[Federal Register Volume 73, Number 220 (Thursday, November 13, 2008)]
[Notices]
[Pages 67180-67181]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-26988]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-09-09AD]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-639-5960 or
send comments to CDC Acting Reports Clearance Officer, 1600 Clifton
Road, MS-D74, Atlanta, GA 30333 or send an e-mail to [email protected].
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
[[Page 67181]]
Proposed Project
Evaluation of the Field Triage Decision Scheme: The National Trauma
Triage Protocol--New--Division of Injury Response (DIR), National
Center for Injury Prevention and Control (NCIPC), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The ``Field Triage Decision Scheme: The National Trauma Triage
Protocol'' educational initiative was developed to help emergency
medical services (EMS) professionals (administrators, medical
directors, trauma system leadership, and providers) learn about and
implement the revised Field Triage Decision Scheme. The Decision Scheme
is intended to be the foundation for the development of local and
regional field triage protocols.
In the United States, injury is the leading cause of death for
persons aged 1-44 years. EMS professionals have a substantial impact on
care of the injured and on public health. At an injury scene, EMS
professionals determine the severity of injury, initiate medical
management, and identify the most appropriate facility to which the
patient should be transported. This destination decision is made
through a process called field triage. Certain hospitals have
additional expertise, resources, and equipment to treat severely
injured patients. These facilities are known as trauma centers and are
classified from Level I to Level IV. The risk for death of a severely
injured person is 25% lower if the patient receives care at a Level I
trauma center. However, not all patients require the services of a
Level I trauma center; proper triage will ensure that patients who are
injured less severely will be transported to a closer emergency
department that is capable of managing their injuries.
In an effort to encourage use of improved triage procedures, CDC's
National Center for Injury Prevention and Control (NCIPC) worked with
experts and partner organizations to develop the 2006 Field Triage
Decision Scheme. In support of the 2006 Field Triage Decision Scheme,
NCIPC developed a multi-media toolkit aimed at EMS professionals. The
toolkit includes A Guide to the Field Triage Decision Scheme: The
National Trauma Triage Protocol, a poster, CD-ROM, and pocket card to
help EMS providers, planners, and administrators effectively train
others and use the Decision Scheme criteria within their own systems.
After the national distribution, NCIPC will conduct an online
survey of EMS professionals who have received a toolkit to assess the
short-term impact of the communication initiative directed at EMS
professionals about field triage procedures. Specifically, the survey
will assess how many EMS professionals who received a copy of the
Decision Scheme are using it, how EMS professionals have used the
Decision Scheme and accompanying toolkit materials, how the materials
have been used to educate others, what EMS professionals learned from
the materials, and how the Decision Scheme changed EMS professional's
triage practices. Survey results will be used to identify the impact
and applicability of the Decision Scheme and toolkit materials for EMS
professionals.
NCIPC will also conduct focus groups with a segment of the survey
respondents in order to have them elaborate on data submitted through
the survey. These group interviews will focus on the extent the
Decision Scheme is being used, how it is being implemented, self-
reported changes in knowledge, and perceived impact on treatment of
trauma patients. There are no costs to respondents other than their
time.
Estimate of Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Type of respondents Form name respondents responses per response (in (in hours)
respondent hours)
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EMS............................. Online survey 3,000 1 15/60 750
Professionals................... Screening and 48 1 5/60 4
Recruitment
for Focus
Groups
Focus Groups 64 1 1 64
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Total....................... .............. .............. .............. .............. 818
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Dated: November 4, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E8-26988 Filed 11-12-08; 8:45 am]
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