Mission: Lifeline STEMI Accelerator II Project Information

The Tidewater Region participated in the AHA Mission: Lifeline STEMI Accelerator II project.  While the project and study are officially over now, the connections, data sharing and best practices continue on in our region to give our patients the best care possible.  We continue to discuss cases, share information...

How to Elite: Post, Transfer, Save

The AIC for the case is responsible for having a fully complete (no less than 98%) patient report/refusal/cancelled calls posted within 12 hours of the call per VAOEMS regulations.  We strongly advocate for no later than end of shift and prefer as soon as the call ends.  There are...

Mass Illness and Mass Exposure (Agent)

From bug spray to paint fumes and mace to carbon monoxide, there are numerous reasons why large numbers of people may experience similar symptoms.  As an EMS provider, intentional exposures (such as terrorism) and accidental exposures (laced medications, spreading illness, spills, asbestos, etc.) should all be treated suspiciously until...

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...

Sepsis-What is it?

Sepsis is defined as a systemic reaction to an infection.  As you fight the infection in your lungs, bladder, or leg, your immune system reacts by activating white blood cells and antibodies to attack locally.  At some point, in some cases, the inflammatory response becomes systemic which initiates a...

Stop the Bleed Training

“Stop the bleed” is a nationwide campaign to empower individuals to act quick and save lives. Bystanders can take simple steps to keep the injured person alive until medical care is available. Here are the actions you can take to save a life: Compress – Find where the bleeding...

Miosis Differential Diagnosis-Causes other than Opiates

There are numerous reasons why pupils may be too small, too big, or inconsistent with each other.  Today, we will mention a few causes of miosis or pinpoint pupils.  If you search the internet, you can find numerous mnemonics that may help (“CPR ON SLIME” is even one!). The...

How to Elite: Advanced Airway Documentation Tips

Documentation tips: Ensure you list every procedure that was performed/used for the patient including BLS procedures and equipment. Each intubation attempt should be listed separately if you restarted bagging or another provider attempts. If you insert the blade into the mouth, remove, and reinsert, that is two attempts but...