Coastal Valleys EMS Agency News

Coastal Valleys EMS Agency has released an updated version of earlier guidance for provider agencies experiencing medication shortages due to supply chain disruptions. EMS Special Memo 22-002 Drug Shortages and Substitutions includes direction for the substitution of Lactated Ringer's Solution in place of Normal Saline with some important exceptions. The  Memo outlines procedures to be put in place if a provider agency is unable to obtain required medications after exhausting usual and alternate vendors. This guidance will allow for the use of expired medications in extremis when no other options remain.

Coastal Valleys EMS Agency has released EMS Special Memo 22-001 authorizing some modifications to local process for paramedic accreditation.

EMS Special Memo 22-001 that describes two expedited accreditation processes CVEMSA is implementing to support current and potentially worsening shortages of accredited paramedics.

The Special Memo provides the process for implementing An ALS Provider Agency abbreviated system orientation for experienced paramedics that will allow for a waiver of the standard “five call” field evaluation.

 The Special Memo also allows new paramedics to complete the CVEMSA five call process concurrently with the end of their field internships. If the internship was completed at the employing ALS Provider agency and the field preceptor/evaluator documents five eligible ALS contacts in which the intern performed at the level of an accreditation candidate, the field evaluation may be submitted for accreditation purposes.

Please direct any questions regarding this EMS Special Memo to EMS Coordinator James Salvante via email at This email address is being protected from spambots. You need JavaScript enabled to view it.

The Coastal Valleys EMS Agency has released Special Memo 21-003 intended to authorize the implementation of a CMS-approved ET3 Pilot Project within the LEMSA jurisdiction. This Special Memo is required due to a CMS approval deadline of December 31 2021 by any regulatory agencies approving such pilots.

Greater discussion about the expansion of the ET3 study component(s) including on-scene treat and release, telemedicine and alternate care facility diversion/transportation within CVEMSA will occur at EMCC, MAC, and the policy revision group. Those components need to have robust stakeholder discussion and input. Ultimately, operationalized treatment guidelines and policy infrastructure will be built through a collaborative effort between CVEMSA and outside interested parties.

Please click the links below for the California State Stroke and STEMI Summits. These are free virtual events offering EMS CE open to any and all interested individuals. Registration links are included in the linked fliers:

California State Stroke Summit

California State STEMI Summit

Coastal Valleys EMS Agency, in coordination with Sonoma County Public Health, has released EMS Special Memo 21-002 with the intent to provide education to Sonoma County EMS System partners regarding communicable disease reporting requirements in general with a focus on SARS-CoV-2. Although this memo may only be considered authoritative for Sonoma County based on Local Health Jurisdiction boundaries, the information presented in consistent with California Health and Safety Code as well as CDC guidelines.  Please feel free to connect with EMS Agency staff with any questions regarding this informational memo.

EMS Special Memo 21-002 Exposure Reporting (Sonoma County)

2021 Treatment Guidelines Revisions

Public Comment Period March 15, 2021- May 15, 2021

Coastal Valleys EMS Agency is proposing revisions to several Treatment Guidelines. System stakeholders worked with the EMS Agency Medical Director and staff to develop the following public comment versions:

•     7003 Cardiac Arrest Management
•     7102 Dysrhythmias
•     7501 Imminent Delivery
•     7906 Administration of Ketorolac
•     7908 CPAP

Link to 2021Draft Treatment Guidelines document
Please note the linked file is a version of the CVEMSA Treatment Guidelines manual that includes edits to the above treatment guidelines open for public comment. The reminder of the CVEMSA Treatment Guidelines are not under revision during this cycle. System participants and stakeholders are welcome to provide feedback on any CVEMSA policy at any time, but only the five guidelines listed above are open for changes in this policy development cycle.

Please forward comments via fax or email to:

Carly Sullivan
Advanced Life Support Coordinator
Coastal Valleys EMS Agency
195 Concourse Blvd., Suite B
Santa Rosa, CA 95403
707-565-6510 FAX
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.