News

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...

Chest Pain and 12 Lead ECGs

12 Lead ECGs need to be obtained for ALL patients complaining of chest pain for which acute coronary syndrome (ACS) is a consideration. In recognition for our efforts, we recently were awarded the Mission Lifeline Bronze Award from the American Heart Association. Regarding 12 Lead ECGs, the Mission: Lifeline...