ROANOKE, VA - July 4, there will be several streets closed from 6:00 AM to 10:30 PM due to the "Roanoke's Fourth of July Fireworks" event.

To access Roanoke Memorial Hospital between 9pm and 10:30pm follow McClanahan St to Jefferson to Weller Dr. Crews coming from the North will take I-581 south to the Wonju Exit to Broadway to McClanahan St.

The following streets will be closed:

- From 6:00 AM to 10:30 PM, Wiley Drive, between Crystal Springs Avenue and Franklin Road
- From 6:00 AM to 10:30 PM, Edinburgh Street, from Franklin Road to dead end
- From 6:00 AM to 10:30 PM, Evans Mill Road, between Wycliffe Avenue and Crystal Springs Avenue
- From 7:00 PM to 10:30 PM, Northbound outside lane of Franklin Road, between McClanahan Street and Wiley Drive
- From 9:00 PM to 10:30 PM, Jefferson Street southbound, between Williamson Road and Reserve Avenue, will be closed to through traffic
- From 9:00 PM to 10:30 PM, Jefferson Street, between Reserve Avenue and Weller Lane
- From 9:00 PM to 10:30 PM, Reserve Avenue, between Jefferson Street and Franklin Road, will be closed to through traffic

Police and various traffic control devices will be present during this event. Motorists are encouraged to drive cautiously and expect delays.

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)

WVEMS has received a memorandum from the Virginia Office of EMS with the following information. pdf A copy may be downloaded HERE. (31 KB)

The recent changes to the KKK 1822 ambulance standards and the development of new standards by the Commission on Accreditation of Ambulance Services (CAAS)  and the National Association Fire Protection Association (NFPA) has created questions at the state EMS level and especially from EMS agencies planning to purchase either a replacement or remount ambulance. To further complicate matters, at the national level, there are no “standards” for remounting of ambulances; this is a future project. Within the Virginia EMS Regulations 12VAC5-31-810 Ground ambulance specifications states in part:

“B. A ground ambulance must be commercially constructed and certified to comply with the current federal specification for the Star of Life ambulance (U.S. General Services Administration KKK-A-1822 standards) as of the date of vehicle construction, with exceptions as specified in these regulations.”

 After consultation with the Virginia Office of the Attorney General, it has been determined that on or after July 1, 2016, any newly constructed or remounted ambulance must comply with the above Regulation in order to be permitted in Virginia. This means that remounted ambulances must meet the same safety requirements identified in any Change Notice issued by the General Services Administration (GSA) KKK 1822 Ambulance standards. A Virginia EMS agency cannot elect to exclude themselves from any of these required standards and receive a permit to operate an ambulance in the Commonwealth.

For future reference, both the NFPA1917 Standard for Automotive Ambulances and the (CAAS) Ground Vehicle Standard V1.0 incorporate all the safety standards referenced in the GSA document. 

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