Thursday, April 30, 2009, 21:14 - News, Protocols
TO: REMSCO Chair
FROM: Gary L. Tuthill, Sr. EMS Representative
DATE: April 29, 2009
SUBJECT: Aspirin Administration by BLS Providers
Recently, the Bureau of EMS has mistakenly provided some EMS agencies wrong information regarding what approvals are required before a BLS provider can administer aspirin to a patient with suspected cardiac chest pain
Please advise any agency that presents you with question regarding the requirements of obtaining the approval to administer aspirin that this is a basic life support skill found in the NYS Basic Life Support Adult & Pediatric Treatment Protocols EMT-B and AEMT. This skill requires no prior approval from the regional council. However, the agency’s medical director should be consulted prior to implementing this into their local system.
If you have any questions regarding this please call the BEMS Operations Unit at (518) 402-0996 ext. 2
CC: Program Agency Chair
Monday, January 5, 2009, 17:38 - Protocols
We have posted the 2008 ALS Protocols for your viewing pleasure. It is anticipated that a Roll out session will be forthcoming either at the Regional Level or the Agency Level. Check back for further details as they develop... Thursday, December 18, 2008, 21:43 - News, Protocols
TO: All REMSCOs, REMACs, and
Program Agencies
FROM: Edward G. Wronski, Director
Bureau of Emergency Medical Services
DATE: December 15, 2008
SUBJECT: Glucometer Requirements
For the full memo from the BEMS regarding Glucometer Requirements please review the attached file.
Also please review Policy Statement 05-04 issued by the Department of Health on 9/23/2005.
Wednesday, April 23, 2008, 14:52 - General, News, Protocols
The PROPOSED Regional Protocols are available. This draft will be available for the next thirty days for review and comment. The changes & updates are highlighted for your convenience. These protocols do not go into effect until they have been reviewed & commented locally, and then approved by the State.
Please send all comments to:
SREMS Program Agency
Attn: Pam Evans
Subject: ALS Protocol Updates
153 Lt. VanWinkle Drive
Binghamton, NY 13905
or to: p.evanssrems.com
Thank you in advance for your time reviewing this document.
Wednesday, March 26, 2008, 12:13 - News, Events, Protocols, Education & CME
The idea is to have a short, focused, monthly (except for July and August) case review and discussion between our County's ALS providers, and one of our Physician Medical Directors.
The Roundtable is to meet on the third Wednesday of each month (except July and August), beginning at 6:30 PM, in the Russell Community Room at Binghamton General Hospital.
Please contact Raymond M. Serowik, NREMT-P, Emergency Medical Services Coordinator with any questions you may have, or if you have an interesting or problematic case you'd like to present at a future Roundtable.
Thursday, January 10, 2008, 17:51 - General, News, Protocols
ALS Dispatch Procedure:
PURPOSE:
The purpose of this procedure is to establish a standard format for the dispatch of ALS Assists for ALS priority calls (Charlie, Delta, Echo), at those times when the first-due ambulance agency does not have on-duty ALS resources available for immediate response. The definition of “on-duty ALS” is an ALS Provider (EMT-CC or EMT-P), with an agency owned/operated ALS-equipped vehicle (either fly car or ambulance), called on-dutywith the Communications Center, and committed to respond.
Time Line:
Initial Dispatch – If first-due ambulance agency is classified as an ALS agency, tone that agency for “full ALS Crew”. If first-due ambulance agency is classified as a BLS agency, tone that agency as usual, and dispatch ALS Assist immediately, per 5 Minute procedure.
5 Minutes – If no off-duty ALS provider from the first-due agency has called to indicate that he/she is responding to the call, dispatch an on-duty ALS unit from “preferred” ALS agency (if any), or nearest available on-duty ALS unit (if no “preferred” ALS agency, or if there is no available on-duty unit from the “preferred” ALS agency) and Re-Tone if a minimum full crew (Driver and EMT Crew Chief or ALS Provider) have not called to indicate that they are responding.
7 Minutes – If a Driver and EMT Crew Chief or ALS Provider have not been identified, activate
nearest mutual aid ambulance. If this ambulance is un-staffed also dispatch nearest staffed ambulance.
10 Minutes – If for any reason the first due ambulance is not actually responding, activate mutual aid same as in 7 minute timeline procedure.
If ALS response from the first-due agency has been identified after the dispatch of the ALS Assist, but prior to the arrival of the ALS Assist at the scene, the ALS Assist will be cancelled ONLY if the first-due agency’s ALS unit (ALS provider and ALS-equipped vehicle) can arrive at the scene prior to the ALS Assist, and only if the first-due agency’s ALS provider requests the cancellation. Otherwise, both units will continue their response, and a decision made at the scene as to how the patient is to be transported (per Article 30 of the NYS Public Health Law, the first-due agency should transport the patient, unless extenuating circumstances prevail).
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