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Notices and Events

State Emergency Medical Control Committee Meeting (SEMCC)
Meeting Notices
Training Opportunities
General Notices

State Emergency Medical Control Committee Meeting (SEMCC)

The next SEMCC meeting is scheduled for Monday, August 7, 2017 at 1:00 p.m. The meeting will be held at Perdido Beach Resort, Orange Beach, AL (map). There will be a Town Hall Meeting with EMS providers at 10:00 a.m.

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Meeting Notices

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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Training Opportunities

10th Annual Trauma Symposium

Save the date for the 10th Annual Trauma Symposium (2MB) at Erlanger June 1-2, 2017. June 1 will cover trauma and critical care. There will be a cadaver and skills lab on June 2. Registration is open now. More information will be coming out soon.

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.

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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General Notices

EMS Standing Orders Threatened by Pending DEA Rule

Pending federal regulations threaten a longstanding practice allowing EMS personnel to administer controlled substances to patients.

This practice will soon be prohibited unless the Controlled Substance Act is amended.

Urge your U.S. Legislator to Co-Sponsor H.R. 4365, the “Protecting Patient Access to Emergency Medications Act."

H.R. 4365, bi-partisan legislation recently introduced by Rep. Richard Hudson (R-NC), would amend the Controlled Substance Act to allow EMS Agencies to continue using standing orders from their medical director for the delivery and administration of a controlled substance (Schedule II -V).

Please visit the NAEMSP Advocacy website and view the toolkit for H.R. 4365.

Naloxone Administration for Law Enforcement

All participating law enforcement officers will receive initial training that will include, at minimum, an overview of 2015 House Bill 208 that permits law enforcement use of Naloxone, patient assessment (e.g., signs/symptoms of overdose), universal precautions, rescue breathing, seeking medical attention, and the use of intra-nasal naloxone.

When Ambulances Crash

NHTSA has put together an infographic with crash data collected between 1992 and 2011.

Association of State and Territory Health Officials Information Update: Public Health Response to Ebola Outbreak

CDC reported on the ASTHO All State and Territorial Health Officials call on August 8 that there have been 1700 confirmed cases of Ebola Virus and 900 deaths in West Africa.  Those are conservative numbers and expectations are that the situation may get worse before it gets better in West Africa.  The primary CDC strategy at this point is to contain the spread of the disease in West Africa.  CDC has deployed 33 people, have 19 deployments pending and are ramping up for additional deployments.  CDC has elevated the status of its Emergency Operations Center to Level 1 which enables them to have more flexibility with resources and makes all CDC staff available as needed in the response.   The key messages Dr. Frieden conveyed during the call were:

  • This outbreak is unprecedented in Africa- may surpass all other Ebola outbreaks combined; will be a long hard fight, but we have the right tools- "traditional public health"
  • Ebola doesn't spread through casual contact and is only contagious from individuals who are sick
  • 1st line of defense: To protect Americans, we must stop this at the source in Africa; seeing some progress - Guinea is doing better; deeply concerned about Lagos; out of control in Liberia
  • 2nd line of defense is exit screening: Improving airport screening procedures
  • 3rd line of defense: Educating physicians to think Ebola if the patient has been in West Africa and the patient has a fever and symptoms consistent with Ebola
  • Control is straightforward: meticulous attention and adherence to standard infection control procedures (gown, gloves, eye protection and mask)

On August 8, the World Health Organization declared the outbreak to be an international public health emergency.  CDC's staff is working in partnership with affected countries on exit border screening procedures to control the spread of the outbreak.

For more information and latest updates, please see Ebola Virus Disease on ADPH and the CDC's Ebola Hemorrhagic Fever website.

Ebola Guidance for EMS Systems

CDC Ebola Response Update

CDC has released key messages and a response update on the ebola situation.

Ebola Fast Facts Flyer

The ADPH Epidemiology Division has developed a fast facts flyer for those who might have to deal with an ebola situation.

American Academy of Pediatrics (AAP) Ebola Outbreak information

The Children and Disasters section of the AAP website also has resources available.

Federal Drug Administration (FDA) Warning: Powdered Pure Caffeine

The FDA is warning about powdered pure caffeine being marketed directly to consumers, and recommends avoiding these products. In particular, FDA is concerned about powdered pure caffeine sold in bulk bags over the internet. The FDA is aware of at least one death of a teenager who used these products.
These products are essentially 100 percent caffeine. A single teaspoon of pure caffeine is roughly equivalent to the amount in 25 cups of coffee.
Pure caffeine is a powerful stimulant and very small amounts may cause accidental overdose. Parents should be aware that these products may be attractive to young people.

Symptoms of caffeine overdose can include rapid or dangerously erratic heartbeat, seizures and death. Vomiting, diarrhea, stupor and disorientation are also symptoms of caffeine toxicity. These symptoms are likely to be much more severe than those resulting from drinking too much coffee, tea or other caffeinated beverages.

All consumers seeking caffeinated products should be aware of the potentially high potency of these powdered pure caffeine products. Parent should recognize that teenagers and young adults may be drawn to these products for their perceived benefits.

What to do:

  • The FDA advises consumers to avoid powdered pure caffeine.
  • It is nearly impossible to accurately measure powdered pure caffeine with common kitchen measuring tools and you can easily consume a lethal amount.
  • If you believe that you are having an adverse event related to caffeine, stop using it and seek immediate medical care or advice.
  • The FDA wants to know about adverse events associated with powdered pure caffeine and other highly caffeinated products. You or your health care provider can help by reporting these adverse events to FDA in the following ways: by phone at 240-402-2405 or by email at CAERS@cfsan.fda.gov

Why this advice is important: Pure caffeine products are potentially dangerous, and serious adverse events can result, including death. People with pre-existing heart conditions should not use them.

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.

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 received notice from the Food and Drug Administration (FDA) that the expiration dates for certain Duodote (nerve agent antidote kits) lot numbers have been extended up to one year due to a manufacturer's backorder. First responders who received the antidote kits should verify if the expiration date has been extended before discarding kits. More lot numbers may received extended expiration dating in the future.

The lot numbers that received extended dating are:

Lot Number

Manufacturer's Original Expiry Date

New Use Date


October 31, 2012

October 31, 2015


January 31, 2013

January 31, 2016


March 31, 2013

March 31, 2016


March 31, 2013

March 31, 2016


March 31, 2013

March 31, 2016


May 31, 2013

May 31, 2016


May 31, 2013

May 31, 2016


June 30, 2013

June 30, 2016


September 30, 2013

September 30, 2016


December 31, 2013

December 31, 2016


December 31, 2013

December 31, 2016 


February 28, 2014

February 28, 2017


April 30, 2014

April 30, 2017


May 31, 2014

May 31, 2017


May 31, 2014

May 31, 2017


September 30, 2014

September 30, 2017


December 31, 2014

December 31, 2017


February 28, 2015

February 28, 2018


April 30, 2015

April 30, 2018


March 30, 2015

March 30, 2018


May 31, 2015

May 31, 2018


June 30, 2015

June 30, 2018


August 31, 2015

August 31, 2018


September 30, 2015

September 30, 2018


September 30, 2015

September 30, 2018


October 31, 2016

October 31, 2019

There is more information available in a letter from the FDA and on the FDA website. Please direct any questions regarding the Duodotes to Alice Floyd.

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.

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 MB), a workbook for state and local planners.

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Last Updated: May 24, 2017

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