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...

New: Gear Accountability Logs

Knowing how our gear moves around is at least half the battle For the second time in the past year, one of our members went looking for an IV box and a drug box that were supposed to be in secure storage, and found them missing.  Notifications were made,...

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...

Chest Pain and Aspirin-It is Really Important!

While looking at cases with a primary provider impression of  “CV-Chest pain (cardiac, angina, non-STEMI)” and the three “CV-Chest Pain (STEMI) of xxxxx” versions, it is noted that many of these patients are not receiving aspirin by EMS. Review Aspirin is not administered for pain relief in the presence...

VBEMS wins 2018 Mission: Lifeline Gold Plus Award!

On May 11, 2018, Virginia Beach EMS received the American Heart Association 2018 Mission: Lifeline GOLD PLUS EMS Recognition Award at the Virginia Heart Attack Coalition (VHAC) State Meeting in Chesterfield, Virginia.   Mission: Lifeline EMS Recognition recognizes EMS systems for their role in providing timely treatment for heart attack...

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...