Page 1 of 1 From: omdops@gmail.com Reply-to: dhudak@medcontrol.com To: ems_chiefs@pinellascounty.org 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: dhudak@medcontrol.com 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