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WINTER WEATHER MODE
The following announcements are for Tuesday, February 9, 2010
EMT-Basic at Harrisonburg Rescue Squad is cancelled.

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CSEMS Council Patient Treatment Protocols

 Protocol Resources
Cyanokit Protocol Released 1/29/09
King Airway Ordering Info
Field Guide Request Form
EZ-IO Resources
Information on the Vidacare EZ-IO intraosseous system.
Message from the Regional Medical Director
Letter from the Regional Medical Director concerning the EZ-IO system..
Medical Device Resources
Information on manufactures of 12-Lead ECGs, capnography, CPAP and esophageal detector devices.
 Correspondence
 Protocol Memo 8/13/09
 Saline Stocking 8/13/09
 Protocol Memo 6/19/09
 Protocol Change Update 5/26/09
 Cyanokit Memo 1/29/09
 Protocol Updates 9/24/08
 Regional Protocol Letter 5/20/08
Induced hypothermia program starts
Plans for saline stocking and call review announced
 

The Council is pleased to report that we are ready to implement the induced hypothermia protocol. We have addressed the Virginia Board of Pharmacy regulations that concern stocking and exchanging normal saline with the area hospitals. 

All hospitals in the region have been generous enough to provide the initial stock of normal saline to EMS agencies in the region. Below are procedures for each hospital for acquisition of the initial stock of normal saline and the exchange procedures for used or expired bags of normal saline.
The Medical Control Review Committee requests a review of all cases of induced hypothermia in the region as part of our regional performance improvement program. Please read the memorandum below for guidelines on submitting this information to the performance improvement committee.
Induced Hypothermia Implementation Memo - 8/13/09
Normal Saline - Initial Stock and Exchange Procedures

Regional protocols updated

Induced hypothermia aims to improve survival from cardiac arrest

The regional Operational Medical Directors and the Medical Control Review Committee of the Central Shenandoah EMS Council are pleased to present a regional protocol update that includes introduction of induced hypothermia following resuscitation from cardiac arrest, Zofran at the EMT-Enhanced level as well as several other important updates.

The Council has been conducting protocol updates at skills drills since the beginning of June.  The Council has also published a 25-minute on-line protocol update for providers not able to attend a skills drill.
Most updates will become effective on July 1, 2009.  Please see the memos concerning the protocol updates for more information on implementation of the new protocols.
 Protocol Memo 6/19/09

Cyanokit® protocol added
Optional protocol for use of the Cyanokit® to treat cyanide poisonings released

The Medical Control Review Committee of the Central Shenandoah EMS Council is pleased to announce the adoption of the Cyanokit® for the treatment of cyanide poisonings.  Cyanide is an extremely toxic poison. In the absence of rapid and adequate treatment, exposure to a high dose of cyanide can result in death within minutes.  The active ingredient in the Cyanokit® forms a strong bond with cyanide, converting it to a vitamin which can then be safely excreted from the body. It is designed specifically to be used on the scene or at the hospital for acute cyanide poisoning from any source.  The use of the Cyanokit® is agency-optional.  Agencies should discuss the use and adoption of this kit with their operational medical director.

Memo to Agencies
Cyanokit Protocol

Cyanokit Website

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