Welcome to Vermont Emergency Medical Services District No. 5

Updated 03/17/2011

  New NVRH Transfer Guidelines - 12/04/10

EMS will be staging in the ED for all transports from inpatient units.  They will follow the following procedure

1)       They should be called when the patient is ready to go

2)       They will call the sending unit, from the ED to notify them of their arrival

3)       When the patient  AND paperwork are ready to go, the sending unit should call the ED , #7686, and let EMS know they are ready

4)      EMS will then proceed to sending unit

Calls should be made from the lounge phone to help decrease secretary involvement.  I will post the unit numbers beside the phone for easy access.  Thanks -Deb Bach, E.D Nurse Manager

For those that were unable to attend this month's training - please review the  DNR / COLST Form VT EMS Protocol  -under files

 NEW 2010 AHA Guidelines posted under files.  Start reviewing!!!

 Methamphetamine Use in Vermont - Health Advisory - see files for Memo

PLEASE make sure your crews know 12 LEADS strips MUST BE LABELED AND PLACED ON PROGRESS NOTES NOT (OR JUST PLAIN PAPER) or they will be tossed!  We do need them for patient records but without a name and DOB on it we can not "guess" who they belong to. 
 
Thanks, Deb

EMS District # 5 Use of Paramedic Resource:

Paramedic intercepts may be a useful resource for EMT-I and EMT-B crew offering ALS care in a variety of clinical situations:

Chest Pain, Shortness of Breath, Major Trauma, Pain Control, Anaphylaxis, Cardiac or Respiratory Arrest, Advanced Airway Management, Seriously ill Pediatric patients

Given that adult medical patients can be difficult to evaluate, if grossly abnormal vital signs are obtained in a patient:

1)      Pulse greater than 140 or less than 40

2)      Blood pressure less than 100 systolic

3)      Respiratory rate greater than 30 or less than 10

4)      Oxygen saturation less than 88%

EMT-I or EMT-B level crews should consider involving paramedics in the care of these patients, given the response time and distance to the Emergency Room.

Stanley Baker, MD
District # 5 EMS Medical Director

Prehospital 12 lead - "STEMI ALERT" will be effective Monday June 7th

STEMI QA forms are available in box in ED break room.  Please complete and return to ED Secretary immediately after call.

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Vermont Emergency Medical Services District No. 5      Includes the emergency medical service agencies which serve the towns designated by the Vermont State Department of Health Emergency Medical Services. EMS District 5 serves to coordinate the training, license review, medical direction, and local protocols for this district as well as to promote the field of EMS to the public. [Map of District 5 area within Vermont.]