There is a nationwide shortage of Diazepam (Valium) and it is starting to effect our region. In the event your department is not able to replinish Valium, be sure to brush up on the adult and pediatric dosing of Lorazepam (Ativan). Below is a link to the dosing from our protocols. Remember, Ativan is only good for 90 days (3 months) from leaving refrigeration.
Lorazepam drug profile from SIREMS Protocols
Dr. Haake and the EMS Office would like to recognize two of our system's paramedic's for the outstanding performance and incredible acts of kindness that they displayed on a recent call. Please follow the link below for more details.
EMS Memo of Outstanding Service
Southern Illinois Healthcare is hosting Bob Page's 12 Lead ECG and Capnography classes at Carbondale Civic Center on October 16-17, 2017. Day one is the Multi-Lead Medics (12 Lead ECG) class. Day two is his capnography program. Day one is a full day with breakfast and lunch provided. Day two is a half day with breakfast provided. One $30 ticket gains access to both days. Follow the link below for tickets.
Eventbrite Tickets for Bob Page
Dr. Haake has approved some protocol variations to help EMS operations during the eclipse weekend. The changes are listed in the link below. Please contact the EMS Office with any questions.
SIREMS Protocol Variations for Eclipse Weekend
The Shawnee Preparedness and Response Coalition (SPARC) is accepting Special Project Funding applications from coalition members. The applications must have a regional medical preparedness and/or response focus. Applications are due May 26, 2017. More information and the application can be found below.
SPARC Special Projects Funding Information
SPARC Special Projects Funding Application
The Region 5 EMS Advisory Committee approved a regional mass casualty incident protocol. It is broken into small incidents (Multiple Casualty Incidents) and larger scale incidents (Mass Casualty Incidents). The link to the new protocol is below.
Region 5 Multiple Casualty / Mass Casualty Protocol
IDPH released an update for EMScan (the free state PCR program) to become compliant with NEMSIS Version 3 on November 1, 2016. The new instructional guide to the changes and the program use as a whole is linked below. Contact the EMS Office with any questions.
EMScan User Instruction Guide for November 2016 Update
Every hospital in Illinois has what we call a "Disaster Go Bag" for EMS or hospitals to request in a disaster or emergency situation. The bag has medical supplies to supplement a treatment area or casualty collection point in the field. EMS can simply request it from a hospital if needed. EMS, Fire, or Police can make the pick up and deliver it to the location needed. More details and the Go Bag contents are in the link below. Call the EMS Office if you have any questions.
EMS Disaster Go Bags
DEA Safety Alert on Carfentanil, a synthetic opioid 100 times stronger than Fentanyl. It's intended to sedate elephants and other large mammals, but it's now being found on the streets. Follow the link below for more information.
DEA Safety Alert: Carfentanil
Cardinal Glennon Children's Hospital and Herrin Hospital are hosting Fall Pediatric Lectures at Herrin Hospital's Heritage Building. The four sessions offered are scheduled for 3.5 hours each and are worth 3 hours CEUs. There is actually one presentation but it is offered four times within two days. The link to the flyer and the registration links are below.
Pediatric Lecture Flyer
11/14/2016 Morning Session Registration
11/14/2016 Afternoon Session Registration
11/15/2016 Morning Session Registration
11/15/2016 Afternoon Session Registration
SIH Nursing Education and the Women's Center/Rape Crisis Services are hosting a Sexual Assault In-Service on September 21, 2016 at John A. Logan College. There are two sessions available, 0830-0930 and 1630-1730. Both are in room 326 of the SIH Nursing Education wing at JALC. EMS Personnel within the SIREMS system be awarded 1 hour CEU for attendance. Space is limited, so RSVP with Trish Zoeller by September 14, 2016.
Sexual Assault In-Service Flyer
Due to the small amount of system preceptor applications received in the last two application periods, Dr. Haake is accepting preceptor applications from now through August 31, 2016. The completed applications can be emailed, faxed, mailed, hand delivered, or dropped in the EMS Office drop box. The preceptor requirements can be found in section I of the system protocols and the application is linked below. Contact the EMS Office with any questions.
SIREMS Preceptor Application
IDPH has released their new POLST form. The POLST (practitioner order for life-sustaining treatment) form is what was formerly known as the DNR. The new POLST form can be accessed on this website under the IDPH forms link or on www.dph.illinois.gov. The link to the form on the state's site is below. Remember, IDPH forms cannot be viewed in the Google Chrome browser.
New POLST form
SIREMS in partnership with SIH Neurology will be hosting an EMS Stroke Training session on Monday August 22, 2016 at John A. Logan College. The session is scheduled from 6-8pm in the Workforce Development Building, room H128. Featured speakers include; Dr. Alejandro Hornik (Neurologist and Director of the Code Stroke program), Dr. Raed Al-Dallow (Interventional Cardiologist), and Dr. Joseph Haake (Emergency Physician, and Medical Director of SIREMS). There will also be case reviews and a question/answer session. Anyone is welcome to attend this free training. Refreshments and CEU’s will be provided. Please click the link below to register.
SIREMS Stroke Training Registration
JALC Campus Map
IDPH has released the new EMS Continuing Education Guidelines for EMT, EMT-I/AEMT, and Paramedic. There are many changes to what is currently done or accepted. Please take a look at the links below. Feel free to call or email the EMS Office with any questions. Worksheets for each license level can be found under the SIREMS Forms tab to make organizing your hours easier.
IDPH EMS Continuing Education Memo
New IDPH EMS Continuing Education Guidelines
SIREMS participants must now make an appointment with Brad Robinson or Nathan Bressner to renew EMS licenses. We have experienced too many problems, delays, and expired licenses from missing faxes, emails, dropped off documents, and even U.S. mail. The EMS Office will make every effort to accommodate schedules and distances from the office, including occasionally traveling for renewals. Feel free to contact the EMS Office with any questions.
Olivet Nazerene University is hosting an accelerated Paramedic to BSN program. Follow the link below for more information.
ONU Paramedic to BSN Program
Starting Monday, October 5th construction will begin on the new Emergency Room entrance at Memorial Hospital of Carbondale. During this project the area under the canopy just outside the ER doors will be closed. There will be three marked ambulance parking spots on the east side of the canopy. There will also be a spot or two right next to the temporary EMS ER entrance. When parking in the spots right next to the door, please drop off your patient and then move to a different spot as soon as possible so that the closest spots are open for incoming ambulances. The temporary EMS ER entrance will be the door that was previously used as the hospital employee entrance, by the northwest corner of the ER canopy. You will be able to enter the ER through the ED North door. This door is locked, but your key cards will allow you to enter. During this project ED North room 21 will be used as the trauma room. All other patients will need to be taken through ED North to their assigned room. Please follow the links below to see maps of the temporary parking and EMS route.
Temporary EMS Parking Area
Temporary EMS route to ER
Dr. Haake has chosen the new preceptors for SIREMS. Follow the link below to read his letter of announcement.
New Preceptors for SIREMS
The Region 5 EMS Advisory Committee recently adopted regional EMS Ebola guidelines. Follow the link below to see the new regional protocol.
Region 5 Ebola Preparedness and Response Guidelines
The U.S. Department of Transportation Office of Defects Investigation has asked both manufacturers of EMS cots and retention systems to issue a Technical Service Bulletin (TSB). The TSB is notifying and reminding local EMS agencies and personnel about the importance of regular inspections and preventative maintenance with regard to ensuring proper performance of "Antler and Rail" style cot fastening systems. Please follow the link below for Ferno's TSB. Stryker's TSB will be posted as soon as it becomes available.
Ferno's Antler and Rail TSB
Herrin Hospital is expanding its surgical center. While the renovations are happening they ask that EMS use the old ER entrance on the north side of the building. Click here for a map of the floor plans. Please do not cut through the observation unit to get to the ER.
Dr. Haake is lifting the moratorium on the trauma course requirement for SIREMS Paramedics. All SIREMS Paramedics will be required to have a current ITLS or PHTLS card by December 31, 2015. This decision was based on the increasing number of PHTLS offerings in Southern Illinois. If you have any questions, please contact the EMS Office.
IDPH and the Department of Vereran's Affairs have rolled out a Military Medic to LPN program. The information and locations of the program are in the link below.
Military Medic to LPN Bridge Program
The third review of the IDPH EMT-Basic and Paramedic tests is complete. Below is the link to the correspondance sent from IDPH to the EMS System Coordinators about the outcome of the third, and probably final, review of the state tests.
Update on IDPH EMS Test Review 12-12-2014
The chair of the EMS Education Committee of the State Advisory Council has released her report from the last EMS Education Committee meeting in November. There is a great deal of information in this report that is of interest to all EMS providers in Illinois...not just our instructors. Click the link below to read the report.
EMS Education Committee Report 11-2014
Here are all of the links to the CDC's guidance on Ebola for EMS Providers. As any other information becomes available, it will be distributed, but will also be posted here in the "Ebola Zone" of the system's website.
EMS and the suspected Ebola patient
Detailed Hospital Checklist for Ebola Preparedness
Ebola Virus Disease (EVD) Screening Tool for EMS
Guidance on Donning and Doffing PPE
Detailed EMS Checklist for Ebola Preparedness
Ebola or Influenza flyer
Here's a thought provoking article from EMS1.com. It reinforces what has been relayed to every EMS student and probational candidate for years. Please remember, it is an incredibly large responsibility to be the individuals called into the lives and homes of citizens in their greatest times of need.
How Off Duty Decisions Can Kill Your Career
Governor Pat Quinn's office recent press release brought some attention to the rural EMS needs around the state. Governor Quinn signed House Bill 4523 which allows an ambulance to operate at the level of the highest licensed EMS provider in the ambulance. Remember, even though the bill has been signed, the administrative rules have yet to be written. Keep in touch with the website for more updates. Click the link below for full Press Release.
Governor Quinn's Press Release
The FDA is asking for assistance in encouraging anyone with knowledge of a patient experience in radio frequency interference (RFI) of electronic medical devices, such as cardiac monitors, defibrillators, pacemakers, pulse oximetry, ETCO2, etc. To submit a confidential report, click the link below.
Dr. Haake has formally adopted the Region 5 Suspected Stroke Protocol as our system's stroke protocol. He has also updated the transport/destination protocol to include the recommendation from the National Brain Attack Coalition. The links below will take you directly to the updated protocols.
Region 5 Suspected Stroke Protocol
SIREMS Transport/Destination Protocol
Attached is an information sheet and screening tool for Middle East Respiratory Syndrome (MERS) provided by Southern Illinois Healthcare's Infection Prevention Department. There have only been two confirmed cases of MERS in the United States, but the CDC believes there will be more cases from travel through and from Middle Eastern countries. Please look at the links below and stay tuned to this site for updates on MERS.
MERS Information Sheet
MERS Traige Tool
The IDPH EMS Division Chief recently released a memo to Regional and System Coordinators to explain the new continuing education requirement rules and how to properly implement and enforce them. There will be changes to the SIREMS System Plan in the coming weeks to adopt and handle the rule changes. Follow the link below to read the memo. If you have any questions, please feel free to contact the EMS Office.
EMS Continuing Education Hours Memo
The IDPH EMT test reviews are complete and the changes have been applied to the Basic and Paramedic tests. There were questions in the review process that received changes and some were rescored. The rescoring was applied to all tests taken from Octobetr 1, 2013 to present. If any candidate's score changed because of the review, they will be notified of the scoring change by mail. Below is a link to a description of the review by CTS and IDPH.
IDPH Paramedic Test Report
IDPH is transitioning to an all electronic grant application process. The system is called EGrAMS, Electronic Grants Administration & Management System. The EGrAMS documents and guidance are under the IDPH Forms link to the left. IDPH has a funding opportunities webpage. You can click the link below
Dr. Haake has released a memo and corresponding protocol changes on spinal immobilization. This will significantly change the way we immobilize our patients. The training will be scheduled for each department in the coming days and weeks. Please take a look at the memo and protocol changes below.
Dr. Haake's Spinal Immobilization Memo
DD-2 SPINAL INJURIES protocol
II-36 SPINAL IMMOBILIZATION protocol
Thoratec Corporation in conjunction with the SIH Heart Failure Clinic sponsored a training session on the Left Ventricular Assist Device (LVAD). Thoratec offers online training about the LVAD specifically for emergency responders. Please consider taking the training. The LVAD patient will present EMS with some unique challenges. For example, the LVAD patient will not have a palpable pulse. Check out the module by clicking the link below to register. For SIREMS participants, it's worth 2 hours of continuing education.
Thoratec LVAD Training for EMS
The American Heart Association recently hosted a webinar on conditions that mimic a myocardial infarction. The link to the recorded webinar and post-webinar survey are below.
The Initial Cardiac Care/Chest Pain Protocol has changed for the system's ILS and ALS providers that have 12 lead ECG capability. When we recognize ST segment elevation in the inferior leads, we will withhold nitroglycerin and morphine. Please take a look at the links below for the updated protocol and the corresponding education.
Updated CC-01 Initial Cardiac Care/Chest Pain Protocol
Chest Pain Protocol Education
The Illinois Supreme Court has upheld the immunity provision in the EMS Act. Click the link below for the details.
Recent Supreme Cout Decision
Remember: When it's time to renew your EMS license, it is a two step process. The first step is to complete the child support statement and felony conviction question task form and to pay the renewal fee to IDPH. The second step is to bring your continuing education and certifications to the EMS Office. The EMS System Coordinator must review and approve your continuing education in order to complete the license renewal process. If you have any questions, please contact the EMS Office.
Don't forget about our EMS Calendar! The link is in the left hand corner of the page. We are starting to compile quite a few training opportunities on the calendar. If your department or agency has a training opportunity open to the region, please send it to the EMS Office and we will place it on the calendar.
Local law enforcement agencies are reporting an increasing trend of creating and smoking the vapor from alcoholic drinks. We have attached information on the phonomenon below.
Smoking the Vapor from Alcoholic Beverages
Remember: Please exchange only the amounts of linens and blankets that are left with the patient at the receiving facility. SIH hospitals have implemented a new process for linens and blankets, which require inventory checks. Thanks for your cooperation!