[Federal Register Volume 74, Number 236 (Thursday, December 10, 2009)]
[Notices]
[Pages 65536-65537]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-29435]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-10-09AD]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail 
to [email protected]. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-5806. 
Written comments should be received within 30 days of this notice.

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. The data collection will occur over two years. The total 
estimated annual burden hours are 412.

[[Page 65537]]



                                        Estimated Annualized Burden Hours
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                                                                                                      Average
                                                                     Number of       Number of      burden per
              Respondents                       Form name           respondents   responses  per   response (in
                                                                                     respondent       hours)
----------------------------------------------------------------------------------------------------------------
EMS Professionals.....................  Online survey...........           1,500               1           15/60
                                        Screening/Recruitment                 64               1            5/60
                                         for Focus Groups.
                                        Focus Groups............              32               1               1
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    Dated: December 4, 2009.
Maryam Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E9-29435 Filed 12-9-09; 8:45 am]
BILLING CODE 4163-18-P