Insights on Treatments and the Amish


December 14th 19:00

Georgetown Fire Dept.


Presented By R. A. MacKenzie III CEM/CFC/AEMT-P

Holiday Office Hours

The Midstate and Faxton St. Luke’s EMS Offices will be closed Thursday and Friday November 26 and 27.  In the event it is necessary to contact Office staff call Resource (624-6287) On behalf of the Region and EMS Staff we wish you a safe and happy holiday take time to reflect on what you have to be thankful for and thank you for what you do for our communities.

Basic On-Line CME Class

Monday November 30, 2015  7pm at EMS Training Center

Limited to 10 participants

MUST bring to the session:


  • A self addressed stamped envelope
  • A letter on department letterhead from a Chief Officer or Training Officer signed and dated verifying the agency and the provider are currently enrolled in the CME Recertification Program with the NYS Dept of Health Bureau of EMS.
  • Call Bill at 738-8351 to register for this class

Madison County EMS Providers

You are invited to a kickoff meeting regarding the upcoming Countywide EMS Study to be conducted.  This meeting will take place December 10, 2015 at 6:30 p.m. at the Auditorium in the Student Activities Building (STUAC, Bldg. 33) at SUNY Morrisville.   Parking will be available in the Student “A” and “B” lots.  SUNY Morrisville map information can be found below.

The objectives of this meeting are to review 1) the purpose of the study; 2) how the selection of Fitch and Associates was accomplished and their credentials; 3) what the study will examine; 5) what will be asked of you and your EMS organization; 6) the process and timelines involved; 7) what the final product will look like; and 8) to receive your valuable input.  Your contribution at this meeting is critical to ensure the study is well initiated, executed properly, and is as accurate as possible.

Some background is important to provide.  Earlier this year, several Town Supervisors came to me inquiring about EMS response times and with questions about how EMS is funded. It comes to no surprise to anyone that declining volunteer staffing is causing patient care, staffing, and financial ramifications.  On November 17, 2015, the Madison County Board of Supervisors voted to move ahead with a County-wide study of EMS.   The purpose of this study is to objectively examine the EMS system including 911, first response agencies, and the transporting agencies.   The exact scope of work of the study, a SUNY Morrisville map, as well as, other related documents can be viewed at:

An authorization to engage Fitch and Associates from Platte City, Missouri was approved by the Madison County Board of Supervisors on November 17, 2015 after a thorough process that included a request for proposal and a subsequent assessment of the vendors that submitted bids.  The assessment committee that recommended Fitch and Associates to the Board was made up of Madison County EMTs (both volunteers and career), first response agencies, 911, two Town Supervisors, and me.  The recommendation of Fitch and Associates was unanimous by the committee.

We look forward to each and every one of you attending and actively participating in this December, 10, 2015 meeting in Morrisville.  Please circulate this notification as you see fit.  Feel free to email or call me directly to discuss this study.


Ted Halpin

 Theodore Halpin, Jr., MPA, CEM

Director of Emergency Management

Madison County (NY)

P.O. Box 577

138 North Court Street

Wampsville, New York  13163


First Responders Day


Join us at the Carrier Dome November 28th as the Syracuse Orange take on the Boston College Eagles with discounted tickets to show appreciation for New York’s heroes.

$20 Lower Level Tickets


· This will include video board recognition

· On field activities

· Special gifts for those who sell the most

Promo Code : Responders15

Contact : Brendan White 315-443-6749


Rapid Recertification Classes

Registration for the Critical Care and Paramedic Rapid Recertification Programs are due in the EMS Office Monday November 23, 2015.  The Practical Skills exam is Saturday January 16 and the written exam is Thursday test date is January 21, 2016.

Midstate ALS Protocol Update

The Midstate Regional Emergency Medical Advisory Committee (REMAC) approved revisions to the current pain management and facilitated intubation protocols. ALL Midstate Critical Care and Paramedic Providers must watch the ALS Protocol Update available on the Midstate web site and complete the Midstate 2015 ALS Protocol exam (on-line) by Jan 1, 2016 to remain in good standings.

Veterans Day Parade–St. Elizabeth Medical Center

The Utica Veterans day parade will be closing Genesee St in front of St. Elizabeth Medical Center on Saturday Nov 7th from 10:00AM to 12:00(noon) Ambulances will need to use Ballantine Bray for entry into the medical complex.

Fentanyl CDC Warning

The Centers for Disease Control and Prevention (CDC) and the Drug 
Enforcement Administration (DEA) are investigating recent increases in 
fentanyl-related unintentional overdose fatalities in multiple states 
across the U.S. In light of this the CDC has issued a Health Advisory to:
1) Alert public health departments, health care providers, first 
responders, and medical examiners and coroners to the possibility of 
additional fentanyl-related unintentional overdose increases in other 
2) Provide recommendations for improving detection of fentanyl-related 
overdose outbreaks and,
3) Encourage states to expand access to naloxone and training for 
administering naloxone to reduce opioid overdose deaths.
Although pharmaceutical fentanyl can be diverted for misuse, most cases of 
fentanyl-related morbidity and mortality have been linked to illicitly 
manufactured fentanyl and fentanyl analogs, collectively referred to as 
non-pharmaceutical fentanyl (NPF).NPF is sold via illicit drug markets for 
its heroin-like effect and often mixed with heroin and/or cocaine as a 
combination product with or without the user’s knowledge to increase its 
euphoric effects. While NPF-related overdoses can be reversed with 
naloxone, a higher dose or multiple number of doses per overdose event may 
be required to revive a patient due to the high potency of NPF.
Fentanyl poses a significant danger to public health workers, first 
responders, and law enforcement personnel that may unwittingly come into 
contact with it either by absorbing through the skin or accidental 
inhalation of airborne powder.
In the Health Advisory, the CDC suggests the following actions in response 
to increases in fentanyl-related overdose deaths:
  * Improve detection of fentanyl outbreaks to facilitate effective response.
  * Expand Use of Naloxone. Naloxone is a safe and effective antidote to all 
opioid-related overdoses, including heroin and fentanyl, and is a critical 
tool in preventing fatal opioid overdoses. Depending on state and local 
laws, this medication can potentially be administered effectively by EMS, 
law enforcement, people at high risk for overdose, or family and friend 
bystanders who have obtained the medication.
For additional information read the entire Health Advisory at the link 

Midstate Stakeholder Meeting

Next Tuesday October 13, 7PM Community Room St. Luke’s Home (St. Luke’s Campus)  the Program Agency will host our Fall Midstate Stakeholders Meeting: agenda items include:

· New Midstate ALS Protocols – will be rolled out and implemented January 1, 2016 · New Midstate BLS Protocols

· State DOH Spinal Protocol implementation

· Education – New CME Program, winter spring classes

· CISM Program

· County EMS Updates

· State DOH update