Central Mass EMS Corp.    CMEMSC OFFICE: (508) 854-0111   |   CMED 24/7 Phone: 508-854-0100

Announcements

Please click HERE for the MEMO. If you have any concerns or questions about your ability to comply by December 31, 2020, please contact Susan Lewis, Deputy Director of OEMS, at This email address is being protected from spambots. You need JavaScript enabled to view it..

Dear EMS Colleagues,

As this current wave of COVID is battering the healthcare system, I applaud you for your efforts and the diligent care you have continued to provide your patients. It is certainly a challenging time for all of us. Because of a few recent events that have been brought to the Region I want to take a moment to remind you of some important considerations to keep in mind as we look at the big, COVID-painted picture.

Because every patient must be treated as if they have COVID until proven otherwise, OEMS recently updated STP 1.2 Patient at Risk for COVID-19 to reflect that. I specifically want to remind you of section d. EMS may defer CPAP or other respiratory therapies (such as nebulizer or inhaler therapies) to the receiving hospital, to reduce aerosol-generation risk. Keep in mind that the Protocols permit MDI use in place of nebulizers anyway, even for patients not specifically noted to be at risk for COVID-19, and it is acceptable to do so for all patients during this period. Parenteral therapy (e.g. intramuscular epinephrine) may be necessary for the safer treatment of severe bronchospasm. When in doubt, please discuss individual cases with on-line medical control (emphasis added).

As conscientious and caring providers, it is understandable that you want to do the best for your patients but consideration must be given to the protection of others as well. If you choose an aerosolizing procedure for your patient you must discontinue it’s use before entering the emergency department. Inform the hospital staff of the severity of your patient in the CMED entry note so they can prepare appropriately. Ensure the staff is ready for your patient before entering if needed. This is also advisable when you have a patient that is being ventilated manually or mechanically. 

Again, your patient care and compassion are greatly appreciated. Remember to take the initiatives to keep yourself, your crew, your patient and your fellow healthcare workers as safe as possible during this unprecedented pandemic. Do this by wearing your PPE. Upgrade to an N95 for any aerosolizing procedures. Consider alternative treatments when you can. Add inline HEPA filters when appropriate. Communicate with the receiving facility early. Remember we are all in this fight together.

All the best,

John Broach, MD, MPH, MBA, FACEP

Region II Medical Director

November 3, 2020, the Commissioner of Public Health has issued an Order, under her authority pursuant to M.G.L. c. 94C, § 7(g) and 105 CMR 700.003(H) of the Drug Control Program (DCP) regulations, to temporarily enlarge the pool of authorized vaccinators to include all paramedics working in conjunction with their ambulance services (not only those working for Department-approved mobile integrated health (MIH) and community EMS programs (CEMS)) for administration of flu vaccine only, to those age 3 and older. Her Order also extends this temporary authorization to medical students and nursing students.

Ambulance services and the paramedics who are authorized under this Order may administer vaccine in accordance the Order, the DCP guidance under this Order, as well as the Special Protocol issued today for this limited-period flu vaccine administration authority only. (Note that MIH and CEMS paramedics are authorized by 105 CMR 700.003(A)(4) to administer flu and other vaccines as determined by the Department to persons 18 and older, and they do so in accordance with their MIH or CEMS program’s medical director’s protocols for such vaccine administration. For MIH and CEMS paramedics, this Order applies to enable them to now administer flu vaccine to persons 3 years and older.)

Click here to view the Special Protocol

 

Dear EMS Colleagues,

The Massachusetts Department of Public Health (DPH) continues to work with state, federal and local partners on the outbreak of novel Coronavirus 2019 (COVID-19), caused by the virus SARS-CoV-2, and we continue to appreciate the essential role you have in responding to this evolving situation. 

In response to the evolving COVID-19 outbreak, OEMS is releasing an update to Emergency Statewide Treatment Protocol 1.2. The Protocol (view HERE), now titled,  1.2 Coronavirus Disease 2019 (COVID-19) Safety Precautions for All Patients, has been broadened to make clear that its requirements now apply to all patients, who are to be treated as suspect for COVID-19, and not limited to patients known to have COVID-19 or COVID-19-like symptoms.

For the latest information, visit the DPH 2019 Novel Coronavirus website which is updated frequently: www.mass.gov/2019coronavirus

Thank you, and please be safe.

Dr. Jon Burstein

State EMS Medical Director

Office of Emergency Medical Services

Bureau of Health Care Safety and Quality

Massachusetts Department of Public Health

67 Forest Street

Marlborough MA 01752

This email address is being protected from spambots. You need JavaScript enabled to view it.

http://www.mass.gov/dph/oems

On October 23, 2020, OEMS issued Advisory 20-10-01 establishing requirements for Ambulance Service Location workplace safety.  This advisory is in effect through the duration of the Governor's declared state of emergency.  Read the advisory HERE.

EMS and public safety jobs are stressful enough without the threat of a global pandemic. If you find things are getting overwhleming, don't hesitate to reach out for some help. The On-site Academy has been helping front line workers stay on the front lines for years. This group of professional and volunteers are amazing and they really care. You matter-You count! They are here to serve those who serve others.

Please read the following reminder from the state OEMS Director about ventilator use during the COVID pandemic.

The Massachusetts Department of Public Health (DPH) continues to work with state, federal and local partners on the outbreak of novel Coronavirus 2019 (COVID-19), caused by the virus SARS-CoV-2, and we continue to appreciate the essential role you have in responding to this evolving situation. 

On June 4, 2020 CMEMSC had the priveledge of partnering with Technocopia and the Worcester Face Shield Project to pick up critical PPE supplies for our EMS agenices. Read the press release HERE. ANd if you missed the 5pm news that night, watch recording HERE.

Did you receive some KN95 masks at your service and have a concern about their clinical use? Here is some guidance from the FDA released on 4/3/2020.

The US Food and Drug Administration on Friday changed its position on a sought-after type of respirator from China, the KN95.

In response to continued respirator shortages, the FDA issued new guidance, authorizing KN95 respirators if certain criteria are met, including evidence demonstrating that the respirator is authentic.
The move comes after conflicting government guidance caused confusion over how these masks should be used and whether they could be imported into the US.

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