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CSEMS Council Drug Boxes


Shortage of Abboject syringes

Pharmacies may be substituting vials for syringes
The Central Shenandoah EMS Council and the Thomas Jefferson EMS Council share common “Cardiac” and “Shock Trauma” drug boxes. Recently, pharmacies in both regions have reported shortages of LifeShield® Abboject® emergency syringes. Medications commonly supplied in these prefilled syringes include epinephrine 1:10,000, atropine, dextrose 50%, calcium chloride and sodium bicarbonate. The two drugs that experienced shortages recently include dextrose 50% and sodium bicarbonate.
The regional pharmacies have agreed to address the shortages of Abboject® syringes by replacing them with vials of the medication in the same dose and concentration with an appropriately sized syringe.
Memo: Abboject® Emergency Syringes (4/15/10)

Drug Box Changes

As discussed in the protocol training this in June 2006, amiodarone will be included in the 2006 protocols. Amiodarone will replace lidocaine. Starting July 1, 2006, regional pharmacies will begin stocking three 150 mg vials of amiodarone in the CT boxes and will remove lidocaine. In addition to those changes, the following CT box changes will occur:

  • Add one 100 mL D5W bag to bottom of box for amiodarone drips.
  • Increase the number of 1 cc syringes (with needles) to four.
  • Calcium chloride will be moved to a slot vacated by lidocaine.

The pharmacies will be updating the CT boxes as they cycle through the pharmacies. Therefore, we will experience a several-month period where boxes may be stocked with amiodarone or lidocaine. Providers will need to be prepared to administer either drug, based on the stock of the drug box.

 Drug Box Documents

CT Drug Box Contents
CT Drug Box Layout - Plano 747M
ST Drug Box Contents
ST Drug Box Layout - Flambeau 2272
ST Drug Box Layout - Plano 7620

Updated 7/1/09

 Drug Box Tour

Virtual Drug Box Tour

Take a virtual tour of the Cardiac and Shock Trauma drug boxes. Click on the image below.

 

 

 

 

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Central Shenandoah EMS Council
2312 W. Beverley St., Staunton, VA 24401
www.csems.vaems.org