Advancing the EMS profession

COVID-19 Recommendations from the Field

COVID-19 Pandemic Operations Plan for Conducting NAEMT Courses
Devin Marble BHS., NRP, Instructor & Workforce Specialist, Pima Community College PSESI
PimaParamedics youtube training channel www.youtube.com/pimaparamedics. New VR training videos will be on there soon. Also, regarding proctoring during examinations. We have been using Respondus for the exam and having our students log into a google meet on their phone and point the video at themselves taking the exam so instructors can monitor and they cannot use their phone to web search because it is being used for google meet. Lastly, we use Google Meet and Drive which was not in your platform options. One of the best things about google meet is that, using chrome, you can install extensions for google meet to make it customized and a more robust program.

COVID Field Care
Colin Brooks, Paramedic, FEMA-AMR NJ Deployment Team #1, AMR Tampa, Hudson, FL 

While working in the FEMA deployment in New Jersey, I quickly realized the #1 problem with COVID is lack of oxygen. These patients do not present septic or hypotensive just oxygen deprived with all of its normal complications. I also found that having contact with a patient, moving to ambulance, and then digging through cabinets for supplies exposed ALOT of EMS supplies. So we created a simple COVID bag. Sealed, clear sitting on top of stretcher. I averaged 6+ COVID patients per shift. Only once did I have to dig into the medicine bag for additional care.

  • Field COVID bag — Sealed 2 gallon bag containing: NRB mask, Nasal Cannula, EKG patches (4-12), 2 surgical masks, 2 4x4, Tape.  If used, disinfect outside of sealed items, and replace used.
  • Field ALS add-on — quart size bag with full IV start kit inc. 18g, 20g and quick connect with 10cc NS syringe.
Filters

Sarah Ellis RN, BSN, Clinical Supervisor Emergency Department, Spencer Hospital
One thing we had to make sure and do was place a bacterial/viral filter with our ambu bags throughout our ED and on the ambulance trucks. Otherwise the exhaled patient air will be dispersed into the room.

Testing Results & Transport
North Fork EMS: serving Hotchkiss, Paonia, & Crawford Colorado communities. 

  • #1. Having adequate testing kits available & the turn around time to get test results. In rural Western Colorado the virus is not prevalent as in metro areas of Colorado BUT we feel our time is coming. So as the saying goes “ an ounce of prevention is worth a pound of cure”. We need to be proactive instead of reactive. In rural areas the time factor needs to be shorter in potential cases. 
  • #2. In our EMS District we have two ambulances set aside to handle any respiratory pages. The ambulances are fully sealed inside and every piece of equipment is wrapped in protective covers. We also have designated drivers already scheduled to transport these patients. We have our dispatch operators full briefed on how to activate our CORVID-19 protocols. This will allow us to handle other 911 calls more efficiently.  Finally we have our EMT-I and Paramedics to determine the need to activate our respiratory ambulances for transporting these patients.  Just hope and pray that we won’t overwhelm our EMS district.