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...

TEMS Appendix K is not accurate (10/9/2017)

Appendix K in the TEMS protocols contains medication information. They are helpful sheets that share indications for use and notes on the medications. Unfortunately, they have not been updated in many years and at least the last two protocol updates. The previous versions included references to specific protocols and...

How to Elite: Medications

Documentation of your patient care, assessment, and times is very important. A very important item that must be documented includes any medications that are administered including saline and oxygen and those pertinent medications that were given before your arrival. For instance, if you have a patient with chest pain,...

How to Elite: Procedures

In addition to documenting the story that leads up to the 911 call, your detailed assessment and pertinent negatives, documenting all of the procedures that you perform is crucial. If you are not performing a procedure because it was done before your arrival, it should be listed as well...

EMT Administration of naloxone (Narcan) is IN only!

  We just wanted to clarify that the only route an EMT can provide naloxone (Narcan) is via the intranasal route.  EMT/BLS providers can obtain the naloxone (Narcan)  from the IV box, drug box or Revive kit to administer it. The TEMS protocol lists all levels of providers and...