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...

Ambient Carbon Monoxide Detectors

AMBULANCE JUMP BAG AMBIENT CARBON MONOXIDE DETECTORS You may be wondering: What is this thing on my jump bag? How do I know it’s working? What do I do if its alarms keep going off? This is your Ambient Carbon Monoxide Detector. It constantly checks the air around you...

Sedation Issues: Ativan and Versed

Since January 1, 2017, there have been numerous instances in which providers have not followed the proper protocol when it comes to the proper medication, dose or route involving Ativan and Versed.  The old and new protocols were taken into account and these issues were outside of both scopes....

Pulmonary Hypertension Medication Pumps Alert

If you see that your patient has a medication pump, what should you do with it?  Is it a pump for insulin?  Is it a pump that is administering a life-saving medication and your removal of that pump would kill the patient?                 ...

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...

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...