Emergency Department/Trauma

About Emergency Department/Trauma

California’s emergency departments (EDs) provide critical health services to those experiencing trauma, injury, or acute medical conditions. EDs offer comprehensive care, do not require previous authorization, and are open 24/7 year-round. EDs are facing unprecedented patient volume, with a 42% increase in the past seven years. By improving access to care for primary and specialty services, emergency visits can be reduced. More focused state and federal policies will be required to reduce Californians’ health care risks and ensure equitable access to appropriate care levels before people need emergency care.

State Deactivates Medical and Health Coordination Center

On July 1, the California Department of Public Health and the Emergency Medical Services Authority deactivated the Medical and Health Coordination Center, which was activated in response to the April 2019 measles outbreak. Local health jurisdictions are no longer required to submit weekly situation reports and cost tracking related to the outbreak. Instead, they should follow the defined response protocols in the Public Health and Medical Emergency Operations Manual.

Agenda Set for 2019 Disaster Planning Conference

California may experience any number of disasters in the coming years — from fires to flooding, and more. The agenda for this year’s Disaster Planning for California Hospitals Conference, to be held Sept. 10-11 in Pasadena, reflects the diverse skill sets required of our responders. Covering topics such as lessons learned from active shooter events, integrating business continuity and emergency preparedness, creating resiliency across the continuum of care, and earthquake early warning systems, the event is not to be missed.

EMSA Announces Stroke, STEMI Regulations Will Take Effect July 1

The Emergency Medical Services Agency (EMSA) has released final regulations related to stroke critical care systems and ST elevation myocardial infarction (STEMI) critical care systems. The regulations establish standard requirements for each type of system. CHA worked with members of its Emergency Medical Services/Trauma Committee to provide feedback to EMSA on these regulations, and is pleased to see them finalized. The regulations will take effect July 1.

EMSC Regulations Will Take Effect July 1

New regulations from the Emergency Medical Services Agency (EMSA) establish standardized best practices for emergency medical services for children programs. CHA and member hospitals worked closely with EMSA’s Emergency Medical Services for Children Committee to produce regulations to provide quality care for children needing emergency services, and is pleased to see the regulation finalized. It will take effect July 1.

Health Care Providers Reminded to Be Vigilant in Identifying, Isolating Measles Cases

With 21 measles cases reported in California this year,  the California Department of Public Health has offered detailed recommendations — through All Facilities Letter 19-17 — for identifying and addressing the disease. The cases reported so far have resulted in hundreds of investigations of possible contact as well as transmission of the disease in emergency departments and other health care settings. 

CDC Issues Health Advisory About Influenza

Influenza activity remains high across the United States, according to a health alert recently issued by the Centers for Disease Control and Prevention (CDC). The CDC notes that the season is likely to last several more weeks and continues to recommend antiviral medications for influenza treatment, regardless of whether a patient received the influenza vaccine.

CDPH Issues Health Advisory About Measles Cases

A new health advisory from the California Department of Public Health (CDPH) reminds providers to be aware of potential measles cases, as 16 cases have been reported in California since Jan. 1. CDPH notes that providers should not rule out a measles diagnosis based solely on patients reporting they previously received a measles immunization.