IMPERIAL VALLEY COLLEGE
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News & Current Events
EMS TRAINING PROGRAMS
Website updated April 27, 2013
The Imperial County policies required some changes be made to the medication sheets and they have been made. Highlights of the changes include changes to Xylocaine, Sodium Bicarbonate, Nitroglycerin, Atropine, Midazolam medication sheets. Updated medication sheets are available on the paramedic webpage of this site.
Xylocaine is no longer indicated for the treatment of ventricular ectopic beats, just VT and VF. Xylocaine can be given in a post-conversion situation where ventricular ectopics are seen.
Sodium Bicarbonate will require a Base Hospital Physician order (deviation of protocol) since there are no longer field indications in any IC policy but it remains in the paramedic scope of practice.
Nitroglycerin may not be given to any patient under standing orders who has taken any erectile dysfunction medications within 48 hours; Now requires a Base Hospital Physician order.
Atropine is no longer indicated for the specific treatment of ventricular dysrhythmias in the presence of bradycardias, though it may be given for treatment of symptomatic bradycardic rhythms and it may suppress ventricular escape beats. It is recommended that paramedics use TCP in classical and complete heart blocks rather than using Atropine. Atropine is no longer recommended for asystole or PEA situations (does not improve outcomes).
Midazolam can now be used to treat severely agitated patients. The recommended routes of administration is Intranasal or intramuscular to avoid injuries from needle sticks from agitated patients.
Xylocaine is no longer indicated for the treatment of ventricular ectopic beats, just VT and VF. Xylocaine can be given in a post-conversion situation where ventricular ectopics are seen.
Sodium Bicarbonate will require a Base Hospital Physician order (deviation of protocol) since there are no longer field indications in any IC policy but it remains in the paramedic scope of practice.
Nitroglycerin may not be given to any patient under standing orders who has taken any erectile dysfunction medications within 48 hours; Now requires a Base Hospital Physician order.
Atropine is no longer indicated for the specific treatment of ventricular dysrhythmias in the presence of bradycardias, though it may be given for treatment of symptomatic bradycardic rhythms and it may suppress ventricular escape beats. It is recommended that paramedics use TCP in classical and complete heart blocks rather than using Atropine. Atropine is no longer recommended for asystole or PEA situations (does not improve outcomes).
Midazolam can now be used to treat severely agitated patients. The recommended routes of administration is Intranasal or intramuscular to avoid injuries from needle sticks from agitated patients.
Medication sheets have been updated (4/1/13)
IVC Construction Update
Construction of the new home for the EMS, Fire Academy and Administration of Justice training programs is well under way. Completion of the new building is scheduled for the summer of 2014. The new building will contain large "smart" classrooms and skills laboratories, showers and locker facilities as well as equipment storage facilities and offices for all 3 disciplines.
The EMS, Fire and AJ teaching staff would like to thank the community of Imperial County for their approval of the bonds that are allowing us to provide a much better learning environment to our students.
The EMS, Fire and AJ teaching staff would like to thank the community of Imperial County for their approval of the bonds that are allowing us to provide a much better learning environment to our students.
Shortages of Medications
Effective immediately: Because of shortages of preloaded preparations of epinephrine 1:10,000 and dextrose 50%, the Imperial County EMS Agency has issued the attached directives for EMS personnel: (Click on links)