-prevention
Poison Prevention for Teens | Safe Kids Worldwidepoison-prevention
Poison Prevention Tips | Safe Kids Worldwidepoison-prevention
Poison | Safe Kids Worldwidepoison-prevention
Basic Ladder Safety | American Ladder Instituteholiday-safety
Pedestrian Safety | Safe Kids Worldwideroad-safety
Click It or Ticket Texasroad-safety
Hazard Vulnerability Analysis Template | Otto Kaiseralgorithms
Safe Sleep Materials | DFPSquick-reference
American Trauma Society Courseseducation
Center for Emergency Health Scienceseducation
ENA University Course Searcheducation
Air Evac Lifeteam Courseseducation
Rural Trauma Team Development Courseeducation
TCRN Informationquick-reference
DSHS Grand Roundsquick-reference
Regional Heat-Related MCI Responsequick-reference
Parent’s Water Safety Booklet – English/Spanishwater-safety
Pool Safety Checklist – Spanishwater-safety
Pool Safety Checklist – Englishwater-safety
Pool Safety Factswater-safety
Extreme Heat | CDCheat-safety
Heat Safety Training Program | OSHAheat-safety
Learning Center | NFSHSAheat-safety
Heatstroke | Safe Kids Worldwideheat-safety
Car Seat Fitting Station Locations | Safe Kids Worldwideroad-safety
MADD | Mothers Against Drunk Drivingroad-safety
Where’s baby? | NHTSAheat-safety
No Heat Strokeheat-safety
Water Safety | CDCwater-safety
Healthy Swimming | CDCwater-safety
National Safe Boating Campaignwater-safety
Kids’ Corner for Water Safety | Pool Safelywater-safety
Safe Riders | Texas DSHSroad-safety
National Water Safety Program | USACEwater-safety
Water Safety | Safe Kids Worldwidewater-safety
National Water Safety Month | PHTAwater-safety
Water Watcher Card | Safe Kids Worldwidewater-safety
Water Safety | TeensHealthwater-safety
The Ultimate Swimming Safety Guide | TripBuzzwater-safety
It Can Wait | AT&Troad-safety
Distracted Driving | NHTSAroad-safety
“But…I’m in the Backseat…” | NSCroad-safety
Child Passenger Safety | CDCroad-safety
The Ultimate Car Seat Guide | Safe Kids Worldwideroad-safety
Pet Passenger Safety | Rover.comroad-safety
Pedestrian Safety | NHTSAroad-safety
Vision Zero | City of San Antonioroad-safety
Halloween Safety Tips | Safe Kids Worldwideholiday-safety
Regional Head Injury CPGalgorithms
RICO Memorandum of Understandingmou
MEDCOM Transfer Formform
Decon Site Selectiondecon
Radiological Monitor Alarm Algorithmalgorithms
EMResource Instructions for MCI Bed Countsquick-reference
Child Maltreatment Guidelinesguideline
STEMI Management Guidelines (Lytic Map)map
MCI Trailer Inventoryspreadsheet
Stroke Alert Criteriaquick-reference
Regional PERT Algorithm, algorithms guideline
STRAC RAPIDO Information Cardquick-reference
STRAC RAPIDO Placardquick-reference
Regional Blood and Body Fluids Exposure Packetquick-reference
QTc Safe Threshold for Psych Admissionwhite-paper
Neurological Assessment Toolform
Regional Burn Transfer and EMS Scene Transport Algorithmalgorithms
Guidelines for Transfer of Acute Stroke Patientsguideline
CPG for Antibiotics for Open Fractures, algorithms quick-reference
STRAC Regional ECMO Consultation Guidelinesguideline
Regional Field Triage Algorithmalgorithms
Necrotizing Soft Tissue Infection (NSTI) Referral Guidelinesguideline
ME Checklist for Child Deathform
STRAC Regional Prehospital No Transport (Pandemic) Guidelinesquick-reference
Regional Hand Injury/Amputation Algorithmalgorithms
Red/Blue Criteria – Pedi/Adult/Geriquick-reference
Regional SJS/TENS Transfer Protocolalgorithms
Personal Dosimeterdecon
Hospital Plain Language Alertswhite-paper
Active Shooter: How to Respond Bookletguideline
Burn Practice Guidelines | TETAFguideline
FEC Typing Matrixguideline
EMS Time Out Training Videovideo
ED Diversion Memorandum of Understandingmou
HELP (Hospital Exec Leadership Protocol)quick-reference
Dehydration Urine Color Chart Infographicheat-safety
Animal Bite Formform
Patient Triage Guidequick-reference
Heart Alert Criteriaquick-reference
Radio User Guide – Satelliteradio-communication
Radio User Guide – Kenwood TMD-700radio-communication
EMS Patient Parkingquick-reference
Ground to Air Ambulance Helipad Transfersguideline