Grady EMS (Georgia)

From EMS Wiki

Geographical Configuration] edit[
State or Territory Georgia

Medical Configuration] edit[
Organization Type Hospital Medical Director(s) Arthur Yancey MD Associate Medical Director(s) "Wook" Beltran Annual EMS Responses 100.000 Protocol Origination County
Services Provided
911 Transport ILS Yes (5) 911 Transport AP Yes () Interfacility Transport ILS Yes Interfacility Transport ALS Yes Prehospital Cath Lab Activation No Transport Destination Restrictions None

Links] edit[

Dispatch] edit[
Type of 911 Access Basic 9-1-1
Type of Wireless 911 Access Basic 911
Primary Landline PSAP
Primary Wireless PSAP
Secondary PSAP
Dispatched by Primary PSAP
Timestamp Record

Drugs in Protocol] edit[
Activated Charcoal	Not in Scope
Adenosine	Standing
Albuterol-Proventil	Standing
Aminophylline	Not in Scope
Amiodarone-Cordarone	Standing
Amyl Nitrite	Not in Scope
Aspirin	Standing
Atropine Sulfate	Standing
Benzocaine	Not in Scope
Calcium Chloride	Standing
D5W	Standing
Dextrose 25%	Standing
Dextrose 50%	Standing
Dexamethasone	Standing
Diazepam-Valium	Non-Standing
Diltiazem-Cardizem	Not in Scope
Diphenhydramine-Benadryl	Standing
Dobutamine-Dobutrex	Not in Scope
Dopamine-Inotropin	Standing
Epinephrine-Adrenalin	Standing
Epinephrine-Racemic	Not in Scope
Etomidate-Amidate	Not in Scope
Fentanyl-Sublimaze	Not in Scope
Flumazenil-Romazicon	Not in Scope
Furosemide-Lasix	Not in Scope
Glucagon-GlucaGen	Standing
Haloperidol-Haldol	Standing
Influenza Virus Vaccine	Not in Scope
Ipratropium-Atrovent	Not in Scope
Isoproterenol-Isuprel	Not in Scope
Isoetharine	Not in Scope
Ketamine	Not in Scope
Labatolol-Normodyne	Not in Scope
Lidocaine-Xylocaine	Standing
Lidocaine Viscous	Standing
Lorazepam-Ativan	Not in Scope
Magnesium Sulfate	Standing
Metaprolol-Lopressor	Not in Scope
Metaproterenol-Alupent	Not in Scope
Methylene Blue	Not in Scope
Methylprednisolone-Solu Medrol
Metoclopramide-Reglan	Not in Scope
Midazolam-Versed	Standing
Morphine Sulfate	Non-Standing
Nalaxone-Narcan	Standing
Nifedipine-Procardia	Not in Scope
Nitroglycerin	Standing
Norepinephrine-Levophed	Not in Scope
Ondansetron-Zofran	Standing
Oxytocin-Pitocin	Not in Scope
Pancuronium-Pavulon	Not in Scope
Phenobarbital	Not in Scope
Phenylephrine	Not in Scope
Pralidoxime	Not in Scope
Procainamide-Pronestyl	Not in Scope
Prochlorperazine-Compazine	Not in Scope
Promethazine-Phenergan	Not in Scope
Sodium Bicarbonate	Standing
Sodium Nitrite	Not in Scope
Sodium Thiosulfate	Not in Scope
Succinylcholine	Not in Scope
Terbutaline-Brethine	Not in Scope
Thiamine	Not in Scope
Toradol-Ketorolac	Standing
Vasopressin-Pitressin	Not in Scope
Vecuronium-Norcuron	Not in Scope
Verapamil	Not in Scope
Add-In Drugs:

ALS Skills Performed] edit[
12 Lead Electrocardiograms	Standing
12 Lead Interpretation	Standing
Manual Defibrillation	Standing
Transcutaneous Pacing	Standing
Synchronized Cardioversion	Standing
Valsalva Maneuvers	Standing
Blood Draws	Standing
Intervenous Catheters	Standing
Insert Central Lines	Not in Scope
Access Central Lines	Standing
Pericardiocentesis	Non-Standing
Needle Chest Decompression	Standing
Chest Tubes	Not in Scope
Interosseous-Adult (IO)	Standing
Interosseous-Pediatric (IO)	Standing
Endotracheal Intubation-Adult	Standing
Endotracheal Intubation-Pediatric	Standing
Nasotracheal Intubation	Standing
Rapid Sequence Intubation	Not in Scope
Retrograde Tracheal Intubation	Standing
Needle Cricothyrotomy	Non-Standing
Surgical Cricothyrotomy	Non-Standing
Tracheal Suctioning	Standing
Tracheal Meconium Suctioning	Standing
Nasogastric Intubation	Standing
Orogastric Intubation	Standing
Therapeutic Hypothermia	Standing
Episiotomy	Not in Scope
Escharotomy	Not in Scope

Staffing] edit[
Staffing of Posts Responders come from both posts and non-posts
Number of Full-Time Employees 276
Number of Part-Time Employees

Apparatus Configurations] add/edit[

Ambulance
Vehicle Type Ambulance
Apparatus Responsibilities 911 Transport
Level of Care ALS
Crew Members 1.EMT-Intermediate Dedicated to this professional role
2.EMT-Paramedic, Critical Care Paramedic Dedicated to this professional role
3.Other Alternates professional roles -Staffs more than 50% of work time
4.

Management of Hospital Overcrowding

Grady EMS policy requires that ambulances transport to the patient's hospital of choice. Field crews receive regular updates about hospital wait times, which they communicate to patients. Patients are able to make an informed decision about hospital choice and often change destination choice. If this is the case, the diverted hospital is notified.^[1]

References

1. ↑ Facebook: EMS Advocacy Group: Status Update: "Do hospital offload delays affect your system? If so, what kinds of policies, if any, are in place to deal with them?"