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...

Reaching our STEMI quality management goals

It’s a team sport The evidence is clear:  EMS can make a difference in STEMI cases.  We accomplish this by being fast, efficient, and effective at the following: Identifying STEMIs Notifying the hospital that we have a STEMI patient Treating the patient as we move toward a STEMI Receiving...

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...

Widespread Flu-What do I do? Winter 2018

The best prevention for flu and other viruses like colds and flu is WASH YOUR HANDS!  And it is not too late to get a flu vaccine if you didn’t get one this season.    If you are 65 or older, consider the high dose trivalent flu shot.  Cleaning up...

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...