From the Ohio Division of EMS:
Changes to Ohio’s Trauma Triage Criteria for EMS
The following changes have been made to the Ohio Trauma Triage Criteria for EMS personnel:
“Needs intubation“ has been modified to “Need for ventilatory support”
o Adults and geriatrics
o EMSIRS field value 9910 (no change to code, only wording)
“Respiratory rate less than 20 in infants less than 1 year old” added
o EMSIRS field value 9912
“Open skull fracture” added
o All age groups
o EMSIRS field value 9983
“Vehicle telemetry data consistent with high risk of injury” added
o All age groups
o EMSIRS field value 9997
These changes are now in effect.
Any questions, comments or concerns should be directed to:
Chief of Trauma Systems and Research
From the Ohio Division of EMS:
REMINDER Effective January 1, 2013, the new scope of practice went into effect for Ohio certified EMTs (formerly known as EMT-Basic), and Ohio EMTs are no longer able to intubate.
Please see the Ohio Scope of practice at this link: http://www.publicsafety.ohio.gov/links/ems_scope_practice0312.pdf
Effective January 1, 2013, Ohio EMT’s cannot intubation apneic/pulseless victims.
Beginning January 1, 2013, EMTs can provide extraglottic airway insertion on apneic and pulseless patients, with local medical director approval, training and written protocols.
Please see AIRWAY MANAGEMENT in the Scope of Practice link above and note * at the end of AIRWAY MANAGEMENT section: “*Orotracheal intubation of pulseless and apneic patients will be removed from the Ohio EMS scope of practice for Emergency Medical Technicians effective on January 1, 2013.”
This does not affect Advanced EMTs and Paramedics.
March 1, 2012
To: Ohio EMS agencies, EMS medical directors, hospitals, and hospital pharmacists From: Ohio Department of Public Safety, Division of Emergency Medical Services Subject: The February 22, 2012 announcement of drug shortages from the FDA. In light of recent events, your prompt attention is requested to review practices by your agency for substituting drugs that are unavailable or in limited supply that are used by EMS agencies.
The recent announcement of drug shortages from the FDA has impacted on hospitals and may have a negative impact on the ability of EMS professionals to provide the traditional standard of care in the prehospital environment for some patients, as about half of the medications on the FDA’s list are commonly stocked and administered by EMS agencies.
RATIONALE FOR REVIEW
The following suggestions for alternative drugs are solely based upon the February 22, 2012 drug shortage report from the FDA; therefore, continuous communication with the pharmacists and frequent reassessment of the FDA drug shortage list is imperative. The ongoing drug shortage situation is a dynamic one and the medications in short supply may change on a daily basis. The highest priority must be given to maintaining patient care while at the same time following Ohio law. All transitions to alternative medications must be done in compliance with Ohio’s State Board of Pharmacy and the DEA’s regulations. It is also imperative that EMS medical directors serve as the party to initiate the transition to and implementation of alternative medications for EMS agencies. The addition of any alternative medication to an EMS protocol must be paired with training, continuing education, competency assessment, and continuous performance improvement measures. The National Association of State EMS Officials (NASEMSO) Medical Directors Council has discussed this issue as well as the increased risk of potential conflict with DEA regulations when EMS professionals and EMS medical directors may contemplate administration of expired scheduled medications. Temporary waivers of drug expiration dates are currently being explored for potential viability as an avenue of relief.
The NASEMSO Medical Directors Council acts in an advisory role to NASEMSO and does not have the authority to grant states the ability to waive the expiration dates of medications for EMS agencies or emergency care facilities nor does it have the authority to create policies for the FDA or DEA. Nevertheless, we are committed to be a lead partner with EMS organizations and other stakeholders within our emergency care system to definitively address this dilemma that we believe that the incidences of drug shortages will be ongoing for some time. The FDA has ultimate authority of approval for the administration of medications beyond the expiration dates. An additional consideration is that the FDA’s list of drug shortages includes scheduled medications. For these medications, approval from the DEA, in addition to the FDA, may be required to waive the expiration date of a scheduled medication. The presence of active and involved EMS medical direction is critical and required. EMS medical directors may wish to create and/or implement “just in time” protocols for alternative medications to ensure seamless quality patient care and to maintain patient safety in the pre-hospital setting.
Dr. Carol Cunningham,
State Medical Director
Ohio Department of Public Safety, Division of EMS
OHIO TRANSITION PLAN TO ADDRESS NREMT STATE-APPROVED TRANSITION
October 5, 2011
NREMT TRANSITION POLICY NOTICE
Ohio EMS providers have recently received a notice from the National Registry
of EMTs (NREMT) regarding a “Transition Plan” to maintain their NREMT
certification. The NREMT Transition Policy, adopted June 8, 2011, requires the
current holder of a NREMT certificate to complete a state-approved transition
course in order to be eligible for its National EMS Certification.
The NREMT Transition Policy only affects those Ohio EMS providers who wish
to maintain their NREMT certification. The Ohio Revised Code and the
Administrative Code do not require EMS providers with current and valid Ohio
certificates to practice to also hold a National EMS Certification.
OHIO TRANSITION PLAN
The State EMS Board has adopted the National EMS Education Standards and
the National EMS Scope of Practice Model as a minimum guideline for Ohio EMS
providers. The action does not reduce the current Ohio EMS scope of
practice in fact additional psychomotor skills have been added to the draft
Ohio curriculum and scope of practice rules. The State EMS Board is in the
final steps of the rule revision process and expects the new Ohio curriculum,
scope of practice and EMS titles rules to become effective by mid-February
The draft curriculum rules include refresher programs that will meet the
national scope of practice model, the Ohio specialty topic renewal
requirements and the NREMT Transition Policy, which requires a state-
approved course. The draft curriculum and refresher rules are based on the
national EMS education standards as well as the standards established by the
EMS Board. The Ohio Refresher programs will be the only courses approved by
the State Board to meet the NREMT transition criteria.
The draft rules are currently posted on the EMS website under DRAFT RULES
FOR PUBLIC COMMENT – http://www.ems.ohio.gov/ems_laws.stm. The draft
rules are expected to go to the Ohio EMS Board in October for approval, to
public hearing in December and to the legislative committee, JCARR, in January
2012. If this timetable is met, the rules should become effective in February
2012. Again, these are draft rules and have not been approved.
Please visit the EMS web site for updates www.ems.ohio.gov and watch for e-
mail announcements from an EMS listserv. Please use the following link to
register to receive EMS listserv announcements:
FOR IMMEDIATE RELEASE: September 13, 2011
Contact: China Dodley, Public Information Officer (614)-466-2551
New Law Revises the Requirements for Ambulance Staffing and Driver Requirements
It also revises priorities for distributing grant funding, specifies additional titles used by EMS personnel and extends a moratorium on issuing fireworks manufacturer and wholesale licenses.
–A new law revising the requirements for staffing ambulances takes effect Sept. 23, 2011. The Ohio Fire Chiefs Association spearheaded the legislation [Substitute H.B 128] in an effort to improve driver safety and reduce the number of emergency vehicle–related crashes.
“The Division of EMS’ goal is to educate Ohio’s EMS community regarding the new requirements to ensure that our providers remain in compliance and continue providing the highest level of care to their patients,” said Executive Director of the Division of EMS Jeffrey Leaming. “The revised priorities for grants and the specification of titles for EMS personnel help us move one step closer to the national EMS education standard and program accreditation.” The Board adopted the national accreditation of the state’s paramedic training programs in February 2010, requiring Ohio-accredited paramedic programs be nationally accredited through the Commission on Accreditation of Allied Health Education Program by 2018. Grant funding has been added to assist Ohio Paramedic Training Programs that are in the process of obtaining national accreditation.
Revises the requirements for staffing ambulances. The new requirements vary, depending on whether the ambulance is traveling to the emergency scene or from the emergency scene and carrying a patient, and whether the emergency medical service is a volunteer organization or is substantially utilizing volunteers. The bill also establishes who may drive ambulances, generally requiring a first responder or EMT, or with proper staffing a certified firefighter. (Ohio Revised Code Section 4765.43 http://codes.ohio.gov/orc/4765.43)
Revises the priorities for distributing grants for emergency medical services, including giving priority to paramedic programs seeking national accreditation.
Allows entities that provide ambulance, emergency medical, and nonemergency patient transport services on behalf of townships to collect and retain any fee that the township may charge for each run involving such services.
Add new National certification level titles to the existing certification titles. Ohio will add Emergency Medical Responder to the First Responder level; EMT will be added to the EMT-Basic level to now mean the Basic level only; Advanced-EMT will be added to the current Intermediate level, and the EMTParamedic level will be simply “Paramedic.”
B. 128 continued …
Imposes a general moratorium until December 15, 2015, on the issuance of licenses for fireworks manufacturers, fireworks wholesalers, and the geographic transfer of those licenses.
A complete synopsis of Substitute H.B. 128 can be found online at http://www.lsc.state.oh.us/analyses129/11–
Frequently Asked Questions have been added to the Division of EMS Web site as an additional resource. Visit
# # #
From the Ohio Department of Public Safety, Division of EMS:
In preparation for the 10th anniversary of September 11 and in recognition of National Preparedness Month, the Ohio Department of Public Safety has released a short film titled I Remember September 11. The film features seven local first responders who were dispatched to New York’s World Trade Center. The film gives first-hand accounts of the first responders’ experiences in the rescue and recovery efforts.
“This film reflects a poignant moment in history, highlighting the personal experiences of seven local individuals,” ODPS Director Tom Charles said. “It raises awareness of the bravery, dedication and service of our first responders during a vulnerable moment for our country.”
Many of the film’s subjects are members of the elite Task Force One, one of 28 Urban Search and Rescue (US&R) teams that function within the National US&R Response System managed by FEMA.
The following is a complete list of the participants in I Remember September 11:
Gene Thomas- Ohio Task Force 1 member, Technical Search Specialist, World Trade Center
Sandra Lesko- Willoughby Hills Fire Department, K9 handler, World Trade Center
Dr. Randy Marriott- Ohio Task Force 1 member, Medical Team Manager, World Trade Center
Steve Shupert- Ohio Task Force 1 member, Team leader, World Trade Center
Jack Reall- Ohio Task Force 1 member, Team leader, World Trade Center
Mike Palumbo- Ohio Task Force 1 member, K9 handler, World Trade Center
Darrell Perkins- Volunteer, Box 21 Rescue Squad, Dayton, World Trade Center
I Remember September 11 can be viewed online at:
http://www.publicsafety.ohio.gov/iremember/remember_index.htm during the month of September.
The film project is part of ODPS’ efforts to honor the 10th anniversary of 9/11, and to recognize National Preparedness Month.
As part of the effort, the Ohio Statehouse Lawn will again display its Field of Flags: 2,298 American flags decorating the west lawn, outlining the World Trade Center Towers and the Pentagon. Each flag represents an American life lost on that fateful day, September 11, 2001. A Statehouse ceremony including Governor John Kasich will be held Friday September 9 at 11:30 a.m.
From the Ohio Department of Public Safety:
Ohio Department of Public Safety to Give Media Updates on Twitter
COLUMBUS – The divisions of the Ohio Department of Public Safety have joined the online networking site, Twitter, to give up-to-the-minute updates on various news and events. To follow the divisions, search:
Bureau of Motor Vehicles http://twitter.com/Ohio_BMV
Emergency Management Agency http://twitter.com/Ohio_EMA
Emergency Medical Services http://twitter.com/Ohio_EMS
Ohio Homeland Security http://twitter.com/Ohio_OHS
Ohio Investigative Unit http://twitter.com/Ohio_OIU
Ohio State Highway Patrol http://twitter.com/OSHP
Office of Criminal Justice Services http://twitter.com/Ohio_OCJS (includes Ohio Traffic Safety Office)
ODPS joined this network to keep our media partners and the public better informed about stories, reports or statistics.
The scheduled implementation of the One Card process that was announced to take place on January 4, 2011, has been postponed and re-scheduled. The anticipated date of implementation is now January 30, 2011. This will NOT change anything except that all those whose birthdays fall in the month of April, and whose Fire Service Certification is scheduled to expire in 2011, will now be able to renew and take advantage of the extended time.
We thank you for your patience in this matter. If you have any questions about this or any other certification matter please call our office at 1-800-233-0785 and ask to speak to John Kennington, Jan Greenlee or Renee Allen in the Certification Section.
From the Ohio Division of EMS…
There is a new player in the battle for public safety broadband who sounds like a public safety broadband network supporter but is not.
“Connect Public Safety Now” (www.connectpublicsafetynow.org) was, until December 2nd, the “4G Coalition”. Under both names, it is T-Mobile, Sprint, MetroPCS and others who want the broadband D Block opened for general auction, rather than allocated to public safety, so that they can buy more bandwidth to better compete with Verizon and AT&T (who claimed the lion’s share of bandwidth in the last auction and could be limited from participating in an open D Block auction).
We continue to seek Congressional and White House action to have the D Block allocated to public safety and are continuing to make good progress. The Senate (S.3756)and House(HR. 5081) bills have gained co-sponsors and momentum and will be reissued under new numbers early next session. Please take a look at the Public Safety Alliance (to which NASEMSO belongs) website at www.psafirst.org for updates.
“Connect Public Safety Now” (CPSN) is a new store window for the 4G Coalition whose message fell flat under its old name. You may be well be asked for your thoughts on this group. Buyer beware.
I have attached the ex parte communication that CPSN filed for a meeting with the FCC after it changed its name.
Kevin McGinnis, MPS, EMT-P
Communications Technology Advisor,
Joint National EMS Leadership Conference:
–National Association of State EMS Officials
–National Association of EMTs
–National Association of EMS Physicians
–National Association of EMS Educators
National EMS Management Association
Mail: 57 Central Street, Hallowell, Maine 04347
Adoption of an alternative advanced airway curriculum to be discussed
The Division of EMS and the Ohio State Board of EMS will host an open forum on December 15 at 9:15 a.m., giving stakeholders an opportunity to offer feedback on the adoption of new national education standards that will change the way Ohio EMT-Basics establish advanced airways in their patients.
Orotracheal intubation of pulseless and apneic patients using dual lumen and supraglottic airway devices will remain in the EMT-Basic scope of practice and EMT curriculum. However, the EMS Board voted to remove endotracheal intubation of pulseless and apneic patients by direct laryngoscopy with laryngoscope and single-lumen ET tube. This EMS Board action is not currently in effect.
The open forum session will be limited to one hour and will be held during the Board’s regularly scheduled bi-monthly meeting at the Ohio Department of Public Safety, 1970 W. Broad St., Columbus. Anyone planning to attend and offer feedback is asked to submit their comments in writing to the Ohio State Board of EMS. Anyone that is unable to attend the open forum but wishes to submit comments regarding the impact of this change in scope of practice on their region is also invited to do so. All comments should be submitted to EMSEducation@dps.state.oh.us no later than December 10, 2010. Those seeking additional information can visit www.ems.ohio.gov.
This open forum will provide Ohio’s EMS community an opportunity to provide critical input to the Board as a part of the process. The Board will gather and review all information from stakeholders as well as other resources before ultimately making its decision upon measures that will best serve Ohio’s EMS professionals and their patients.
Approving new Ohio curriculums and the adoption of the National EMS Scope of Practice as a minimum guideline is just one of a series of measures taken by the Board as a result of a study it conducted in 2007 of the National Education Agenda for the Future and the National Education Standards.
The Fall issue of The Siren from the Ohio Division of EMS is now available;