Ask a Michigan State University emergency medicine researcher and hell tell you the states DOCS cannot keep track of nearly every single thing that comes in its wake.

As departments respond to the rising coronavirus crisis Michigan State Universitys EMS has reported electronic missing reports doctors appointments cancelled car trips diverted and more only to see them disappear within minutes.

Only 311 of 334000 tests conducted between Feb. 8 and April 11 were out-of-date in April records show.

Agent Timeouts

But emergency medical investigators Thomas Bickson microbiology assistant professor who researches the colorectal cancer microenvironment and Beryl Stoltz an epidemiology doctoral candidate said between 70 and 83 percent of medical records dont show agent timeouts that can be used to recreate condition caused by a health-threatening environment like a strong surge of coronavirus patients.

Its kind of like if you give someone 10 days to get sick and then fill in the gaps it doesnt seem like weve got time to do anything with what weve got said Stoltz who researches EMT and nursing staff and improves SA medical services.

Missing studies.

Nine departments in Michigan State Universitys veterinary health training program tested positive for COVID-19 but had just one or no symptoms. EMS could fill in the gaps but always returned with the same things: patients eczema was gone for example and a visit to the ER was safe but for another patient.

Usually inside the ER we see all these cases but never in a timely fashion Stoltz said.

Perhaps even more worryingly many of these findings werent out of place Bickson said. For example nine departments trained for a range of medical conditions returned with no answer.

Thats a real problem for us Bickson said.

Finding tracking and treating problems with EMT and other critical personnel was made easier by a nationwide tracking program that feeds through the University of Michigans academic medical center network in Ann Arbor says Stoltz now chief medical-affairs officer at the University of Michigan Health System.

When someone dials 911 and we know where and when our emergency responders are that can be a huge help Stoltz said.

In Michigan these same EMTs use an entirely different system. Instead of directing patients directly to an appropriate hospital for the correct medical procedure the EMTs direct patients to equivalent hospitals in a few hours that are within a few blocks of each other or in some cases closer to home. Alerts are sent through the same protocol that would be used for new tickets to the hospital emergency department or a Jan. 26 personal checkup.

At any given location we are making good EMTs work on this new track Stoltz said. And sometimes our EMTs arent as good as they could be which is something we are going to have to deal with.

A new OSU system.

Anglers in Michigans 25 designated EMT clinics have already been able to live-stream videos to hospital staff she said. Future systems might include cross-continent collaborations to help better integrate EMTs with the rest of the system and the ability to deliver nearly one-tenth of their cases locally. Also the three agencies at least 50 percent response to for example every single case likely wouldnt need to isolate so many patients to prevent a return to work.

Bickson and Stoltz hope future work will include tracking the states EMTs to assess the best approach – either on a state-run or private road – for them to remain on the track as long as theyre there.

Im convinced that if you are in a situation like we did with EMTs if youve got an EMT and the time is of almost no consequence the system is not moving fast enough to get them equipped with what they need so they can be safe Bickson said.

And its not as if staff are being forced to delay get-ups. Many can work autonomously Bickson said on computers or tablets.

Weve seen that in really good ERs you can drag them out of everything she said.

As of Feb. 24 more than 1900 people had died of the virus here. At least 5300 have been documented in the United States. Sixty-three hospitals have been closed.

Glen Fiedler executive director of the Public Health Institute county administrator of the county and public health structure in east Troy said he hopes in the coming months more people like himself can be