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...

2/14/18-Epinephrine Prefilled Syringe Shortage

EMT-Intermediates and Paramedics:  SUMMARY Some local pharmacies have started to substitute the 1:10,000 epinephrine prefilled syringes with a kit containing: ·         a 30 mL vial (1mg/mL) of epinephrine ·         eight 10mL syringes ·         10 mL vials of NS ·         a warning sticker ·         an instruction sticker advising you to...

STROKE—What is new?

The American Heart Association has just published their newest Acute Ischemic Stroke (AIS) Guidelines.  Highlights can be found here:  http://professional.heart.org/idc/groups/ahamah-public/@wcm/@sop/@smd/documents/downloadable/ucm_498645.pdf Strokes are the second leading cause of death worldwide.  The disabling effects and cost associated with stroke victims is staggering.  While tPA is still the gold standard for ischemic...

Stable Trauma Patients Under 18 Years Old–Where Do They Go?

On October 2, 2017, CHKD began accepting trauma patients under the age of 15 years directly from the field.  They also continue to receive transfer trauma patients, medical patients and some minor injury patients. VBGH changes: VBGH has revised their internal policies since this change and have determined that...

Getting Supplies at the ED…

We are still having numerous issues with restocking supplies from the hospital vending machines.  Please take a minute to see what the major issues continue to be: Stations/Fire are responsible to restock the nasal cannula end tidals. Hospitals only restock intubated versions. You can only restock what you truly...

Expiring Revive! kits

Question If you are checking off your ambulance and you notice that the naloxone (Narcan) in your Revive! kit has expired, what should you do? Answer Remove the expired Revive! kit from the ambulance and return it to your station officers.  It has served its purpose and is no...