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The Administration for Strategic Preparedness and Response (ASPR) recently released an updated version of its EMS Infectious Disease Playbook. Subject matter experts reviewed the previous version of the playbook, which was released in 2017. The current Version 2.0 now incorporates information on Mpox and COVID-19.
The playbook synthesizes multiple sources of information on the full spectrum of infectious agents that may be encountered by emergency medical services (EMS) agencies into a single, concise reference and planning resource. The recommendations are intended to be incorporated into agency standard operating procedures and reviewed by the EMS medical director.
Safe response by EMS requires an integrated approach, starting with the caller and dispatcher, and continuing with appropriate protocols for the EMS response on-scene, use of environmental controls and personal protective equipment (PPE), and transport to a healthcare facility.
The 100-page playbook begins with a section on best practices for call taking and dispatch that facilitate screening for infectious diseases and for performing an initial assessment of the patient in the field. This section includes a screening algorithm for dispatch and an on-scene assessment algorithm for EMS responders.
The next section covers standard practices to protect against contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes for all patient encounters.
The following sections cover specific considerations for contact, droplet, and airborne exposures presented by various infectious diseases. These sections cover examples of the diseases; the goals of the precautions; dispatch actions; arriving EMS actions and considerations; PPE selection, donning and doffing; transport considerations; and ambulance decontamination practices.
The final two sections cover special precautions for respiratory diseases such as Middle East Respiratory Syndrome (MERS), novel influenza strains, smallpox, Mpox, and COVID-19, as well as high consequence infectious diseases such as ebola virus disease and viral hemorrhagic fever (EVD/VHF).
The document includes and extensive list of references linking to sources for the recommended protocols in the playbook. These include the latest guidance from the Centers for Disease Control and Prevention, Environmental Protection Agency, World Health Organization, Occupational Safety and Health Administration, National Highway Traffic Safety Administration, National Institutes of Health, National Emerging Special Pathogens Training and Education Center, medical research journals, private sector EMS agencies, and others.
The EMS Infectious Disease Playbook, Version 2.0 is available within the EMS Resource Collection of ASPR’s Technical Resources, Assistance Center, and Information Exchange (TRACIE).
(Source: ASPR TRACIE)
On July 21, the Department of Homeland Security (DHS) announced final allocations of $605 million in six Fiscal Year (FY) 2023 competitive preparedness grant programs which help prepare the nation against threats and natural disasters.
The grant programs provide funding to state, local, tribal, and territorial governments, nonprofit agencies, and the private sector to build and sustain capabilities to prevent, protect against, respond to and recover from acts of terrorism and other disasters.
This year, DHS will prioritize six critical areas: cybersecurity, soft targets and crowded places, intelligence and information sharing, domestic violent extremism, community preparedness and resilience, and election security.
The six competitive grants and their allocations are:
For more information, see DHS’ news release and visit FEMA.gov/grants.
(Sources: DHS, FEMA)
The International Public Safety Association (IPSA) is hosting a Public Safety Summit on Dec. 12-13, 2023.
This low-cost, online-only event will bring together all types and levels of public safety officials - law enforcement, fire, EMS, telecommunications, emergency management and allied emergency responders from around the United States and internationally. Attendees will walk away with several educational resources, tips, and strategies that they can apply in their agency.
IPSA anticipates between 8 and 12 presenters will speak during this 2-day summit, covering a variety of public safety topics. Presenters will be selected in August 2023, and case studies from first responders that had a role in a recent (2022-2023) critical incident will be prioritized.
IPSA encourages 911 personnel, law enforcement, firefighters, EMS, tactical paramedics, emergency management personnel, public safety civilian personnel, healthcare professionals and allied emergency responders to attend this two-day multidiscipline, collaborative event.
Early bird registration is open through Monday, July 31, 2023. Learn more and register on IPSA’s website.
(Source: IPSA)
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