64J-1.001: Definitions
PURPOSE AND EFFECT: On October 1, 2008, the Chapter 64E-2, Division of Environment Health was transferred to the new Title 64J Division of Emergency Medical Operations. The definitions section of Rule 64E-2.001, F.A.C., which includes trauma-related definitions, was transferred to the definitions section in Chapter 64J-1, Emergency Medical Services. This notice is to inform the public that the Office of Trauma and the Bureau of Emergency Medical Operations is proposing the deletion of trauma-related definitions from Rule 64J-1.001, Definitions, F.A.C. and replacing the trauma-related definitions with cross references to the trauma definitions in proposed Rule 64J-2.001, Definitions, F.A.C.
SUBJECT AREA TO BE ADDRESSED: Trauma-related terms included in both Chapters 64J-1 and 64J-2, F.A.C.
SPECIFIC AUTHORITY: 381.0011(13), 395.401(2), 395.4025(13), 395.4036, 395.4045, 395.405(8), 401.45(5) FS.
LAW IMPLEMENTED: 381.0205, 395.1031, 395.3025(4)(f), 395.401, 395.4015, 395.402, 395.4025, 395.403, 395.4036, 395.404, 395.4045, 395.405, 401.30, 401.35, 401.45, 765.401 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE WEEKLY.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Susan McDevitt, Office of Trauma, Department of Health, 4052 Bald Cypress Way, Bin C-18, Tallahassee, Florida 32399-1738, (850)245-4440, ext. 2760; Email: susan_mcdevitt@doh.state.fl.us; Fax: (850)488-2512
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
64J-1.001 Definitions.
In addition to the definitions provided in Sections 395.401, 395.4001, 401.107, and 401.23, F.S., the following definitions apply to these rules:
(1) Abbreviated Injury Score (AIS-90) – as defined in Rule 64J-2.001, F.A.C. means a consensus derived, anatomically based system that classifies individual injuries by body region on a 6-point ordinal severity scale ranging from 1 to 6. The methodology for determining AIS-90 Code is found in the “Abbreviated Injury Scale 1990 – Update 98,” which is incorporated by reference and is available from the Association for the Advancement of Automotive Medicine, P. O. Box 4176, Barrington, IL 60011-4176.
(2) through (10) No change.
(11) Glasgow Coma Scale Score – as defined in Rule 64J-2.001, F.A.C. means the neurological assessment developed by G. Teasdale and B. Jennitte in “Assessment of Coma and Impaired Consciousness: A Practical Scale” Lancet, 1974; 2: 81-84, which is incorporated by reference and available from the department.
(12) ICD-9-CM – as defined in Rule 64J-2.001, F.A.C. means the “International Classification of Disease, 9th Revision, Clinical Modification,” March, 1989, U.S. Department of Health and Human Services Publication No. (PHS) 89-1260; an internationally applied method by which diseases or groups of medical conditions or injuries are coded for the purpose of statistical analyses. This book is incorporated by reference and available for purchase from the American Hospital Association, Central Office on ICD-9-DM, 1(800)242-2626, AHA, Post Office Box 92683, Chicago, IL 60675-2683.
(13) Injury Severity Score (ISS) – as defined in Rule 64J-2.001, F.A.C. means the sum of the squares of the highest AIS-90 code in each of the three most severely injured body regions. The method for computing ISS is found in the “Abbreviated Injury Scale 1990 – Update 98.”
(14) through (18) No change.
(19) Pediatric Trauma Patient – as defined in Rule 64J-2.001, F.A.C. means a trauma patient with anatomical and physical characteristics of a person 15 years of age or younger.
(20) through (21) No change.
(22) Trauma – as defined in Rule 64J-2.001, F.A.C. means a blunt, penetrating or burn injury caused by external force or violence.
(23) Trauma Alert – as defined in Rule 64J-2.001, F.A.C. means a notification initiated by EMS informing a hospital that they are en route with a patient meeting the trauma alert criteria.
(24) Trauma Alert Patient – as defined in Rule 64J-2.001, F.A.C. means a person whose primary physical injury is a blunt, penetrating or burn injury, and who meets one or more of the adult trauma scorecard criteria in Rule 64J-2.004, F.A.C., or the pediatric trauma scorecard criteria in Rule 64J-2.005, F.A.C.
(25) Trauma Patient – as defined in Rule 64J-2.001, F.A.C. means any person who has incurred a physical injury or wound caused by trauma and who has accessed an emergency medical services system.
(26) Trauma Registry – as defined in Rule 64J-2.001, F.A.C. means a statewide database which integrates medical and system information related to trauma patient diagnosis and the provision of trauma care by prehospital, hospital, and medical examiners.
(27) Trauma Transport Protocols (TTPs) – as defined in Rule 64J-2.001, F.A.C. means a document which describes the policies, processes and procedures governing the dispatch of vehicles, and the triage and transport of trauma patients.
Specific Authority 381.0011(13), 395.401, 395.4025(13), 395.405, 401.121, 401.35 FS. Law Implemented 381.0011, 395.4001, 395.401, 395.4015, 395.402, 395.4025, 395.403, 395.404, 395.4045, 395.405, 401.121, 401.211, 401.23, 401.25, 401.35, 401.435 FS. History–New 4-26-84, Amended 3-11-85, Formerly 10D-66.485, Amended 11-2-86, 4-12-88, 8-3-88, 8-7-89, 6-6-90, 12-10-92, 11-30-93, 10-2-94, 1-26-97, Formerly 10D-66.0485, Amended 8-4-98, 7-14-99, 2-20-00, 11-3-02, 6-9-05, 10-24-05, 4-22-07, Formerly 64E-2.001, Amended________.