Kevin Lipscomb

Visual cues for Resident Physicians

Members,   As you may know, we are sometimes pairing up emergency medicine resident physicians with our medics on zone cars.  Residents are recent graduates from medical school who are now learning their specialty — in this case, emergency medicine.  They are working their way toward becoming attending emergency...

Laryngoscope & reusable stylet cleaning procedure

The following procedure has been established for cleaning laryngoscopes and reusable stylets after using them on patients.  We’ll be posting this in the EMS rooms at the hospitals soon.  The web address for this file is shown at the bottom of the flowsheet, and a PDF version is attached...

“D-MIST” patient turnover reports

Members,   Per Deputy Chief Hundley, “In an attempt to improve the communications during your turnover reports at SPAH, the attached format will be used by the nursing staff and physicians when conducting a patient turnover bedside. The attachment discusses the D-MIST report and the SPAH staff will lead...

“Bari-Kit” concept of operations

Members,   We have several options for transporting large patients safely and comfortably.  If all you’ll need is manpower assistance from the Fire Department, you are certainly authorized to call for that as necessary.  But if you think the stretcher in your ambulance is insufficient for your patient (due...

New EMS Duty Physician: Dr. Cliff Cutchins

VBEMS is pleased to announce Cliff Cutchins, MD has completed his field facilitation program and has now been released to general supervision in our EMS Duty Physician (EDP) program. The EDP program provides an opportunity for direct physician involvement in the full range of minute-to-minute pre-hospital operations. EDPs are...

Cot shoulder straps

A message primarily to: EMS ALS providers Cot shoulder straps Taking steps toward SAFETY EXCELLENCE It’s increasingly apparent that the overall safety attitudes of our personnel are being judged by just a few very visible habits, chief among them:  whether or not we are using the cot shoulder straps...

Diesel Exhaust Fluid (DEF)

Diesel Exhaust Fluid (DEF) is a critical consumable substance in most or all of the diesel engine ambulances in our fleet.  (Gasoline engines do not use DEF.)   You must top off your DEF tank the next time you fill up with fuel if you see any of the...

Ambulance turning guidance

Members,   Improper turns that result in “curbing” tires and side-swiping obstacles are *major* problems in our system, especially with ambulances.  In the past 3 days, we’ve had at least 3 ambulances damaged and taken out of service by these errors.  Unfortunately, that rate of damage is not terribly...

Ambulance backing guidance

Members,   Improper backing is one of our top three vehicle safety problem areas.  The following graphic has been reviewed by all squad commanders and provides guidance that we should be using when backing ambulances.   Please note a couple of instructions that may be new to you:  ...

Changes to how we handle STROKE

A message primarily to: Core Ops Members Firefighters Changes to how we handle STROKE New screening tool, new receiving facility BEFAST For a couple of decades or so, our preferred stroke screening exam was the Cincinnati Prehospital Stroke Scale.  It was composed of the following elements: F:  Facial droop,...

Visual cues for Resident Physicians

Members,   As you may know, we are sometimes pairing up emergency medicine resident physicians with our medics on zone cars.  Residents are recent graduates from medical school who are now learning their specialty — in this case, emergency medicine.  They are working their way toward becoming attending emergency...

Laryngoscope & reusable stylet cleaning procedure

The following procedure has been established for cleaning laryngoscopes and reusable stylets after using them on patients.  We’ll be posting this in the EMS rooms at the hospitals soon.  The web address for this file is shown at the bottom of the flowsheet, and a PDF version is attached...

“D-MIST” patient turnover reports

Members,   Per Deputy Chief Hundley, “In an attempt to improve the communications during your turnover reports at SPAH, the attached format will be used by the nursing staff and physicians when conducting a patient turnover bedside. The attachment discusses the D-MIST report and the SPAH staff will lead...

“Bari-Kit” concept of operations

Members,   We have several options for transporting large patients safely and comfortably.  If all you’ll need is manpower assistance from the Fire Department, you are certainly authorized to call for that as necessary.  But if you think the stretcher in your ambulance is insufficient for your patient (due...

New EMS Duty Physician: Dr. Cliff Cutchins

VBEMS is pleased to announce Cliff Cutchins, MD has completed his field facilitation program and has now been released to general supervision in our EMS Duty Physician (EDP) program. The EDP program provides an opportunity for direct physician involvement in the full range of minute-to-minute pre-hospital operations. EDPs are...

Cot shoulder straps

A message primarily to: EMS ALS providers Cot shoulder straps Taking steps toward SAFETY EXCELLENCE It’s increasingly apparent that the overall safety attitudes of our personnel are being judged by just a few very visible habits, chief among them:  whether or not we are using the cot shoulder straps...

Diesel Exhaust Fluid (DEF)

Diesel Exhaust Fluid (DEF) is a critical consumable substance in most or all of the diesel engine ambulances in our fleet.  (Gasoline engines do not use DEF.)   You must top off your DEF tank the next time you fill up with fuel if you see any of the...

Ambulance turning guidance

Members,   Improper turns that result in “curbing” tires and side-swiping obstacles are *major* problems in our system, especially with ambulances.  In the past 3 days, we’ve had at least 3 ambulances damaged and taken out of service by these errors.  Unfortunately, that rate of damage is not terribly...

Ambulance backing guidance

Members,   Improper backing is one of our top three vehicle safety problem areas.  The following graphic has been reviewed by all squad commanders and provides guidance that we should be using when backing ambulances.   Please note a couple of instructions that may be new to you:  ...

Changes to how we handle STROKE

A message primarily to: Core Ops Members Firefighters Changes to how we handle STROKE New screening tool, new receiving facility BEFAST For a couple of decades or so, our preferred stroke screening exam was the Cincinnati Prehospital Stroke Scale.  It was composed of the following elements: F:  Facial droop,...