Request for Information: Improving Prehospital Trauma Care, 18649-18651 [2018-08504]
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Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices
daltland on DSKBBV9HB2PROD with NOTICES
exemption to be evaluated by an
optometrist or ophthalmologist. Both
optometrists and ophthalmologists are
medically qualified to evaluate the
applicant’s eye conditions when
applying to the vision exemption
program. The examination includes
identifying and defining the nature of
the vision deficiency, how long the
deficiency has been present, stability,
visual acuity, field of vision, and color
vision.
IV. Basis for Exemption Determination
Under 49 U.S.C. 31136(e) and 31315,
FMCSA may grant an exemption from
the vision standard in 49 CFR
391.41(b)(10) if the exemption is likely
to achieve an equivalent or greater level
of safety than would be achieved
without the exemption. The exemption
allows applicants to operate CMVs in
interstate commerce.
The Agency’s decision regarding these
exemption applications is based on
medical reports about the applicants’
vision as well as their driving records
and experience driving with the vision
deficiency. The qualifications,
experience, and medical condition of
each applicant were stated and
discussed in detail in the January 16,
2018, Federal Register notice (83 FR
2311) and will not be repeated in this
notice.
FMCSA recognizes that some drivers
do not meet the vision requirement but
have adapted their driving to
accommodate their limitation and
demonstrated their ability to drive
safely. The 18 exemption applicants
listed in this notice are in this category.
They are unable to meet the vision
requirement in one eye for various
reasons, including amblyopia, aphakia,
cataracts, central scarring, complete loss
of vision, glaucoma, macular scarring,
retinal detachment, retinal scarring. In
most cases, their eye conditions were
not recently developed. Nine of the
applicants were either born with their
vision impairments or have had them
since childhood. The nine individuals
that sustained their vision conditions as
adults have had it for a range of 4 to 26
years. Although each applicant has one
eye which does not meet the vision
requirement in 49 CFR 391.41(b)(10),
each has at least 20/40 corrected vision
in the other eye, and in a doctor’s
opinion, has sufficient vision to perform
all the tasks necessary to operate a CMV.
Doctors’ opinions are supported by
the applicants’ possession of a valid
license to operate a CMV. By meeting
State licensing requirements, the
applicants demonstrated their ability to
operate a CMV, with their limited vision
in intrastate commerce, even though
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18:18 Apr 26, 2018
Jkt 244001
their vision disqualified them from
driving in interstate commerce. We
believe that the applicants’ intrastate
driving experience and history provide
an adequate basis for predicting their
ability to drive safely in interstate
commerce. Intrastate driving, like
interstate operations, involves
substantial driving on highways on the
interstate system and on other roads
built to interstate standards. Moreover,
driving in congested urban areas
exposes the driver to more pedestrian
and vehicular traffic than exists on
interstate highways. Faster reaction to
traffic and traffic signals is generally
required because distances between
them are more compact. These
conditions tax visual capacity and
driver response just as intensely as
interstate driving conditions.
The applicants in this notice have
driven CMVs with their limited vision
in careers ranging for 3 to 70 years. In
the past three years, one driver was
involved in a crash, and two drivers
were convicted of moving violations in
CMVs. All the applicants achieved a
record of safety while driving with their
vision impairment, demonstrating the
likelihood that they have adapted their
driving skills to accommodate their
condition. As the applicants’ ample
driving histories with their vision
deficiencies are good predictors of
future performance, FMCSA concludes
their ability to drive safely can be
projected into the future.
Consequently, FMCSA finds that in
each case exempting these applicants
from the vision requirement in 49 CFR
391.41(b)(10) is likely to achieve a level
of safety equal to that existing without
the exemption.
V. Conditions and Requirements
The terms and conditions of the
exemption are provided to the
applicants in the exemption document
and includes the following: (1) Each
driver must be physically examined
every year (a) by an ophthalmologist or
optometrist who attests that the vision
in the better eye continues to meet the
standard in 49 CFR 391.41(b)(10) and (b)
by a certified Medical Examiner who
attests that the individual is otherwise
physically qualified under 49 CFR
391.41; (2) each driver must provide a
copy of the ophthalmologist’s or
optometrist’s report to the Medical
Examiner at the time of the annual
medical examination; and (3) each
driver must provide a copy of the
annual medical certification to the
employer for retention in the driver’s
qualification file, or keep a copy in his/
her driver’s qualification file if he/she is
self-employed. The driver must also
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18649
have a copy of the exemption when
driving, for presentation to a duly
authorized Federal, State, or local
enforcement official.
VI. Preemption
During the period the exemption is in
effect, no State shall enforce any law or
regulation that conflicts with this
exemption with respect to a person
operating under the exemption.
VII. Conclusion
Based upon its evaluation of the 18
exemption applications, FMCSA
exempts the following drivers from the
vision requirement, 49 CFR
391.41(b)(10), subject to the
requirements cited above:
Michael H. Eheler, II (WI)
Roberto Espinosa (FL)
Lee J. Gaffney (OH)
Mark S. Hale (AL)
Raymundo Maldonado (TX)
Mickey D. McCoy (TN)
Colin D. McGregor (WI)
Thomas B. Miller (VA)
Ryan J. Plank (PA)
Donald J. Poague (GA)
Jose R. Ponce (TX)
Ronald F. Prezzia (IL)
Jorge A. Rodriguez (CA)
Jimmy W. Rowland (FL)
Aaron R. Rupe (IL)
Charles L. Sauls (FL)
Gery M. Shoultz (IN)
Juan D. Zertuche, Jr. (TX)
In accordance with 49 U.S.C. 31136(e)
and 31315, each exemption will be valid
for two years from the effective date
unless revoked earlier by FMCSA. The
exemption will be revoked if the
following occurs: (1) The person fails to
comply with the terms and conditions
of the exemption; (2) the exemption has
resulted in a lower level of safety than
was maintained prior to being granted;
or (3) continuation of the exemption
would not be consistent with the goals
and objectives of 49 U.S.C. 31136 and
31315.
Issued on: April 23, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018–08913 Filed 4–26–18; 8:45 am]
BILLING CODE 4910–EX–P
DEPARTMENT OF TRANSPORTATION
National Highway Traffic Safety
Administration
[Docket No. NHTSA–2018–0056]
Request for Information: Improving
Prehospital Trauma Care
National Highway Traffic
Safety Administration (NHTSA),
Department of Transportation (DOT).
AGENCY:
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18650
ACTION:
Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices
Notice.
NHTSA, on behalf of the
Federal Interagency Committee on
Emergency Medical Services (FICEMS),
is seeking comments from all sources
(public, private, governmental,
academic, professional, public interest
groups, and other interested parties) on
improving prehospital trauma care.
The purpose of this notice is to solicit
comments on improving prehospital
trauma care, and to request responses to
specific questions provided below. This
is neither a request for proposals nor an
invitation for bids.
DATES: It is requested that comments on
this announcement be submitted by July
26, 2018.
ADDRESSES: You may submit comments
[identified by Docket No. NHTSA–
2018–0056] through one of the
following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the online
instructions for submitting comments.
• Mail or Hand Delivery: Docket
Management Facility, U.S. Department
of Transportation, 1200 New Jersey
Avenue SE, West Building, Room W12–
140, Washington, DC 20590, between 9
a.m. and 5 p.m., Monday through
Friday, except on Federal holidays.
FOR FURTHER INFORMATION CONTACT:
Gamunu Wijetunge, Office of
Emergency Medical Services, (202) 493–
2793, gamunu.wijetunge@dot.gov,
located at the United States Department
of Transportation; 1200 New Jersey
Avenue SE, NPD–400, Room W44–232,
Washington, DC 20590. Office hours are
from 9 a.m. to 5 p.m., Monday through
Friday, except Federal holidays.
SUPPLEMENTARY INFORMATION:
SUMMARY:
daltland on DSKBBV9HB2PROD with NOTICES
Background
FICEMS was created (42 U.S.C. 300d–
4) by the Secretaries of Transportation,
Health and Human Services and
Homeland Security to, in part, ensure
coordination among the Federal
agencies involved with State, local,
tribal or regional emergency medical
services and 9–1–1 systems. FICEMS
has statutory authority to identify State
and local Emergency Medical Services
(EMS) and 9–1–1 needs, to recommend
new or expanded programs and to
identify the ways in which Federal
agencies can streamline their processes
for support of EMS. FICEMS includes
representatives from the Department of
Defense (DoD) Office of the Assistant
Secretary of Defense Health Affairs, the
Department of Health and Human
Services (HHS) Office of the Assistant
Secretary for Preparedness and
Response (ASPR), HHS Indian Health
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18:18 Apr 26, 2018
Jkt 244001
Service (IHS), HHS Centers for Disease
Control and Prevention (CDC), HHS
Health Resources and Services
Administration (HRSA), HHS Centers
for Medicare and Medicaid Services
(CMS), the Department of Homeland
Security (DHS) Office of Health Affairs
(OHA), DHS U.S. Fire Administration
(USFA), NHTSA, the Federal
Communications Commission (FCC)
and a State EMS Director appointed by
the Secretary of Transportation.
In 2016 the National Academies of
Sciences, Engineering, and Medicine
(NASEM) published a report, A
National Trauma Care System:
Integrating Military and Civilian
Trauma Systems to Achieve Zero
Preventable Deaths After Injury (2016
NASEM Trauma Report), that estimated
as many as 20 percent of the nearly of
200,000 annual trauma deaths in the
United States could be prevented.
On December 2, 2016 the National
Emergency Medical Services Advisory
Council (NEMSAC) issued
recommendations to FICEMS in
response to the NASEM report (https://
www.ems.gov/pdf/nemsac/NEMSAC_
Advisory_MTSPE_Alignment_Trauma_
Care_Report.pdf). NEMSAC
recommended that FICEMS develop an
integrated Federal strategy to address
both the recommendations of the
NASEM report and the need to update
the Model Trauma Systems Planning
and Evaluation (MTPSE) document
which includes a Benchmarks,
Indicators and Scoring (BIS) tool.
On December 6, 2017, FICEMS and
the Council on Emergency Medical Care
(CEMC) co-hosted a listening session to
hear from stakeholders about the
challenges facing prehospital trauma
care, especially in rural settings, and
how to better integrate military and
civilian EMS systems. An integrated
national trauma care system would
allow lessons learned from the
battlefield to be translated to civilian
EMS and provide opportunities for
improved patient care.
A national trauma care system, that
integrates military and civilian
capabilities, is a crucial part of our
Nation’s infrastructure and is vital to
preserve the health and productivity of
the American people.
The 2016 NASEM report estimates
that as many as 20% of the nearly
200,000 annual trauma deaths in the
United States could be prevented. In its
report, the NASEM defined preventable
deaths after injury as those casualties
whose lives could have been saved by
appropriate and timely medical care,
irrespective of tactical, logistical, or
environmental issues.
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Questions on Improving Prehospital
Trauma Care
Responses to the following questions
are requested. Please provide references
as appropriate.
1. What are the current impediments,
and possible solutions, to achieving zero
preventable deaths in the following
settings:
a. Wilderness;
b. Rural;
c. Suburban; and
d. Urban.
2. What should be the national aim for
preventable prehospital trauma deaths?
3. What should be the interim
national goals to achieve zero
preventable deaths in the prehospital
setting?
4. What are the most promising or
innovative opportunities to improve
prehospital trauma care in the following
settings:
a. Military;
b. Wilderness;
c. Rural;
d. Suburban; and
e. Urban.
5. How could the Learning Health
System model (as described in the 2016
NASEM Trauma Report) be applied to
civilian EMS?
6. Are there actions that could be
taken today in the prehospital setting
(such as promising clinical
interventions) that could dramatically
improve outcomes for patients who are:
a. Suffering from traumatic pain;
b. Severely injured in a rural roadway
crash;
c. Suffering from penetrating trauma;
d. Subjected to a compromised
airway;
e. Suffering from a major hemorrhage;
f. Suffering from a pneumothorax;
g. Suffering from blunt force trauma;
h. Suffering from traumatic brain
injury;
i. Other clinical conditions (please
explain).
7. What EMS evidence based
guidelines could be developed to
improve trauma patient outcomes?
8. As an EMS stakeholder what do
you see is the potential role of the
National EMS Information System
(NEMSIS) and the EMS Compass
performance measures in improving
prehospital trauma care?
9. How might active duty, National
Guard, and reserve component military
resources be used to improve civilian
trauma care outcomes in the following
settings:
a. Use of military rotary wing assets
to support civilian EMS;
b. Placement of military medics in the
field to support and cross train with
civilian EMS.
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Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices
10. What actions can be taken to
improve public awareness of traumatic
injury as a public health issue?
11. What actions could be taken to
improve the rapid extrication of motor
vehicle crash patients?
12. What actions could be taken to
improve the rapid transport of trauma
patients?
13. What actions could be taken to
improve prehospital care for pediatric
trauma patients?
14. What actions could be taken to
improve tribal prehospital trauma care?
15. What research is needed to
improve prehospital trauma care during
a mass casualty incident?
16. What is the potential role of 9–1–
1 in improving prehospital trauma care
outcomes?
17. What is the potential role of
bystander care, such as Stop the Bleed,
in improving prehospital trauma care
outcomes?
18. What is the potential role of
vehicle telematics in improving
prehospital trauma care outcomes?
19. What is the potential role of
telemedicine in improving prehospital
trauma care outcomes?
20. What is the potential role of
community paramedicine, mobile
integrated healthcare, and other
emerging EMS subspecialties in
improving prehospital trauma care
outcomes?
21. How could data-driven and
evidence-based improvements in EMS
systems improve prehospital trauma
care?
22. How could enhanced
collaboration among EMS systems,
health care providers, hospitals, public
safety answering points, public health,
insurers, and others improve
prehospital trauma care?
23. What are some opportunities to
improve exchange of evidence based
prehospital trauma care practices
between military and civilian medicine?
24. Do you have any additional
comments regarding prehospital trauma
care?
daltland on DSKBBV9HB2PROD with NOTICES
Authority: 44 U.S.C. Section 3506(c)(2)(A).
Issued in Washington, DC, on April 19,
2018.
Jeff Michael,
Associate Administrator, Research and
Program Development.
[FR Doc. 2018–08504 Filed 4–26–18; 8:45 am]
BILLING CODE 4910–59–P
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Jkt 244001
DEPARTMENT OF TRANSPORTATION
Office of the Secretary of
Transportation
Notice of Funding Opportunity for the
Department of Transportation’s
National Infrastructure Investments
Under the Consolidated
Appropriations Act, 2018
Office of the Secretary of
Transportation, DOT.
ACTION: Notice of funding opportunity.
AGENCY:
The Consolidated
Appropriations Act, 2018 (Pub. L. 115–
141, March 23, 2018) (‘‘FY 2018
Appropriations Act’’ or the ‘‘Act’’)
appropriated $1.5 billion to be awarded
by the Department of Transportation
(‘‘DOT’’ or the ‘‘Department’’) for
National Infrastructure Investments.
This appropriation stems from the
program funded and implemented
pursuant to the American Recovery and
Reinvestment Act of 2009 (the
‘‘Recovery Act’’). This program was
previously known as the Transportation
Investment Generating Economic
Recovery, or ‘‘TIGER Discretionary
Grants,’’ program and is now known as
the Better Utilizing Investments to
Leverage Development, or ‘‘BUILD
Transportation Discretionary Grants,’’
program. Funds for the FY 2018 BUILD
Transportation program are to be
awarded on a competitive basis for
projects that will have a significant local
or regional impact. The purpose of this
Final Notice is to solicit applications for
BUILD Transportation Discretionary
Grants.
SUMMARY:
Applications must be submitted
by 8:00 p.m. E.D.T. on July 18, 2018.
ADDRESSES: Applications must be
submitted through Grants.gov.
FOR FURTHER INFORMATION CONTACT: For
further information concerning this
notice, please contact the BUILD
Transportation program staff via email
at BUILDgrants@dot.gov, or call Howard
Hill at 202–366–0301. A TDD is
available for individuals who are deaf or
hard of hearing at 202–366–3993. In
addition, DOT will regularly post
answers to questions and requests for
clarifications as well as information
about webinars for further guidance on
DOT’s website at
www.transportation.gov/BUILDgrants.
SUPPLEMENTARY INFORMATION: Many of
the selection criteria of BUILD
Transportation grants overlap with
previous rounds of National
Infrastructure Investments discretionary
grants, though the program is refocused
on infrastructure investment that will
DATES:
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18651
make a positive impact throughout the
country. The FY 2018 BUILD
Transportation program will continue to
give special consideration to projects
located in rural areas. For this round of
BUILD Transportation Discretionary
Grants, the maximum grant award is $25
million, and no more than $150 million
can be awarded to a single State, as
specified in the FY 2018 Appropriations
Act. Each section of this notice contains
information and instructions relevant to
the application process for these BUILD
Transportation Discretionary Grants,
and all applicants should read this
notice in its entirety so that they have
the information they need to submit
eligible and competitive applications.
Table of Contents
A. Program Description
B. Federal Award Information
C. Eligibility Information
D. Application and Submission Information
E. Application Review Information
F. Federal Award Administration
Information
G. Federal Awarding Agency Contacts
H. Other Information
A. Program Description
The Consolidated Appropriations Act,
2018 (Pub. L. 115–141, March 23, 2018)
(‘‘FY 2018 Appropriations Act’’ or the
‘‘Act’’) appropriated $1.5 billion to be
awarded by the Department of
Transportation (‘‘DOT’’ or the
‘‘Department’’) for National
Infrastructure Investments. Since this
program was first created, $5.6 billion
has been awarded for capital
investments in surface transportation
infrastructure over nine rounds of
competitive grants. Throughout the
program, these discretionary grant
awards have supported projects that
have a significant local or regional
impact.
The Department is committed to
addressing the unmet transportation
infrastructure needs of rural areas. Rural
America is home to many of the nation’s
most critical transportation
infrastructure assets, including 444,000
bridges, 2.98 million miles of roadways,
and 30,500 miles of Interstate highways.
More than 55 percent of all public road
miles are locally-owned rural roads.
While only 19 percent of the nation’s
population lives in rural areas, 49
percent of all traffic fatalities occur on
rural roads (2015). In addition,
Americans living in rural areas and on
Tribal lands continue to
disproportionately lack access to basic
broadband service. The Department
believes that underinvestment in rural
transportation systems has allowed a
slow and steady decline in the
transportation routes that connect rural
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]]>Agencies
[Federal Register Volume 83, Number 82 (Friday, April 27, 2018)]
[Notices]
[Pages 18649-18651]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-08504]
-----------------------------------------------------------------------
DEPARTMENT OF TRANSPORTATION
National Highway Traffic Safety Administration
[Docket No. NHTSA-2018-0056]
Request for Information: Improving Prehospital Trauma Care
AGENCY: National Highway Traffic Safety Administration (NHTSA),
Department of Transportation (DOT).
[[Page 18650]]
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: NHTSA, on behalf of the Federal Interagency Committee on
Emergency Medical Services (FICEMS), is seeking comments from all
sources (public, private, governmental, academic, professional, public
interest groups, and other interested parties) on improving prehospital
trauma care.
The purpose of this notice is to solicit comments on improving
prehospital trauma care, and to request responses to specific questions
provided below. This is neither a request for proposals nor an
invitation for bids.
DATES: It is requested that comments on this announcement be submitted
by July 26, 2018.
ADDRESSES: You may submit comments [identified by Docket No. NHTSA-
2018-0056] through one of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the online instructions for submitting comments.
Mail or Hand Delivery: Docket Management Facility, U.S.
Department of Transportation, 1200 New Jersey Avenue SE, West Building,
Room W12-140, Washington, DC 20590, between 9 a.m. and 5 p.m., Monday
through Friday, except on Federal holidays.
FOR FURTHER INFORMATION CONTACT: Gamunu Wijetunge, Office of Emergency
Medical Services, (202) 493-2793, [email protected], located at
the United States Department of Transportation; 1200 New Jersey Avenue
SE, NPD-400, Room W44-232, Washington, DC 20590. Office hours are from
9 a.m. to 5 p.m., Monday through Friday, except Federal holidays.
SUPPLEMENTARY INFORMATION:
Background
FICEMS was created (42 U.S.C. 300d-4) by the Secretaries of
Transportation, Health and Human Services and Homeland Security to, in
part, ensure coordination among the Federal agencies involved with
State, local, tribal or regional emergency medical services and 9-1-1
systems. FICEMS has statutory authority to identify State and local
Emergency Medical Services (EMS) and 9-1-1 needs, to recommend new or
expanded programs and to identify the ways in which Federal agencies
can streamline their processes for support of EMS. FICEMS includes
representatives from the Department of Defense (DoD) Office of the
Assistant Secretary of Defense Health Affairs, the Department of Health
and Human Services (HHS) Office of the Assistant Secretary for
Preparedness and Response (ASPR), HHS Indian Health Service (IHS), HHS
Centers for Disease Control and Prevention (CDC), HHS Health Resources
and Services Administration (HRSA), HHS Centers for Medicare and
Medicaid Services (CMS), the Department of Homeland Security (DHS)
Office of Health Affairs (OHA), DHS U.S. Fire Administration (USFA),
NHTSA, the Federal Communications Commission (FCC) and a State EMS
Director appointed by the Secretary of Transportation.
In 2016 the National Academies of Sciences, Engineering, and
Medicine (NASEM) published a report, A National Trauma Care System:
Integrating Military and Civilian Trauma Systems to Achieve Zero
Preventable Deaths After Injury (2016 NASEM Trauma Report), that
estimated as many as 20 percent of the nearly of 200,000 annual trauma
deaths in the United States could be prevented.
On December 2, 2016 the National Emergency Medical Services
Advisory Council (NEMSAC) issued recommendations to FICEMS in response
to the NASEM report (https://www.ems.gov/pdf/nemsac/NEMSAC_Advisory_MTSPE_Alignment_Trauma_Care_Report.pdf). NEMSAC
recommended that FICEMS develop an integrated Federal strategy to
address both the recommendations of the NASEM report and the need to
update the Model Trauma Systems Planning and Evaluation (MTPSE)
document which includes a Benchmarks, Indicators and Scoring (BIS)
tool.
On December 6, 2017, FICEMS and the Council on Emergency Medical
Care (CEMC) co-hosted a listening session to hear from stakeholders
about the challenges facing prehospital trauma care, especially in
rural settings, and how to better integrate military and civilian EMS
systems. An integrated national trauma care system would allow lessons
learned from the battlefield to be translated to civilian EMS and
provide opportunities for improved patient care.
A national trauma care system, that integrates military and
civilian capabilities, is a crucial part of our Nation's infrastructure
and is vital to preserve the health and productivity of the American
people.
The 2016 NASEM report estimates that as many as 20% of the nearly
200,000 annual trauma deaths in the United States could be prevented.
In its report, the NASEM defined preventable deaths after injury as
those casualties whose lives could have been saved by appropriate and
timely medical care, irrespective of tactical, logistical, or
environmental issues.
Questions on Improving Prehospital Trauma Care
Responses to the following questions are requested. Please provide
references as appropriate.
1. What are the current impediments, and possible solutions, to
achieving zero preventable deaths in the following settings:
a. Wilderness;
b. Rural;
c. Suburban; and
d. Urban.
2. What should be the national aim for preventable prehospital
trauma deaths?
3. What should be the interim national goals to achieve zero
preventable deaths in the prehospital setting?
4. What are the most promising or innovative opportunities to
improve prehospital trauma care in the following settings:
a. Military;
b. Wilderness;
c. Rural;
d. Suburban; and
e. Urban.
5. How could the Learning Health System model (as described in the
2016 NASEM Trauma Report) be applied to civilian EMS?
6. Are there actions that could be taken today in the prehospital
setting (such as promising clinical interventions) that could
dramatically improve outcomes for patients who are:
a. Suffering from traumatic pain;
b. Severely injured in a rural roadway crash;
c. Suffering from penetrating trauma;
d. Subjected to a compromised airway;
e. Suffering from a major hemorrhage;
f. Suffering from a pneumothorax;
g. Suffering from blunt force trauma;
h. Suffering from traumatic brain injury;
i. Other clinical conditions (please explain).
7. What EMS evidence based guidelines could be developed to improve
trauma patient outcomes?
8. As an EMS stakeholder what do you see is the potential role of
the National EMS Information System (NEMSIS) and the EMS Compass
performance measures in improving prehospital trauma care?
9. How might active duty, National Guard, and reserve component
military resources be used to improve civilian trauma care outcomes in
the following settings:
a. Use of military rotary wing assets to support civilian EMS;
b. Placement of military medics in the field to support and cross
train with civilian EMS.
[[Page 18651]]
10. What actions can be taken to improve public awareness of
traumatic injury as a public health issue?
11. What actions could be taken to improve the rapid extrication of
motor vehicle crash patients?
12. What actions could be taken to improve the rapid transport of
trauma patients?
13. What actions could be taken to improve prehospital care for
pediatric trauma patients?
14. What actions could be taken to improve tribal prehospital
trauma care?
15. What research is needed to improve prehospital trauma care
during a mass casualty incident?
16. What is the potential role of 9-1-1 in improving prehospital
trauma care outcomes?
17. What is the potential role of bystander care, such as Stop the
Bleed, in improving prehospital trauma care outcomes?
18. What is the potential role of vehicle telematics in improving
prehospital trauma care outcomes?
19. What is the potential role of telemedicine in improving
prehospital trauma care outcomes?
20. What is the potential role of community paramedicine, mobile
integrated healthcare, and other emerging EMS subspecialties in
improving prehospital trauma care outcomes?
21. How could data-driven and evidence-based improvements in EMS
systems improve prehospital trauma care?
22. How could enhanced collaboration among EMS systems, health care
providers, hospitals, public safety answering points, public health,
insurers, and others improve prehospital trauma care?
23. What are some opportunities to improve exchange of evidence
based prehospital trauma care practices between military and civilian
medicine?
24. Do you have any additional comments regarding prehospital
trauma care?
Authority: 44 U.S.C. Section 3506(c)(2)(A).
Issued in Washington, DC, on April 19, 2018.
Jeff Michael,
Associate Administrator, Research and Program Development.
[FR Doc. 2018-08504 Filed 4-26-18; 8:45 am]
BILLING CODE 4910-59-P
