News

Cardiac Arrest and Sodium Bicarbonate Use

Between January and June of this year, 50 patients received sodium bicarbonate (bicarb) while in cardiac arrest. There were 23 cases in which the report listed the administration of bicarb under standing orders AND it was not administered to a renal failure patient with calcium.  The other 27 cases...

DEA Drugs of Abuse Document-2017

This document from the DEA is full of information regarding controlled substances and drug classes.  The second half discusses various drugs including their origin, street names, methods of abuse and how the drug affects people.  It is definitely worth checking out! https://www.dea.gov/pr/multimedia-library/publications/drug_of_abuse.pdf

DNR—What Treatments Can I Do?

Many of our patients have Durable Do Not Resuscitate (DDNR) orders.  Durable indicates that it can be used by multiple facilities and doesn’t need to be renewed.  No matter what the patient’s life threatening condition may be, they have decided they do not wish to be resuscitated.  Therefore, a patient with a...

A Patient in Handcuffs is a Patient in Police Custody

If the police have placed your patient in custody, arrested them or if the patient is currently in handcuffs, a police officer must ride with you in the back of the ambulance to the hospital.  This includes patients that are not being arrested but have been handcuffed for their safety...

6/13/17-Sodium Bicarb Shortage continues

Update 6/13/17-There is still a shortage but it appears to have lessened some.  Please continue to use bicarb per protocol for your hyperkalemic/dialysis patients.  Remember that bicarb is not standing order for routine cardiac arrests. 4/17-Due to national shortage, several facilities are having trouble acquiring sodium bicarbonate 50 mEq...

Stroke Centers and Other Specialty Resource Hospitals

We wanted to clarify something that was put out recently.  Sentara Independence (SI) is NOT a STROKE center.  We apologize if there is any confusion on the topic. We encourage you to transport any BLS and many ALS patients to SI including those currently in cardiac arrest.  You should...

How to Elite: Timing is everything

Time is constantly moving forward and is very important to our patient’s treatment and recovery.  Today, we added a time box and required another to Elite.  Here are the explanations why and how to properly fill them out.  We added reminder notes near the times on the form to...