Carilion Roanoke Memorial’s Level I Trauma Center will soon implement new scoring criteria to determine what level of response they will provide when receiving an adult or pediatric trauma patient. When calling in prior to bringing a trauma patient to the CRMH Trauma Center, please be prepared to provide all of the information necessary for the Trauma Center to determine whether the call will be handled as a Gold Alert, Trauma Alert, or Trauma Consult. The new criteria will be implemented on March 13.


NEW ADULT Trauma Gold Criteria Updated 2017            New PEDS Alert Criteria updated 2017    

Starting in May 2016, the ratio expression format for drug concentrations will no longer be permitted. This new development will apply to epinephrine, isoproterenol and neostigmine. Unaffected by this are the lidocaine and epinephrine combination solutions for local anesthesia.

The new labeling for epinephrine will only be displayed as the mass concentration format used in virtually every other medication. For example, epinephrine 1:1000 will now be labeled as 1 mg/mL, and for the 1:10,000 as 0.1 mg/mL. It is hoped that this change will decrease medication errors in the field and in the hospital. pdf See the explanation HERE. (159 KB)

We have been advised that some hospitals in our region have started using Normosol R IV fluids in their Emergency Department. 0.9 Sodium Chloride (Normal Saline), is still available for EMS restock. PLEASE pay close attention as you obtain your restock supplies, to be sure that you get Normal Saline for restocking.

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