IDPH has released an update on the bleeding issues with patients that have taken synthetic cannabinoids (bath salts, K2, spice). Their memo is linked below.
IDPH Synthetic Cannabinoid Memo
Illinois Emergency Medical Services for Children (EMSC) has a new sponsoring hospital and new website. Please go to www.luriechildrens.org/emsc for all theEMSC data and educational materials.
There have been at least 6 reports of severe bleeding encountered from synthetic cannibus (K2/Spice). The bleeding is being caused by Vitamin K Dependent Coagulopathy. The patients are presenting with symptoms of bleeding from multiple body sites and back pain. Watch for signs of symthetic cannabinoids use during assessment and history taking.
John A. Logan College has decided to discontinue their Tuition waiver program for EMT and Paramedic courses. The practice of charging full tuition is scheduled to begin for the Summer 2018 semester. The link below will take you to the memo from JALC explaining the change.
JALC EMS Tuition Waiver Memo
Reminder of the 2018 Illinois EMS Summit in Springfield on March 29, 2018. There are Illinois EMS CEUs approved for the conference and many interesting topics. There's a link to the brochure below.
2018 Illinois EMS Summit
Reminder on pre-hospital blood draws. Don't forget to label each tube with the patient's name, DOB, date and time of draw, and medic's initials. Also, turn over your blood samples to the receiving nurse. The procedulral protocol is linked below.
SIREMS Blood Draw Protocol
Massac EMS in Metropolis is searching for a new ambulance service manager. The position advertisement is attached to the link below.
Massac EMS Manager Position
Dr. Haake has released a memo reminding all of us about the SIREMS Social Media Policy. It urges common sense when posting online and contains some points to remember. The link to Dr. Haake's memo is below.
Dr. Haake's Social Media Policy Memo
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
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 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
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
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
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
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
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
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
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 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!