Letter from the Chair
Stewart R. Coffman, MD, FACEP
I hope this newsletter finds each of you safe and having a wonderful holiday season. Merry Christmas and Happy Holidays to all!
The Tactical Emergency Medicine (TEM) Section Steering Committee met via conference call recently and we are moving forward on a couple of items that include the liaison position for outside entities that we discussed at the general membership meeting, as well as an alternative to the American College of Emergency Physicians (ACEP) Web site as our sole means of communication. You will be hearing more about this over the next few months.
Several members of our section continue to be closely involved with the ACEP Excited Delirium Taskforce and if you hadn’t heard, the white paper, which came out of the Taskforce was adopted by the ACEP Board of Directors at Scientific Assembly.
The Listserv has been relatively quiet recently, so don’t forget to post questions, interesting cases, or topics for discussion. The address is Tactical-section@elist.acep.org
Our section continues to grow in number and as of mid-November is at 293 members, putting us at 11 out 30 sections based upon membership.
One great need we have is for newsletter articles. I know Dr. Bollard will be hitting some of you up in the coming year to contribute so be thinking about some topics you might like to write about.
Finally, remember that what you do for your team matters a great deal and what you do for our subspecialty matters a great deal. Take the opportunity presented by the New Year to make a commitment to improving our section with your involvement. I hope to be able to present a couple of other ideas that the section leadership is working on in the near future that I think you will be excited about…but more of that in the next newsletter.
Enjoy the holidays and stay safe!
Best Regards,
Stewart R. Coffman, MD, FACEP
Chair, ACEP TEMS Section
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Letter from the Editor
Glenn A. Bollard, MD
Welcome to the first TEM Section newsletter of the 2009-2010 section year. This will be a short edition because I want to get this published before the Holidays. I already have some great original articles lined up for subsequent newsletter editions later this year, so don’t feel short changed by this one. The second newsletter should be out by February, 2010.
In today’s newsletter, you will find a copy of the approved minutes from our recent yearly General Membership Meeting at Scientific Assembly (SA) 2009. A TEM case report concerning one of our new section members who recently provided on-scene medical care to two injured deputies. A review of a newly released book about TASER research edited by section member Dr. Jeffrey D. Ho and Mark W. Kroll. A number of the chapters in the book were authored or coauthored by TEM Section members. The Newsletter will wrap up with a list of Web sites for Tactical Emergency Medicine training programs. So many people have been asking about what training is available for their medics and their physicians as they either create teams or arrange for continuing education for those teams which are already in existence. We thought having an area in the newsletter where we could list such information might be helpful. We certainly hope it is.
As always, every section member is invited to send in information they wish to see included in the newsletter. Opinions about what is written or suggestions concerning what topics I might cover are always welcome. I hope you have a safe and satisfying Christmas and New Year’s Holiday with your family and friends.
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Minutes from the TEM Section General Membership Meeting at SA-2009
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
Section on Tactical Emergency Medicine
Annual General Membership Meeting
Tuesday, October 6, 2009
9:00 am to 10:00 am
Boston Convention Center
Room #207
Boston, MA
Officers in attendance for all or part of the meeting: Stewart R. Coffman, MD, FACEP, Chairman; Ramon W. Johnson, MD, FACEP, ACEP Board Liaison; Glenn A. Bollard, MD, Immediate Past Chair;
Richard A. Kamin, MD, Vice Chair; Matthew R. Sutter, MD, FACEP, Secretary; Jeffery C. Metzger, MD, Web Master; Gina M. Piazza, DO, FACEP, Councillor; Melissa W. Costello, MD, FACEP, Alternate Councillor
Others in attendance for all or part of the meeting: Matthew H. Evenhouse, MD, FACEP; James A. Fitch, MD; Jeffrey D. Ho, MD, FACEP; Buddy G. Kozen, MD; Jon R. Krohmer, MD, FACEP; Eligio Santiago Maghirang, MD; Anthony M Montoya, MD; Keith Murray, MD; David P. Neubert, MD; Andre M. Pennardt, MD, FACEP; Theodore T. Redman, MD; Wendy Ruggeri, MD; Brian Lee Springer, MD, FACEP; Carolyn K. Synovitz, MD, MPH, FACEP.
ACEP Staff in attendance for all or part of the meeting: Rick Murray, EMT-P
Agenda
| 1. |
Opening Remarks |
Stewart R. Coffman, MD, FACEP |
| |
|
|
| 2. |
Introductions |
Stewart R. Coffman, MD, FACEP |
| |
|
|
| 3. |
Old Business – The Year in Review |
|
| |
Steering Committee Report |
Stewart R. Coffman, MD, FACEP |
| |
Council Report |
Gina M. Piazza, DO, FACEP
Melissa W. Costello, MD, ACEP |
| |
Board Liaison Report |
Ramon W. Johnson, MD, FACEP |
| |
TEM Section Grant |
Gina M. Piazza, DO, FACEP |
| |
STORM Update |
Gina M. Piazza, DO, FACEP |
| |
Section Communication Guidelines |
Stewart R. Coffman, MD, FACEP |
| |
Website update |
Jeff Metzger, MD
Glenn A. Bollard, MD
|
| |
Newsletter update |
Glenn A. Bollard, MD |
| |
|
|
| 4. |
New Business |
|
| |
Excited Delirium Taskforce updateupdate |
Melissa W. Costello, MD, FACEP |
| |
Liaison position w/non-medical partners |
Stewart R. Coffman, MD, FACEP |
| |
Discuss Section goals for 2009-2010 |
Stewart R. Coffman, MD, FACEP |
| |
TCCC update |
Richard A. Kamin, MD |
| |
|
|
| 5. |
Closing Remarks – Adjourn |
Stewart R. Coffman, MD, FACEP |
Major Points Discussed
- Dr. Coffman (Chair) called the meeting to order and welcomed the attendees
- Dr. Coffman (Chair) requested that all in attendance provide a brief self-introduction
- Dr. Piazza (Councillor) and Dr. Costello (Alternate Councillor) summarized several resolutions that were adopted by council.
Dr. Johnson (Board Liaison) reported that the ACEP Board had accepted Excited Delirium report
Dr. Piazza (Councillor) reported that the TEM Section Grant paper has been completed and submitted to Annals of EM.
Dr. Piazza (Councillor) provided an update on the STORM project. A pilot medic course was taught at the National Tactical Officers Association annual conference. The STORM Operators handbook is expected to be completed by the end of 2009.
Dr. Coffman (Chair) discussed some of the issues with posting courses and products on the listserv. Several options were discussed to accommodate including a monthly summary email and a separate page on Facebook or other social networking site.
Dr. Metzger (Webmaster) and Dr. Bollard (Newsletter Editor) led a discussion of the purpose of the website and content to be contained on the site. Currently there are issues with ease of placing content on the website as well as restrictions on the content. There was discussion of which content should require Section membership to view. The possibility of capturing email content in a discussion board format was also discussed.
Dr. Bollard (Newsletter Editor) discussed the continued need for newsletter content. Section leaders will be expected to provide articles throughout the year.
Dr. Costello (Alternate Councillor) provided an update on the Excited Delirium Taskforce. A White Paper was submitted by the task force with excellent representation by TEM Section members. There was discussion of forming an orphan case registry to collect more data regarding syndrome.
Dr. Coffman (Chair) discussed the concept of creating liaison positions with non-medical partners (e.g., NTOA). There was broad agreement to pursue this approach with section members acting as liaisons. A sample application was presented by Dr. Coffman. Any interested members were urged to submit applications to the Section.
Dr. Coffman (Chair) led a discussion of Section goals the upcoming year. There was a discussion of ways to reduce territorialism between agencies and ideas for continuing to improve the website.
Dr. Piazza (Councillor) presented a short educational program updating the section on the latest changes to Tactical Combat Casualty Care.
Dr. Coffman (Chair) made closing remarks and adjourned the meeting.
Submitted on November 10, 2009
By: Matthew R. Sutter, MD, FACEP
TEM Section Secretary
Approved on December 1, 2009
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Members in the News
Glenn A. Bollard, MD
Dr. Karl F. Wagenhauser, MD, FACEP, just joined the TEM Section in November of this year. He has been involved with EMS and TEMS work for some time now. He is currently the Medical Director for the Hot Springs, Arkansas division of LifeNet. LifeNet is one of the larger providers of EMS services in the nation. They have the staff and equipment to deliver medical care thru both ground and Air Medical services. In addition to his day job as an Emergency Physician, Dr. Wagenhauser also works with the Garland County Sheriff’s Office. Just as we were getting to know each other and Karl was getting oriented to the TEM Section, he had an experience that I want to share with you. I think it is a perfect illustration of why we do what we do. My knowledge of all the facts pertaining to this matter is probably incomplete, but I know enough to at least give you the highlights. As a side note, as I researched what was documented in the public record about what had happened I was surprised to discover a relative lack of news media coverage given that it was such a major local event. The contrast was particularly stark given how frequently some of the same news outlets serving this geographic area had run "exposés" and stories which contained allegations of police brutality, wrongful death and the like. I mention this not to be critical, but to create a backdrop for this story. This particular TEMS provider and the Sheriff’s Office he was associated with must have been under tremendous pressure knowing that anything they did during an operation might later be presented in a negative light by a less than supportive press.
On November 12, 2009, a stolen vehicle was found burning in the vicinity of Hot Springs, Arkansas. The vehicle was registered to an address in nearby Pearcy. When investigators arrived at the residence it was in the process of burning to the ground. After the fire was extinguished, four charred bodies were recovered, as well as a fifth victim in a nearby residence. All five were determined to have been murdered prior to the start of the fire. The ages ranged from young adult to elderly. Some were female and some male. Local racial tensions began to rise when it was discovered that the murdered family members were all white and the alleged three perpetrators were all black. Community members were very vocal about their strong feelings. Some were fearful, but many were outraged. A motive for the murders was not known. The perpetrators had proven themselves to be exceptionally ruthless and violent and they were on the run. The local police and the Sheriff’s department certainly had their work cut out for them.
Several high risk warrants were obtained and they were to be served early in the morning on November 20, 2009. These warrants were to be served on two of the alleged perpetrators who were still at large. The third suspect had already been shot and killed by Law Enforcement Officers as he tried to evade capture. Dr. Wagenhauser was on scene to provide medical support during this operation. At some point, Deputy Jason Lawrence was shot in the face and possibly in the arm by one of the perpetrators. As Deputy Felix Hunter was extracting his wounded partner, he developed a medical problem, which due to HIPAA issues will not be disclosed. Deputy Hunter was able to get the injured officer to cover where his medical care could be initiated. Dr. Wagenhauser stabilized Deputy Lawrence. Due to the associated risks of airway compromise, the need for hemostasis and definitive surgical evaluation and the obvious need for the injured officer to have a physician who he trusted help him through this crisis. Dr. Wagenhauser elected to accompany Deputy Lawrence in the back of the ambulance to the nearest Trauma Center. The officer was listed in critical, but stable condition on admission to the hospital. He is presently out of the hospital and his recovery is progressing well. The other Deputy was initially evaluated by Dr. Wagenhauser, then further stabilized by other medical personnel available at the scene. I believe he was taken to the hospital, treated and then released.
Thank you Dr. Wagenhauser for being an inspiration to us. The news media may have missed what you and the Sheriff’s department risked that day as you worked to make your community a safer place, but we didn’t. We appreciate the hours of faithful service you put in behind the scenes, which undoubtedly helped to set the stage for a better outcome from these potentially life threatening conditions.
If any section member has any material they wish to share concerning things they or their teams have done, I would appreciate hearing from you. Publishing these real life case histories serves several important functions. They are educational and they can be a source of encouragement. It is easy to forget that the sacrifices we make to organize and participate in TEMS work do pay off in the long run. Sometimes the rewards are subtle and sometimes they are dramatic, but these stories somehow make them more tangible.
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Book Review – Taser Conducted Electrical Weapons: Physiology, Pathology, and Law
Edited by Mark W. Kroll and Jeffrey D. Ho – Springer Science + Business Media, LLC – 2009:
Glenn A. Bollard, MD
It was a real treat after Scientific Assembly to receive both a copy of this book and a copy of the White Paper from the Excited Delirium Task Force. One of the Editors of the book (Dr. J.D. Ho) and several of the chapter authors were also on that Task Force. Numerous section members participated in the Task Force as well. I strongly recommend that you obtain a copy of each resource as they complement each other perfectly. Your job as the Medical Director of a Tactical Medicine program will be greatly facilitated by reviewing the information contained within them. As one is creating policies and protocols (P&Ps) it makes life so much easier when the subject at hand has been well researched. For many years the content of the average department’s Less Lethal P&Ps were more a response to the seemingly endless accusations within the media about their ill effects than an application of known scientific data. The TASER had the dubious honor of being the poster child for all that was supposedly wrong with this class of devices. Not that the early TASER devices themselves were actually doing anything particularly bad on the streets, but lawyers representing clients and civil libertarian groups were ruthless in their highly publicized attacks on the use of such "cattle prods" on human beings. Fortunately, I think those days are finally coming to a close. The only silver lining within the storm cloud of all those lawsuits, false accusations, and biased media accounts to the uneducated public was that it forced industry and medicine to make a choice. They either needed to abandon these technologies or do quality research in significant enough quantities to separate the true from the false.
I should warn you that for a reader to get the most out of this book their level of scientific expertise will need to be above average. It isn’t a TASER 101 text that one might leave on the coffee table down at the station, nor give to those without any scientific savvy as a stocking stuffer. This book is an easily understood synopsis of the current findings in TASER research, but I wouldn’t categorize it as light reading. As I reviewed the list of authors and perused its contents I came to believe that it may well be one of those books we look back on and say that it had historic significance. Does this book represent the actual scientific turning point we have all been waiting for during these past tumultuous decades? You be the judge. It certainly authoritatively sets the record straight about a much maligned technology that previously has not received due credit for the countless lives it has saved. It accomplishes that goal by delineating the pertinent research and exploring the clinical significance of these studies. It does so admirably. There are some 52 authors who have penned chapters or portions of chapters in this book. They have varied backgrounds (Military, Law Enforcement, Pathology, Physiology, Engineering, Psychology, Toxicology, Cardiology, Emergency Medicine, and Law). Three of these authors are TEM Section members (Donald M. Dawes, MD, FACEP/Jeffery D. Ho, MD, FACEP/John G. McManus, Jr., MD, FACEP). Each author is very careful to declare up front any potential past or present conflicts of interest. Only a small percentage of the authors fall into that category and I think one would be hard pressed to discount their work because their conclusions have been validated by others within the field.
Bottom line, I strongly recommend this book.
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Tactical Emergency Medicine Related Training Resources
- www.gunsite.net – Gunsite Academy.
- www.mcg.edu/ems/com/tactical - Medical College of Georgia (STORM Program).
- www.ntoa.org – National Tactical Officers Association.
- www.tac-med.org – Tac-Med, LLC.
- www.tacticalmedicine.com – International School of Tactical Medicine.
- www.trueresearch.org/contoms - Counter Narcotics +Terrorism Operational Medical Support.
This is obviously not an exhaustive list of all the possible courses an individual might take to better their expertise within the field of Tactical Medicine. If you know of any courses offered on a regular basis by organizations, associations, societies, academies, institutions or schools that you think others might benefit from attending, please send the Staff Liaison for our Section (dfechner@acep.org) the information and we can look into posting it in future newsletters.
Now the disclaimer: This list has not been "approved" by either the Tactical Emergency Medicine (TEM) Section or by the American College of Emergency Physicians (ACEP). It was compiled solely for educational purposes. No effort has been made to evaluate the quality of these programs with respect to the content of their courses, or the manner in which they are taught. It is the sole responsibility of each person who pursues TEM related training to decide which educational resources they believe would be most appropriate to utilize given their circumstances.
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2009-2010 Tactical Emergency Medicine Section Officers
Chair
Stewart R. Coffman, MD, FACEP
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I moved to the Dallas metroplex in 1995 after completing my emergency medicine residency at UC San Diego. Initially, I was an Assistant Professor at UTSW School of Medicine where I started the TX-4 Disaster Medical Assistance Team (DMAT), as well as serving as the assistant EMS director for several cities. I had the great opportunity to teach at several Tactical EMS courses and there developed a relationship with Dallas FBI SWAT. I have served as a tactical physician and local medical director for the Dallas FBI for 8 years. I have participated on numerous operations and protective details, but also enjoy greatly the routine day to day relationships I have built there and the opportunity to keep the team healthy and operational. I am currently the Chairman of Emergency Medicine at the Medical Center of Lewisville, as well as the EMS medical director for 3 cities in the surrounding area. We recently started our own state approved EMT course for FBI agents and are about to graduate our first 7 EMT’s (5 of whom are SWAT operators). I’m looking forward to working with the section as it grows.
Immediate Past Chair
Current Newsletter Editor and Section Development Coordinator
Glenn A. Bollard, MD
Born in Stamford, CN, USA. He attended Earlham College in Indiana. He obtained his M.D. degree from NEOUCOM in 1981. He received a surgical subspecialty degree in 1989 from a NEOUCOM residency in Ohio. He gained additional experience in trauma management and forensic work during the extra coursework, and emergency medicine employment he engaged in while in residency and in practice. He underwent extensive training in Tactical Emergency Medicine. Combat pistol, shotgun, AR-15/M-16, submachine gun, sniper/counter sniper rifle use, and defensive driving techniques. Through academies such as Gunsite, ThunderRanch, HK, and Skip Barber racing school. His full-time EM work began in December, 1995, when he became a teaching Attending at the Meadville Medical Center Emergency Department in Meadville, PA. He later became the Medical Director of that 33,000 pts/yr department, and subsequently, the President of the medical group charged with handling Physician staffing and billing. During the winter of 2004, he developed a chronic form of Guillain-Barre Syndrome. This forced him to resign from clinical practice in June, 2004. He has been with the Section of Tactical Emergency Medicine from its inception, and believes very strongly in its mission. His goal is to use his time off clinical work for the good of the section. He may be reached here.
Vice Chair
Richard A. Kamin, MD
Dr. Kamin received both his bachelors of science and medical degree from the University of Washington in Seattle. He subsequently completed a residency in Emergency Medicine at the University of Connecticut and EMS fellowship at the Hartford Hospital. Dr. Kamin is certified by the American Board of Emergency Medicine and is a member of the American College of Emergency Physicians, the National Association of State EMS officials, the National Association of EMS Physicians, the National Tactical Officers Association (NTOA) and the CT-1 Disaster Medical Assistance Team.
Dr. Kamin serves as the Medical Director for the Connecticut OEMS and as an Assistant Professor of Emergency Medicine for the University of Connecticut School of Medicine. He is the EMS fellowship director at Hartford Hospital and is actively involved in teaching medical students, emergency medicine residents, pre-hospital providers and other emergency physicians. He has the privilege of acting as medical oversight for a select group of paramedics who provide TEM for various teams in Connecticut.
Matthew R. Sutter, MD, FACEP
Secretary
Dr. Sutter received his medical degree from Indiana University. He subsequently completed a residency in Emergency Medicine at University of Illinois-Christ Medical Center in suburban Chicago where he served as chief resident. Dr. Sutter is a Fellow of the American College of Emergency Physicians and a member of the National Tactical Officers Association.
Dr. Sutter currently serves as medical director for the Lutheran Air Helicopter and Critical Care Transport for Lutheran Hospital in Fort Wayne, Indiana. He is active with the physician oversight of EMS in the area and has served as medical director of the Fort Wayne EMS service. He currently serves as medical director for the Allen County SWAT team, as well as deploying with the team as a special deputy. He also provides consultation and medical support to the Fort Wayne Emergency Services Team (EST) and the Hazardous Devices unit.
Councillor
Gina Marie Piazza, DO, FACEP
Dr. Piazza is a graduate of the New York College of Osteopathic Medicine. She completed her internship at the Good Samaritan Medical Center in West Islip, NY. She went on to complete an emergency medicine residency at Lincoln Hospital and Mental Health Center in the south Bronx section of New York City. Subsequently, she completed a Fellowship in EMS/Disaster Medicine at the State University of New York at Buffalo.
Dr. Piazza currently works as the Medical Director of Operational Medicine and as an Assistant Professor of Emergency Medicine at the Medical College of Georgia. She also serves as Medical Director and tactical medical provider for the Columbia County Sheriff's Department Special Response Team.
Alternate Councillor
Melissa Wysong Costello, MD, FACEP
Dr. Melissa Costello completed her M.D. degree at the University of Alabama at Birmingham in June, 2000 and moved to Maryland with her husband Sean to complete a residency in Emergency Medicine at Johns Hopkins University. Applying her prior 10 years of EMS experience, she worked in the Johns Hopkins Division of Special Operations and with the training program for the United States Secret Service Medical Division. Through this work, Dr. Costello participated in the Tactical/Law Enforcement Medical Support with the U.S. Secret Service during the Salt Lake City Olympic Games in 2002.
Upon completing her residency, Dr. Costello joined the faculty at the University of South Alabama in Mobile, Alabama. She is currently an Assistant Professor of Emergency Medicine, Ultrasound Director, and has been appointed to assume the position of Residency Director as the Emergency Medicine Residency Program is developed. She continues to feed her Tactical/EMS needs through her work with the City and County of Mobile; as the Medical Director of Gulf Coast MedEvac flight program; as a Flight Physician with AirMed International; and as a Tactical Physician with the Federal Bureau of Investigation Mobile Office’s S.W.A.T. Team.
Her most important and meaningful accomplishment is her family, which includes her incredibly supportive husband, Assistant United States Attorney Sean Costello and 3 beautiful daughters ages 5, 3, and 1. It is their love and support that keep her going every day.
Web Master
Jeffrey C. Metzger, MD
Dr. Metzger received his medical degree from UCLA School of Medicine in 2002. He then went to Duke University Medical Center for his residency in Emergency Medicine. It was there that he became interested and involved in tactical medicine. He started working with the Durham Police Department Selective Enforcement Team in 2004. After graduating residency in 2005, he moved to Dallas, Texas for a fellowship in Government Emergency Medical Security Services at the University of Texas, Southwestern Medical Center. During this fellowship he received extensive training in tactical medicine and other aspects of law enforcement medicine, training with groups such as the United States Secret Service and Federal Bureau of Investigations. Dr. Metzger is currently an assistant professor in the Division of Emergency Medicine at the University of Texas, Southwestern Medical Center. He serves as the Medical Director for the Dallas Police Department where he assists the department with any health or medically related issues, including reviewing in-custody deaths, helping implement Automated External Defibrillator programs, reviewing Conducted Energy Device protocols, and serving as a liaison between the law enforcement and medical communities. He also continues to provide operational medical support for the Dallas Police SWAT team, where he has participated in over 300 operations.
ACEP Board of Directors Liaison
Alexander M. Rosenau, DO, FACEP
Current Professional Position: Associate Vice Chair and Attending Physician, Department of Emergency Medicine, Lehigh Valley Hospital and Health Network; Program Director, Lehigh Valley Hospital Emergency Medicine Residency; Director, Eastern Pa EMS Council; Clinical Associate Professor of Emergency Medicine at the Penn State College of Medicine; Alumnus of the US Public Health Service and National Health Service Corps
Residency: Emergency Medicine, Botsford General Hospital, Farmington Hills, Michigan; Emergency Medicine
Rotating Internship, St Luke's Hospital, Allentown, PA
Year elected to Board: 2006
Bio: Dr. Rosenau, of Allentown, Pennsylvania, is the chair of the Emergency Medicine Foundation. He is also the associate vice chair and an attending physician in the emergency department at Lehigh Valley Hospital and Health Network. Dr. Rosenau has served as an ACEP Councillor, and has also served on various ACEP committees, including the Steering, Bylaws, and EM Practice Committees.
Dr. Rosenau is a past president of Pennsylvania ACEP, and is the founding program director of the Lehigh Valley Hospital and Health Network emergency medicine residency program. He is an associate clinical professor of emergency medicine at Penn State University College of Medicine in Hershey.
Dr. Rosenau is a past recipient of U.S. Public Health Service National Health Service Corps Achievement and Commendation awards. He received his medical degree from the Philadelphia College of Osteopathic Medicine, completed his residency at Botsford General Hospital in Farmington Hills, Michigan.
Rick Murray, EMT-P
ACEP Staff Liaison
Mr. Murray started his EMS career as a volunteer firefighter in 1975. He attended EMT school in 1976 and then Paramedic training in 1979 while working at a hospital-based, county-wide EMS system south of Ft. Worth, Texas.
He then spent seven years with the Texas Department of Health, EMS Division, where he regulated EMS in the 20 counties surrounding Dallas/Ft. Worth. This included EMS provider and educational institutions as well disaster preparedness assistance to cities and counties.
Mr. Murray spent another seven years directing EMS operations for the Arlington Texas Fire Department. He then spent a number of years in EMS education with both university and hospital based education programs as well as providing EMS continuing education to EMS providers in 5 counties.
He joined the ACEP EMS Department as Manager in 1996 and became the Department Director in 2006 when the department was expanded. In addition to his duties as the Director of EMS and Disaster Preparedness, he also serves as the Project Director for the DHS hospital disaster preparedness assessment grant and the CDC blast injury from terrorism curriculum grant.
Mr. Murray also serves as a site survey team leader for the Commission on Accreditation of Ambulance Services (CAAS).
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This publication is designed to promote communication among emergency physicians of a basic informational nature only. While ACEP provides the support necessary for these newsletters to be produced, the content is provided by volunteers and is in no way an official ACEP communication. ACEP makes no representations as to the content of this newsletter and does not necessarily endorse the specific content or positions contained therein. ACEP does not purport to provide medical, legal, business, or any other professional guidance in this publication. If expert assistance is needed, the services of a competent professional should be sought. ACEP expressly disclaims all liability in respect to the content, positions, or actions taken or not taken based on any or all the contents of this newsletter.
