EMTs May Administer Albuterol/Atrovent

As of the 2014 protocol update, EMTs may administer both Albuterol and Atrovent (Ipratropium Bromide) via hand-held nebulizer (HHN) on standing orders.  Although EMTs were not, prior to the 2014 update, permitted to administer Albuterol or Atrovent, those medications have been in the EMT curriculum for quite some time...

12-Lead ECG FAQs

If a medical facility or office has acquired a 12-lead prior to my arrival, should I still acquire and transmit one? Yes, you should use the Lifepak 15 to acquire and transmit a 12-lead. Once I have acquired a 12-lead do I take it off of the patient? No,...

CPAP Usage by AEMTs and EMT-Enhanced Providers

In the near future, Virginia Beach EMT-Enhanced providers will be able to start utilizing CPAP on calls.  Those who are officially certified by the Virginia Office of EMS as an “Advanced EMT” are able to utilize CPAP effective immediately, provided they have completed the ALS release training. If you...

Do Not Transport Potentially Hazardous Materials

If a patient is exposed to hazardous materials, DO NOT transport the hazardous material to the hospital.  Doing so is risking contamination and exposure of our providers, our ambulances, and the hospital and their staff.  Hopefully, this is obvious and self-explanatory.  The physicians and hospital staff do not need...

Pharmacy IV/Drug Box Exchange FAQs

General Pharmacy Exchange Information We know things can get busy out there and we must often leave the hospital sooner than we’d like, but the pharmacy exchange process must be completed before you leave the hospital and it should ideally be completed as soon as you’ve completed patient turnover....

FAQs, 3rd Edition

What do I do if I recognize a STEMI but the LifePak15 doesn’t and/or won’t transmit? Relay your pertinent findings to the receiving facility (describing what you see and in which leads) and follow their instructions. Can the Cyanokit be administered to pediatric patients, and if so what is...

FAQs, 2nd Edition

I know that I am considered a mandated reporter for suspected adult and child abuse but what does that mean? Can I just call EMS5 and let them know about the situation? No, you must make the phone call to APS or CPS (Social Services) directly and as soon...

FAQs, 1st Edition

Originally distributed in November 2008 (updated December 2015): For a cardiac arrest patient, can I give D50 on standing orders? You may not give D50 simply because the patient is unconscious.  Administering D50 to a cardiac arrest patient who is not hypoglycemic has been associated with poor neurologic outcome if...

To Resuscitate or Not To Resuscitate

It is very important to perform a good, thorough assessment on every patient, including our cardiac arrest patients.  We must always check cardiac arrest patients for obvious signs of death and attempt to determine the exact time (or range of time) when the patient went into cardiac arrest. It...

Hospital Radio Reports

Why is it important to communicate with the receiving hospital? To allow the hospital to have the right room, the right equipment, and the right personnel prepared (if available) or to otherwise allow the facility to plan for the patient’s arrival To give medical control an opportunity to determine...