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From: [email protected]
Reply-to: [email protected]
To: [email protected]
Sent: 4/9/2012 11:31:29 A.M. Eastern Daylight Time
Subj: Pinellas County EMS - Letters of Substitution - Updated
Good morning. Please find attached the current “Letters of Substitution” for the Pinellas County EMS System. The State of Florida Department of Health has also been supplied the same information and cover letter. David R. Hudak, EMT-P
Office of the Medical Director
Pinellas County EMS
12490 Ulmerton Road
Largo, FL 33774
Office: 727-582-2035
Fax: 727-582-2076
Cell: 727-365-9262
E-mail: [email protected]
4/9/2012
OFFICE OF THE MEDICAL DIRECTOR
Pinellas County Emergency Medical Services
April 8, 2012
Bureau of Emergency Medical Services
Florida Department of Health
4052 Bald Cypress Way, Mail Bin C18
Tallahassee, FL 32399-1738
Enclosed please find copies of equipment substitutions currently in place in the Pinellas
County Emergency Medical Services system.
The following is a list of Pinellas County EMS provider agencies working under these
substitutions:
Clearwater Fire Dept.
Dunedin Fire Dept.
East Lake/Tarpon Special Fire Control District
Gulfport Fire Dept.
Pinellas Suncoast Fire Rescue
Largo Fire Dept.
Lealman Fire Dept.
Madiera Beach Fire Dept.
Oldsmar Fire Dept.
Treasure Island Fire Dept.
Palm Harbor Fire Dept.
Pinellas Park Fire Dept.
Safety Harbor Fire Dept.
Seminole Fire Dept.
St. Pete Beach Fire Dept.
St. Petersburg Fire Dept.
South Pasadena Fire Dept.
Sunstar Ambulance
Tarpon Springs Fire Dept.
Sincerely,
Dr. Laurie Romig, MD, FACEP
Medical Director
LR/drh
Enclosures
12490 Ulmerton Road
Largo, Florida 33774
Phone (727) 582-2035
http://www.medcontrol.com
Fax (727) 582-2076
OFFICE OF THE MEDICAL DIRECTOR
Pinellas County Emergency Medical Services
MEMORANDUM
DATE:
April 8, 2012
TO:
All System Personnel
FROM:
Laurie Romig, MD, FACEP, Medical Director
RE:
Substitution of I.V. Pressure Infuser with Adult BP Cuff
According to Florida Administrative Code 64J-1.003 Table II Ground Vehicle ALS
Equipment and Medications, an I.V. Pressure Infuser is to be routinely carried on all
permitted ALS units.
I am permitting the use of an adult blood pressure cuff as a substitution for the I.V.
pressure infuser, after careful consideration and input from system clinicians.
The adult blood pressure cuff that is being used as the substitution is to be separate
from the state required equipment listing for adult blood pressure cuffs, per Florida
Administrative Code 64J-1.0003 Table II.
__________________________________________
Laurie A. Romig, MD, FACEP
This substitution will renew each time our ALS license is renewed as long as we
continue to provide notification of the substitution. You will be kept apprised as
appropriate.
NOTE: Please be advised that this letter must be kept on file by your office and
available for review by the State Inspection Team at all times.
LAR/drh
12490 Ulmerton Road
Largo, Florida 33774
Phone (727) 582-2035
http://www.medcontrol.com
Fax (727) 582-2076
OFFICE OF THE MEDICAL DIRECTOR
Pinellas County Emergency Medical Services
MEMORANDUM
DATE:
April 8, 2012
TO:
All System Personnel
FROM:
Laurie Romig, MD, FACEP, Medical Director
RE:
AMBU Brand Perfit Cervical Immobilization Devices
The AMBU Perfit brand universal adjustable style cervical immobilization device (CID)
has been found, after evaluation of different universal adjustable style CIDs from
various manufacturers by EMS field clinicians, to currently be the best solution for
stabilization of known or suspected spinal injuries in adults and for stabilization of the
neck of an intubated adult patient to prevent accidental extubation. The universal
adjustable style c-collar also results in cost and inventory savings.
The AMBU Perfit Mini-Ace brand adjustable style c-collar or the AMBU Perfit brand ccollar, individual sizes Pediatric and Infant, will be utilized as the best solution for
stabilization of known or suspected spinal injuries in pediatrics and for stabilization of
the neck of an intubated pediatric patient to prevent accidental extubation.
_______________________________________
Laurie A. Romig, MD, FACEP
The named c-collar brand will renew each time our ALS license is renewed as long as
we continue to provide notification of the current c-collar brand utilized in the system.
You will be kept apprised as appropriate.
NOTE: Please be advised that this letter must be kept on file by your office and
available for review by the State Inspection Team at all times.
LAR/drh
12490 Ulmerton Road
Largo, Florida 33774
Phone (727) 582-2035
http://www.medcontrol.com
Fax (727) 582-2076
OFFICE OF THE MEDICAL DIRECTOR
Pinellas County Emergency Medical Services
MEMORANDUM
DATE:
April 8, 2012
TO:
All System Personnel
FROM:
Laurie Romig, MD, FACEP, Medical Director
RE:
Burn Sheets
According to Florida Administrative Code 64J-1.002 Table I Ground Vehicle BLS
Equipment and Medications, “Burn Sheets” are to be carried on all permitted ALS units.
I am permitting the removal of burn sheets from each permitted ALS unit, after careful
consideration, communication and concurrence with the same from Tampa General
Hospital Burn Center, the regional burn center for Pinellas County EMS. Additional input
was obtained from the American Burn Life Support Course (ABLS).
__________________________________________
Laurie A. Romig, MD, FACEP
This substitution will renew each time our ALS license is renewed as long as we
continue to provide notification of the substitution. You will be kept apprised as
appropriate.
NOTE: Please be advised that this letter must be kept on file by your office and
available for review by the State Inspection Team at all times.
LAR/drh
12490 Ulmerton Road
Largo, Florida 33774
Phone (727) 582-2035
http://www.medcontrol.com
Fax (727) 582-2076
OFFICE OF THE MEDICAL DIRECTOR
Pinellas County Emergency Medical Services
MEMORANDUM
DATE:
April 8, 2012
TO:
All EMS Providers
FROM:
David Hudak, Director of Operations
RE:
State Letters of Substitution
Attached please find copies of the EMS equipment letters of substitution that are
currently active in the system. These items are provided for your information and should
be kept on file for review by the State Inspection Team if they should request them.
If you have any questions, please do not hesitate to call.
Sincerely,
David Hudak, EMT-P
Attachments
12490 Ulmerton Road
Largo, Florida 33774
Phone (727) 582-2035
http://www.medcontrol.com
Fax (727) 582-2076
OFFICE OF THE MEDICAL DIRECTOR
Pinellas County Emergency Medical Services
MEMORANDUM
DATE:
April 8, 2012
TO:
All System Personnel
FROM:
Laurie Romig, MD, FACEP, Medical Director
RE:
Thermal Absorbent Reflective Blanket
According to Florida Administrative Code 64J-1.002 Table I Ground Vehicle BLS
Medical Equipment and Supplies, “One Thermal Absorbent Reflective Blanket” is to be
carried on all permitted ALS units.
Regular cotton blankets are purchased for use in the system in addition to a custom OB
kit containing multiple cotton baby receiving blankets. Both of these options provide the
necessary warmth for the variety of patients encounter in the system.
I am permitting the substitution of the noted blankets in the system for the “One Thermal
Absorbent Reflective Blanket”.
__________________________________________
Laurie A. Romig, MD, FACEP
This substitution will renew each time our ALS license is renewed as long as we
continue to provide notification of the substitution. You will be kept apprised as
appropriate.
NOTE: Please be advised that this letter must be kept on file by your office and
available for review by the State Inspection Team at all times.
LAR/drh
12490 Ulmerton Road
Largo, Florida 33774
Phone (727) 582-2035
http://www.medcontrol.com
Fax (727) 582-2076
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