A critical shortage of dextrose solutions in prefilled syringes and IV fluid bags is currently forcing emergency medical services (EMS) to adapt their protocols.
Dextrose solutions in various concentrations are used in many medical applications. In emergency medicine, they are a staple in the EMS drug box, and are commonly used to treat hypoglycemia. Dextrose administration can restore blood sugar levels quickly.
The Food and Drug Administration (FDA) is currently reporting shortages of dextrose in 5%, 10%, 25%, and 50% solutions.
A recent article in EMS1 states that manufacturing capacity to support these dextrose products is not expected to improve for some time. There is potential for shortages of these products to worsen if anything else disrupts the supply.
Glucagon administered as an intramuscular injection was historically used in EMS for hypoglycemic patients, although it is expensive and more difficult to administer than dextrose. Most EMS agencies no longer have this medication in their protocols. Nevertheless, during this critical dextrose shortage, glucagon could be a viable alternative to treat hypoglycemia. However, glucagon is also currently in short supply.
The dextrose shortage is currently one of the most critical shortages for EMS, but many other important rescue medications are also in shortage right now, and drug shortages are an ongoing challenge for EMS. An ideal emergency medical system would establish a secure supply of emergency medicines to ensure their availability and affordability. However, until such a system is achieved, EMS agencies are forced to adapt and use what is available to them.
EMS1 recommends that EMS agencies develop programs that can address these shortages by managing protocols so that alternative drugs or formulations can be used, performing active stock management, and making various other improvements to logistics and EMS management.
Read the full list of EMS1’s recommendations to help EMS agencies adapt to the dextrose shortage and drug shortages in general.
(Source: EMS1)
The Office of Justice Programs’ Bureau of Justice Assistance (BJA) is currently accepting nominations for the 2022 Public Safety Medal of Valor.
Every day, public safety officers risk their lives to protect America’s citizens and communities. To honor that commitment, Congress passed the Public Safety Officer Medal of Valor Act of 2001, which created the Public Safety Officer Medal of Valor, the highest national award for valor that can be received by a public safety officer.
Each year, the Public Safety Officer Medal of Valor is awarded by the President or Vice President of the United States to a public safety officer who has exhibited exceptional courage, extraordinary decisiveness and presence of mind, and unusual swiftness of action, regardless of his or her own personal safety, in the attempt to save or protect human life.
For the purpose of this award, a public safety officer is defined as a person serving a public agency, with or without compensation, as a firefighter, law enforcement officer, or emergency services officer. The term “law enforcement officer” includes a person who is a corrections or court officer or a civil defense officer.
This past May, Medals of Valor for 2021 were awarded to nine police officers and six firefighters. Among last years’ recipients were a deputy sheriff who risked his life to rescue someone who had fallen through ice into a lake, and a fallen firefighter who rushed into a burning nursing home multiple times to carry out residents who couldn’t escape in their wheelchairs and walkers.
For more information on the program, past recipients, and instructions on how to submit a nomination, see the BJA’s Public Safety Medal of Valor page. This year’s nominations are for events that took place between June 1, 2021 and May 31, 2022. Nominations are due by Monday, August 8, 2022.
(Source: BJA)
The Federal Emergency Management Agency’s (FEMA’s) Emergency Management Institute (EMI) has released its 2023 NIMS ICS Position-Specific Train-the-Trainer (TtT) Virtual “K” Course Schedule.
EMI provides training for all positions in the National Incident Management System’s (NIMS’) Incident Command System (ICS). Participants who complete a course in EMI’s NIMS ICS All-Hazards Position-Specific (AHPS) Training Program are required to gain a certificate of training and the credentials to function in an ICS Organization, such as an Incident Management Team (IMT), as a member of the Command, General Staff or as a Unit Leader. Most AHPS courses in the series are between 2 and 5 days in length and are offered both in person and virtually.
EMI’s virtual train-the-trainer series provides courses to train those who are already certified members of an ICS Organization to become instructors of the NIMS ICS All-Hazards Position-Specific courses. Each of these train-the-trainer courses in the “K” series are between 2 and 5 days in length. All are delivered in an instructor-led virtual format with video conferencing by EMI.
The intended audiences for these virtual train-the-trainer courses are emergency responder personnel from state, local, tribal, territorial, federal, or other agencies who may be designated as members of an ICS organization or IMT. Candidates must be fully qualified and credentialed in the position, with a minimum of 3 years credentialed incident management organization (team) experience and have a significant instructional delivery background. Participants will be required to perform a teach-back of an assigned unit from the target curriculum. They must also pass two exams.
See EMI’s EMIGram to learn more about these train-the-trainer opportunities, including the complete schedule for courses running from October 2022 through September 2023, course series description, prerequisites, selection criteria, and information on how to apply. These courses are listed in the National Training and Education Division’s National Preparedness Course Catalog, where you can find information on each position-specific course. Visit EMI’s website to learn more about EMI’s NIMS ICS All-Hazards Position-Specific Training Program.
(Source: EMI)
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