November 20, 2020 - 10:00am



There is no physical location for this meeting.

Due to health precautions related to the COVID-19 pandemic,
this meeting will be conducted virtually using Microsoft Teams only.

To access the online meeting, please register here.
Registration must be completed no later than 5:00 P.M., November 17, 2020

Call to Order

GETAC Vision:
A unified, comprehensive, and effective Emergency Healthcare System.

GETAC Mission:
To promote, develop, and advance an accountable, patient-centered Trauma and Emergency Healthcare System

Review and Approval of October 2020 Retreat Meeting Minutes

  1. Chair Report and Discussion
  2. State Reports:
    1. Regional and Local Health Operations
    2. EMS Trauma Systems
    3. Injury Prevention and Texas EMS and Trauma Registry
  3. GETAC Committee Reports:
    1. Air Medical and Specialty Care Transport Committee
    2. Cardiac Care Committee
    3. Disaster Preparedness and Response Committee
    4. EMS Education Committee
    5. Emergency Medical Services Committee
    6. EMS Medical Directors Committee
    7. Injury Prevention and Public Education Committee
    8. Pediatric Committee
    9. Stroke Committee
    10. Trauma Systems Committee
  4. GETAC Stakeholders Reports:
    1. Texas EMS, Trauma, and Acute Care Foundation (TETAF)
    2. EMS for Children (EMSC) State Partnership
    3. Texas Suicide Prevention Council
    4. Texas Cardiovascular Disease and Stroke Council
    5. Texas Cardiac Arrest Registry to Enhance Survival (TX CARES)
    6. Stop the Bleed Texas Coalition

Discussion, public comment, and possible action on the following items:
(Public comment time may be limited at Chair’s discretion)

  1. Review the GETAC Strategic Plan for the Texas Emergency Healthcare System and determine if any additions, deletions, or corrections are in order
  2. Discussion and selection of a GETAC Vice Chair
  3. Review and consideration of the Stroke Committee’s recommendation to approve the Texas Administrative Code Title 25, Section 157.133, Requirements for Stroke Facility Designation, rule revision resource document
  4. Review and discussion of the Texas Administrative Code Title 25, Section 157.125, Requirements for Trauma Facility Designation, Documentation of Evidence Guide
  5. Review and consideration of the Air Medical and Specialty Care Transport Committee’s Statement addressing the co-bedding of Neonates, during emergency evacuation, in a Disaster Situation:
    It is the position of the GETAC Council to support the transport of multiple neonates in a single isolette by specialty care transport teams, in the event of a disaster declaration, providing that no evidence of any infectious disease process is present, appropriate monitoring of all infants will be continued simultaneously, infants can be secured sufficiently, and all safety mechanisms remain.  Adequate access to the patients must be maintained throughout transport.  The guidance and limitations of the utilized isolette will be respected, per the manufacturer's guidelines.
  6. Review and consideration of the EMS Medical Directors Committee’s use of Ketamine statement:
    Ketamine is a safe and effective medication for pain relief, intubation, or violent agitation when administered by appropriately credentialed emergency medical personnel, free from non-clinical influence, and the patient is properly monitored, positioned, and appropriate CQI protocols exist
  7. Review and consideration of the EMS Medical Directors Committee’s use of lights and sirens as a medical intervention statement:
    The use of Red Lights and Sirens, occurring in over 85% of all responses to 911 scenes yet resulting in potentially lifesaving interventions only 7% of the time and being associated with increased number and severity of ambulance crashes, should be considered a medical intervention and used only when the considered clinical benefits outweigh the known risks, in collaboration with the Medical Director.
  8. Review and consideration of the EMS Medical Directors Committee’s support for Prehospital Pediatric Readiness Project statement:
    GETAC endorses efforts of the jointly led national Prehospital Pediatric Readiness Project including EMS provider participation in a nationwide assessment to identify and reduce pediatric-specific gaps within EMS systems and endorse the adoption of tools and resources to improve pediatric readiness.
  9. Update from task force charged with examining the scope of mental health/behavioral health issues in emergency healthcare
  10. Discussion of issues surrounding personnel with mental health or substance abuse problems while on duty
  11. Update from the statewide EMS/Emergency Medical Task Force (EMTF) wristband project

(Final Public Comments)

Next meeting dates


Public Comment: The Texas Department of State Health Services (DSHS) welcomes public comments pertaining to topics related to Emergency Health Care. Members of the public are encouraged to participate in this process by providing written public comment to DSHS by emailing no later than 5:00 p.m., November 17, 2020. Please include your name and either the organization you are representing or that you are speaking as a private citizen. Written comments are limited to three minutes and will be read during the meeting for consideration by the Council.

If you would like to register to provide oral comments, please mark the correct box on the registration form. Instructions for providing oral comment will be emailed to you with the information about joining the meeting. Registration must be completed no later than 5:00 p.m., November 17, 2020. Members of the public may also use the Microsoft Teams Live Event Q&A section to submit a request to provide public comment. The request must contain your name, the name of the organization you represent or that you are speaking as a private citizen, and your direct phone number.

Public comment is limited to three minutes. Speakers must state their name, affiliation, and on whose behalf they are speaking. Public members who are using handouts are asked to provide an electronic copy in accessible pdf format that will be distributed by DSHS staff to Council members, State staff and for public distribution. Handouts are limited to two pages (paper size: 8.5” by 11”, one side only) of documentation. Handouts must be emailed to DSHS immediately after registering and include the name of the person who will be commenting.

Note: These procedures may be revised at the discretion of DSHS.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Robert Friedrich, DSHS, 512-484-8113, or

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Robert Friedrich at 512-484-8113 or at least 72 hours before the meeting so appropriate arrangements can be made.