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...

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...

Diabetic Patients with Low Blood Glucose-Should They Refuse?

There is no perfect yes/no answer to this question.  Each patient and event has specific circumstances that will lead you to the best answer. Patients with low blood glucose (less than 60 mg/dL) require treatment of some sort.  This might include food, orange juice, oral glucose, glucagon or dextrose. ...

Cardiac Arrest Medications-Epinephrine is First!

When dealing with our protocols, you blend them together as much as needed and always use the Airway and ventilation protocol initially.  For patients in cardiac arrest, you should use the cardiac arrest protocol as the primary one and incorporate the others as you have time and personnel.  Our...