Required Medications on ALS Ambulances

ADVISORY 16-09-01 TO: All MA Licensed Ambulance Services and MA Accredited EMT Training Institutions CC: EMCAB Members FROM: Dr. Jonathan Burstein, State Emergency Medical Services (EMS) Medical Director DATE: September 16, 2016, updated January 19, 2017, September 26, 2017 and October 26, 2017 RE: Required Medications on ALS Ambulances per Statewide Treatment Protocols, v. 2016, including v. 3 In order …

Cape Cod Disaster Animal Response Team seeks volunteers

The Cape Cod Disaster Animal Response Team (CCDART) is embarking on a campaign to recruit volunteers to serve in the pet sheltering component of the Barnstable County Regional Emergency Shelter System. Holly Rogers, founder and president of CCDART, said, “The hurricanes in Texas and Florida remind us that Cape Cod is not immune to such disasters and highlight the importance …

Dr. Jacob Crowell

On the front lines in the ER and in the field

It was a day meant for fun and sun in Stage Harbor. But, suddenly, the boat outing turned into tragedy. The vessel’s propellers accidentally ran over both legs of a 27-year-old woman swimming by its side. Fortunately, one of the first responders was a trained Emergency Medical Technician working that day for the harbormaster. “He was smart enough to put …

This baby had her own idea of where to be born

They’re always ready for the next heart attack, stroke or car accident. But, a baby? David Gelinas, Jason Travis and Louis Sassone boasted decades of experience as paramedics, but on this summer morning, they would encounter among the rarest of contingencies. They would be delivering a newborn in their ambulance. The rescuers from the combined fire district of Centerville, Osterville …

Nurses and Paramedics – a team approach to saving lives

Edna Wall has been an emergency room nurse for more than three decades, responding to thousands of ambulances rushing patients through the doors, many times in a life-and-death situation. As a clinical leader, she is part of a 24-hour, seven-day-a-week world that may care for more than 300 patients daily arriving with maladies as minor as sunburn and as traumatic …

Dealing with life and death daily

Tom Brady and his New England Patriots teammates know they must be in peak physical and mental shape the minute the whistle blows during the season. But, the nearly 1,000 paramedics and EMTs – who simultaneously are the Cape’s firefighters – must be on top of their game every minute, every day. While a flat performance for the Patriots may …

“A helicopter has crashed in my backyard!”

Helicopter – Dive TeamThe Chatham Fire Department responds to 2,700 calls a year, most requiring paramedics and EMTs to rush in ambulances and trucks to the scene. But, rarely do they get a call like this. The 911 alert came in June 2016 from a woman who had just watched a helicopter crash behind her house at the edge of …

Cape’s aged population keeps paramedics and EMTs busy

The call came from a Chatham address that the rescue team recognized immediately. An elderly woman was having serious trouble breathing. It was another in a series of cascading medical crises for the woman. When Lt. Gerard Smith, joined by paramedics Rachel McGrath and Scott Long, arrived at her home, they discovered her upstairs in a room populated by medical …

5.1 Upper Airway Obstruction Review

Adult EMT STANDING ORDERS Routine Patient Care If the obstruction due to a foreign body is complete or is partial with inadequate air exchange: follow ECC guidelines for foreign body obstruction. Maintain an open airway, remove secretions, vomitus and assist ventilations as needed. If partial obstruction due to foreign body is suspected and there is adequate air exchange: transport to …

2.4 Behavioral Emergencies Adult & Pediatric Review

EMT/EMT-INTERMEDIATE/ADVANCED EMT/PARAMEDIC Routine Patient Care, followed by: One EMT should manage the patient while the other handles scene control, but no EMT or First Responder should be left alone with the patient. Avoid areas/patients with potential weapons (e.g., kitchen, workshop), and avoid areas with only a single exit; do not allow patient to block exit. Keep environment calm by reducing …

Dr. Evan P. Weinstein – One of us. Always

As he had so many times before, Dr. Evan Weinstein stood in front of 40 paramedics and EMTs leading a training session, this time on how to handle patients suffering from mental duress, often provoked by alcohol or drugs. A stranger watching and listening to Evan might wonder why he was a bit unsteady on his feet, why he would …

POLICY: C-117

TITLE:          Use of Recorded Telephone Line(s) in Hospitals EFFECTIVE DATE:           March 13, 2017 SUPERCEDES:        N/A Purpose: To outline and define recorded telephone line use for the following hospitals; Cape Cod Hospital Falmouth Hospital Tobey Hospital Martha’s Vineyard Hospital III.       Policy: On rare occasions communications with Medical Control may be deemed inappropriate to be conducted over CMED Radio.  In order to comply …