Indian River County Fire Rescue (California)
From EMS Wiki
| Geographical Configuration] edit[ | |
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Counties Served
State or Territory FloridaCountry United StatesService Area Square Mileage 503Service Area Population-Residential 112,947
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| Medical Configuration] edit[ | |
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Organization Type
Level of Government CountyAdministrative Division Type of Organization Protocol Origination Agency
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| Services Provided | |
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Prehospital Cath Lab Activation Yes
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Staffing of Posts
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Number of Full-Time Employees
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Number of Part-Time Employees
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| Apparatus Configurations] add/edit[ |
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| Dispatch] edit[ | |
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Type of 911 Access
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Type of Wireless 911 Access
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Primary Landline PSAP
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Primary Wireless PSAP
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Secondary PSAP
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Dispatched by
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Timestamp Record
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Indian River County Fire Rescue provides ALS transport for Indian River County, Florida. The agency is tightly integrated with the two local hospitals and the two nearby trauma centers. It meets with the hospitals every month. They know the hospital staff including the CEOs on a first name basis.
Starting in 1994, the agency's paramedics activate the cath lab based on their interpretation of 12-lead ECGs. This practice is forced by the lacked of funding for transmitting ECGs wirelessly to the hospitals. Over time the false positive rate has decreased. The agency actively monitors STEMI activations and re-educates its paramedics as issues are discovered. A major part of the monitoring is accurate measurement of time intervals. The agency goes over the time stamps from the hospital to ensure accuracy.
It's estimated that 90% of stroke patients are transported by the agency.
| Drugs in Protocol] edit[ | |
|---|---|
| Activated Charcoal | Not in Scope |
| Adenosine | Not in Scope |
| Albuterol-Proventil | Not in Scope |
| Aminophylline | Not in Scope |
| Amiodarone-Cordarone | Not in Scope |
| Amyl Nitrite | Not in Scope |
| Aspirin | Not in Scope |
| Atropine Sulfate | Not in Scope |
| Benzocaine | Not in Scope |
| Calcium Chloride | Not in Scope |
| D5W | Not in Scope |
| Dextrose 25% | Not in Scope |
| Dextrose 50% | Not in Scope |
| Dexamethasone | Not in Scope |
| Diazepam-Valium | Not in Scope |
| Diltiazem-Cardizem | Not in Scope |
| Diphenhydramine-Benadryl | Not in Scope |
| Dobutamine-Dobutrex | Not in Scope |
| Dopamine-Inotropin | Not in Scope |
| Epinephrine-Adrenalin | Not in Scope |
| 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 | Not in Scope |
| Haloperidol-Haldol | Not in Scope |
| 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 | Not in Scope |
| Lidocaine Viscous | Not in Scope |
| Lorazepam-Ativan | Not in Scope |
| Magnesium Sulfate | Not in Scope |
| 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 | Not in Scope |
| Morphine Sulfate | Not in Scope |
| Nalaxone-Narcan | Not in Scope |
| Nifedipine-Procardia | Not in Scope |
| Nitroglycerin | Not in Scope |
| Norepinephrine-Levophed | Not in Scope |
| Ondansetron-Zofran | Not in Scope |
| 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 | Not in Scope |
| 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 | Not in Scope |
| Vasopressin-Pitressin | Not in Scope |
| Vecuronium-Norcuron | Not in Scope |
| Verapamil | Not in Scope |
| Add-In Drugs: | |
| ALS Skills Performed] edit[ | |
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| 12 Lead Electrocardiograms | Not in Scope |
| 12 Lead Interpretation | Not in Scope |
| Manual Defibrillation | Not in Scope |
| Transcutaneous Pacing | Not in Scope |
| Synchronized Cardioversion | Not in Scope |
| Valsalva Maneuvers | Not in Scope |
| Blood Draws | Not in Scope |
| Intervenous Catheters | Not in Scope |
| Insert Central Lines | Not in Scope |
| Access Central Lines | Not in Scope |
| Pericardiocentesis | Not in Scope |
| Needle Chest Decompression | Not in Scope |
| Chest Tubes | Not in Scope |
| Interosseous-Adult (IO) | Not in Scope |
| Interosseous-Pediatric (IO) | Not in Scope |
| Endotracheal Intubation-Adult | Not in Scope |
| Endotracheal Intubation-Pediatric | Not in Scope |
| Nasotracheal Intubation | Not in Scope |
| Rapid Sequence Intubation | Not in Scope |
| Retrograde Tracheal Intubation | Not in Scope |
| Needle Cricothyrotomy | Not in Scope |
| Surgical Cricothyrotomy | Not in Scope |
| Tracheal Suctioning | Not in Scope |
| Tracheal Meconium Suctioning | Not in Scope |
| Nasogastric Intubation | Not in Scope |
| Orogastric Intubation | Not in Scope |
| Therapeutic Hypothermia | Not in Scope |
| Episiotomy | Not in Scope |
| Escharotomy | Not in Scope |
