Proposed 2014 Protocols for Riverside County CA

Didn't really notice any changes for the BLS side. I didn't really take a good look at everything tho.
 
Not my Verapamil! Please, take anything but that!
Although Fentanyl and Lorazepam sound pretty neato. Not really seeing too many changes.
 
I think its funny how the very first thing I look for is to see if REMS has added glucometry as a BLS skill. Didn't really notice anything significant but then again I skimmed and didn't look at every page.
 
CALEMT said:
I think its funny how the very first thing I look for is to see if REMS has added glucometry as a BLS skill. Didn't really notice anything significant but then again I skimmed and didn't look at every page.
Click to expand...

It's a BLS skill....... As long as the medic asks you to get it.
 
DesertEMT66 said:
It's a BLS skill....... As long as the medic asks you to get it.
Click to expand...

Haha exactly. In my skimming of the protocols I'm pretty sure I didn't see anything in there about carrying glucometer's on BLS rigs.
 
It's all fairly benign. Fent is still listed as an "alternative" pain medication.

Though we can only manage pain when it's a result of isolated extremity trauma. Cardiac related chest pain notwithstanding of course.
 
CALEMT said:
Haha exactly. In my skimming of the protocols I'm pretty sure I didn't see anything in there about carrying glucometer's on BLS rigs.
Click to expand...

Yup, still a no go really. Though I suppose it comes down to the ability to do something about the reading that's obtained, and it's really a moot point when considering that a person must have an altered mental status to receive oral glucose anyways, especially when taken into consideration that diabetic patients are far more likely to by hypoglycemic when altered than hyperglycemic.

Before using the glucometer EMTs, AEMTs, and paramedics must:
7 1. Follow the manufacturer’s guidelines regarding calibration and cleaning
8 2. Upon patient contact, provide emergency stabilization in a prioritized manner

9 3. EMTs:
10 a. Determine that assessment of blood glucose is clinically indicated by:
11 i. AEMT or paramedic direction
 
Also, It's likely that some things may change, considering the word on the street is the Ochoa is out, and a Dr. Vantralen (sp?) is in.
 
Jambi said:
Also, It's likely that some things may change, considering the word on the street is the Ochoa is out, and a Dr. Vantralen (sp?) is in.
Click to expand...

Where does he/she work at? I haven't heard anything about that at all.
 
DesertEMT66 said:
Where does he/she work at? I haven't heard anything about that at all.
Click to expand...

dr van stralen is the medical director for AMR SB County, and I believe he does some lecture at Crafton Hills. My source on Ochoa being phased out is good. The info on Van Stralen is less solid, but it's highly likely as these political coups rarely go down without replacements having already been selected.
 
Jambi said:
dr van stralen is the medical director for AMR SB County, and I believe he does some lecture at Crafton Hills. My source on Ochoa being phased out is good. The info on Van Stralen is less solid, but it's highly likely as these political coups rarely go down without replacements having already been selected.
Click to expand...

Hmm, if I get in medic school I will find out. I thought SB had a county medical director and not company medical directors.

Maybe we will get peds intubation and dope back in protocols.
 
DesertEMT66 said:
Hmm, if I get in medic school I will find out. I thought SB had a county medical director and not company medical directors.

Maybe we will get peds intubation and dope back in protocols.
Click to expand...

SB does, but each company has to have it's own medical director for accountability, training, and ordering controlled supplies, etc.
 
Ativan and Valium are also in the medlist now..
 
exodus said:
Ativan and Valium are also in the medlist now..
Click to expand...

Wonder if that means we are going to be getting refrigerators in the rigs then. Everything I have read so far says Ativan needs to be stored at a controlled temp.
 
DesertEMT66 said:
Wonder if that means we are going to be getting refrigerators in the rigs then. Everything I have read so far says Ativan needs to be stored at a controlled temp.
Click to expand...

We probably won't get it, fire may. It'st stated as "OR" on the policy. Same with fentanyl. So we will probably just get whatever is the cheapest.

Down at the bottom - http://www.remsa.us/policy/2014/3301d.pdf
 
You must log in or register to reply here.
Back
Top