LVAD Patients-Update to TREATMENT/CPR Guidelines

In 2017, the AHA produced new guidelines for LVAD patients and other patients with mechanical circulatory support including total artificial hearts.  SNGH has since updated their guidelines to reflect the changes.  Please review the new flowsheet for EMS care and treatment as there are some changes including the provision of...

How to Elite: Advanced Airway Documentation Tips

Documentation tips: Ensure you list every procedure that was performed/used for the patient including BLS procedures and equipment. Each intubation attempt should be listed separately if you restarted bagging or another provider attempts. If you insert the blade into the mouth, remove, and reinsert, that is two attempts but...

Lights and Sirens During Transport

There are many reasons why patients may need to be transported with lights and sirens.  Some common reasons include time sensitive emergencies such as STEMI or stroke, traumatic injuries and other critical patients that may require faster transport.  Per the NHTSA report, they indicate the following conditions may warrant...

2017 VBEMS Naloxone Administration

In November 2016, the Commonwealth of Virginia declared a public health emergency related to opiate use and abuse.  While 2016 saw a significant increase in suspected opiate overdoses, the rise did not appear to continue in 2017 based on EMS reporting and documentation.  Our annual statistics graphic can also...

The Importance of Doing a Report

While doing some research for a little project, I discovered that EMR reports aren’t being completed.  The project included looking at all of the helo crew and patient transfers between the VBGH pad and the hospital.  Some of these cases had a crew out of service for over one...

Protected Health Information (PHI)

PHI is defined as any information collected from an individual that is: created or received by a health care provider, relates to the past, present, or future condition of an individual, and which can reasonably used to identify an individual. The following items are considered PHI.  This list is...

What is Kratom?

A “new” substance is out there and you may run into someone using something called Kratom.  It grows as an evergreen tree in the wild in Southeast Asia and is a member of the coffee family.  The locals have been chewing the leaf or a powder to increase energy...

LVAD-What is it?

We have numerous patients with an LVAD (Left Ventricular Assist Device) that live in our city/region.  More and more patients are receiving one as a bridge to transplant or destination therapy.  As you can imagine, the bridge is temporary until they can get a heart transplant.  For those that...