News

Chest Pain and Aspirin-It is Really Important!

While looking at cases with a primary provider impression of  “CV-Chest pain (cardiac, angina, non-STEMI)” and the three “CV-Chest Pain (STEMI) of xxxxx” versions, it is noted that many of these patients are not receiving aspirin by EMS. Review Aspirin is not administered for pain relief in the presence...

Military Base Responses

Always stop at the gate and follow their instructions Be prepared to show ID’s. Be prepared to have truck searched (this can happen during times of heightened security) If I am transporting a patient from a military base and am asked to transport the patient to Naval Medical Center...

Hyperbaric Facility Items

If I think my patient will need treatment in a hyperbaric chamber (i.e. for diving emergencies or carbon monoxide poisoning), can I bypass other hospitals and transport directly to Sentara Leigh Hospital? No.  The closest hospital should be contacted.  After discussion with online medical control, they may divert you. ...

Rescue 14/8 Door Access – 08/30/17

The Rescue 14/8 door access system (city system) is live. The old system at both locations no longer work, nor do the building keys. The old system will be removed within the next two weeks. Also, students/interns will have to ring the door bells to gain entry since they...

Narcan Notes-Heat and Indications for Use

Like most of our medications, Narcan is temperature sensitive.  There are numerous studies on temperature and medication efficacy.  Most medications prefer a tight temperature range of 68-77 degrees F (controlled room temperature).  They can often withstand a spike or drop of about 9 degrees either way but not for...

If Your Patient Status Changes–Call Back

Have you ever had a patient deteriorate during transport after you contacted the hospital? It has happened to most of us and will happen to you at some point.  BLS crews may be upgrading their response and calling for ALS to meet them enroute and ALS providers may be...

EMR Townhall Notes

Dear Fellow Members, Thanks to everyone who came out for the EMR Town Hall events yesterday.  I learned a lot from you and have a number of action items to follow up on.  For those unable to attend, here is the news I shared: A total of (40) new...

Glidescope Titanium Reference Information

The new devices were deployed to the field on 9/1/17.  This means there are the new and old style and MCGrath devices all  in the field. This information was emailed to released ALS providers on 8/3/17 but here it is for reference.