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...

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...

Can We Start IVs in the Foot?

A question commonly arises about whether or not we are able to start IVs in a patient’s foot.  We have received guidance from our OMD, Dr. Stewart Martin, and want to share it with you. IVs in the foot/lower extremity are supposed to be rare.  It is highly unusual...