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
Field Data Collection
Co-Chairs: Lawrence Roakes
Shannon Weeks
Meets: Second Tuesday, Monthly
8:30AM - 10:00AM
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 Committee
Co-Chairs: Lee Birnbaum, MD
Adam Blanchette, MD
Meets: Second Thursday, Monthly
8:00AM - 9:00AM
Stroke Systems PI
Co-Chairs: Lee Birnbaum, MD
Adam Blanchette, MD
Meets: Second Thursday, Monthly
7:30AM - 8:00AM
Trauma Coordinators Committee
Chair: Gina Pickard, RN
Chillon Montgomery, RN, LP
Meets: First Friday, Even Months
11:00AM - 12:00PM

Acute Care Resources

TitleCategoriesCreation DateLinkhf:doc_categories
Regional Transfer PacketApril 10, 2025quick-reference
Pulsara – Daily Use (EMS Course)February 27, 2025education
Psychiatric Inpatient Facility Capabilities GridFebruary 25, 2025quick-reference
EMS Time Out Form (MIST)February 24, 2025form
Regional Carbon Monoxide GuidelinesFebruary 19, 2025guideline
EMS Door Access ReportingFebruary 14, 2025guide
Psychiatric Transfer Form – PediatricJanuary 30, 2025form
Injury Prevention Observances – 2025January 1, 2025schedule
Hospital Selection GuideNovember 16, 2024quick-reference
Regional Heat Stroke GuidelinesMay 30, 2024guideline
Narcan Administration Guidelines for LEMay 30, 2024guideline
SAIF Cardiogenic Shock ProjectMay 29, 2024white-paper
Stroke Program Manager ManualMay 9, 2024manual
Anticoagulation for PE AlgorithmMarch 26, 2024algorithms
Clinical Practice Guidelines for Anticoagulation for PEMarch 26, 2024guideline
Community Stroke Support GroupsJanuary 24, 2024quick-reference
RICO Member ApplicationJanuary 1, 2024applications
Regional Early Heart Attack Care (Spanish)December 21, 2023quick-reference
Regional Early Heart Attack Care (English)December 21, 2023quick-reference
Maternal Survey Planning HandoutNovember 2, 2023presentation
Perinatal QAPI OverviewNovember 2, 2023presentation
COVID-19 Testing for Behavioral Health PatientsNovember 1, 2023white-paper
Radio Check ProceduresSeptember 15, 2023radio-communication
General Radio Communication TechniquesSeptember 15, 2023radio-communication
Road Rules for Kids | NemoursSeptember 15, 2023road-safety
Prevent Heatstroke | Safe Kids WorldwideSeptember 15, 2023heat-safety
Sepsis Alert ProtocolSeptember 1, 2023guideline
Regional MCI AlarmSeptember 1, 2023algorithms
PI Case Review FormSeptember 1, 2023form
Injury Prevention InfographicsAugust 29, 2023infographic
Falls and Fall Prevention | National Institute on AgingAugust 29, 2023fall-prevention
Guide to Community-Based Fall Prevention Program | CDCAugust 28, 2023fall-prevention
Fall Prevention: Simple Tips | Mayo ClinicAugust 28, 2023fall-prevention
Learning Center – Concussion | NFHSAugust 28, 2023concussion-awareness
Heads Up Program | CDCAugust 28, 2023concussion-awareness
Responding to a Concussion for Coaches | CDCAugust 28, 2023concussion-awareness
What is a Concussion? | CDCAugust 28, 2023concussion-awareness
Gun Safety | University HealthAugust 28, 2023firearm-injury-prevention
Be Smart | Be Smart for KidsAugust 28, 2023firearm-injury-prevention
Poison Prevention for Teens | Safe Kids WorldwideAugust 28, 2023poison-prevention
Poison Prevention Tips | Safe Kids WorldwideAugust 28, 2023poison-prevention
Poison | Safe Kids WorldwideAugust 28, 2023poison-prevention
Basic Ladder Safety | American Ladder InstituteAugust 28, 2023holiday-safety
Pedestrian Safety | Safe Kids WorldwideAugust 28, 2023road-safety
Click It or Ticket TexasAugust 28, 2023road-safety
Hazard Vulnerability Analysis Template | Otto KaiserAugust 28, 2023algorithms
Safe Sleep Materials | DFPSAugust 28, 2023quick-reference
American Trauma Society CoursesAugust 17, 2023education
Center for Emergency Health SciencesAugust 17, 2023education
ENA University Course SearchAugust 17, 2023education
Air Evac Lifeteam CoursesAugust 17, 2023education
Rural Trauma Team Development CourseAugust 17, 2023education
TCRN InformationAugust 17, 2023quick-reference
DSHS Grand RoundsAugust 17, 2023quick-reference
Regional Heat-Related MCI ResponseAugust 16, 2023quick-reference
Parent’s Water Safety Booklet – English/SpanishAugust 8, 2023water-safety
Pool Safety Checklist – SpanishAugust 8, 2023water-safety
Pool Safety Checklist – EnglishAugust 8, 2023water-safety
Pool Safety FactsAugust 8, 2023water-safety
Extreme Heat | CDCAugust 8, 2023heat-safety
Heat Safety Training Program | OSHAAugust 8, 2023heat-safety
Learning Center | NFSHSAAugust 8, 2023heat-safety
Heatstroke | Safe Kids WorldwideAugust 8, 2023heat-safety
Car Seat Fitting Station Locations | Safe Kids WorldwideAugust 8, 2023road-safety
MADD | Mothers Against Drunk DrivingAugust 8, 2023road-safety
Where’s baby? | NHTSAAugust 8, 2023heat-safety
No Heat StrokeAugust 8, 2023heat-safety
Water Safety | CDCAugust 8, 2023water-safety
Healthy Swimming | CDCAugust 8, 2023water-safety
National Safe Boating CampaignAugust 8, 2023water-safety
Kids’ Corner for Water Safety | Pool SafelyAugust 8, 2023water-safety
Safe Riders | Texas DSHSAugust 8, 2023road-safety
National Water Safety Program | USACEAugust 8, 2023water-safety
Water Safety | Safe Kids WorldwideAugust 8, 2023water-safety
National Water Safety Month | PHTAAugust 8, 2023water-safety
Water Watcher Card | Safe Kids WorldwideAugust 8, 2023water-safety
Water Safety | TeensHealthAugust 8, 2023water-safety
The Ultimate Swimming Safety Guide | TripBuzzAugust 8, 2023water-safety
It Can Wait | AT&TAugust 8, 2023road-safety
Distracted Driving | NHTSAAugust 8, 2023road-safety
“But…I’m in the Backseat…” | NSCAugust 8, 2023road-safety
Child Passenger Safety | CDCAugust 8, 2023road-safety
The Ultimate Car Seat Guide | Safe Kids WorldwideAugust 8, 2023road-safety
Pet Passenger Safety | Rover.comAugust 8, 2023road-safety
Pedestrian Safety | NHTSAAugust 8, 2023road-safety
Vision Zero | City of San AntonioAugust 8, 2023road-safety
Halloween Safety Tips | Safe Kids WorldwideAugust 8, 2023holiday-safety
Regional Head Injury CPGAugust 4, 2023algorithms
RICO Memorandum of UnderstandingAugust 1, 2023mou
MEDCOM Transfer FormJuly 25, 2023form
Decon Site SelectionJuly 20, 2023decon
Radiological Monitor Alarm AlgorithmJuly 20, 2023algorithms
EMResource Instructions for MCI Bed CountsMay 15, 2023quick-reference
Child Maltreatment GuidelinesMarch 15, 2023guideline
STEMI Management Guidelines (Lytic Map)March 1, 2023map
MCI Trailer InventoryFebruary 13, 2023spreadsheet
Stroke Alert CriteriaJanuary 3, 2023quick-reference
Regional PERT Algorithm, January 1, 2023algorithms guideline
STRAC RAPIDO Information CardOctober 13, 2022quick-reference
STRAC RAPIDO PlacardOctober 13, 2022quick-reference
Regional Blood and Body Fluids Exposure PacketOctober 1, 2022quick-reference
QTc Safe Threshold for Psych AdmissionJune 1, 2022white-paper
Neurological Assessment ToolMarch 1, 2022form
Regional Burn Transfer and EMS Scene Transport AlgorithmFebruary 21, 2022algorithms
Guidelines for Transfer of Acute Stroke PatientsFebruary 1, 2022guideline
CPG for Antibiotics for Open Fractures, February 1, 2022algorithms quick-reference
STRAC Regional ECMO Consultation GuidelinesJanuary 24, 2022guideline
Regional Field Triage AlgorithmAugust 1, 2021algorithms
Necrotizing Soft Tissue Infection (NSTI) Referral GuidelinesJune 1, 2021guideline
ME Checklist for Child DeathFebruary 4, 2021form
STRAC Regional Prehospital No Transport (Pandemic) GuidelinesJune 4, 2020quick-reference
Regional Hand Injury/Amputation AlgorithmDecember 10, 2019algorithms
Red/Blue Criteria – Pedi/Adult/GeriDecember 1, 2019quick-reference
Regional SJS/TENS Transfer ProtocolOctober 8, 2019algorithms
Personal DosimeterMay 3, 2018decon
Hospital Plain Language AlertsMarch 1, 2018white-paper
Active Shooter: How to Respond BookletJanuary 1, 2017guideline
Burn Practice Guidelines | TETAFSeptember 1, 2016guideline
FEC Typing MatrixJanuary 1, 2016guideline
EMS Time Out Training VideoDecember 11, 2015video
ED Diversion Memorandum of UnderstandingAugust 1, 2015mou
HELP (Hospital Exec Leadership Protocol)February 1, 2015quick-reference
Dehydration Urine Color Chart InfographicAugust 22, 2014heat-safety
Animal Bite FormJuly 1, 2013form
Patient Triage GuideAugust 29, 2011quick-reference
Heart Alert CriteriaFebruary 11, 2010quick-reference
Radio User Guide – SatelliteMay 3, 2006radio-communication
Radio User Guide – Kenwood TMD-700December 15, 2005radio-communication
EMS Patient ParkingMarch 20, 2002quick-reference
Ground to Air Ambulance Helipad TransfersJuly 25, 2001guideline