2. Nursing Home A
with UTI
High School Clinic
Severe Asthma
Pt at home
w/cellulitis
Pt at home
Allergic Reaction
Motor vehicle Accident
on scene "wants to be
checked"
Nursing Home B
Fall w/skin tear
Elderly Pt w/
CHF recently discharged from Hosp
requested post D/C eval
Nursing Home-C
Pt w/N/V/D/Weakness
Excalibur Model Diagram
(Emergency Physician-EMS Telemedical Services)
EMS
ZZZZZZZ
Diabetic w/low BS
and altered LOC
Recent D/C from
Hosp w/pneumonia
requested for
post D/C eval
Prisoner
with
N/V/D
Abdm Cramps
65 yr roofer
working
in heat
feeling ill
Recent D/C from
Hosp w/MI
requested for
post D/C eval
Follow Up or Referral
Priamry Care MD
Medical Specialist
Local Clinic
Health Dept
Hospital Services
Telemedical revisit
+/- Psych facility
Social Services
55 yr old w/
severe low
back pain
s/p lifting
Office Based
Emergency Physicians
Telemedicine Group
EMS
XXXXX
EMS
YYYYY
EMS
Leon County
EMS
Columbia
County
EMS
Santa Rosa
County
45 yr old w/
burn left arm
and leg
42 yr old
w/ left
flank pain
16 yr football player
vomiting/sweating
tachycaridia, near syncope
during practice
Assisted Living Facility
74yr old w/
acute painful
blistered rash
across right back
and chest
t
Notes de l'éditeur
This is one example of a model #1 that uses a small group of emergency physicians to deliver medical care to a large number of patients across a large geographic area through several EMS agencies. This allows for many patients to be treated by an emergency physician, site on scene, in nursing homes, assisted living facilities, school clinics, prison systems, residential homes, eliminating the need to transport many of these patients to an emergency department.