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Welcome to Memorial Hospital of Carbondale's regional site for EMS and Emergency Preparedness professionals. Here you will find EMS treatment protocols, updates, training, an event calendar, forms, and other information relevant to regional EMS and disaster preparedness.  ​

August 8
National Shortage of Valium and Ativan
 Brad Robinson  

Due to a nationwide shortage of Valium (diazepam) and Ativan (lorazepam),  Dr. Haake has included Versed (midazolam) in the seizure protocol.  I have attached the updated protocol in PDF to this email.  It has also been added to the protocols on the website.  Continue to use the benzodiazepines you have in stock but be prepared that emergency departments will not be able to replace your Valium or At…Read More

July 18
National CAT Tourniquet Shortage/Backorder
 Brad Robinson  

​The CAT Tourniquet is currently unavailable and on back order from all vendors throughout the country.  Dr. Haake has approved the SAM-XT as an alternative to the CAT Tourniquet in the SIREMS system.  Training videos are linked below.  Contact the EMS Office with any questions.

SAM-XT Upper Extremity

SAM-XT Lower …Read More

July 1
Dr. Haake's Memo and Directives on Refusals
 Brad Robinson  

​Dr. Haake released a memo addressing issues with the handling and documentation of refusal cases.  Please read the attached memo and contact the EMS Office with any questions.

SIREMS Refusal Memo 06-29-2022.pdf


Read More
June 6
Update to ALS Medication List
 Brad Robinson  

Dr. Haake has made Lorazepam an optional drug for ALS transport and non-transport units.  Currently, Diazepam is readily available.  However, Lorazepam will remain optional in the event of another Diazepam shortage.  Contact the EMS Office with any questions.

BB-1 AMBULANCE MEDICATIONS​

Read More
May 24
Bradycardia Protocol Update
 Brad Robinson  

The CC-08 Bradycardia Protocol has been updated to reflect the 2020 AHA Emergency Cardiovascular Care Guidelines change of Atropine dosing from 0.5mg to a 1mg dose.  Contact the EMS Office with any questions.

CC-08 BRADYDYSRHYTHMIAS​

Read More
May 15
Happy EMS Week, May 15-21, 2022
 Brad Robinson  

Dr. Haake and the staff of the SIREMS Office wish all EMS Personnel a very safe and happy EMS Week 2022!  Thank you for what you do for the patients of this region every day!

Dr. Haake

Brad Graul

Jay Sims 

Brad Robinson​

Read More
February 14
COVID Exposure/Positive Guidance Infographic
 Brad Robinson  

​Attached is an infographic that may make it easier to navigate the isolation/quarantine/testing recommendations for employees and employers.  The infographic is from the Egyptian Health Department and we believe it makes it easier to navigate the changes and vaccination status deviations.

Contact the EMS Office with any questions.

COVID employer …Read More

February 14
Epinephrine 1:10000 Shortages
 Brad Robinson  

Other shortages affecting hospitals and EMS vendors is epinephrine 1:10000 prefilled syringes for cardiac arrests.  Attached is a guidance document that goes through the step by step process to dilute epinephrine 1:1000 to the 1:10000 concentration.  This process cannot be done in advance and stored in your drug box as prefilled, it must happen in real time for the integrity of the medication.  Contact the …Read More

February 14
Dextrose 50% Shortages
 Brad Robinson  

​Hospitals and EMS vendors are experiencing a shortage of Dextrose 50% for treatment of hypoglycemic emergencies.  Our EMS System has dealt with D50 shortages before, and have our back-up plan included in our system's treatment protocol.  When D50 is not available, administer 1mg of Glucagon and follow with a 250mL bolus of dextrose 10% in water.  Contact the EMS Office with any questions.

Read More

January 6
Last Chance for the Old FR Licenses
 Brad Robinson  

​Effective March 31, 2022, all (FR) Forst Responder linceses that were issued without expiration dates will no longer be valid.  At that time, any old FR license that remains in the IDPH licensing database will be eliminated.  Please refer to the linked IDPH memo below and contact the EMS Office with any questions.

First Responder Licenses go…Read More

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expand Education Type : Chest Pain Protocol Update ‎(1)
expand Education Type : CPAP ‎(5)
expand Education Type : DuoNeb Education ‎(3)
expand Education Type : First Responder Continuing Education ‎(1)
expand Education Type : IDPH Continuing Education Guidelines ‎(4)
expand Education Type : IFSI - EMS Continuing Education ‎(1)
expand Education Type : iGel Training 2019 ‎(1)
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expand Protocol Area : Section A: Medical Legal ‎(29)
expand Protocol Area : Section B: Operational ‎(36)
expand Protocol Area : Section BB: Drugs and Equipment ‎(9)
expand Protocol Area : Section C: Quality Assurance ‎(3)
expand Protocol Area : Section CC: Cardiac ‎(11)
expand Protocol Area : Section D: Suspension ‎(4)
expand Protocol Area : Section DD: Trauma ‎(16)
expand Protocol Area : Section EE: Medical ‎(25)
expand Protocol Area : Section F: Communication ‎(3)
expand Protocol Area : Section FF: OBGYN ‎(7)
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expand Form Type :  ‎(4)
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expand Form Type : EMS ‎(20)
expand Form Type : Protocol ‎(9)
expand Form Type : Renewal Worksheet ‎(4)
expand Form Type : SIREMS ‎(2)