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CSEMS Council Patient Treatment Protocols

 Protocols

2009 DOWNLOAD!

 2009 Protocols Updated 4/29/10

Resources

 Field Guide Update 4/29/10
      Updates field guides for the change in
      aspirin dosing.
 Protocol Update Guide 6/19/09
 Field Guide Update 6/19/09
 Protocol Update Guide 6/19/09
 Resources for Coolers
 Training
 Skills Drill Update - June '10
      Presentation is on Edu-Net.
 Skills Drill Update - Feb. '10
      Presentation is on Edu-Net.
 Protocol Update Presentation
 Protocol Resources
O2-RESQ CPAP Ordering Info
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
 Aspirin Change Memo 4/29/10
 Protocol Memo 8/13/09
 Saline Stocking 8/13/09
 Glucagon Stocking 8/6/09
 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

Surplus O2-RESQ CPAP kits and regulators available for purchase

On April 28, 2010, regional EMS agencies were notified that the O2-RESQ CPAP grant was funded and were provided instructions to claim agency allotments. The deadline to claim and implement use of the CPAP devices was July 31, 2010. Presently, we have a limited surplus of CPAP kits and oxygen regulators with the DISS valve. These extra units are available to be purchased at the 80% discounted rate provided by the grant by any regional EMS agency.  Please refer to the memo for instructions to purchase additional devices.
Memo: O2-RESQ CPAP
Aspirin dose increased to 324 mg
New dosing guidelines effective immediately

Effective immediately, the dose for administration of aspirin for chest pain suggestive of an acute myocardial infarction has changed. The new protocol is: Give four (4) 81 mg chewable tablets (324 mg total dose) PO as soon as possible after the onset of chest pain.  The full protocol document has been modified as outlined in the Change in Aspirin Dose by Protocol memo.

This change affects three pages of the field guide. The field guide update file contains the three pages of the field guide that changed. Users can print the updated pages on cardstock and update the protocol field guide.
Memo: Change in Aspirin Dose by Protocol 4/29/10
Aspirin Field Guide Update File
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CPAP ready for distribution to region
Council will conduct training sessions in May
May 17 Harrisonburg 7p
May 25 Fairfield 7p
May 26 CSEMS Council 7p
June 8 Hot Springs 7p

The multi-jurisdictional grant for the O2-RESQ CPAP devices for the region was funded through the Rescue Squad Assistance Fund at an 80/20 level. The Council is presently receiving the stock of the devices and is ready to distribute the devices to the participating agencies.

Train-the-trainer sessions on the devices will be conducted in May by Bound Tree Medical, the distributor of the CPAP units, in cooperation with the CSEMS Council. We are asking your agency send up to three representatives to this training. The Council will also be preparing an on-line Edu-Net training presentation on the O2-RESQ system. This will allow your providers to take the training on Edu-Net and have agency trainers capable of conducting a hands-on component.
O2-RESQ CPAP Training/Distribution Updated 5/4/10
CPAP Training Registration
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

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