Regional EMS News and Announcements
The New Nassau ALS Protocols
will be going in to effect April 1, 2014.
Advanced Life Support Providers will be required
to complete a two-part training course that will
familiarize providers with these new protocols.
Successful completion of these two components will allow
providers to become eligible for ALS credentialing in
here for more information.
NYS EMSC (EMS for Children) Survey
We would like to thank
all of the agencies that participated in the recent EMSC
online survey. The survey completed recently and we had
all but 3 agencies in Nassau participate!
Statement Issued 1/10/14 from U.S. Treasury Department: Treasury
Ensures Fair Treatment for Volunteer Firefighters and
Emergency Responders Under the Affordable Care Act
click here for letter from congressional fire service
Click here for A Notice Regarding Medical Control
REMSCo has moved!
The new address is:
131 Mineola Boulevard, Suite 105
Mineola, NY 11501
Phone and Fax numbers have stayed the same.
All e-mail addresses should end in @nassauems.org.
Meridian Medical Technologies Auto-Injectors: Extension
of Expiration Dates
including Auto-Injectors for
Click here for more Information.
DuoDote Expiration Dates - Letter from Manufacturer
Pediatric Triage During Disasters
The Connecticut EMS for Children (EMSC) released
Pediatric Disaster Triage: Doing the Most Good for the
Most Patients in the Least Time. Targeted towards
prehospital providers such as fire and EMS personnel,
the five module course is a result of the federal EMSC
Program which funds grants to states and accredited
schools of medicine "to identify new approaches in the
provision of the best possible emergency care for
children throughout the nation."
The narrated, interactive course covers the basics of
scene assessment, securing the scene, resource
estimation, and covers the fundamentals of the most
common triage algorithms used: JumpSTART, SALT, SMART,
and Clinical Decision Making.
Approximately two-thirds of the program specifically
discusses the complexities of triaging children and
touches on special considerations such as head injuries,
children with disabilities or who are medically
dependent on technology, and attempting to keep family
units together during triage and transportation.
This program has quizzes embedded and provides a
certificate on completion. Continuing Education (CE)
units are not yet available, but will be soon. Other
resources on pediatric triage and disaster response are
ANNUAL EMS AWARDS
Photos of the THREE State Awards presented to Nassau
Providers/Agencies at the Vital Signs Conference is now
posted on our Facebook Page!
Awards Winners List
Award Winners List
Award Winners List
Notice on Long Island Emergency
Rescue group 11/1/13
The attached letter was issued by
LI Emergency Rescue Group
Our I-CARE subcommittee working to
improve cardiac arrest survival rates is distributing an
informational flyer and meeting announcement.
Join the ICARE Team
The ICARE team is recruiting
additional members. We are looking for passionate, hard
working, intelligent individuals who are willing to
volunteer their time for this cause! Candidates are
expected to participate 5 hours/week. Some of the teams
available to join, include:
● Large Organization Planning &
Implementation (educational institutions, government &
community organizations, etc.)
● Professional Level Training &
● Financial Planning & Grant Writing
● Incentives & Certification
● Information Technology Interfaces
● Program Implementation Counselors
● Defibrillation Networks
Please come to our informational
session to learn more about the program and become part
of the ICARE team…
● The Morrelly Homeland Security
Center 510 Grumman Road, West Bethpage, NY 11714
● RSVP encouraged but not required
Can’t Make It? Sign up @
notified of alternative information sessions.
awareness for Suspicious Mailings
The New York State Division of Homeland Security and
Emergency Services has been monitoring the suspicious
mail incidents that have taken place over the past 48
hours. This is a notification only, advising that at
this time there is no perceived or imminent threat to
New York State, or its residents. Currently there have
been two suspicious mailings to government officials
that are believed to have contained the chemical Ricin.
This chemical is known to be deadly if inhaled. Due to
these recent events, we are urging that you remain
vigilant and exercise extreme caution when handling
In the unlikely event
that an item is received that appears suspicious and/or
is believed to be of credible threat; it should be
handled in accordance with your suspicious package
Regional EMS Updates
All agencies are reminded that a PCR MUST be given
to ED staff for EVERY patient before departing the ED.
Regardless if you are using paper or e-PCR’s. Every
ED has the capability to print from a mobile device
(please advise us ASAP if you have any difficulties
at an ED) and it is not acceptable to FAX the PCR after
you leave the hospital…This is required under state law, QA/QI
procedures and for the hospital to provide patient
- The SEMAC did
approve this proposal at its meeting. As of
May 1, 2015, all ALS agencies will have to hold a
narcotics license from the State DOH or will be
downgraded to BLS.
NYS EMS Narcotics Information Package and Forms
NYS DOH EMS Policy Statement 13-07
– Due to medication shortages and increased costs,
the hospitals have again asked EMS agencies not to
stop in with bags of expired meds for replacement.
Please try and replace meds PRIOR to expiration, as
the hospitals can rotate the meds into their
stocks. If you have a quantity of meds to be
replaced, please try and contact the hospital
pharmacy as they can assist you and not the ED.
NSUH Manhasset has even created a form for this
process to drop off and schedule a pick up for the
INFORMATION AND PRESENTATION
Suspicious Activity Reporting (SAR) Fire and Emergency
Medical Services Training (click for link)
Suspicious Activity Reporting (SAR) Fire and Emergency
Medical Services Training was developed to assist fire
and emergency medical service personnel in recognizing
what kinds of suspicious behaviors are associated with
pre-incident terrorism activities, understanding how and
where to report suspicious activity, and protecting
privacy, civil rights, and civil liberties when
documenting information. This training also provides
information about integrating the Nationwide SAR
Initiative (NSI) into your agency's operations.
FREE Online CME from Medic Alert
Click on the link above for a free CME on Medic Alert
programs and equipment. Complete the course and be
entered to win a Littman SE Classic II Stethoscope.
Welcome to the EMS Voluntary Event Notification Tool (E.V.E.N.T.). E.V.E.N.T. is a tool designed to improve the safety, quality and consistent delivery of Emergency Medical Services (EMS). It collects data submitted anonymously by EMS practitioners. The data collected will be used to develop policies, procedures and training programs to improve the safe delivery of EMS. A similar system used by airline pilots has led to important airline system improvements based upon pilot reported "near miss" situations and errors.
Any individual who encounters or recognizes a situation in which an EMS safety event occurred, or could have occurred, is strongly encouraged to submit a report by completing the appropriate E.V.E.N.T. Notification Tool. The confidentiality and anonymity of this reporting tool is designed to encourage EMS practitioners to readily report EMS safety events without fear of repercussion.
Sponsored by National Association of EMT's (NAEMT)
Narrow Banding and Medical Control
December 31, 2012 the FCC is mandating that
all narrow banding of radio frequencies be
completed. This narrow banding mandate has a
direct effect on most public safety
frequencies in use in Nassau County. The
current Medical Control frequencies that are
being used in Nassau are outdated and the
narrow banding initiative would cost the
County over a million dollars to complete
for radio communications that are sub par.
It is planned that the current
Medical Control frequencies are targeted to
be replaced on December 01, 2012 with the
new 500 MHz public safety radios currently
in use by NCPD. The 500 MHz radios were
designed from the ground up to provide
Nassau County first responders with a
comprehensive radio solution for all police,
fire and EMS communications. This migration
will not be done without a cost, but it is
necessary to provide quality Medical Control
communications well into our future.
migration to the new public safety radio
system will necessitate some changes at the
agency and provider level. Please refer to
advisory 11-09.1 for additional
details. For further information, please
email us at
The Nassau Regional BLS Supplement to Protocol
T-1 has been approved by NY State and is now in
effect. Winthrop University Hospital and
North Shore Manhasset have been
designated as the receiving hospitals for
amputations by the REMAC. If your patient is
stable, contact MedCon to activate the team at
either hospital and transport to facility as per
MedCon orders. If the patient is
unstable, transport to the closest trauma
receiving facility. The protocol is posted on
the protocol page.
Car Bomb -
Robert Baer uncovers the history of an
extraordinary weapon - the car bomb, which has
shaped human conflict all over the world. Watch
the free documentary.
www.snagfilms.com Great video documentary
of vehicle borne devices. Lengthy but worth the
Online training for response to incidents
involving the Chevrolet VOLT...
Training - Electric Vehicle Safety Training
Vehicle Safety Training will provide
firefighters and first responders with the
information and materials necessary to respond
to emergency situations.
Chemical Hazard Medical Management Website
website to enable first responders, first
receivers, other healthcare providers, and
planners to plan for, respond to, recover from,
and mitigate the effects of mass-casualty
incidents involving chemicals.
It provides a
comprehensive, user-friendly, web-based resource
that is also downloadable in advance, so that it
would be available during an event if the
Internet is not accessible.
Nassau County Medical
Our new MEDCON radio/telemetry system utilizes the
General Devices CAREpoint’ Workstations. Upgraded
functionality includes all current features;
voice communications, medical control, notifications
and channel coordination, as well as receiving of
single lead EKG’s via the UHF medical frequencies as
in the past. Among many new added/improved
capabilities, is the vendor-neutral receiving of
12-lead EKG’s for the various monitor brands. The
specific method of transmission / reception is
dependent on the monitor, communications computing
and data equipment your department is using. We
suggest that you contact the manufacturer of your
monitor/defibrillator or Mr. Curt Bashford of
General Devices at (201) 313-7075 for compatibility
information concerning the options available and
equipment requirements to suit your specific needs.
If you need any further information please call
Coordinator Howie Bartone at (516) 573-3170.
Medication Backorder update list.
Click here for Medication Backorder update list
Medical Orders for Life-Sustaining Treatment (MOLST)
The Governor recently signed legislation allowing
the use of the MOLST form for out of hospital care.
The Medical Orders for Life-Sustaining Treatment (MOLST)
Program is designed to improve the quality of care
people receive at the end of life by translating
patient/resident goals and preferences into medical
The MOLST form is a bright pink medical order form
signed by a New York State Licensed physician that
communicates patient wishes regarding
life-sustaining treatment to health care providers.
The form includes medical orders and patient
CPR (cardiopulmonary resuscitation)
Intubation and mechanical ventilation
Artificial hydration and nutrition
Future hospitalization and transfer
We are currently awaiting a policy and procedure
from the NYS DOH Bureau of EMS. The links listed
below will provide additional information and EMS
training materials. THIS PROGRAM IS NOW IN EFFECT.
MOLST Information and FAQ
MOLST EMS Training Program
Occupational Exposure –
Ryan White Law Update
The federal Ryan White act contained a provision for
notification of possible exposure to infectious
diseases including HIV. Unfortunately, a change in
the federal law eliminated these provisions. Recent
and existing NYS law addresses exposure concerns and
notifications. Below, please find information
detailing the procedure for obtaining patient
information in an exposure, and a training
Guidance letter for occupational exposure to HIV
NYS Law (10 NYCRR section 63.8)
EMS Training Program
A list of frequently asked questions on the topic of EMS
Respiratory Protection for Infection Control has been
developed by Ernest Heeren, Nassau REMSCo’s WMD
Instructor, and is being provided to answer some of the
common questions. There is also a checklist to assist in
the development of a respiratory protection program.
to download this PDF file.