New “Hospital Number” Format

If you have transported to Sentara Leigh recently, you may have noticed that the patient sticker number is 14 digits with no dashes.  Some of you have been creative in trying to validate your records!  🙂 The Sentara system is altering their registration process and programs and this includes...

How to Elite: Post, Transfer, Save

The AIC for the case is responsible for having a fully complete (no less than 98%) patient report/refusal/cancelled calls posted within 12 hours of the call per VAOEMS regulations.  We strongly advocate for no later than end of shift and prefer as soon as the call ends.  There are...

Mass Illness and Mass Exposure (Agent)

From bug spray to paint fumes and mace to carbon monoxide, there are numerous reasons why large numbers of people may experience similar symptoms.  As an EMS provider, intentional exposures (such as terrorism) and accidental exposures (laced medications, spreading illness, spills, asbestos, etc.) should all be treated suspiciously until...

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...

Sepsis-What is it?

Sepsis is defined as a systemic reaction to an infection.  As you fight the infection in your lungs, bladder, or leg, your immune system reacts by activating white blood cells and antibodies to attack locally.  At some point, in some cases, the inflammatory response becomes systemic which initiates a...

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...

Chest Pain and Aspirin-It is Really Important!

While looking at cases with a primary provider impression of  “CV-Chest pain (cardiac, angina, non-STEMI)” and the three “CV-Chest Pain (STEMI) of xxxxx” versions, it is noted that many of these patients are not receiving aspirin by EMS. Review Aspirin is not administered for pain relief in the presence...

STEMI Receiving Centers and Reminders

Just like a Trauma criteria patient can be taken directly to a trauma center and stroke patients are taken directly to a stroke center, a known STEMI patient should be transported directly to a STEMI Receiving Center.   STEMI Receiving Centers STEMI’s can be transported to VBGH, SLH and...