STEMI Receiving Centers and Reminders

Just like a Trauma criteria patient can be taken directly to a trauma center and stroke patients are taken directly to a stroke center, a known STEMI patient should be transported directly to a STEMI Receiving Center.   STEMI Receiving Centers STEMI’s can be transported to VBGH, SLH and...

CPAP Notes and Reminders

VBEMS training documents indicate the physiological benefits of CPAP are an increase in alveolar pressure, reduced work of breathing and respiratory muscle fatigue, increased intrathoracic pressure and a decreased need for intubations. To receive CPAP, patients must be 8 years old or older and contraindications include: Unable to maintain...

Elite Tip—What’s in a Name?

When completing the patient report, please pay attention to the patient name entry boxes. Please read the labels to ensure you are entering the correct information into the right box. Either use all caps or capitalize the first letter. Verify the correct spelling of your patient’s name. Smith could...

Lights and Sirens During Transport

There are many reasons why patients may need to be transported with lights and sirens.  Some common reasons include time sensitive emergencies such as STEMI or stroke, traumatic injuries and other critical patients that may require faster transport.  Per the NHTSA report, they indicate the following conditions may warrant...

New Roll Call Process on TAC Channel Starts on 3/19/18

This muster note/new process is for our dispatchers at ECCS.  Since the CAD created some issues with unit visibility for our EMS and Fire supervisors, the dispatchers will now perform roll call on the TAC channel. This will start at 0600 on Monday, March 19, 2018.  Please switch to...

New VBPD Narcan and Documentation Reminder

VBPD has been using a new brand/style of nasal naloxone.  It is brand name Narcan and comes in a ready to go, one piece design.  Be advised that the new version is 4mg in a single dose.  They only use one nostril as it is only 4mg/0.1mL.  Once the...

VBGH Supply Vending Machine—NEW!! How to Return Items

If you remove items by mistake, hit the wrong button, numerous items fall or you and your partner realize you both restocked, we now have a way for you to securely return items to the supply vending machine! VBGH has identified a vending cabinet as a return box (226). ...

2017 VBEMS Naloxone Administration

In November 2016, the Commonwealth of Virginia declared a public health emergency related to opiate use and abuse.  While 2016 saw a significant increase in suspected opiate overdoses, the rise did not appear to continue in 2017 based on EMS reporting and documentation.  Our annual statistics graphic can also...

2/14/18-Epinephrine Prefilled Syringe Shortage

EMT-Intermediates and Paramedics:  SUMMARY Some local pharmacies have started to substitute the 1:10,000 epinephrine prefilled syringes with a kit containing: ·         a 30 mL vial (1mg/mL) of epinephrine ·         eight 10mL syringes ·         10 mL vials of NS ·         a warning sticker ·         an instruction sticker advising you to...