#GMVEMSC Jobs: Employment Opportunity - AMR

 

We are looking for EMS Instructors that are available to teach the accelerated EMT course during the Fall.             

We are located at 8261 St. Rt 235 Huber Heights.

 

If you are interested, please call or email Tom Kaeff for details

 

 

937-479-4423 : Thomas.kaeff@AMR.net

#GMVEMSC: Registration is OPEN! Sign Up Now!

In recognition of September as Sepsis Awareness Month, Premier Health is hosting “Sepsis Symposium 2019: Managing

Sepsis Through the Continuum of Care--pre-hospital to post-discharge.”Featuring keynote speaker, Dr. Randy

Marriott, Medical Director EMS Center of Excellence, the event will be held at Miami Valley Hospital in Bieser Auditorium on September 17. Registration will start at 7:30 a.m. The event will run from 8 a.m. until 4 p.m. The cost is

$25. EMS & RN CEs available. Register online at https://www.premierhealth.com/calevent.aspx?evtid=128506 or call CareFinders at(866) 608-FIND.

 

Please contact EMS Coordinator Elizabeth Beam with any questions.

 

Elizabeth Beam

(formerly Elizabeth Evans, new email ejbeam@premierhealth.com)

EMS Coordinator

Miami Valley Hospital

Phone: 937-208-2386

Fax: 937-223-9314

This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited.

 

 

#GMVEMSC Jobs: Employment Opportunity - Fulltime Firefighter Posting, Lateral and Entry processes.

JOB POSTING

LATERAL ENTRY

FULL-TIME FIREFIGHTER/PARAMEDIC

August 28, 2019

The City of Riverside is seeking to establish an eligibility list for the position of full-time firefighter/paramedic with one immediate opening and the forecast of three additional hires from this list. 

A City of Riverside Firefighter/Paramedic must be willing to work as part of a team and build professional relationships with staff, colleagues, co-workers, elected officials, community leaders, and citizens.  This position requires a physically fit professional who has a passion to provide efficient professional Fire/EMS services with outstanding communication and leadership skills.

The pay range for the position is $18.45-$24.19/hour.  The Firefighter/Paramedic works a 24/48 schedule as subject to current union contract. 

Minimum Qualifications for Lateral Entry: Applicants must have State of Ohio EMT-, a current State of Ohio Level II Firefighter Certification, Hazardous Material Operations Certificate, and a valid Ohio Driver's License, obtain a State of Ohio Fire Safety Inspector Certification, be cleared as a primary care giver on the Medic and become a certified Engine Driver/Operator within 12 months of their start date in order to successfully complete their probationary period.  All certifications must be maintained during employment. The applicant must comply with all job description requirements throughout employment. The Fire Chief may waive certain minimum requirements to ensure an adequate candidate pool.

Lateral Entry Wage and Benefits: Candidates presently working as a full-time firefighter-paramedic may be considered for a lateral entry pay range depending on experience and time in grade as determined by the Fire Chief on a case by case basis. Vacation accrual credit will be awarded with prior government service. Accrued sick leave is transferrable with verification from previous employer.

 

Application Process: Candidates interested in applying for a Full-Time Firefighter/Paramedic position with the Riverside Fire Department shall submit a completed application and resume, copy of your driver's license, and all applicable certifications to the attention of Assistant City Manager Chris Lohr clohr@riversideoh.gov  or 5200 Springfield St. Ste 100, Riverside OH 45431, no later than Friday, September 13, 2019 by 4:00 p.m.  Any missing documentation or incomplete application will void the applicant from the process. A detailed job description and application can be found at www.riversideoh.gov. 

 

LATERAL ENTRY APPLICATION PROCESS SCHEDULE:

             Applications Accepted: August 28, 2019 – September 13, 2019

             Notification to candidates invited to next steps: September 16, 2019 – September 20th

             Interviews and Background Investigations: Weeks of September 16th and 23rd

             Conditional offers: Week of September 30th for immediate opening

             If SAFER grant awarded, 3 additional final offers with start dates early January 2020.

 

***The City of Riverside is an Equal Opportunity Employer***

 

 

JOB POSTING

ENTRY LEVEL

FULL-TIME FIREFIGHTER/PARAMEDIC

August 28, 2019

The City of Riverside is seeking to establish an eligibility list for the position of full-time firefighter/paramedic with one immediate opening and the forecast of three additional hires from this list. 

A City of Riverside Firefighter/Paramedic must be willing to work as part of a team and build professional relationships with staff, colleagues, co-workers, elected officials, community leaders, and citizens.  This position requires a physically fit professional who has a passion to provide efficient professional Fire/EMS services with outstanding communication and leadership skills.

The pay range for the position is $18.45-$24.19/hour.  The Firefighter/Paramedic works a 24/48 schedule as subject to current union contract. 

Minimum Qualifications: Applicants must have State of Ohio EMT-, a current State of Ohio Level II Firefighter Certification, Hazardous Material Operations Certificate, and a valid Ohio Driver's License at the time of appointment.  The candidate selected for hire must agree to not use tobacco or nicotine containing products, obtain a State of Ohio Fire Safety Inspector Certification, be cleared as a primary care giver on the Medic and become a certified Engine Driver/Operator within 12 months of their start date in order to successfully complete their probationary period.  All certifications must be maintained during employment. The applicant must comply with all job description requirements throughout employment. The Fire Chief may waive certain minimum requirements to ensure an adequate candidate pool.

Examination Process: A National Testing Network (NTN) exam must be completed by Friday, October 14, 2019. https://www.nationaltestingnetwork.com/publicsafetyjobs/. Applicants will be processed for further testing from this list.  Obtain a passing score of at least 70% to be considered for employment. Conditional offer testing examinations may include, but not limited to: physical fitness examination, medical examination including drug screen, psychological and/or psychiatric examination, CVT testing, background investigation, personality assessment and personal interviews.  The duration of the list will be six months, with possible extension to twelve months, or until exhausted.

 

Application Process: Candidates interested in applying for a Full-Time Firefighter/Paramedic position with the Riverside Fire Department shall submit a completed application and resume, copy of your driver's license, and all applicable certifications to the attention of Assistant City Manager Chris Lohr clohr@riversideoh.gov or 5200 Springfield St. Ste 100, Riverside OH 45431no later than Friday, October 11, 2019 by 8:00 A.M..  Any missing documentation or incomplete application will void the applicant from the process. A detailed job description and application can be found at www.riversideoh.gov.  After submitting an application, the entry

 

level applicant will be given instructions on how register for the NTN exam to be completed by October 14, 2019 at any National Testing Network centers.

Two tests are currently scheduled at Sinclair Community College Criminal Justice Academy on September 11, 2019 at 2:00pm and September 17th at 6:00pm.

 

APPLICATION PROCESS SCHEDULE:

             Applications Accepted: August 26, 2019 – October 11, 2019

             National Testing Network Exam deadline – October 14, 2019

             Notification to candidates invited to next steps: October 14 - 18, 2019

             Oral Boards and Physical Assessment Centers: Weeks of October 21st and 28th

             Background Investigations & second Interviews: Week of November 4th 

             Conditional offers: Week of October 18th

             Pension Physical & Pre employment Exams: November as schedule permits

             Finalization of Offers and start date: Early December

             If SAFER grant awarded, 3 additional final offers with start dates early January 2020.

 

***The City of Riverside is an Equal Opportunity Employer***

 

 

#GMVEMSC: Street Closures

Main Street Bridge
According to the Ohio Department of Transportation, the following closures are planned for the Main Street bridge (SR 48 between Monument Avenue and Riverview Drive):

  • Nightly lane closures August 29-31 between 8 p.m. and 6 a.m. One lane will remain open for travel in each direction using flaggers.
  • Bridge closed September 3 & 4.

 

 

 

#GMVEMSC Protocol: ***AMIODARONE SHORTAGE JITSO REVISED***

All,


At yesterday's Executive Committee meeting it was noted that there have been some questions regarding the Amiodarone shortage JITSO released earlier this month. In an effort to clear up some of that confusion I have reworked the release and you will find it below. Please make sure all your crews are aware of this JITSO. As always if you have any questions please contact me. Thanks


#GMVEMSC Training: FW: AMIODARONE SHORTAGE JITSO

Per Dr. Marriott, GMVEMSC Medical Director and Chair, Region 3 RPAB:

Due to a nationwide shortage of Amiodarone, some GMVEMSC drug bags MAY NOT contain Amiodarone now or in the future. In those circumstances ONLY, this JITSO is to be followed authorizing use of Lidocaine as below. Lidocaine infusions will not be utilized. As always, if there are concerns, contact Medical Control.




I have also included a PDF of the updates for you to print if necessary. Hope this helps and keep up the strong work for our patients!!


John Russell

Standing Orders Co-Chair

937.626.2323 – Cell

jrussell@hhoh.org



 

 

 


#GMVEMSC: Rope Rescue Level I class (Short Notice)

 

Please share with your contacts. Thank you

__________________________________________________________________________________________________________________________________

 

The Region 3 Rescue Strike Team will be hosting a Rope Rescue Level I class on September 30 through October 3, 2019 at the Dayton Training Center. The class details are listed within the attached flyer. Space is limited so submit your registrations as soon as possible.

 

We will be hosting a Rope level II class in May 2020 as the continuation of this class and for those who may only need the level II class. Team members always have priority so consider becoming a member today. I have attached an application.

 

If you have any questions just let me know.

 

Mike


Michael Guadagno, CFO, CTO | Battalion Chief

Washington Township Fire Department | 8320 McEwen Rd. | Dayton, OH 45458

Ohio Region 3 Rescue Strike Team Coordinator | 444 W. Third Street | Dayton, OH 45402

Greater Miami Valley EMS Council Education Co-Chair | 241 Taylor Street Ste. 130 | Dayton, OH 45402

W: 937-432-2854| C: 937-626-0734 | Email: michael.guadagno@washingtontwp.org

Core Values | Integrity | Professionalism | Service | Compassion

 

 

 

#GMVEMSC Training: Rope Rescue Level I class (Short Notice)

 

Please share with your contacts. Thank you

__________________________________________________________________________________________________________________________________

 

The Region 3 Rescue Strike Team will be hosting a Rope Rescue Level I class on September 30 through October 3, 2019 at the Dayton Training Center. The class details are listed within the attached flyer. Space is limited so submit your registrations as soon as possible.

 

We will be hosting a Rope level II class in May 2020 as the continuation of this class and for those who may only need the level II class. Team members always have priority so consider becoming a member today. I have attached an application.

 

If you have any questions just let me know.

 

Mike


Michael Guadagno, CFO, CTO | Battalion Chief

Washington Township Fire Department | 8320 McEwen Rd. | Dayton, OH 45458

Ohio Region 3 Rescue Strike Team Coordinator | 444 W. Third Street | Dayton, OH 45402

Greater Miami Valley EMS Council Education Co-Chair | 241 Taylor Street Ste. 130 | Dayton, OH 45402

W: 937-432-2854| C: 937-626-0734 | Email: michael.guadagno@washingtontwp.org

Core Values | Integrity | Professionalism | Service | Compassion

 

 

 

#GMVEMSC: Exercise Canceled - Wright Patt Credit Union/Soin Medical Center/Greene Memorial Hospital

Actually, it’s postponed, not canceled.  However the Dawn of a New Day scheduled Exercise at Wright Patt Credit Union, Soin Medical Center, and Greene Memorial Hospital will not happen tomorrow. 

 

We will let you know when the new date is determined.  In the meantime, I’m very concerned that we won’t reach everyone with this message.  Please share it, and let others know.

 

Our sincere apologies for this, and again, thanks to every one of you.

 

 

 

                           David N. Gerstner

                           MMRS/RMRS/EP Coordinator

                           Department of Fire  I  City of Dayton

                           300 N. Main St.  I  Dayton, Ohio 45402

       Office 937.333.4551  I  Fax 937.333.4561  I  www.daytonohio.gov

       24/7 Pager: 937-227-8705 or E-mail 9372278705@archwireless.net

       Cell  937.776.4410 
                           david.gerstner@daytonohio.gov  http://DaytonMMRS.org

 

 

 


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#GMVEMSC Training: Fire Service Mortar: The Critical Role of the Company Officer

Please see attached and below for a training opportunity:

 

Fire Service Mortar: The Critical Role of the Company Officer

Captain Jarrod Sergi

 

This course is designed to provide the tools and knowledge needed to lead from the front as a Company Officer all while building an effective group of performers. It is designed to target newly promoted Company Officers as well as those who may assume the role in the near future, but will ultimately benefit anyone who has the desire to make change and drive ownership into the company level. The Company Officer truly is the mortar in any fire department. They have the ability to keep their department running strong and efficient with their example, attitude, and passion. In this program I will bring previous military experience as well as experience in my current role to drive home the importance of unit cohesion and how it can have a lasting im-pact. Key concepts discussed will be preparation, credibility, training, team building, values, conflict resolu-tion, time management, and more. I will share with you the love and passion I have for our fire service. It will be my goal to demonstrate just how critical strong company level leadership is to the overall success of your organizations. Fire Service Mortar is meant to inspire action and produce results in your company, your sta-tion, and your department. I will give you the tools today to make immediate change tomorrow!

Wednesday October 9th 2019.

Doors open at 08:30, Presentation starts at 09:00 –17:00

Refreshments in the morning. Lunch is provided.

5962 Hamilton Mason Rd, Liberty Township, OH 45011

Center Point Christian Church

https://libertytownship.enrollware.com/enroll?id=3140019

Course cost $25.00

 

For any questions, feel free to contact Jennifer Mason at jennifer.mason@ketteringhealth.org.

 

Chris

 

Chris Vecchi, MPA, NRP, EMSI

Manager of Network Air and Ground Transportation
Kettering Health Network

1050 Forrer Blvd., Suite 110

Dayton, OH 45420
O: 937.762.5928

F: 937.522.7714

E: Chris.Vecchi@ketteringhealth.org


Kettering Health Network

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#GMVEMSC: GMVEMSC Research Committee Meeting 8/20 - CANCELLED

**Please Note**

 

The GMVEMSC Research Committee meeting that was scheduled for today at 12:00 p.m. at GDAHA has been cancelled.

 

Thanks!

 

 

 

 

Sandy Lehrter

Office Manager/Executive Assistant

Greater Dayton Area Hospital Association

Greater Miami Valley EMS Council

 

p: 937.424.2374  |  m: 937.307.6553

w: https://gdaha.org  e: slehrter@gdaha.org

a: 241 Taylor St. Suite 130 Dayton, OH 45402

 

 

#GMVEMSC: FW: Looking for Some Great Controllers and Evaluators - MCI Exercises

Thanks to everyone who responded to our exercise invitation.  I have room for only one more RTF crew, and one more EMS crew.  However, we also need controller/evaluators, simulation cell workers, and moulage artists for the exercise, and those personnel receive the same con ed credits at other exercise participants.  See below for how to sign up.

 

A major full scale exercise is coming up for our region on Sunday, August 25th, and we need evaluators, simulation cell personnel, moulage artists, and role-players (victims)!  GDAHA, MMRS, and Kettering Health Network are sponsoring the “Dawn of a New Day” mass casualty incident (MCI) exercise involving terrorism, an active shooter incident, and an IED. 

  • Locations will include Soin Medical Center, Greene Memorial Hospital, and the Wright-Patt Credit Union building on Pentagon Blvd., Beavercreek.  Exercise play will begin at 1:00 PM on Sunday, August 25th, and evaluators will need to arrive by Noon.   To sign up as an Evaluator or Simulation Center worker for the Soin/Greene exercise, click here: 

·         Soin Controller/Evaluator Sign-up: https://www.surveymonkey.com/r/18EContrEval

 

  •  The exercise will end at approximately 3:30 PM.
  • Moulage artists should simply email me.
  • If you have someone who would like to sign up as a  victim, the link for that is https://www.surveymonkey.com/r/18EDawnVic

 

David

 

                           David N. Gerstner

                           MMRS/RMRS/EP Coordinator

                           Department of Fire  I  City of Dayton

                           300 N. Main St.  I  Dayton, Ohio 45402

       Office 937.333.4551  I  Fax 937.333.4561  I  www.daytonohio.gov

       24/7 Pager: 937-227-8705 or E-mail 9372278705@archwireless.net

       Cell  937.776.4410 
                           david.gerstner@daytonohio.gov  http://DaytonMMRS.org

 


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#GMVEMSC Training: FW: AMIODARONE SHORTAGE JITSO

Per Dr. Marriott, GMVEMSC Medical Director and Chair, Region 3 RPAB:

Due to a nationwide shortage of Amiodarone, some GMVEMSC drug bags MAY NOT contain Amiodarone now or in the future. In those circumstances ONLY, this JITSO is to be followed authorizing use of Lidocaine as below. Lidocaine infusions will not be utilized. As always, if there are concerns, contact Medical Control.

 

CARDIAC ARREST:  V-FIB or PULSELESS V-TACH

 

·       If in arrest, initiate quality CPR and proceed to first defibrillation as soon as possible.

·       First Defib:

A     360 J for monophasic or use manufacturer’s recommendations for biphasic.

R       2 J/kg or biphasic equivalent.

·         CPR for 1-2 minutes

·         Repeat cycles of CPR - shock - drug

·       Second Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

R       4 J/kg or biphasic equivalent.

A     Epinephrine 1 mg 1:10,000, IV or IO, repeat every 3-5 minutes.

R       Epinephrine (1:10,000) 0.01 mg/kg, IV or IO, repeat every 3-5 minutes.

·         CPR for 1-2 minutes

·       Third Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

R       6 J/kg or biphasic equivalent.

·         Amiodarone:

A     300 mg, IV or IO

R       5 mg/kg IV or IO (max first dose 300 mg)

***IF AMIODARONE NOT AVAILBLE USE LIDOCAINE***

·         Lidocaine:

A    150 mg, IV/IO

·         1.0 mg/kg IV/IO (Max first dose 100 mg)

·         CPR for 1-2 minutes

·       Fourth Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

·         8 J/kg or biphasic equivalent.

A     Epinephrine 1 mg 1:10,000, IV or IO, repeat every 3-5 minutes.

·         Epinephrine (1:10,000) 0.01 mg/kg, IV or IO, repeat every 3-5 minutes.

·         Continue CPR and repeat treatment as indicated

·       Fifth Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

·         8 J/kg or biphasic equivalent.

A     Epinephrine 1 mg 1:10,000, IV or IO, repeat every 3-5 minutes.

·         Epinephrine (1:10,000) 0.01 mg/kg, IV or IO, repeat every 3-5 minutes.

·         Continue CPR and repeat treatment as indicated

·       Sixth Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

·         Fifth and successive defibrillations will be at 10 J/kg or biphasic equivalent

·         Repeat Amiodarone, IV or IO after approximately10 minutes:

A     150 mg IV or IO

R       5 mg/kg, (max second dose 150 mg)

***IF AMIODARONE NOT AVAILBLE USE LIDOCAINE ***

·         Repeat Lidocaine, IV/IO after 10 minutes:

A     75 mg, IV/IO

R       1.0 mg/kg, (Max second dose 100 mg)

·       {12-lead EKG}

·       Consider treatable causes.

A     If patient converts with ROSC from a ventricular arrhythmia and no anti-arrhythmic has been given, then administer Amiodarone 150 mg in 250 ml NS, IV over 10 minutes using 60 drop/ml tubing.

 

 

TACHYCARDIA: ADULT ONLY

 

A     Obtain {12-lead EKG}.

Stable:

A     Narrow Complex - Regular

o   Vagal maneuvers

o   Adenosine 6 mg rapid IVP

§  If patient has history of Paroxysmal Supraventricular Tachycardia (PSVT) and advises it takes 12 mg of Adenosine, then skip the 6 mg dose.

o   May repeat Adenosine 12 mg rapid IVP x 2.

A     Wide Complex – Regular or Irregular 

o   Amiodarone 150 mg in 250 cc NS, IV over 10 minutes using 60 drop tubing wide open with 18 gauge needle.

***IF AMIODARONE NOT AVAILBLE USE LIDOCAINE***

o   Lidocaine 150 mg IV/IO

 

Unstable:

            An unstable patient is defined as a patient who is hypotensive or unconscious when the hypotension or altered mental status is thought to be due to the patient’s tachycardia. Do not cardiovert patients without hemodynamic changes or patients whose hemodynamic changes have other apparent causes (e.g., blood loss).

A     Consider Midazolam 2 mg slow IV prior to cardioversion.

A     Cardioversion: 100, 200, 300, 360 J for monophasic or biphasic equivalent

 

 

NOTE: The current Pediatric Tachycardia Protocol does NOT include Amiodarone OR Lidocaine and is unaffected by this JITSO.

 

 

David N. Gerstner, President

Greater Miami Valley EMS Council

 

 

 

 

 

 


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#GMVEMSC: FW: AMIODARONE SHORTAGE JITSO

Per Dr. Marriott, GMVEMSC Medical Director and Chair, Region 3 RPAB:

Due to a nationwide shortage of Amiodarone, some GMVEMSC drug bags MAY NOT contain Amiodarone now or in the future. In those circumstances ONLY, this JITSO is to be followed authorizing use of Lidocaine as below. Lidocaine infusions will not be utilized. As always, if there are concerns, contact Medical Control.

 

CARDIAC ARREST:  V-FIB or PULSELESS V-TACH

 

·       If in arrest, initiate quality CPR and proceed to first defibrillation as soon as possible.

·       First Defib:

A     360 J for monophasic or use manufacturer’s recommendations for biphasic.

R       2 J/kg or biphasic equivalent.

·         CPR for 1-2 minutes

·         Repeat cycles of CPR - shock - drug

·       Second Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

R       4 J/kg or biphasic equivalent.

A     Epinephrine 1 mg 1:10,000, IV or IO, repeat every 3-5 minutes.

R       Epinephrine (1:10,000) 0.01 mg/kg, IV or IO, repeat every 3-5 minutes.

·         CPR for 1-2 minutes

·       Third Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

R       6 J/kg or biphasic equivalent.

·         Amiodarone:

A     300 mg, IV or IO

R       5 mg/kg IV or IO (max first dose 300 mg)

***IF AMIODARONE NOT AVAILBLE USE LIDOCAINE***

·         Lidocaine:

A    150 mg, IV/IO

·         1.0 mg/kg IV/IO (Max first dose 100 mg)

·         CPR for 1-2 minutes

·       Fourth Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

·         8 J/kg or biphasic equivalent.

A     Epinephrine 1 mg 1:10,000, IV or IO, repeat every 3-5 minutes.

·         Epinephrine (1:10,000) 0.01 mg/kg, IV or IO, repeat every 3-5 minutes.

·         Continue CPR and repeat treatment as indicated

·       Fifth Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

·         8 J/kg or biphasic equivalent.

A     Epinephrine 1 mg 1:10,000, IV or IO, repeat every 3-5 minutes.

·         Epinephrine (1:10,000) 0.01 mg/kg, IV or IO, repeat every 3-5 minutes.

·         Continue CPR and repeat treatment as indicated

·       Sixth Defib:

A     360 for monophasic or use manufacturer’s recommendations for biphasic.

·         Fifth and successive defibrillations will be at 10 J/kg or biphasic equivalent

·         Repeat Amiodarone, IV or IO after approximately10 minutes:

A     150 mg IV or IO

R       5 mg/kg, (max second dose 150 mg)

***IF AMIODARONE NOT AVAILBLE USE LIDOCAINE ***

·         Repeat Lidocaine, IV/IO after 10 minutes:

A     75 mg, IV/IO

R       1.0 mg/kg, (Max second dose 100 mg)

·       {12-lead EKG}

·       Consider treatable causes.

A     If patient converts with ROSC from a ventricular arrhythmia and no anti-arrhythmic has been given, then administer Amiodarone 150 mg in 250 ml NS, IV over 10 minutes using 60 drop/ml tubing.

 

 

TACHYCARDIA: ADULT ONLY

 

A     Obtain {12-lead EKG}.

Stable:

A     Narrow Complex - Regular

o   Vagal maneuvers

o   Adenosine 6 mg rapid IVP

§  If patient has history of Paroxysmal Supraventricular Tachycardia (PSVT) and advises it takes 12 mg of Adenosine, then skip the 6 mg dose.

o   May repeat Adenosine 12 mg rapid IVP x 2.

A     Wide Complex – Regular or Irregular 

o   Amiodarone 150 mg in 250 cc NS, IV over 10 minutes using 60 drop tubing wide open with 18 gauge needle.

***IF AMIODARONE NOT AVAILBLE USE LIDOCAINE***

o   Lidocaine 150 mg IV/IO

 

Unstable:

            An unstable patient is defined as a patient who is hypotensive or unconscious when the hypotension or altered mental status is thought to be due to the patient’s tachycardia. Do not cardiovert patients without hemodynamic changes or patients whose hemodynamic changes have other apparent causes (e.g., blood loss).

A     Consider Midazolam 2 mg slow IV prior to cardioversion.

A     Cardioversion: 100, 200, 300, 360 J for monophasic or biphasic equivalent

 

 

NOTE: The current Pediatric Tachycardia Protocol does NOT include Amiodarone OR Lidocaine and is unaffected by this JITSO.

 

 

David N. Gerstner, President

Greater Miami Valley EMS Council

 

 

 

 

 

 


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