PCRs

As you probably know by now the Bureau of EMS in Albany has run out of paper PCRs.They are unable to give us a date when they will become available.  Any agency in need of paper PCRs may photocopy, print their own, or purchase them from Cooperstown Medical Transport by contacting Beth at   bmcgown@cmtems.com or by phone at 607 433-0000 x 1006. The cost is $27.50 for 250 plus shipping.

Daytime Basic Class

Daytime, Basic EMT Class starting 8/21/12 Testing 12/20/12. Class will run Tuesday’s and Thursday’s 12:30pm to 4:30pm and some Saturday’s 10:00am to 1:30pm. Register at the “Class” link above or call Bill at 315-624-4539.

PCR

We have been advised that the state does not currently have any PCR’s in stock. 

The attached link available to agencies that wish to print the NYS PCR.

http://www.health.ny.gov/nysdoh/ems/pcr_5/index.htm

Epinephrine Shortage

Midstate Regional Emergency Medical Advisory Committee
2521 Sunset Ave.
Utica NY 13512

TO: Midstate EMS ALS Agencies August 1, 2012
From: John DeTraglia MD, REMAC Chair
RE: Epinephrine Shortage

***EPINIEPHRINE 1:10,000 1 mg/ 10ml prefilled syringe:

Due to current and possible future shortages of Epinephrine 1:10,000 1mg/10ml prefilled syringes reported by the Food and Drug Administration (FDA), the following plan should be followed if your agency stock becomes low or exhausted.

Option 1: Utilizing Epinephrine 1:1,000 1mg/ml 30 ml vial
Make Epinephrine 1:10,000 1 mg/10 ml using
Epinephrine 1:1,000 1mg/ml 30 ml vial
 Step 1 Add 5 mg (5ml) Epinephrine 1:1,000 into a 50 ml bag of NS
 Step 2 Draw up 10 ml from the NS bag (that has been mixed with the 5 mg of Epinephrine 1:1,000) into a 10 cc syringe.
 Administer to patient
 After the 50 ml NS bag is mixed with the Epinephrine 1:1,000, you will have 5 doses of Epinephrine 1:10,000 available
 The actual concentration will be approximately 0.9 mg. The negligible difference is felt to be acceptable in this setting.
 Should personnel and resources be available, then certainly 5 mL of normal saline can be withdrawn from the 50 ml bag prior to instilling 5 mg (5mL) of Epinephrine 1:1000. This will result in a concentration of 1 mg.

Option 2: Utilizing Epinephrine 1:1,000 1 mg/ml ampule
Make Epinephrine 1:10,000 1mg/10ml using Epinephrine 1:1,000 1mg/ml ampule
 Step 1 Expel 1 ml of normal saline from a pre-filled syringe and instill 1 mg (1mL) of Epinephrine 1:1,000
EITHER OF THESE TWO ADDITIONAL OPTIONS IS ACCEPTABLE. REMEMBER TO DISCARD ANY UNUSED DOSES OF EPINEHRINE AFTER EACH PATIENT. THESE EXTRA STEPS AND ADDITOINAL AVENUES INCREASE THE POTENTIAL FOR ERRORS, ADDITONAL VIGILANCE WILL BE NECESSARY.

***Ondansetron (Zofran) 4mg/2ml vials:
Shortages have been reported and the Midstate REMAC approved the use of Ondansetron 4 mg Orally Disintegrating Tablets (ODT) if necessary.

Bath Salts Education

Speaker: T. Michele Caliva, RN CSPI

Upstate New York Poison Center

August 7, 2012

Times: 1:00 PM and 3:00 PM

Location: Community Memorial Hospital Atrium

Target Audience: Emergency Department Staff, ICU staff, EMS providers

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Protocol Draft

Dear EMS Champion,
The Midstate Regional Emergency Medical Advisory Committee (REMAC) has approved a Draft set of Protocols to be used by the Midstate Pre Hospital Providers.
As part of the process we have posted a draft copy at http://midstateems.org/docs/2012-Protocol-DRAFT/Midstate%20EMS%20Draft%20Protocol%202012.pdf for your review and comments. Please take the time to review and comment on the proposed Midstate Protocols.
Your comments can be sent to director@midstateems.org  before noon Aug 7, 2012.
All comments received will be reviewed by the Protocol Committee for consideration to be included in the final draft.  The final draft will be approved by the Midstate REMAC and forwarded to the State Emergency Medical Advisory Committee (SEMAC) for final approval.
Thank you in advance for your assistance of this vital process.
Sincerely,

Vinny Faraone
Midstate EMS Clinical Coordinator

THE 35TH BOILERMAKER GOES DOWN IN THE RECORD BOOK

Over 18,000 runners this year!

That is allot of runners.

With that being said I would like to take this opportunity to THANK ALL that Volunteered their time

and for ALL those that participated on Sunday July 8th, 2012 for this HUGE event in Utica, New York.

We could not have done it without all of you!

Have a Safe Summer and see you next year! Remember Volunteer Early as February 2013!

MIDSTATE Region Photo ID Badges

Anyone in need of an ID Badge during the Summer months PLEASE CALL

315-624-4533 to make sure that I will be in the office the day

you will be stopping by.

I will make an appointment with you if necessary to avoid a wasted trip to the

Training Center.  * Don’t forget to bring your certification card from the NYS-DOH,

a current CPR card and some form of photo ID with you.

Have a Safe Summer.

Protocol Handbook 2012 DRAFT

June 27, 2012

Midstate Agencies and Providers,

 

The Midstate REMAC approved the draft of updated Advanced Life Support Protocols. Providers and Interested persons are encouraged to review this draft document and make comments. In accordance with DOH policy these protocols will be available for comment for a minimum of 30 days. Comments should be addressed to:

Midstate REMAC

2521 Sunset Ave.

Utica NY 13502

 

Or

 

director@midstateems.org

 

The deadline for submissions is noon August 7, 2012

Bath Salts

Bath Salts