Jerry Sourbeer

Passing of an Active Member

On behalf of Chief Bruce W. Edwards, we regret to announce the death of Virginia Beach EMS and Kempsville Volunteer Rescue Squad Life Member Mel Losick.  Mel joined EMS in 1970, advancing to the Paramedic level.  He served in numerous roles throughout his career, including field supervisor, squad truck...

FAQs, 3rd Edition

What do I do if I recognize a STEMI but the LifePak15 doesn’t and/or won’t transmit? Relay your pertinent findings to the receiving facility (describing what you see and in which leads) and follow their instructions. Can the Cyanokit be administered to pediatric patients, and if so what is...

FAQs, 2nd Edition

I know that I am considered a mandated reporter for suspected adult and child abuse but what does that mean? Can I just call EMS5 and let them know about the situation? No, you must make the phone call to APS or CPS (Social Services) directly and as soon...

FAQs, 1st Edition

Originally distributed in November 2008 (updated December 2015): For a cardiac arrest patient, can I give D50 on standing orders? You may not give D50 simply because the patient is unconscious.  Administering D50 to a cardiac arrest patient who is not hypoglycemic has been associated with poor neurologic outcome if...

Who Requires a Prehospital 12 Lead ECG?

Patients ≥ 35 years old experiencing any of the following: Chest pain or discomfort Chest pressure or tightness “Heartburn” or epigastric pain Complaints of “heart racing” (HR >150 or irregular and >120) Complaints of “heart too slow” (HR <50 and symptomatic) Syncope Severe weakness New onset stroke symptoms (<24 hours...

12-Lead ECG Guidelines

BLS providers can obtain and transmit a 12-lead once they have received VBEMS specific training and (approval); and in accordance with the following TEMS protocols: Adult and/or Pediatric Bradycardia Adult and/or Pediatric Tachycardia (stable) ROSCAltered Mental Status Breathing Difficulty Cerebral Vascular Accident Chest Pain / AMI / ACS Dialysis...

To Resuscitate or Not To Resuscitate

It is very important to perform a good, thorough assessment on every patient, including our cardiac arrest patients.  We must always check cardiac arrest patients for obvious signs of death and attempt to determine the exact time (or range of time) when the patient went into cardiac arrest. It...

Narcan Administration

Narcan (naloxone) is a potent antagonist of the binding of opioid medications to their receptors in the brain and spinal cord. Administration of naloxone can reverse central nervous system and respiratory depression caused by opioid overdose. (Credit) The following guidelines were taken from Circulation (AHA journal, 2010 guidelines) and...

Hospital Radio Reports

Why is it important to communicate with the receiving hospital? To allow the hospital to have the right room, the right equipment, and the right personnel prepared (if available) or to otherwise allow the facility to plan for the patient’s arrival To give medical control an opportunity to determine...

Passing of an Active Member

On behalf of Chief Bruce W. Edwards, we regret to announce the death of Virginia Beach EMS and Kempsville Volunteer Rescue Squad Life Member Mel Losick.  Mel joined EMS in 1970, advancing to the Paramedic level.  He served in numerous roles throughout his career, including field supervisor, squad truck...

FAQs, 3rd Edition

What do I do if I recognize a STEMI but the LifePak15 doesn’t and/or won’t transmit? Relay your pertinent findings to the receiving facility (describing what you see and in which leads) and follow their instructions. Can the Cyanokit be administered to pediatric patients, and if so what is...

FAQs, 2nd Edition

I know that I am considered a mandated reporter for suspected adult and child abuse but what does that mean? Can I just call EMS5 and let them know about the situation? No, you must make the phone call to APS or CPS (Social Services) directly and as soon...

FAQs, 1st Edition

Originally distributed in November 2008 (updated December 2015): For a cardiac arrest patient, can I give D50 on standing orders? You may not give D50 simply because the patient is unconscious.  Administering D50 to a cardiac arrest patient who is not hypoglycemic has been associated with poor neurologic outcome if...

Who Requires a Prehospital 12 Lead ECG?

Patients ≥ 35 years old experiencing any of the following: Chest pain or discomfort Chest pressure or tightness “Heartburn” or epigastric pain Complaints of “heart racing” (HR >150 or irregular and >120) Complaints of “heart too slow” (HR <50 and symptomatic) Syncope Severe weakness New onset stroke symptoms (<24 hours...

12-Lead ECG Guidelines

BLS providers can obtain and transmit a 12-lead once they have received VBEMS specific training and (approval); and in accordance with the following TEMS protocols: Adult and/or Pediatric Bradycardia Adult and/or Pediatric Tachycardia (stable) ROSCAltered Mental Status Breathing Difficulty Cerebral Vascular Accident Chest Pain / AMI / ACS Dialysis...

To Resuscitate or Not To Resuscitate

It is very important to perform a good, thorough assessment on every patient, including our cardiac arrest patients.  We must always check cardiac arrest patients for obvious signs of death and attempt to determine the exact time (or range of time) when the patient went into cardiac arrest. It...

Narcan Administration

Narcan (naloxone) is a potent antagonist of the binding of opioid medications to their receptors in the brain and spinal cord. Administration of naloxone can reverse central nervous system and respiratory depression caused by opioid overdose. (Credit) The following guidelines were taken from Circulation (AHA journal, 2010 guidelines) and...

Hospital Radio Reports

Why is it important to communicate with the receiving hospital? To allow the hospital to have the right room, the right equipment, and the right personnel prepared (if available) or to otherwise allow the facility to plan for the patient’s arrival To give medical control an opportunity to determine...