64J-1.001: Definitions
PURPOSE AND EFFECT: This notice is to alert the public that the Department of Health, Bureau of Emergency Medical Services did not receive a request for a rule development workshop from the June 5, 2009 FAW Notice of Rule Development on the proposed revisions to the above referenced rule. Therefore, the Bureau of Emergency Medical Services and the Office of Trauma are moving forward with rulemaking to transfer the trauma terms and definitions from the EMS definitions section in Chapter 64J-1, F.A.C. to the new trauma definitions section in Chapter 64J-2, F.A.C.
SUMMARY: The proposed rule deletes trauma definitions from Rule 64J-1.001, F.A.C., and adds cross references to those terms in Rule 64J-2.001, F.A.C.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
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 WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN FAW.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: John Bixler, Bureau of Emergency Medical Operations, Department of Health, 4052 Bald Cypress Way, Bin #C-18, Tallahassee, Florida 32399-1738, (850)245-4053, Email: john_bixler@doh.state.fl.us; Fax: (850)488-2512
THE FULL TEXT OF THE PROPOSED RULE 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 (17) No change.
(18) 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.
(19) through (20) No change.
(21) Trauma – as defined in Rule 64J-2.001, F.A.C. means a blunt, penetrating or burn injury caused by external force or violence.
(22) 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.
(23) 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.
(24) 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.
(25) 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.
(26) 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.
Rulemaking 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________.