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Coastal Valleys EMS Agency News

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Posted on in Policy Updates

Effective March 5, 2015

1. Revised Field Treatment Guidelines:

a) 8003 BLS Oxygen/Airway
Revised to reflect current evidence that too much supplemental oxygen can be harmful in certain conditions and outlines the use of titrated oxygen therapy.

b) 8004 BLS Pulse Oximetry
Revised to allow Pulse Oximetry along with assessment and other skills to be used as a BLS diagnostic tool to help guide oxygen titration.

This change affects the following treatment guidelines that refer to oxygen administration and have been revised to state:

"Consider oxygen administration per Treatment Guideline 8003."

Please review the following materials:

2. New Field Treatment Guideline:

a) 8018 Hemostatic Agents - Optional Scope
The use of hemostatic agents is now an approved optional BLS skill. The use of any hemostatic gauze requires additional training provided by provider agency prior to use. The California EMS Authority has approved only Quick Clot® and Celox® dressings for use in the prehospital setting.

Please review the following materials:

This change affects Treatment Guideline 8008 Trauma Management which has been revised to state:

"Use of gauze type hemostatic agents are an approved BLS Optional Scope to be used during tourniquet placement and in combination with direct pressure to aid in severe arterial bleeding or to control severe bleeding when tourniquets are not indicated (junctional injuries)."

Please direct any questions regarding the changes to:

Joanne Chapman, RN
Trauma/Clinical Care Coordinator
This email address is being protected from spambots. You need JavaScript enabled to view it.
(707) 321-8665

Posted on in Policy Updates

The review and comment period for development and adoption of the following treatment guidelines has been initiated. Please review carefully and submit comments. This public comment period will close February 16, 2015.

Read more...

Posted on in Policy Updates

Effective November 15, 2014

1)      Revised Field Treatment Guidelines regarding Fentanyl:

  • Revised dose: Fentanyl 50-100mcg slow IV push (over 1 minute).
  • Repeat initial dose IV every 5 minutes to a maximum of 200mcg. 
  • Revised maximum IM dose is 200mcg (Note: IM or IN dosing has not changed). 
  • Maximum dose of 300mcg all routes for transport times in excess of one hour.

This change affects the following treatment guidelines: 

2)      Blood sugar of 80mg/dl or unmeasureable has been changed to a range of 60-80mg/dl or unmeasureable with clinical presentation used to help determine treatment. 

This change affects the following treatment guidelines:

Please direct any questions regarding the changes to:

Joanne Chapman, RN
Trauma/Clinical Care Coordinator
This email address is being protected from spambots. You need JavaScript enabled to view it.
707-321-8665

 

 

Posted on in Policy Updates

The Coastal Valleys EMS Special Memo contains information regarding the safe assessment and management of suspected Ebola patients and subsequent decontamination of equipment:

https://www.coastalvalleysems.org/policies-plans/ems-special-memos.html

This document was produced in cooperation with the Sonoma and Mendocino County Public Health Disease Control authorities. The Special Memo contains information and links to California EMS Authority guidance and Centers for Disease Control (CDC) information, as well as contact information for county Disease Control.

Some documents on this web page are saved in Portable Document Format (PDF). We recommend you download Adobe® Reader®, free software that lets you view and print PDF files.

Contact Us

Coastal Valleys EMS Agency
195 Concourse Blvd., Suite B
Santa Rosa, CA 95403
(707) 565-6501

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