Notices and Events
State EMS Advisory Board Meeting
State Emergency Medical Control Committee Meeting (SEMCC)
State EMS Advisory Board Meeting
The next EMS Advisory Board meeting has been scheduled for March 11, 2014 at 1:00 p.m. The meeting will be held at the Alabama Public Library Service, 6030 Monticello Drive, Montgomery, Alabama 36117 (map).
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State Emergency Medical Control Committee Meeting (SEMCC)
The March SEMCC meeting has been cancelled. The next meeting is now scheduled for June 3, 2014 at 1:00 p.m. The meeting will be held at the Alabama Power Conference Center, 2030 7th Street South, Clanton, Alabama 35045 (map).
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The Alabama Administrative Monthly is published by the Legislative Reference Service pursuant to subsection (f) of Section 41-22-7 of the Code of Alabama 1975. The Monthly contains notices by state agencies of the intent to adopt, amend, or repeal rules.
The Open Meetings Act guarantees that Alabama's citizens have open access to agencies, boards, commissions, and other governmental bodies which conduct the people's business. Meeting notices can be found online.
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Regional Educational Symposium 2014
The Regional Educational Symposium will be held February 28, 2014, 7:30 a.m.-2:45 p.m. It will be held at Northeast Alabama Community College Workforce Development Building, Room 132, 138 Alabama Highway 35, Rainsville, Alabama 35986 (map). There is a $25 registration fee with a February 20, 2014 deadline. For more information, please contact Sonya McShan at (423) 778-4671 or via email.
Basic Life Support Instructor Training
A Basic Life Support Instructor training will be held March 10, 2014 beginning at 8:00 a.m. The course will be held at the American Heart Association Regional Facility, 11340 Monticello Drive, Duncanville, Alabama 35456 (map). Please return the application and $160.00 registration fee to the EMS Training Center, 11432 Mt. Vernon Drive, Duncanville, Alabama 35456.
Alabama EMS Cruise
There will be a five-day Alabama EMS cruise hosted by Expedition Travel Company. It will leave New Orleans on August 9, 2014. There will be classes taught during the two days at sea by Shane Driver with Emergency Services Education and Consulting, LLC. The rates are $360 per person for inside stateroom and $410 per person for an ocean view room with a $100 deposit due by December 31. Please contact Duane at Expedition Travel via email or (205) 901-7924.
Medical Preparedness and Response to Bombing Incidents
This course will equip pre-hospital and hospital medical personnel with the skills needed to deliver and sustain a safe and effective response to bombing incidents. Topics include: understand explosives and characteristics; identify pre-attack indicators associated with a bombing incident; recognize bombing incident related injury patterns and treatment; understand and apply a variety of triage systems; identify pre and post-detonation considerations. It will be held February 11-12, 2014 at Chattahoochee Valley Community College, 2602 College Drive, Phenix City, Alabama 36869 (map) in the Phenix City Room. The registration fee is $25 and is due with the registration form by February 5, 2014.
Protecting Our Children: Recognizing Child Abuse
The Alabama EMSC Program presented Protecting Our Children: Recognizing Child Abuse (1.4MB) on January 15, 2013. The satellite conference and webcast are available online until January 15, 2015. Registration and technical information are currently available online.
Drug Shortage Information
American Society of Health-System Pharmacists and its partners works to keep the public informed of the most current drug shortages. Shortages can adversely affect drug therapy, compromise or delay medical procedures, and result in medication errors.
Pediatric Trauma and Disaster Course
This online course addresses specific topics in pediatric trauma care, hospital disaster preparedness, and response for incidents involving children. The course provides an overview of early hospital responder care for pediatric trauma and disasters with an emphasis on hazards and response capabilities. The curriculum covers emergency department preparedness for receiving multiple pediatric patients, and conducting an acute assessment, diagnosis and stabilization of the severely injured child. Examples and lessons learned from responding to pediatric injuries resulting from the 2011 Alabama tornado outbreak are discussed.
The course incorporates recommendations and guidelines published by several organizations including the American College of Surgeons (ATLS), the American Heart Association (PALS), the American College of Emergency Physicians (APLS), the American Academy of Pediatrics (PALS, APLS), and the American Medical Association (ADLS). The curriculum is developed by pediatric emergency physicians at the Children’s Hospital of Alabama with assistance from content experts from the Alabama Poison Center and the Alabama Department of Public Health. CEUs: Nurses 3.3; Social Workers 3.25
Health Information Technology Workforce Training Program
By 2014, everyone will be required to have electronic health records. The work required to reach this goal is expected to create a high demand for several types of health information technology (IT) professionals to support this project. Itawamba Community College's intensive non-degree education program is designed to provide a pool of qualified workers with both medical and IT knowledge to ensure the electronic health record project will provide the quality and efficiency benefits needed, while maintaining privacy and security of medical information. Enrollment has begun. Please review the Health IT Work Information Sheet or the Health IT Workforce Training Program document for more information. If you have questions, please contact Mallory Pennington (662) 620-5145 or Lori Little (662) 620-5122 or visit the Itawamba Community College.
New Program Allowing Paramedics to Earn RN Degree
Calhoun Community College is excited to announce a new program which will allow paramedics to earn a registered nursing degree. The Paramedic-to-RN Mobility program began spring semester 2011. The new program has been approved by both the Alabama Department of Postsecondary Education and the National League for Nursing Accrediting Commission, Inc.
Qualified paramedics must first complete the mobility courses and validate certain skills prior to starting in the second year of the nursing program. The program will allow increased access to education, educational advancement for the experienced paramedic, expansion of Calhoun services and an increase in enrollment capacity for nursing.
Minimum admissions standards for the program include:
- Unconditional admission to the college
- Receipt of completed application for the nursing program(s), unofficial college transcripts, and the Test of Essential Academic Skills (TEAS) Entrance Exam scores within three years
- Meeting the essential functions required for nursing
- Possess an unencumbered license to practice as a Paramedic in the State of Alabama
- Documentation of one year of full-time work experiences as a paramedic within two years of program admission
- Possess an Associate in Applied Science degree in Emergency Medicine or have all general education requirements completed for the nursing program
- All course work applicable to the AAS degree in nursing must be completed with a “C” or higher.
- Minimum of 2.5 cumulative GPA based on the following:
- most recent 24 credit hours of undergraduate work, if applicable
- most recent 24 credit hours of graduate-level work, if applicable
- if less than 24 credit hours at graduate level, the most recent 24 undergraduate credit hours will be used and graduate credit hours will be ignored
For more information on the Calhoun’s Paramedic-to-Nursing program, call (256) 306-2861 or (256) 306-2804.
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Normal Saline Shortage
It has come to the attention of the OEMS that a nationwide shortage is affecting the ability of EMS Providers in Alabama to obtain Normal Saline. Please see the memo from Alabama State EMS Medical Director, Dr. William E. Crawford.
Pediatric Emergency Quick Reference Guide
A user-friendly mobile application has been developed by Children's National Medical Center physicians in the Division of Emergency and Transport Medicine. It provides a quick reference for the vitals, equipment, and dosage guidelines for an emergency pediatric patient.
Proposed Trauma Rule Change
The proposed change to Trauma Rule 420-2-2-.10 are available here. Please check back regularly for information about the public comment period and hearing.
EMS License Plates
In an effort to bring Professional Recognition to Alabama EMS Providers, an EMS Vehicle License Tag has been designed and will be available to all ADPH Licensed EMS Personnel! We must have 1000 commitments to purchase this tag before we can submit the proposal to the Alabama Department of Motor Vehicles (DMV). The cost of the tag will be $50.00 in addition to your regular tag fee. The money generated through the State DMV for these tags will benefit the Alabama EMT Association.
For more information, please visit the Alabama EMT (AEMT) Association website or visit the “Create an Alabama EMS License Plate” Facebook page. To sign up for the tags, please fill out the form on the AEMT website, or send an email with your name, address, phone number, and number of tags you wish to purchase to ALAEMSTAG@gmail.com
Inter-facility Transfer issues
Dr. William Crawford, State EMS Medical Director, has responded to several questions posted to our office about inter-facility patient transfers.
Influenza A (H7N9) updates
The Centers for Disease Control and Prevention (CDC) released updated information related to human infections with influenza A (H7N9) in China.
- CDC issued a Health Update via the Health Alert Network that summarizes the H7N9 situation and new testing and reporting recommendations for H7N9 in the United States.
- The following guidance documents for health professionals are also available on the CDC website:
- Interim Guidance on Case Definitions to be Used for Avian Influenza A (H7N9) Case Investigations in the United States. The guidance is available online.
- Interim Guidance for Specimen Collection, Processing, and Testing for Patients Who May Be Infected with Avian Influenza A (H7N9) Virus. The guidance is available online.
- Interim Risk Assessment and Biosafety Level Recommendations for Working with Influenza A (H7N9) Viruses. The guidance is available online.
Guide to Infection Prevention in EMS
The purpose of this guide is to provide EMS system responders and their organizations with a practical resource to infection recognition and prevention in the EMS environment. This guide contains current information, recommendations, regulations, resources, program examples, and forms to utilize in the EMS system responder setting. Please distribute freely.
Alabama Law for Volunteer First-Responder Vehicle Operators
Many communities rely on volunteer fire departments for their fire protection and EMS response. A brochure is provided to educate volunteer fire and EMS personnel as to their responsibilities and legal considerations while responding to calls for service in an effort to keep them - and the community they serve - safe.
EMS Community News and Updates
There are things happening in local communities that you may not be aware of. Please check out our EMS Community News and Updates page for more information.
Intelligence Guide for First Responders
The Interagency Threat Assessment and Coordination Group (ITACG) has released the Intelligence Guide for First Responders 2nd Edition. It is designed to assist first responders in accessing and understanding Federal intelligence reporting and to encourage the sharing of information. The ITACG consists of state, local, and tribal first responders from around the United States and federal intelligence analysts from the Department of Homeland Security, Federal Bureau of Investigation, and National Counterterrorism Center working to enhance the sharing of federal information on counterterrorism, homeland security, and weapons of mass destruction with state, local, and tribal consumers of intelligence.
Nerve Agent Antidote Kits
The Alabama Department of Public Health (ADPH) began providing nerve agent antidote kits to emergency medical services personnel several years ago. As funding allows, ADPH will continue to provide the devices to emergency medical service agencies that meet the required criteria. Agencies requesting nerve agent antidote kits must develop a program and train their staff on the program and antidote kits including indications, dosage, storage, etc. Training documentation and a request form must be submitted to ADPH.
The nerve agent antidote kits currently provided are the Duodote™ auto injectors which contain atropine 2.1 mg/0.7 mL and pralidoxime chloride 600 mg/2 mL.
- Duodote™ kits provided by ADPH are for responder self-use not patient use.
- Duodote™ kits distributed to Advanced Life Support (ALS) providers are assigned to the unit, not the individual.
- Duodote™ kits assigned to Basic Life Support (BLS) units are assigned to the individual (contact Alice Floyd for more information).
- In case there is a need to re-dose, three kits will be provided per position.
- Duodote™ kits are distributed to ALS providers via their affiliate hospital pharmacy.
- Duodote™ kits should be maintained at room temperature (77 degrees Fahrenheit).
Brief departures between 59-86 degrees Fahrenheit are permissible.
- Expired kits should be disposed of according to your organization’s established policies and procedures. They are not to be returned to ADPH.
- Agencies are responsible to ensure their employees are trained on the proper indications, use, procedures/protocols, etc.
- When an agency makes the initial request for the nerve agent antidote kits, a skills check off sheet/training document with the trainer and medical director’s signature must be provided to ADPH.
Intravenous Fluid and Other Advanced Life Support Procedures
Please remember that intravenous (IV) fluids and Advanced Life Support (ALS) procedures are to be performed only when done by protocol, an on-line medical direction physician gives a verbal order, or under the physician's direct supervision. The August 2, 2010 Memo from Director Dennis Blair offers more information as well as a position statement from the Alabama High School Athletic Association.
Alabama Drug Information
Christopher Colvin, Director of EMS at Bevill State Community College developed Alabama Medications, which details drugs used by Alabama's EMS personnel. Please print and have a copy in your service and ambulance.
Emergency Preparedness Workbook for State and Local Planners
The Centers for Disease Control and Prevention (CDC) has posted the Coordinating Call Centers for Responding to Pandemic Influenza and Other Public Health Emergencies (4.5 MB), a workbook for state and local planners.
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Last Updated: February 6, 2014