Attached is the Greater Miami Valley EMS Council Just in Time Standing Order (JITSO) for Paramedics and Advanced EMTs for Janssen COVID-19 Vaccine. Scope of practice precludes use by EMTs or EMRs. We have made the Janssen JITSO follow the same format as the ones issued for Moderna and Pfizer as closely as possible. All […]
Category: Bulletins and JITSOs
Attached is the Greater Miami Valley EMS Council Just in Time Standing Order (JITSO) for Paramedics and Advanced EMTs for Pfizer COVID-19 Vaccine. Since this is an IM injection, scope of practice precludes use by EMTs or EMRs. EMS assisting with PODs or Mobile Vaccination Teams may now use either Moderna or Pfizer vaccine. […]
Attached is the Greater Miami Valley EMS Council Just in Time Standing Order (JITSO) for Paramedics and Advanced EMTs for Moderna COVID-19 Vaccine. Since this is an IM injection, scope of practice precludes use by EMTs or EMRs. Region 3 Regional Physicians Advisory Board (RPAB) approved use of EUA Fact Sheet materials for the JITSO. […]
We have been working to develop guidance for our region regarding CPR during the COVID-19 Pandemic. Last week, the American Heart Association along with seven other medical societies issued Interim Guidance, and as it recommends, we used their expert guidance and modified it for our region. These materials focus on reducing provider exposure, while prioritizing […]
COVID Points for EMS Emergency Departments in the region continue to see patients brought in by EMS where patients are not wearing masks. Putting a mask on the patient is the most important first step in protecting both EMS and emergency department personnel. Consider placing a mask on all patients with illness particularly from group […]
COVID Points for EMS Aerosol-generating procedures (AGPs) can be lifesaving. They also present risks to everyone in the vicinity when the patient has a highly contagious disease. AGPs include CPAP, CPR, nebulizers, intubation, Bi-PAP, suctioning, and high-flow O2 by mask. When using a NRM or cannula, place a mask on the patient over the O2 […]
We’re going to start sending brief messages related to the coronavirus pandemic. Please share with all public safety personnel, including law enforcement, fire, EMS, EMA, and dispatchers. Remember, “There is no try.” Conserve PPE – all infectious disease PPE is running low; some areas are already completely out of certain items. Re-using the good stuff is better than […]
Emergency medical services are a component of critical infrastructure. To protect personnel during the pandemic, the following Just in Time Standing Order (JITSO) is in effect throughout Greater Miami Valley EMS Council immediately. To ensure effective patient care and minimize cross-contamination of EMS units and hospitals, EMS units will only allow family members or support […]
This is intended largely as a planning document for agencies. Recommendations for immediate steps and clinical actions for EMS are in Bulletin 2.
This will discuss immediate steps and clinical actions for EMS. Additional recommendations for planning at the agency level are included in Bulletin 3. An abbreviated version of this is being developed for law enforcement and corrections personnel.