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...

VBGH Supply Vending Machine—NEW!! How to Return Items

If you remove items by mistake, hit the wrong button, numerous items fall or you and your partner realize you both restocked, we now have a way for you to securely return items to the supply vending machine! VBGH has identified a vending cabinet as a return box (226). ...

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...

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...