LVAD Patients-Update to TREATMENT/CPR Guidelines

In 2017, the AHA produced new guidelines for LVAD patients and other patients with mechanical circulatory support including total artificial hearts.  SNGH has since updated their guidelines to reflect the changes.  Please review the new flowsheet for EMS care and treatment as there are some changes including the provision of...

Reaching our STEMI quality management goals

It’s a team sport The evidence is clear:  EMS can make a difference in STEMI cases.  We accomplish this by being fast, efficient, and effective at the following: Identifying STEMIs Notifying the hospital that we have a STEMI patient Treating the patient as we move toward a STEMI Receiving...

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....