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Salt Lake City, Utah


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NASEMSO News 2017

First Responder Network Goes Nationwide; All 50 States, 2 Territories and District of Columbia Join FirstNet

(12/29/17) First responders across the nation now have a wireless broadband network to call their own. With all 50 states, two U.S. territories and Washington, D.C., joining FirstNet, public safety has a groundbreaking new choice for their communications that will help them save lives and protect their communities. FirstNet is the creation of the nation’s public safety community, who spent years advocating for their own wireless broadband network following the Sept. 11, 2001, terrorist attacks to enhance communications during emergencies and other events. Congress passed legislation to establish the network in 2012, and for the past five years, the First Responder Network Authority has worked closely with public safety to develop customized plans for building the network in each state and territory. See press release.

NASEMSO Seeks Feedback on Revised Portions of 2007 National EMS Scope of Practice Model

(12/12/17) NASEMSO is soliciting feedback on revised portions contained in the 2007 National EMS Scope of Practice Model. A subject matter expert panel has determined that clinical practice decisions must be based on the level of cognitive and psychomotor preparation of EMS personnel.

Draft 2 is intended to reflect an improved description of the spectrum of EMS levels from the 2007 Practice Model. Once community consensus has been reached on these descriptions, the assignment of skills and tasks will be accomplished for a comprehensive final draft and provided for public comment in spring 2018.

In addition, it was determined that guidance is needed to explain the general recommendations and procedures applicable when emergent changes to sustain and strengthen national preparedness for public health, military, and domestic emergencies need to occur to the National EMS Scope of Practice Model (SoPM) between regular revision cycles.

National engagement provides interested parties with an opportunity to comment on the draft to ensure that the document reflects the collective expertise and experience of the whole community. Please provide feedback online by 5:00 p.m. EST, Feb. 10, 2018.

Is the NEMSIS Standard Really Changing Again?

(12/02/17) Clay Mann, NEMSIS Technical Assistance Center (TAC), recently offered a presentation for the NASEMSO Board on National EMS Information System (NEMSIS) version revisions. This presentation received rave reviews, so the NEMSIS TAC has made the recording available online. The purpose of the 20-minute video is to provide some evidence supporting the need for some revisions to the current standards and to offer new timelines for current and future versions of the NEMSIS standard.

NASEMSO Executive Director Present at Honoring of First Responders During National Traffic Incident Response Awareness Week

(11/21/17) On Nov. 16, 2017, Secretary of Transportation Elaine L. Chao signed a proclamation for National Traffic Incident Response Awareness Week (Nov. 13-17) honoring first responders. Executives from all traffic incident management disciplines were present at this occasion and also signed the proclamation, including NASEMSO Executive Director Dia Gainor, who appears to the right of Secretary Chao in the photo below. See full-sized photo here.

Elaine Chao, Secretary of Transportation,
signs proclamation honoring first
responders on Nov. 16, 2017

NASEMSO, NAEMSP and ACEP Collaborate to Address Opioid Overdoses

(11/20/17) The National Association of State EMS Officials (NASEMSO), in collaboration with the National Association of EMS Physicians (NAEMSP) and the American College of Emergency Physicians (ACEP), is leading a project to develop and disseminate an evidence-based guideline for the administration of naloxone (Narcan®) for opioid overdoses. In spite of the dramatic increase in the number of opioid overdose events to which EMS personnel now respond, there remain several unanswered questions about the optimal use of naloxone, including: how to best distinguish an opioid overdose from other non-responsive conditions; when to administer a second dose of naloxone; the most appropriate patient disposition after a return of consciousness; and how to maintain optimal medical oversight to naloxone administration. A primary objective of this project is to answer these questions through a rigorous, science-based approach and deliver an evidence-based guideline and model EMS treatment protocol for the prehospital management of patients with suspected opioid overdose. Download press release.

"DEA Bill" Becomes Law

(11/22/17) On Nov. 17, President Trump signed the Protecting Patient Access to Emergency Medications Act into law. The legislation, which was introduced as H.R. 304 by Congressman Richard Hudson (NC), clarifies existing law to allow EMS providers to continue dispensing controlled substances under “standing orders." Senator Bill Cassidy (LA) introduced similar legislation in the Senate. The law amends the Controlled Substances Act (CSA) to enable paramedics and other EMS professionals to continue to administer controlled substances to patients pursuant to standing orders issued by their EMS agency's medical director.

This law amends the CSA to direct the Drug Enforcement Administration (DEA) to register an EMS agency to administer controlled substances if the agency submits an application demonstrating that it is authorized to conduct such activity in the state in which the agency practices.

An EMS agency may obtain a single registration in each state instead of a separate registration for each location. A registered EMS agency may deliver, store, and receive controlled substances, subject to specified conditions.

An EMS professional of a registered EMS agency may administer controlled substances in schedules II, III, IV, or V outside the physical presence of a medical director if such administration is authorized under state law and pursuant to a standing or verbal order, subject to specified conditions. The law specifies that a hospital-based EMS agency (i.e., an EMS agency owned or operated by a hospital) may continue to administer controlled substances under the hospital's DEA registration.

Deadliest American Disasters and Large-Loss-of-Life Events Website Goes Live

(11/11/17) B. Wayne Blanchard, Ph.D., has announced publication of a new resource, the Deadliest American Disasters and Large-Loss-of-Life Events website. The objective of this site is to be the most complete and authoritative source in one place on the deadliest American/U.S. disasters and other large-loss-of-life events (10 or more lives lost).

New material is added, and existing material updated regularly. The information available on the site will be especially useful for research. To date, more than 5,400 events – which have taken ten or more lives and over 400 others taking fewer than ten (such as the space shuttle disasters and some terrorism incidents) – have been compiled.

Dr. Blanchard retired from the Federal Emergency Management Agency in 2010. He spent the last 16 years of his career at the Emergency Management Institute, where he developed the Higher Education Program (High Ed). This was the first such U.S. project, with the primary purpose of encouraging and supporting the expansion and innovation of undergraduate and graduate degrees and programs on hazards, disasters and emergency management in U.S. colleges and universities.

Kansas Joins National Collaborative for Bio-Preparedness

(11/20/17) The Kansas Board of Emergency Medical Services has completed Data Use and Analytic Agreements with the University of North Carolina (UNC) to join the states of Florida and Rhode Island in the National Collaborative for Bio-Preparedness (NCBP). Kansas will be submitting National EMS Information System (NEMSIS) data elements both to assist in national preparedness and to enhance the state’s ability to visualize their data with other data layers of relevance. Biospatial and UNC are working closely with the National Association of State EMS Officials (NASEMSO) to develop and grow the Collaborative through state EMS offices. NASEMSO has partnered with the NCBP because of the value the analytics can provide to the NEMSIS data that state EMS offices collect. The NCBP has created a pathway to contribute to state specific surveillance and offer real time value to state epidemiologists and state health officers. Download press release.

Fentanyl Safety for First Responders

(11/01/17) The White House today released a fact sheet with recommendations for first responders to protect themselves from exposure to opioids. The document was released as an appendix to the final report of President’s Commission on Combatting Drug Addiction. The Fentanyl Safety Recommendations for First Responders fact sheet and an overview of the project are posted on the White House website.

NASEMSO Congratulates TN State Director Donna Tidwell

(11/10/17) NASEMSO Board Member and State EMS Director Donna Tidwell was recently honored by the state of Tennessee for her leadership and service to the citizens of the Volunteer State and the nation. Donna’s career and military experience, as well as her handling of multiple major events that struck Tennessee in recent years were recognized in a ceremony in Nashville. Governor Bill Haslam noted, "Donna’s outstanding leadership helps provide Tennessee the capacity to respond effectively and efficiently during disasters to ensure public health and welfare.” NASEMSO is proud to claim Donna as “one of our own” and echoes the sentiments expressed by Gov. Haslam. Congratulations for this well-deserved recognition, Donna!

“DEA Bill" Passed by Congress; Sent for President’s Signature

(11/10/17) The House of Representatives has passed by unanimous consent the Senate amendments to the Protecting Patient Access to Emergency Medicines Act (H.R. 304). The NASEMSO-supported legislation clarifies that medications governed by the Controlled Substances Act may be administered by emergency medical services practitioners under a standing order issued by the EMS agency's physician medical director. H.R. 304 amends the Controlled Substances Act to ensure that paramedics and other emergency medical services (EMS) professionals are able to continue to administer controlled substances, such as narcotics for pain and anti-seizure medications, pursuant to standing or verbal orders when authorized by State law. Further, the bill specifies that EMS agencies are permitted to have one DEA registration, rather than having separate registrations for each EMS location, so long as certain requirements relating to the transportation and storage of controlled substances are met.The bill was presented to the President for signature on Nov. 7, 2017.

NEMSSC Offers Guide for EMS Agency Safety

(10/25/17) The National EMS Safety Council (NEMSSC), a coalition of national EMS organizations, recently compiled several recommendations to encourage EMS safety practices at the agency level. The new primer, “Guide for Developing an EMS Agency Safety Program,” is intended to serve as a roadmap for EMS agencies to develop and implement a comprehensive safety program.

Recognizing that EMS agencies have differing levels of resources available for safety programs, the guide contains sample policies EMS agencies can adopt or readily customize to their particular agency type, size and needs. Topics addressed include: roles and responsibilities of the safety officer; facility safety and security; vehicle operator safety; scene safety; infection control, personal health and safety, and patient safety. Read more and download the free guide

NASEMSO Program Manager Kevin McGinnis Named Recipent of Richard DeMello Award

(09/18/17) Kevin McGinnis, NASEMSO Program Manager and Communications Technology Advisor has been named to receive the Richard DeMello Award, the highest award of the National Public Safety Telecommunications Council (NPSTC) at a recent awards program. McGinnis, also Communications Technology Advisor for NAEMT, NAEMSP, NAEMSE, and NEMSMA, will formally receive the award at the Radio Club of America Annual Dinner in Pittsburgh later this year.

The award recognizes McGinnis for demonstrating the highest levels of personal and professional conduct and performance in the local, state, and national public safety communications arena. McGinnis' understanding of both rural and metropolitan response makes him unique to the community. He is a leader in work to improve EMS response nationwide. He has been diligent in his efforts to have EMS recognized on the national public safety communications platform. Thanks to his willingness to work long hours and spend time away from home, EMS has a prominent role in the Nationwide Public Safety Broadband Network as FirstNet is being developed.

Kevin McGinnis accepts the Richard DeMello Award. From left: Doug Aiken, NPSTC Vice Chair;
Kevin McGinnis, NASEMSO Representative to Governing Board and FirstNet Board Member;
Ralph Haller, NPSTC Chair; and Paul Patrick, NPSTC Vice Chair.

NASEMSO Releases National Model EMS Clinical Guidelines, Version 2

(09/15/17) NASEMSO has announced the release of the National Model EMS Clinical Guidelines, Version 2. This set of clinical EMS guidelines is an updated and expanded version of the guidelines originally released in 2014. Version 2, completed Sept. 15, 2017, has undergone a complete review and update of the original core set of 56 guidelines, and includes 15 new guidelines. The effort was led by a core team from the NASEMSO Medical Directors Council, along with representatives from eight national EMS physician organizations. The Co-Principal Investigators are Dr. Carol Cunningham and Dr. Richard Kamin. Countless hours of review and edits were contributed by subject matter experts, as well as EMS stakeholders who responded with comments and recommendations during two public comment periods. The guidelines were created as a resource to be used or adapted for use on a state, regional or local level to enhance patient care. The development of these guidelines was made possible by funding from the National Highway Traffic Safety Administration, Office of EMS and the Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau’s EMS for Children Program. See press release.

View Randolph Mantooth's Keynote Address — Happy 45 Anniversary: Remembering Why

(10/25/17) Check out Randolph Mantooth's inspirational keynote that includes some firsthand observations of EMS professionals over the years, delivered with equal parts humor and genuine admiration for the profession he helped introduce when EMERGENCY! first aired on Saturday nights on NBC 45 years ago. See the stirring stirring keynote tribute by Randolph Mantooth presented at EMS Expo 2017 from Las Vegas, Nevada.

NSC and BWH Offer New Fatigue Cost Calculator

(10/04/17) According to the National Safety Council (NSC) and the Brigham and Women’s Hospital (BWH), "Sleep deficiency is a hidden cost of our technology-driven, 24/7 society. Approximately 70% of Americans report that they routinely get insufficient sleep. The issue is pervasive in the workforce, with 30% of U.S. workers and 44% of night shift workers reporting less than six hours of sleep on average. In addition, undiagnosed and untreated sleep disorders are common. The Institute of Medicine estimates that 50¬70 million people in the U.S. are living with a sleep disorder. The Brigham and Women’s Hospital Sleep Matters Initiative and the National Safety Council have developed an online fatigue cost calculator that estimates the cost of sleep deficiency for individual businesses. The cost calculator asks users to enter their workforce size, industry and location. This information is used to predict the prevalence of sleep deficiency and common sleep disorders among employees. The calculator draws from peer-reviewed scientific literature to further estimate costs associated with these conditions. Costs of sleep health education and sleep disorder screening programs are factored in to estimate the economic impact of improving employees' sleep health. Read the methodology, and access the NSC Fatigue Cost Calculator.

DOT Expands Use of Consumer Protection Services to Receive Air Ambulance Complaints

(10/02/17) The Department of Transportation is accepting consumer complaints with regard to air ambulance operator service practices that are in the regulatory purview of the Agency via its Aviation Consumer Protection Division (ACPD). Consumers can use the Agency’s web form available online, write, or call the ACPD 24 hours a day at 202-366-2220 (TTY 202-366-0511) to record complaints. (Calls are returned Monday through Friday, generally between 7:30 a.m. and 5:00 p.m. Eastern time.)

According to the DOT, all complaints are entered in DOT's computerized aviation industry monitoring system, and are charged to the company in question in the monthly Air Travel Consumer Report, which appear to be airline and airport centric at present. This report is distributed to the industry and made available to the news media and the general public so that consumers and air travel companies can compare the complaint records of individual airlines and tour operators. Complaints are reviewed to determine the extent to which carriers are in compliance with federal aviation consumer protection regulations. This system also serves as a basis for rulemaking, legislation and research.

IAEM-USA and NEMA Develop Information Portal to Support Hurricane Harvey Response and Recovery Effort

(09/05/17) The USA Council of the International Association of Emergency Managers (IAEM-USA) and the National Emergency Management Association (NEMA) on Aug. 31 announced the development of the Public Private Partnership Unified Information Portal in support of Hurricane Harvey efforts. The purpose of this tool is to provide situational awareness for public and private partners. It has been developed through a collaborative effort by members of the NEMA Information Sharing Task Force, IAEM-USA Digital Engagement Committee and through input from the National Business Emergency Operations Center (NBEOC) members.

“The Public Private Partnership Unified Information Portal is a valuable tool in the emergency management community’s effort to respond to the events in Houston and all impacted areas,” stated IAEM-USA First Vice President Nick Crossley, director, Hamilton County (Ohio) Emergency Management & Homeland Security. “The public and private sector are working closely together to address the needs of the victims of Hurricane Harvey, and by providing this valuable tool and information, citizens, businesses and government can share relevant information that can support life safety response today and community recovery later.” Learn more in the press release.

NIOSH Publishes New Fact Sheet for EMS Workers on Preventing Injuries and Exposures

(09/18/17) According to a four-year study, more than 22,000 EMS workers visited emergency departments each year for work-related injuries. This National Institute for Occupational Safety and Health (NIOSH) resource, co-branded with the National Highway Traffic Safety Administration (NHTSA) Office of EMS, provides EMS employers with recommendations for preventing injuries and exposures among workers. Download the fact sheet.

JEMS/PennWell Announces "Adopt an EMS Family Program" to Assist EMS Families Severely Impacted by Hurricane Harvey

(09/07/17) To assist EMS families severely impacted by the Hurricane Harvey in Texas and Louisiana, JEMS is activating its “Adopt an EMSFamily Program," established in August 2005 during Hurricane Katrina. This program is designed for EMS agencies, their staff, and other participating individuals to provide direct, personal support to individuals in EMS agencies who were significantly affected by a large-scale disaster. More specifically, it gets gift cards to families that need supplies, food, clothing, and other necessities essential to them in their time of deepest need. While we have found that many families in need frequently request gift cards like American Express, Home Depot, LOWES or others to purchase essential items, many do complete areas on the family request form and provide ages, sizes and special request by age, sex and size, particularly for their children. Read a letter from A.J. Heightman, MPA, EMT-P, Editor-in-Chief, JEMS, explaining the program, and download the family request form.

NREMT Seeks Applicants for Executive Director

(08/22/17) The National Registry of Emergency Medical Technicians (NREMT) is searching for an individual with a unique vision, exceptional management abilities, and superior leadership skills to serve as its next executive director. Candidates with a minimum of a bachelor’s degree (graduate degree preferred) and the abilities and experience described in the published profile are invited to submit their application. Applications will be accepted through Oct. 16, 2017. More information is available online.

NASEMSO Announces Comment Period for the Revision of the EMS Scope of Practice Model

(08/03/17) NASEMSO is soliciting feedback on revised portions contained in the 2007 National EMS Scope of Practice Model that is now available on the project web site. An expert panel selected from members of the EMS community considered updated background information and a systematic review of literature, including the following five key areas as priority topics: use of opioid antagonists at the BLS level; therapeutic hypothermia following cardiac arrest; pharmacological pain management following an acute traumatic event; hemorrhage control; and use of CPAP/BiPAP at the EMT level.

Content regarding EMS levels and skill sets is still under discussion and will be addressed in future versions. National engagement provides interested parties with an opportunity to comment on the draft to ensure that the document reflects the collective expertise and experience of the whole community. Individuals or organizations that wish to provide input should enter comments here. The national engagement period will conclude Oct. 7, 2017, at 5:00 p.m. EDT. Download press release.

First Official REPLICA Meeting to Be Held on Oct. 7-8 in Oklahoma City

(08/03/17) The Recognition of EMS Personnel Licensure Compact (REPLICA) participating states have announced that the first full meeting will be held on Oct. 7-8, 2017, at the Oklahoma Museum of Fine Arts in Oklahoma City, Oklahoma. Member state representatives will be officially seated on the Interstate Commission for EMS Personnel Practice (Interstate Commission). In addition, the public is invited to participate in a public hearing on Sunday, Oct. 8, 2017, as part of the second day of Interstate Commission’s meeting. REPLICA member states include Alabama, Colorado, Georgia, Idaho, Kansas, Mississippi, Tennessee, Texas, Utah, Virginia and Wyoming.
Download news release for further details (08/031/17)
> NASEMSO Responds to Questions Regarding the Revision of the National EMS Scope of Practice Model (08/08/17)

NASEMSO Program Manager Leslee Stein-Spencer Honored for EMS Contributions

(07/03/17) NASEMSO Program Manager Leslee Stein-Spencer, RN, MS, received the highest recognition ever offered to a civilian in the Chicago Fire Department, when CFD Fire Commissioner Jose Santiago officially named a new EMS Award and the EMS Sim Lab in her honor. Going forward, the recipient of the "Leslee Stein-Spencer Chazon Award of Visionary Excellence" will be selected annually during EMS Week for their ability to conceive, implement, and execute a program that improves EMS training, EMS response, or patient care outcomes.

click to see full image

In addition to her health and medical preparedness work with NASEMSO, Stein-Spencer has served as the Director for the Medical Administration and Regulatory Compliance (MARC) Division of the Chicago Fire Department for more than 10 years. Prior to that, she served with distinction as the Illinois State EMS Director and was recently recognized by the Illinois Department of Public Health at the 2017 Integrated Public Health and Healthcare System Preparedness Summit with the Director's Lifetime Achievement Award.

Her visionary work in the field of EMS competency via simulation has been featured in the Journal of Emergency Services as a model for EMS and fire agencies across the nation. While we congratulate Leslee on her retirement from CFD, we are fortunate that she will continue work as a consultant and advisor with NASEMSO. Way to go, Leslee!

Rhode Island Joins National Collaborative for Bio-Preparedness

(07/21/17) The State of Rhode Island Department of Health has completed a Data Use Agreement and Analytics Agreement with the University of North Carolina to join the National Collaborative for Bio-Preparedness (NCBP). Rhode Island will be submitting National EMS Information System (NEMSIS) data elements both to assist in national preparedness and to enhance the state’s ability to visualize their data with other data layers of relevance. Download news release.

Florida Joins National Collaborative for Bio-Preparedness

(07/06/17) The State of Florida Department of Health has completed a Data Use Agreement and Analytics Agreement with the University of North Carolina (UNC) to join the National Collaborative for Bio-Preparedness (NCBP). Florida will be submitting National EMS Information System (NEMSIS) data elements both to assist in national preparedness and to enhance the state’s ability to visualize their data with other data layers of relevance.

NCBP was formed to enhance the nation’s bio-preparedness by establishing a network of observers of health and safety events to improve national preparedness. The NCBP and UNC are working closely with the National Association of State EMS Officials (NASEMSO) to develop and grow the Collaborative through state EMS offices.

NASEMSO has partnered with the NCBP because of the value the analytics can provide to the NEMSIS data that state EMS offices collect. The NCBP has created a pathway to contribute to state specific surveillance and offer real time value to state epidemiologists and state health officers. Download news release.

NASEMSO Program Manager Rachael Alter Published in Journal of Prehospital Emergency Care

(06/29/17) NASEMSO Program Manager Rachael Alter, EMT, QAS, has been published in the Journal of Prehospital Emergency Care. She is an author of the article, “Medical Oversight, Educational Core Content, and Proposed Scopes of Practice of Wilderness EMS Providers: A Joint Project Developed by Wilderness EMS Educators, Medical Directors, and Regulators Using a Delphi Approach.” (See abstract online.) The article reports on the results of the National Association of EMS Physicians Wilderness EMS Committee’s project to define the educational core content supporting scopes of practice of wilderness EMS providers and the conditions when wilderness EMS providers should be required to have medical oversight. This core content is a foundation for wilderness EMS provider scopes of practice and builds on both the National EMS Education Standards and the National EMS Scope of Practice Model, which is currently being revised under the auspices of NASEMO through an NHTSA grant. Congratulations, Rachael, on the publication.

NASEMSO Program Manager Kevin McGinnis to Serve on the Rural EMS Advisory Council

(06/29/17) NASEMSO Program Manager Kevin McGinnis, MPS, QAS, has been selected to serve on the Rural EMS Advisory Council being organized by the Federal Office of Rural Health Policy (FORHP), which provides leadership and funds to improve access to quality healthcare in rural communities. The purpose of the Rural EMS Advisory Council will be to inform FORHP on EMS issues and to provide an outside perspective on related grant programs. Congratulations, Kevin, on this appointment. 

NASEMSO Joins National EMS Organizations to Oppose Elimination of EMSC Program

(06/12/17) The federal Emergency Medical Services for Children (EMSC) Program has been the only federal program dedicated to improving emergency medical care for children. The following organizations have issued a joint statement, opposing President Donald Trump's proposal to eliminate funding for the EMSC program in his fiscal year 2018 budget: the American Ambulance Association, American Academy of Pediatrics, American College of Emergency Physicians, Association of Maternal & Child Health Programs, Children's Health Fund, Emergency Nurses Association, National Association of Emergency Medical Technicians, National Association of State EMS Officials, National Center for Disaster Preparedness at the Earth Institute, National EMS Management Association and Save the Children. Read more.

FEMA Seeks Comments on Continuity Guidance Circular

(06/06/17) The Federal Emergency Management Agency (FEMA) released the draft Continuity Guidance Circular, which guides whole community efforts to develop and maintain the capability to ensure continuity of operations, continuity of government, and enduring constitutional government during an emergency that disrupts normal operations. The draft document is now beginning a 30-day national engagement period. National engagement provides interested parties with an opportunity to comment on the draft documents to ensure that the final document reflects the collective expertise and experience of the whole community.

The national engagement period will conclude at 5:00 p.m. EDT on July 5, 2017. Review the draft Continuity Guidance Circular, and to obtain additional information online. To provide comments on the drafts, complete the feedback form and submit it to FEMA-CGC@fema.dhs.gov.

National EMS Scope of Practice Model Revision Launches

(06/02/17) The National EMS Scope of Practice Model Revision launched with a meeting of the Subject Matter Expert Panel (click on image above to see full size photo) on June 1-2, 2017, at the U.S. Department of Transportation Headquarters in Washington, D.C. Comments or questions that the EMS community or the public wish to submit to the expert panel and/or research team for consideration are welcome at any time! Submit comments or questions here.

NASEMSO Releases New Report: Home State Regulatory Practices of Out-of-State EMS Agencies (Ground and Helicopter)

(05/18/17) NASEMSO is pleased to announce the release of a new report, Home State Regulatory Practices of Out-of-State EMS Agencies (Ground and Helicopter), which summarizes the findings from a 2016 survey of state EMS offices on licensure requirements, exemptions, and special conditions for ground and helicopter EMS agencies that are based out-of-state. Through the work of the NASEMSO Agency and Vehicle Licensure (AVL) Committee, issues with out-of-state agencies (OOS) performing regulated services in their states were identified. Within the charge of the committee, NASEMSO leadership approved a proposal to develop and execute a survey to further identify and verify the issues and challenges in order to, when appropriate, develop model language for rules or laws and/or policy solutions to effect more standardization among states on their approach to agency licensure. Download news release.

REPLICA Becomes Official with its 10th Member State Enactment

(05/15/17) With the 10th member state enactment, the Recognition of Emergency Medical Services Licensure Interstate Compact (REPLICA) has become official. Governor Nathan Deal of Georgia signed Senate Bill 109 on today activating the nation’s first EMS licensure compact. States that have passed REPLICA to date include: Colorado, Texas, Kansas, Virginia, Tennessee, Idaho, Utah, Mississippi, Wyoming and Georgia.

Released in 2014, REPLICA’s model legislation creates a formal pathway for the licensed individual to provide pre-hospital care across state lines under authorized circumstances.

According to Keith Wages, president of the National Association of State EMS Officials (NASEMSO), “REPLICA represents a collective, nationwide effort to address the problems faced by responders when needing to cross state borders in the line of their duties.” Wages highlighted the compact’s abilities to “increase access to healthcare, reduce regulatory barriers for EMS responders, and place an umbrella of quality over cross border practice not previously seen in the EMS profession.” Download news release.

NAEMT Releases Report on Level of EMS Preparedness for Disasters and Mass Casualty Incidents

(05/12/17) The National Association of Emergency Medical Technicians (NAEMT) on May 11 released a report, National Survey on EMS Preparedness for Disaster and Mass Casualty Incident Response, based on the results of a 2016 national survey of EMS practitioners and managers. The findings offer insight into the level of proficiency and training of EMS practitioners who provide the medical response expected by communities during disasters and mass casualty incidents. Survey results found that the majority of EMS practitioners had some training in preparing to respond to major incidents, and most considered themselves proficient on response protocols. Yet the survey also revealed significant gaps in EMS preparedness for response to natural and man-made disasters and mass casualty incidents. To strengthen EMS preparedness, the NAEMT Board of Directors adopted a position statement calling for additional training for EMS practitioners and the establishment of Ambulance Strike Teams (AST) and Emergency Medical Task Forces (EMTF) within state and regional EMS systems and large EMS agencies.

NASEMSO Model EMS Clinical Guidelines, Draft Version 2, Accepting Public Comments until June 26, 2017

(05/10/17) The NASEMSO Model EMS Clinical Guidelines project team is delighted to unveil the draft Version 2 of the Model EMS Clinical Guidelines. The document may be downloaded here. In completing Version 2, the project team has reviewed and updated all existing guidelines, as well as added 15 new guidelines.

Version 2 of the Guidelines, similar to the original version released in 2014, was completed by a team of EMS and specialty physicians comprised of members of the NASEMSO Medical Directors Council and representatives from seven EMS medical director stakeholder organizations (AAEM, AAP, ACEP, ACOEP, ACS-COT, AMPA, and NAEMSP). In addition, all guidelines have been reviewed by a team of pediatric emergency medicine physicians, pharmacologists and other technical reviewers.

To Submit Comments: When submitting comments, please specify the guideline(s) and page number(s) to which you are referring. In addition, indicate if the comments are submitted on behalf of an organization or by an individual. The draft of Version 2 of the Model EMS Clinical Guidelines can be downloaded here. Please submit your comments to Mary Hedges at hedges@nasemso.org no later than June 26, 2017.

This project is supported by funding provided by the National Highway Transportation Safety Administration (NHTSA) Office of EMS and the Health Resources and Services Administration (HRSA). Most project team members and reviewers have volunteered their time to develop this resource. These guidelines are intended to be a patient-centric resource for EMS medical directors and EMS systems of care. Because of the variety in scopes of practice for the different levels of EMS practitioners, the guidelines have been drafted without reference to the level of practitioner.

Office for Victims of Crime Rolls Out "The Vicarious Trauma Toolkit"

(05/09/17) The Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice, recently published the Vicarious Trauma Toolkit (VTT). The toolkit represents the results of a collaborative effort of first responder and victim services to create, develop and pilot evidence-informed tools organizations can use to address the impact of vicarious trauma on their staff and volunteers.

The toolkit was piloted in seven communities across the United States, with representatives of fire, EMS services, law enforcement and victim services comprising the eight-member team.

The Compendium of Resources contains nearly 500 tools that organizations can use to become more informed about vicarious trauma, including policies, research literature, training materials and links to websites, podcasts, and videos. The VTT helps organizations address vicarious trauma by outlining a process by which they can become more vicarious trauma-informed.

A tool created specifically for the VTT, the Vicarious Trauma Organizational Readiness Guide (VT-ORG) is an assessment tool organizations can use that measures five areas of evidence-informed strengths of organizations that are healthy.

NASEMSO Announces Final Military to Civilian EMS Transition Project Resources

(04/26/17) A new report available from NASEMSO summarizes the key components of the Military to Civilian EMS Integration Transition project. The project was conducted by NASEMSO with funding support from the Office of EMS of the National Highway Traffic Safety Administration (NHTSA) of the U.S. Department of Transportation (USDOT) and the EMS for Children Program at the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS). The project comprised several distinct military-to-civilian integration components and deliverables. Download the individual components or the summary document. Download press release.

REPLICA Advocate Sue Prentiss Elected as Mayor of Lebanon, New Hampshire

(03/31/17) Sue Prentiss, MPA, paramedic, was elected by the Lebanon (New Hampshire) City Council to serve as mayor, after serving as assistant mayor for two years and a council member for five years. Prentiss is REPLICA advocate for the National Association of State EMS Officials, where she works to promote and implement interstate compacts for EMS. Prior to this position, she worked for six years as manager of emergency services for Concord Hospital's emergency department, and she served as New Hampshire's trauma coordinator between 1999 and 2010. NASEMSO congratulates Sue on her election! Learn more.

NAEMSE to Offer Five Scholarships Through the 2017 Richard Beebe/CAPCE EMS Memorial Scholarships

(03/30/17) The National Association of EMS Educators (NAEMSE) will award five scholarships for registration to attend the NAEMSE Instructor Course Level 1 at the 2017 NAEMSE Symposium in Washington, DC, Aug. 7, 2017, through the Richard Beebe/CAPCE EMS Memorial Scholarships. Scholarship recipients must be NAEMSE members. Applications will be available May 8-June 8, 2017, at www.naemse.org. Download flyer.

FirstNet Partners with AT&T to Build $46.5 Billion Wireless Broadband Network for America’s First Responders

(03/30/17) The Department of Commerce and First Responder Network Authority (FirstNet) on Mar. 30 announced the selection of AT&T to build the first nationwide wireless broadband network dedicated to America’s first responders. This record-breaking public-private partnership is a significant investment in the communications infrastructure that public safety desperately needs for day-to-day operations, disaster response and recovery, and securing of large events.

It also will make 20 MHz of prime broadband spectrum available for private-sector development. For details, see the press release announcing the partnership and download the FirstNet Partnership Communications Toolkit.

NASEMSO in the Spotlight: Read FirstNet's Personal Safety Advisory Committee (PSAC) profile on NASEMSO, dated Mar. 1, 2017.

FirstNet Board Advances First Responder Procurement Process

(03/29/17) The First Responder Network Authority (FirstNet) has taken a critical step to position the Nationwide Public Safety Broadband Network (“Network”) procurement for completion as soon as possible. During a recent special meeting, the FirstNet Board unanimously passed Resolution 84 authorizing the FirstNet CEO to take all actions necessary to ensure the timely award of the Network contract. Prior to the special meeting, the FirstNet Board, in accordance with FirstNet’s enabling statute, completed its review of the acquisition approach and the request for proposal(s) (RFP) process to identify a partner to build, operate, and maintain the Network. Read more.

NASEMSO Releases Guidance on Safe Transport of Children by EMS

(03/24/17) NASEMSO announces the release of Safe Transport of Children by EMS: Interim Guidance. The guidance is a result of the work of NASEMSO’s Safe Transport of Children Ad Hoc Committee, which is focused on establishing evidence-based standards for safely transporting children by ground ambulance. Download press release.

While there are a variety of products available to secure children being transported in ambulances, the EMS provider (and the children being transported) must depend on the manufacturer for determining if the restraint would operate as intended in an ambulance crash. Unlike the child restraints (car seats) used in passenger vehicles, which must meet the crash standards defined by the Federal Motor Vehicle Safety Standard (FMVSS) 213, there are no required crash-testing standards for these devices in the United States.

NASEMSO is working with its partners to obtain funding to conduct the necessary crash-testing research to develop standards to be met by manufacturers. Until such research can be completed and standards developed, NASEMSO has issued Interim Guidance to maximize the safety of children in ambulances.

National Safety Council Accepting Nominations for its Excellence in Safety Awards

(03/21/17) Are you looking for ways for your company to be acknowledged for its outstanding safety performance? Does your CEO lead with safety and inspire others to do the same? Has your team improved its safety performance in the last year? Do you have a remarkable individual who deserves recognition for his or her efforts in safety? Learn more about the variety of individual, team and corporate awards offered by the National Safety Council, and submit your entries by May 5, 2017.

NASEMSO EMS Fatigue Project Highlighted in Latest NHTSA Report

(03/21/17) "Asleep at the Wheel: A National Compendium of Efforts to Eliminate Drowsy Driving" is the most recent installment of reports from the National Highway Traffic Safety Administration (NHTSA) to create awareness and highlight efforts to combat the deadly consequences of drowsy driving. The report was released on Mar. 20, 2017, to coincide with the 10th International Conference on Managing Fatigue in San Diego, CA.

Long and short term actions and ideas previously identified by stakeholders were collapsed into a set of successful efforts and novel ideas organized across topics, including: research and development, public and private partnerships, public education and awareness, and vehicle technology. Within each topic area, the challenges to more effectively combat drowsy driving are identified.

The compendium also features the various efforts that contributors are taking to address each of these challenges, including NASEMSO’s efforts to develop evidence-based fatigue risk management guidelines for EMS. The report can be downloaded here.

NEMSMA Expands EMS Officer Credentialing Program

(03/07/17) The National EMS Management Association (NEMSMA) is expanding its EMS Officers’ Competencies and Credentialing program in 2017, rolling out the Managing EMS Officer exam at the Pinnacle EMS Leadership and Management Conference, August 7-11, 2017 in Boca Raton, Florida. The Managing EMS Officer exam will include both a written test segment and oral boards. This test also will be be available at EMS World Expo and the AAA’s Annual Conference. NEMSMA also offers preparation courses to help candidates understand the format and style of the examinations. Prep courses include a review of the Competencies and are routinely scheduled at exam locations before certification exams. Candidates can choose to take the prep course at any time before registering for the exam. Download NEMSMA press release for details.

2017 National EMS Week Planning Guides Now Available

(02/14/17) National Emergency Management Services (EMS) Week 2017 will take place May 21-27, 2017, and this year's EMS Week Planning Guide is available for order. Thisyear's theme is "EMS STRONG: Always in Service." The EMS STRONG campaign seeks to celebrate, unify and inspire the men and women of our nation’s emergency medical services. Created by the American College of Emergency Physicians (ACEP) in partnership with the National Association of Emergency Medical Technicians (NAEMT), EMS Strong brings together associations, EMS services, sponsors and national media to honor the dedication of EMS practitioners nationwide. Download the bulk order form for multiple copies of the guide, or order one copy online. This information can be used throughout the year for public education and safety programs. For additional information, contact emsweek@acep.org.

Fatigue in EMS Expert Panel Meets Feb. 28-Mar. 2 to Review Findings and Develop Recommendations

(01/27/17) On Feb. 28-Mar. 2, 2017, the National Highway Traffic Safety Administration (NHTSA) will host a meeting at NASEMSO Headquarters in Falls Church, Virginia. This meeting represents the final gathering of the full expert panel in regards to the project “Developing Fatigue Risk Management Guidelines for Emergency Medical Services.” The goal of meeting is to review the findings of the systematic review of literature and develop recommendations. More information on the project is available at www.emsfatigue.org.

Time will be set aside in the meeting to accept comments from registered attendees. Note: Space is extremely limited for in-person participation. The meeting agenda and remote participation information will be sent to registered participants via email as soon as it becomes available. Register now to attend.

Leslee Stein-Spencer to Receive NAMI Chicago's 2017 Community Service of the Year Award

(01/18/17) The National Alliance on Mental Illness of Chicago (NAMI Chicago) will present its 2017 Community Service of the Year Award to Leslee Stein-Spencer, director, Medical Administration and Regulatory Compliance Division, Chicago Fire Department (CFD), and National Association of State EMS Officials (NASEMSO) program advisor. The award will be presented at Light the Darkness, NAMI Chicago’s annual awards dinner, on Mar. 30, 2017, "in gratitude for Leslee’s incredible contributions to improving Chicago’s mental health crisis response system.” Leslee convened and collaborated with all of Chicago’s emergency response agencies to develop an improved plan for mental health response. In 2017, thanks to her efforts, Chicago will have the first-ever mental health awareness interdisciplinary training for all emergency service responders, including the CFD, Chicago Police Department, Chicago Office of Emergency Management and Communications, Mayor’s Office, medical-based staff, and NAMI Chicago. NASEMSO congratulates Leslee for her achievement.