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News
Three from WVEMS Region win Governor's Awards

Three winners of the 2014 WVEMS Regional EMS Awards, awarded in June of this year, have won highest honors in the State, by winning the 2014 Governor's EMS Award in their respective categories.Michael Moran, M.D.David Jones

Susan FulcherSusan Fulcher (left) of Martinsville-Henry County 911 Center won the Governor's Award for Outstanding EMS Telecommunications Dispatcher. David Jones (right) of Roanoke County Fire & EMS won the Governor’s Award for Outstanding Contribution to EMS Health & Safety. And Dr. Michael Moran (top left) won the Governor’s Award for Physician with Outstanding Contribution to EMS. CONGRATULATIONS to these 3 and all of this years winners of Governor's EMS Awards.

 
WVEMS SUSPECTED EVD Guideline
WVEMS has published it Suspected EVD (Hemorrhagic Fever) Guideline 11-3-14. This is a guideline to assist in the development of agency and/or municipality policies and procedures. The Guideline is a recommendation of the MINIMUMS that should be followed, in addition to any policies implemented by your operational medical director and any requirements of the receiving facility. In this guideline, there are several references to CDC guidance and other sources. Those references are updated often and should be checked frequently for updates and revisions.

 

Please note that WVEMS and the Virginia Office of EMS will only reference documents and policies issued by (or consistent with) CDC or VDH guidance.

 
EVD Screening and Refusals
What do you do when a patient screens positive for EVD, yet refuses transport? CDC Guidelines state that you should notify the Health Department and the CDC. An updated EMS screening tool will be provided soon by the CDC.


How to notify the Virginia Department of Health and CDC: Notification should be made to your local health district and to the CDC. See this document VDH District Epidemiology Contacts for contact info to report positive screened patients who refuse transport.

 

Is your PSAP doing initial screening for EVD? All PSAPs should be screening every call NOW. The CDC provides guidance for a simple modified call query:

For modified caller queries:

It will be important for PSAPs to question callers and determine if anyone at the incident possibly has Ebola. This should be communicated immediately to EMS personnel before arrival and to assign the appropriate EMS resources. Local and state public health officials should also be notified. PSAPs should review existing medical dispatch procedures and coordinate any changes with their EMS medical director and with their local public health department.

  • PSAP call takers should consider screening callers for symptoms and risk factors of Ebola. Callers should be asked if they, or if the affected person, has fever of 38.0 degrees Celsius or 100.4 degrees Fahrenheit or greater, and if they have additional symptoms such as severe headache, muscle pain, vomiting, diarrhea, abdominal pain, or unexplained bleeding.
    • If PSAP call takers suspect a caller is reporting symptoms of Ebola, they should screen callers for risk factors within the past 3 weeks before onset of symptoms. Risk factors include:
      • Contact with blood or body fluids of a patient known to have or suspected to have Ebola; or
      • Residence in or travel to a country where an Ebola outbreak is occurring (a list of countries can be accessed at the following link: 2014 Ebola Outbreak in West Africa).
    • If PSAP call takers have information alerting them to a person with possible Ebola, they should make sure any first responders and EMS personnel are made aware of the potential for a patient with possible exposure/symptoms of Ebola before the responders arrive on scene.
    • If responding at an airport or other port of entry to the United States, the PSAP should notify the CDC Quarantine Station for the port of entry. Contact information for CDC Quarantine Stations can be accessed at the following link: Quarantine Station Contact List, Map, and Fact Sheets.
 
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Ebola Virus Disease Information UPDATED 10-28-14

The Virginia Office of EMS (VaOEMS) has created a seperate webpage with a number of douments from the Virginia Department of Health (VDH), Center for Disease Control (CDC) and the Assistant Secretary for Preparedness and Response (ASPR).

The essential documents include these. When obtaining documents for use by your agency or your PSAP, pay close attention to teh revision date. These documents are evolving and changing at a rapid pace:

Additionally, Michael Berg, Manager, Regulation and Compliance issued the following memo regarding Equipment on ambulances transporting patients suspected of having the Ebola Virus Disease.  Please take a few minutes to read this important memo VaOEMS Ambulance Equipment Memo 10-28-14

Use these documents along with the others on OEMS's webpage and direction from your Operational Medical Director, Agency leadership and receiving facility to develop your plan for assessing, treating and transporting patient suspected of being infected with the Ebola virus.  Make sure your plans include PPE and decontamination of your unit.

 
WVEMS Board Minutes Archive

minutesWVEMS' former administrative intern Matthew Chupp recently completed a monumental project to scan all of the Board of Directors meeting minutes (and other corporate documents) dating back to the Council's organizational meeting held on October 2, 1975. Looking over these many notebooks filled with minutes brought back memories, especially to those who have been involved with WVEMS in one form or another since near the beginning. For a trip down memory lane, or to research how things got to be where they are, feel free to take a look HERE!

You "old-timers" might recall some of our incorporating directors: Mt. Pleasant Rescue Squad member Mr. Gary E. Dogan; Our first president and regional medical director Dr. John M. Garvin; Executive Director of the SW Virginia Health Systems Agency Mr. Dale Byington; Attorney Mr. Kenneth C. King, Jr; Giles Memorial Hospital administrator Mr. Robert Smith; New River Valley PDC EMS Coordinator Ms. Elizabeth Kaplan; NRV orthopedic surgeon Dr. Stuart Mackler;  and Montgomery County Sheriff Mr. Louis E. Barber.

 
New IV Fluid Guidelines In Effect

NATIONWIDE IV FLUID SHORTAGE – WVEMS GUIDELINES EFFECTIVE IMMEDIATELY

Due to the nationwide shortage of IV fluids, beginning immediately, EMS providers in the WVEMS Region will only spike and use a bag of Normal Saline (or any other IV fluid) if they are responding to the following categories of patients (unless otherwise directed by medical control):

  • Hypotension, secondary to traumatic or medical issues
  • Hypovolemia
  • Cardiac Arrest
  • All other patients should receive a saline lock until advised differently.

Download a copy of the IV Fluid Shortage Protocol Revision Memo from Dr. Charles Lane, Regional Medical Director.

If you have further questions, you can contact the regional council at wvems.org or at

(540)562-3482.

 
Donate to WVEMS!

WVEMS is a 501(c)(3) not-for-profit corporation. We strive to support our citizens, EMS providers, hospitals, localities and EMS/public safety agencies to the best of our ability. But we also need your support! All contributions, no matter how small, are greatly appreciated!