Patients in Handcuffs

Researched and written by Capt. M. Brown We commonly associate drug overdose calls with opiates with good reason. However there are other illicit drugs found in Virginia Beach.  When paired with the heat of summer stretching into November, some drugs can be seen as a different medical condition. Flakka...

Virginia Beach Medically Friendly Shelter

In 2009, the City of Virginia Beach added Medically Friendly Sheltering (MFS) to our city shelter plan.  EMS was identified as the lead agency and began the daunting task of identifying sites, writing contracts, obtaining equipment, identifying staffing, and drawing up plans to operate an MFS. Medically Friendly Shelters...

New “Hospital Number” Format

If you have transported to Sentara Leigh recently, you may have noticed that the patient sticker number is 14 digits with no dashes.  Some of you have been creative in trying to validate your records!  🙂 The Sentara system is altering their registration process and programs and this includes...

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...