Trauma QI · Medical director findings

Medical Director Summary — 2026-1Q

In 2026-1Q, Demo County EMS processed 4,545 trauma transports across 5 agencies. 4,295 patients (94.5%) met positive trauma triage criteria — 442 by physiologic/anatomic findings and 3853 by mechanism of injury. Pre-arrival alerts were documented for 851 of 4295 positive-TTC patients (19.8%), below the 95% target. Destination compliance was 0.0% (below the 95% target), with 4295 positive-TTC patients delivered to non-trauma centers. Compared with 2025-4Q, the pre-alert rate rose 1.1 points and missed alerts were down (3822 → 3444).

Focus Areas This Quarter

Action Items

3444 missed alert(s) — positive-TTC patients transported with no documented pre-alert. Each is itemized in the Flagged Incidents report and attributed to the transporting agency for follow-up.

Pre-alert rate (19.8%) is below the 95% target. Agencies under target are visible in the Agency Performance table.

Destination compliance (0.0%) is below the 95% target. 4295 positive-TTC patient(s) reached non-trauma centers.

39 over-alert(s) documented without supporting TTC criteria — review for appropriateness; clinical judgment may apply.

Quarter-over-Quarter Change — 2025-4Q → 2026-1Q

Trend vs Prior Quarter

Pre-alert rate improved ▲ 1.1 pts (18.7% → 19.8%)

Destination compliance held steady ▬ 0.0 pts (0.0% → 0.0%)

Positive-TTC volume fell ▼ 407 (4702 → 4295)

Missed alerts fell ▼ 378 (3822 → 3444)

Alert type mismatches unchanged ▬ 0 (0 → 0)

Over-alerts unchanged ▬ 0 (39 → 39)

Key Findings

2026-1Q

System processed 4,545 trauma transports across 5 agencies

851 of 4295 (+)TTC patients received pre-hospital alerts (19.8%)

4295 patients (94.5%) met positive TTC — 442 physio/anatomic, 3853 mechanistic

3444 missed alert(s) — positive TTC with no documented pre-alert

Destination compliance 0.0% — 4295 (+)TTC to non-trauma centers

39 over-alert(s) without supporting TTC criteria

0 alert type mismatch(es) flagged for documentation review

0 special consideration case(s) — not classified as (+)TTC