Acute Care


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
Cardiac Coordinators
Cardiac Systems Committee
Stephen Harper, MD
Cardiac Systems PI
Stephen Harper, MD
Education
Mike Shown, LP
Emergency Department Operations
Pam Dwyer, RN
EMS Leaders
Casey Ebrom, EMT-P, FP-C
EMS Medical Directors
Field Data Collection
Shannon Weeks
Injury Prevention
Christina Miramontes, RN
MEDCOM Advisory Group
Pediatric Systems Committee
Perinatal Systems Committee
Regional Whole Blood Committee
Resuscitation Committee
Sepsis Committee
Stroke Coordinators
Michele Patterson, RN
Stroke Systems Committee
Adam Blanchette, MD
Stroke Systems PI
Adam Blanchette, MD
Trauma Coordinators Committee
Chillon Montgomery, RN, LP
Acute Care Resources
Title | Categories | Creation Date | Link | hf:doc_categories |
---|---|---|---|---|
Regional Transfer Packet | Quick Reference | April 10, 2025 | quick-reference | |
Pulsara – Daily Use (EMS Course) | Education | February 27, 2025 | education | |
Psychiatric Inpatient Facility Capabilities Grid | Quick Reference | February 25, 2025 | quick-reference | |
EMS Time Out Form (MIST) | Form | February 24, 2025 | form | |
Regional Carbon Monoxide Guidelines | Guideline | February 19, 2025 | guideline | |
EMS Door Access Reporting | Guide | February 14, 2025 | guide | |
Psychiatric Transfer Form – Pediatric | Form | January 30, 2025 | form | |
Injury Prevention Observances – 2025 | Schedule | January 1, 2025 | schedule | |
Hospital Selection Guide | Quick Reference | November 16, 2024 | quick-reference | |
Regional Heat Stroke Guidelines | Guideline | May 30, 2024 | guideline | |
Narcan Administration Guidelines for LE | Guideline | May 30, 2024 | guideline | |
SAIF Cardiogenic Shock Project | White Paper | May 29, 2024 | white-paper | |
Stroke Program Manager Manual | Manual | May 9, 2024 | manual | |
Anticoagulation for PE Algorithm | Algorithms | March 26, 2024 | algorithms | |
Clinical Practice Guidelines for Anticoagulation for PE | Guideline | March 26, 2024 | guideline | |
Community Stroke Support Groups | Quick Reference | January 24, 2024 | quick-reference | |
RICO Member Application | Applications | January 1, 2024 | applications | |
Regional Early Heart Attack Care (Spanish) | Quick Reference | December 21, 2023 | quick-reference | |
Regional Early Heart Attack Care (English) | Quick Reference | December 21, 2023 | quick-reference | |
Maternal Survey Planning Handout | Presentation | November 2, 2023 | presentation | |
Perinatal QAPI Overview | Presentation | November 2, 2023 | presentation | |
COVID-19 Testing for Behavioral Health Patients | White Paper | November 1, 2023 | white-paper | |
Radio Check Procedures | Radio Communication | September 15, 2023 | radio-communication | |
General Radio Communication Techniques | Radio Communication | September 15, 2023 | radio-communication | |
Road Rules for Kids | Nemours | Road Safety | September 15, 2023 | road-safety | |
Prevent Heatstroke | Safe Kids Worldwide | Heat Safety | September 15, 2023 | heat-safety | |
Sepsis Alert Protocol | Guideline | September 1, 2023 | guideline | |
Regional MCI Alarm | Algorithms | September 1, 2023 | algorithms | |
PI Case Review Form | Form | September 1, 2023 | form | |
Injury Prevention Infographics | Infographic | August 29, 2023 | infographic | |
Falls and Fall Prevention | National Institute on Aging | Fall Prevention | August 29, 2023 | fall-prevention | |
Guide to Community-Based Fall Prevention Program | CDC | Fall Prevention | August 28, 2023 | fall-prevention | |
Fall Prevention: Simple Tips | Mayo Clinic | Fall Prevention | August 28, 2023 | fall-prevention | |
Learning Center – Concussion | NFHS | Concussion Awareness | August 28, 2023 | concussion-awareness | |
Heads Up Program | CDC | Concussion Awareness | August 28, 2023 | concussion-awareness | |
Responding to a Concussion for Coaches | CDC | Concussion Awareness | August 28, 2023 | concussion-awareness | |
What is a Concussion? | CDC | Concussion Awareness | August 28, 2023 | concussion-awareness | |
Gun Safety | University Health | Firearm Injury Prevention | August 28, 2023 | firearm-injury-prevention | |
Be Smart | Be Smart for Kids | Firearm Injury Prevention | August 28, 2023 | firearm-injury-prevention | |
Poison Prevention for Teens | Safe Kids Worldwide | Poison Prevention | August 28, 2023 | poison-prevention | |
Poison Prevention Tips | Safe Kids Worldwide | Poison Prevention | August 28, 2023 | poison-prevention | |
Poison | Safe Kids Worldwide | Poison Prevention | August 28, 2023 | poison-prevention | |
Basic Ladder Safety | American Ladder Institute | Holiday Safety | August 28, 2023 | holiday-safety | |
Pedestrian Safety | Safe Kids Worldwide | Road Safety | August 28, 2023 | road-safety | |
Click It or Ticket Texas | Road Safety | August 28, 2023 | road-safety | |
Hazard Vulnerability Analysis Template | Otto Kaiser | Algorithms | August 28, 2023 | algorithms | |
Safe Sleep Materials | DFPS | Quick Reference | August 28, 2023 | quick-reference | |
American Trauma Society Courses | Education | August 17, 2023 | education | |
Center for Emergency Health Sciences | Education | August 17, 2023 | education | |
ENA University Course Search | Education | August 17, 2023 | education | |
Air Evac Lifeteam Courses | Education | August 17, 2023 | education | |
Rural Trauma Team Development Course | Education | August 17, 2023 | education | |
TCRN Information | Quick Reference | August 17, 2023 | quick-reference | |
DSHS Grand Rounds | Quick Reference | August 17, 2023 | quick-reference | |
Regional Heat-Related MCI Response | Quick Reference | August 16, 2023 | quick-reference | |
Parent’s Water Safety Booklet – English/Spanish | Water Safety | August 8, 2023 | water-safety | |
Pool Safety Checklist – Spanish | Water Safety | August 8, 2023 | water-safety | |
Pool Safety Checklist – English | Water Safety | August 8, 2023 | water-safety | |
Pool Safety Facts | Water Safety | August 8, 2023 | water-safety | |
Extreme Heat | CDC | Heat Safety | August 8, 2023 | heat-safety | |
Heat Safety Training Program | OSHA | Heat Safety | August 8, 2023 | heat-safety | |
Learning Center | NFSHSA | Heat Safety | August 8, 2023 | heat-safety | |
Heatstroke | Safe Kids Worldwide | Heat Safety | August 8, 2023 | heat-safety | |
Car Seat Fitting Station Locations | Safe Kids Worldwide | Road Safety | August 8, 2023 | road-safety | |
MADD | Mothers Against Drunk Driving | Road Safety | August 8, 2023 | road-safety | |
Where’s baby? | NHTSA | Heat Safety | August 8, 2023 | heat-safety | |
No Heat Stroke | Heat Safety | August 8, 2023 | heat-safety | |
Water Safety | CDC | Water Safety | August 8, 2023 | water-safety | |
Healthy Swimming | CDC | Water Safety | August 8, 2023 | water-safety | |
National Safe Boating Campaign | Water Safety | August 8, 2023 | water-safety | |
Kids’ Corner for Water Safety | Pool Safely | Water Safety | August 8, 2023 | water-safety | |
Safe Riders | Texas DSHS | Road Safety | August 8, 2023 | road-safety | |
National Water Safety Program | USACE | Water Safety | August 8, 2023 | water-safety | |
Water Safety | Safe Kids Worldwide | Water Safety | August 8, 2023 | water-safety | |
National Water Safety Month | PHTA | Water Safety | August 8, 2023 | water-safety | |
Water Watcher Card | Safe Kids Worldwide | Water Safety | August 8, 2023 | water-safety | |
Water Safety | TeensHealth | Water Safety | August 8, 2023 | water-safety | |
The Ultimate Swimming Safety Guide | TripBuzz | Water Safety | August 8, 2023 | water-safety | |
It Can Wait | AT&T | Road Safety | August 8, 2023 | road-safety | |
Distracted Driving | NHTSA | Road Safety | August 8, 2023 | road-safety | |
“But…I’m in the Backseat…” | NSC | Road Safety | August 8, 2023 | road-safety | |
Child Passenger Safety | CDC | Road Safety | August 8, 2023 | road-safety | |
The Ultimate Car Seat Guide | Safe Kids Worldwide | Road Safety | August 8, 2023 | road-safety | |
Pet Passenger Safety | Rover.com | Road Safety | August 8, 2023 | road-safety | |
Pedestrian Safety | NHTSA | Road Safety | August 8, 2023 | road-safety | |
Vision Zero | City of San Antonio | Road Safety | August 8, 2023 | road-safety | |
Halloween Safety Tips | Safe Kids Worldwide | Holiday Safety | August 8, 2023 | holiday-safety | |
Regional Head Injury CPG | Algorithms | August 4, 2023 | algorithms | |
RICO Memorandum of Understanding | MOU | August 1, 2023 | mou | |
MEDCOM Transfer Form | Form | July 25, 2023 | form | |
Decon Site Selection | Decon | July 20, 2023 | decon | |
Radiological Monitor Alarm Algorithm | Algorithms | July 20, 2023 | algorithms | |
EMResource Instructions for MCI Bed Counts | Quick Reference | May 15, 2023 | quick-reference | |
Child Maltreatment Guidelines | Guideline | March 15, 2023 | guideline | |
STEMI Management Guidelines (Lytic Map) | Map | March 1, 2023 | map | |
MCI Trailer Inventory | Spreadsheet | February 13, 2023 | spreadsheet | |
Stroke Alert Criteria | Quick Reference | January 3, 2023 | quick-reference | |
Regional PERT Algorithm | Algorithms, Guideline | January 1, 2023 | algorithms guideline | |
STRAC RAPIDO Information Card | Quick Reference | October 13, 2022 | quick-reference | |
STRAC RAPIDO Placard | Quick Reference | October 13, 2022 | quick-reference | |
Regional Blood and Body Fluids Exposure Packet | Quick Reference | October 1, 2022 | quick-reference | |
QTc Safe Threshold for Psych Admission | White Paper | June 1, 2022 | white-paper | |
Neurological Assessment Tool | Form | March 1, 2022 | form | |
Regional Burn Transfer and EMS Scene Transport Algorithm | Algorithms | February 21, 2022 | algorithms | |
Guidelines for Transfer of Acute Stroke Patients | Guideline | February 1, 2022 | guideline | |
CPG for Antibiotics for Open Fractures | Algorithms, Quick Reference | February 1, 2022 | algorithms quick-reference | |
STRAC Regional ECMO Consultation Guidelines | Guideline | January 24, 2022 | guideline | |
Regional Field Triage Algorithm | Algorithms | August 1, 2021 | algorithms | |
Necrotizing Soft Tissue Infection (NSTI) Referral Guidelines | Guideline | June 1, 2021 | guideline | |
ME Checklist for Child Death | Form | February 4, 2021 | form | |
STRAC Regional Prehospital No Transport (Pandemic) Guidelines | Quick Reference | June 4, 2020 | quick-reference | |
Regional Hand Injury/Amputation Algorithm | Algorithms | December 10, 2019 | algorithms | |
Red/Blue Criteria – Pedi/Adult/Geri | Quick Reference | December 1, 2019 | quick-reference | |
Regional SJS/TENS Transfer Protocol | Algorithms | October 8, 2019 | algorithms | |
Personal Dosimeter | Decon | May 3, 2018 | decon | |
Hospital Plain Language Alerts | White Paper | March 1, 2018 | white-paper | |
Active Shooter: How to Respond Booklet | Guideline | January 1, 2017 | guideline | |
Burn Practice Guidelines | TETAF | Guideline | September 1, 2016 | guideline | |
FEC Typing Matrix | Guideline | January 1, 2016 | guideline | |
EMS Time Out Training Video | Video | December 11, 2015 | video | |
ED Diversion Memorandum of Understanding | MOU | August 1, 2015 | mou | |
HELP (Hospital Exec Leadership Protocol) | Quick Reference | February 1, 2015 | quick-reference | |
Dehydration Urine Color Chart Infographic | Heat Safety | August 22, 2014 | heat-safety | |
Animal Bite Form | Form | July 1, 2013 | form | |
Patient Triage Guide | Quick Reference | August 29, 2011 | quick-reference | |
Heart Alert Criteria | Quick Reference | February 11, 2010 | quick-reference | |
Radio User Guide – Satellite | Radio Communication | May 3, 2006 | radio-communication | |
Radio User Guide – Kenwood TMD-700 | Radio Communication | December 15, 2005 | radio-communication | |
EMS Patient Parking | Quick Reference | March 20, 2002 | quick-reference | |
Ground to Air Ambulance Helipad Transfers | Guideline | July 25, 2001 | guideline |