Ways to Prevent Medication Error

We give medications all of the time and most of the time, things go really well.  But in EMS, all the things that can go wrong sometimes do and you need to make sure that you follow the same checks and balances before administering medications every time to prevent...

Transport Decisions for a Victim of a Sexual Assault

They don’t occur often but sexual assault cases are difficult to respond to and can raise questions about transport destinations and how to proceed.  Each case is very different but here are some tips to help you through. What to do Be patient, understanding, non-judgmental and compassionate. Respect boundaries...

When is it more than just a seizure? Status Epilepticus

Status epilepticus is currently defined as a grand mal or tonic clonic seizure lasting 5 minutes or more, two or more seizures without regaining consciousness or having repeated seizures for 30 minutes or more.  Previously, definitions required one to last approximately 20 minutes or more to be classified as status...

Chest Decompression-When is it appropriate?

The TEMS protocols state chest decompression with needle can be performed when the following occur: Patient has hypotension (Systolic BP less than 90)  With Clinical signs of shock and at least one of the following— Jugular vein distention Tracheal deviation away from the side of injury Or Increased resistance...

Hospital Diversion Information

We have all been diverted by a facility.  Some we expect, and others surprise us.  Here are some points on how to avoid diversion and how to handle it if you are diverted from one facility to another. One thing to keep in mind at all times:  If a...

Where can STEMI patients go? What are the STEMI goals?

Much like a Trauma criteria patient can be taken directly to a trauma center, a known STEMI patient should be be transported directly to a STEMI Receiving Center.  Our STEMI Receiving Centers include VBGH, SLH and CGH. If you perform a 12-lead and your patient indicates a STEMI, you...

How to sign up for Elite classes in the Member Portal

This September, training for Elite will be offered in two formats: online and classroom.  One of the new features of the Member Portal is the ability to sign up for classroom training.  We will be using this feature to register for Elite classroom training.  All classes will be held...

Recovering lost passwords and usernames

Active VBEMS members and applicants are able to recover their usernames or reset their passwords online.  Please follow the steps below. Note: Your Member Portal and Elite logins and passwords are the same.  You may use this procedure for either! Click the following link to visit the Forgot Username or...

New BLS Protocol–Naloxone

As you know, there is considerable attention these days on the rising number of opiate overdose deaths across the nation.  This has led to dramatic changes, including easy access to Naloxone (Narcan) by family and friends of potential overdose victims.  Meanwhile, the City of Virginia Beach has been an...