Military Base Responses

Always stop at the gate and follow their instructions Be prepared to show ID’s. Be prepared to have truck searched (this can happen during times of heightened security) If I am transporting a patient from a military base and am asked to transport the patient to Naval Medical Center...

Hyperbaric Facility Items

If I think my patient will need treatment in a hyperbaric chamber (i.e. for diving emergencies or carbon monoxide poisoning), can I bypass other hospitals and transport directly to Sentara Leigh Hospital? No.  The closest hospital should be contacted.  After discussion with online medical control, they may divert you. ...

Narcan Notes-Heat and Indications for Use

Like most of our medications, Narcan is temperature sensitive.  There are numerous studies on temperature and medication efficacy.  Most medications prefer a tight temperature range of 68-77 degrees F (controlled room temperature).  They can often withstand a spike or drop of about 9 degrees either way but not for...

If Your Patient Status Changes–Call Back

Have you ever had a patient deteriorate during transport after you contacted the hospital? It has happened to most of us and will happen to you at some point.  BLS crews may be upgrading their response and calling for ALS to meet them enroute and ALS providers may be...

Hospital Restock Reminders

We just wanted to remind everyone about a few restocking items. Make sure you restock what you used. If there were a lot of items, make a list and double check with everyone to ensure it is complete so you don’t forget something You can only take what you...

Cardiac Arrest and Sodium Bicarbonate Use

Between January and June of this year, 50 patients received sodium bicarbonate (bicarb) while in cardiac arrest. There were 23 cases in which the report listed the administration of bicarb under standing orders AND it was not administered to a renal failure patient with calcium.  The other 27 cases...

DNR—What Treatments Can I Do?

Many of our patients have Durable Do Not Resuscitate (DDNR) orders.  Durable indicates that it can be used by multiple facilities and doesn’t need to be renewed.  No matter what the patient’s life threatening condition may be, they have decided they do not wish to be resuscitated.  Therefore, a patient with a...

A Patient in Handcuffs is a Patient in Police Custody

If the police have placed your patient in custody, arrested them or if the patient is currently in handcuffs, a police officer must ride with you in the back of the ambulance to the hospital.  This includes patients that are not being arrested but have been handcuffed for their safety...