Public Notice Intent to Adopt Rules
Intent to Adopt Rules
Wyoming Department of Health
Public notice is hereby given that the Wyoming Department of Health intends to adopt the following New Rule pursuant to the provisions of Wyo. Stat. Ann. § 35-1-801, Wyo. Stat. Ann. § 35-2-1001, and the Wyoming Administrative Procedure Act, Wyo. Stat. Ann. §§ 16-3-101 through -115. These rules meet minimum substantive state statutory requirements.
Senate Enrolled Act No. 73 of the Sixty-Third Legislature requires the Department to adopt rules that include evidence based pre-hospital care protocols for the assessment, triage, treatment and transport of stroke and heart attack patients. This requirement is codified at Wyo. Stat. Ann. § 35-2-1001(d)(v). These Rules satisfy these statutory requirements by adopting evidence-based pre-hospital care protocols for the assessment, treatment, and transport of stroke and heart attack patients. These Rules combine the two pathologies of stroke and heart attack under the heading of “Time Sensitive Emergencies” or “TSEs.”
These Rules also include the pathology of trauma as a TSE. Wyo. Stat. Ann. § 35-1-801 requires the Department to develop a comprehensive EMS and trauma system. Trauma systems pre-date the use of the term “time-sensitive” but the principles of design do not. By including trauma as a time-sensitive emergency, these Rules encourage local emergency care systems to recognize the importance of reducing the time-sensitive factors in each of these three pathologies and planning is simplified for all three. This enhances the comprehensive EMS and trauma system.
In each of the three TSE pathologies, significant clinical evidence demonstrates that a reduction in the time between the onset of a TSE and the arrival of a patient at a point of definitive care increases survival rates, prognosis, and long-term quality of life for the patient. While the specific elements of time may vary, the imperative that an emergency care system be designed to account for and reduce these elements does not. In many cases, the same system design factors that reduce the amount of time in which a stroke victim is treated are the same as those affecting the heart attack or trauma victim. Accordingly, these Rules require EMS agencies to adopt various operational procedures for the management of TSEs.
To obtain a copy of these Amended Rules, download from the link above or from the Rules and Regulations page at:
Andy Gienapp, MS, NREMTP
6101 Yellowstone Road, Suite 400
Cheyenne, Wyoming 82002
The Office of Emergency Medical Services (OEMS), located within the Wyoming Department of Health’s Public Health Division, provides oversight to a variety of programs.
The OEMS is responsible for enhancing the statewide emergency medical services system, which is designed to reduce the number of deaths in the pre-hospital phase and the severity of critical injuries and illnesses during a medical emergency where time and care make a difference.
The OEMS is charged with maintaining the statewide emergency medical services system; development, implementation and maintaining of the statewide trauma system; and assuring that Wyoming has a poison center that will provide immediate and correct treatment and information on poisonings.
“In our continuing efforts to improve the electronic systems utilized by Wyoming EMS, the OEMS has developed this form for you to use to submit problems, frustrations, and/or improvement suggestions. Please use this form to submit issues with the WATRS, OWLS, OEMS customer service, etc.”