News

ePCR Reporting Requirements

Electronic patient care reporting is a critical component in the quality of care our patients receive.  ER and primary care physicians do read your reports to understand what was happening with  patients at different times.  And Virginia is starting to use mechanisms allowing for near real-time transmission of patient care reports,...

Pharmacy IV/Drug Box Exchange FAQs

General Pharmacy Exchange Information We know things can get busy out there and we must often leave the hospital sooner than we’d like, but the pharmacy exchange process must be completed before you leave the hospital and it should ideally be completed as soon as you’ve completed patient turnover....

Standardized Medical Bags

Each rescue squad is being given a new primary “jump” bag for each ambulance.  These bags will be standardized throughout the system as part of a continual effort to enhance patient care and make our operations more efficient.  With these new bags on each unit (they will be deployed...

New EMS Staff Member

On behalf of Chief Bruce W. Edwards, I would like to welcome Tyra Fitch to the Department of EMS.  Tyra has been selected to serve as the department’s Account Clerk II.  She will manage the payroll process for career staff, medics and lifeguards.  Additionally she will support a number...

Can We Start IVs in the Foot?

A question commonly arises about whether or not we are able to start IVs in a patient’s foot.  We have received guidance from our OMD, Dr. Stewart Martin, and want to share it with you. IVs in the foot/lower extremity are supposed to be rare.  It is highly unusual...

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...