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EMERGENCY INTERIM PROTOCOLS – DRUG SHORTAGES

The following ( pdf and attached (21 KB) ) protocols are in effect immediately to address current drug shortages affecting WVEMS and the nation. Please read and retain this information.

 

DEXTROSE pdf
(21 KB)

Due to a critical shortage of Dextrose, an interim protocol has been developed until there is adequate supply of D10 or D50.

Alternate protocol for hypoglycemia and altered mental status (typically FSBS <60) when no pre-filled syringes of D50, D25 or D10 are available.  Administer rapidly, may require mild to moderate pressure on bag. 

D10W in 250ml or 500ml IV bag:

            Adult dose 5 grams = 50ml (<0.1 gram/kg)

            Pediatric dose 0.1 grams/kg = 1ml/kg

            Repeat every 5 minutes based on FSBS and Mental Status

                                                            Or

 

D5W in 100ml, 250ml or 500ml IV bag:

            Adult dose 5 grams= 100ml

            Pediatric dose 0.1 grams/kg = 2ml/kg

            Repeat every 5 minutes based on FSBS and Mental Status

EPINEPHRINE

If there are no Epi 1:10,000, prefilled syringes in the box, use:

1 mg of Epi 1:1000 – mixed with 9 mL of Normal Saline

Epinephrine may be in your box as a 30 mL multi-dose vial, of 1:1,000 typically packaged 1mg/mL

SODIUM BICARB

There is no alternative drug that will be used in the place of Sodium Bicarb.  If the box does not have Sodium Bicarb in it, it will be marked with a sticker from the pharmacy, “No Sodium Bicarb”

The Western Virginia Emergency Medical Services (EMS) Council, Inc. paid tribute to its regional EMS personnel for their selfless acts of service at the council's annual awards ceremony, May 23, at the American Legion, Salem, VA.  Regional award winners were nominated by thier peers for thir high level of achievments in the EMS field.  

Recipients of this year's regional awards will have the chance to compete for the prestigious 2017 Governor's EMS Awards, which will be announced at the Virginia EMS Symposium's Annual Awards Ceremony, November 12 in Norfolk.  

This Years Recipients:

  • Excellence in EMS - Daryl Hatcher, Franklin County Public Safety
  • Outstanding EMS Administrator - Chris Eyestone, Virginia Tech Rescue Squad
  • Outstanding EMS Agency - Blacksburg Volunteer Rescue Squad
  • Outstanding Contribution to EMS Prepardness and Response - Marci Stone, Roanoke Fire and EMS
  • Nurse with Outstanding Contribution to EMS - Andrea "Andi" Wright, Carilion Roanoke Memorial
  • Outstanding Prehospital Educator - Mike Garnett, Western Virginia EMS Council
  • Outstanding EMS Provider - Lois Whitlow, Bassett Volunteer Rescue Squad
  • Outstanding Contribution to EMS by a Physician (Dr. Cheryl B. Hass Award) - Michael Saccocci, DO, HCA Virginia, Lewis Gale Salem
  • Outstanding EMS Telecommunications Dispatcher - Donna Brown, Executive Director, New River Valley 911
  • Outstanding Contribution to EMS for Children - James Keith Blankenship, Carilion Clinic

Special Recognition:

Benny Summerlin Award for Service to Local Government - Kenneth Neal Turner, Montgomery County Emergency Services

 

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)

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