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HUDSON VALLEY REGIONAL EMERGENCY
MEDICAL ADVISORY COMMITTEE
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MINUTES OF MEETING, held at the offices
of Hudson Valley Regional EMS, 33 Airport Center
Drive, New Windsor, New York, on Monday,
September 18, 2017, at 9:30 a.m.
Yvette Arnold,
Court Reporter
ROCKLAND & ORANGE REPORTING
2 Congers Road
New City, New York 10956
(845) 634-4200
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1 A P P E A R A N C E S :
2 DR. PAMELA MURPHY,
3 Committee Chair
4 DR. MARK PAPISH, Medical Director
5 DR. ARSHAD,
6 Evaluation Subcommittee
7 WILLIAM HUGHES, EMT HVREMSCO Executive Director
8 JEFFREY CRUTCHER,
9 QI Coordinator
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11GOOD SAMARITAN HOSPITAL
12 DR. DENNIS MAO,
13 Director
14HEALTH ALLIANCE OF THE HUDSON VALLEY
15 DR. GUTMAN,
16 Physician Representative
17NORTHERN DUTCHESS HOSPITAL
18 DR. WILSON,
19 Director
20ORANGE REGIONAL MEDICAL CENTER
21 DR. VOHRA,
22 Director
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1 PUTNAM HOSPITAL CENTER
2 DR. BUTTERFASS, Director
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4 MID HUDSON REGIONAL HOSPITAL OF WMC
5 DR. PAPISH, Director
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7 VASSAR BROTHERS MEDICAL CENTER
8 DR. ARSHAD, Physician Representative
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1 A P P E A R A N C E S :
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3 DAVID VIOLANTE MIKE BENENATI
4 ISRAEL KNOBLOCH MATT NOLAN
5 TIM MURPHY JOE SOLDA
6 DAVID GRASS MICHAEL MURPHY
7 ANDY LAMARCA JOHN MAHONEY
8 TIM MURPHY BOB SZLI
9 SHARON FRAZIER
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2 DR. MURPHY: Good morning, everybody.
3 Thank you for coming.
4 So this morning -- I filled out the
5 sheet for you for roll call -- we have the
6 minutes that were distributed from our
7 June 5th meeting -- it seems so far away.
8 And if anybody has any additions, deletions,
9 or corrections, let me know.
10 Otherwise, I'll ask for a motion of
11 acceptance.
12 DR. MAO: Motion.
13 DR. MURPHY: And second?
14 DR. GUTMAN: Second.
15 DR. MURPHY: Thank you. So since we
16 were off all summer and today is still
17 September -- September 18th, I would like to
18 take a moment just for September 11th
19 remembrance. We had amazing remembrance
20 ceremonies around the State and across the
21 country actually, a lot of other states were
22 involved and did amazing programs to, you
23 know, remember everybody from 9/11. So I
24 would like to just take a moment of silence.
25 (A moment of silence was observed.)
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2 DR. MURPHY: Thank you very much.
3 Anyone that would like to comment or
4 make any announcements?
5 Thank you.
6 We have a ton of old business to get
7 through today and a bunch of new things going
8 on around the region.
9 First, we will start with the
10 collaborative protocols rollout update.
11 Michael?
12 MR. BENENATI: The protocol committee
13 took the summer off as well so we have --
14 then we have a conflict with the meeting for
15 next week because of the SEMSCO meeting. So
16 we will resume in October and pickup with the
17 policy and procedure manual from the New York
18 State BLS protocol perspective -- which I'm
19 also on that -- and is moving forward at the
20 State level. And we should be hearing more
21 about that and the status of that next week,
22 but it will look exactly like the
23 collaborative protocols, same format except
24 designed for BLS providers --
25 DR. MURPHY: And also the policy
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2 material you sent out I reviewed, it looked
3 really good.
4 MR. BENENATI: So we need to talk about
5 that, clean that up a little bit, there is
6 another, you know, hole that Jeff found. So
7 that's what we are working on, there is not
8 sweeping changes, just stuff we need to
9 cleanup a bit.
10 DR. MURPHY: It's really also an
11 reorganization and to put certain things in
12 that manual. So we'll submit it to everyone
13 on the committee once protocol is finished,
14 but the first pass looked really good. And
15 organizationally wise taking out the stuff
16 that doesn't need to be in the
17 collaboratives, but belongs to our region
18 that we will keep separate.
19 Narcan update. Bill?
20 MR. HUGHES: Well, we have it available.
21 We had some shortages and it was hard to get,
22 but now we have a substantial amount in the
23 office and we have been using it. Jeff will
24 give you an idea how many --
25 DR. MURPHY: You have the usages and
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2 stuff?
3 MR. CRUTCHER: We have the usages. We
4 are running probably 40 percent over last
5 year's totals. So far this year we have
6 distributed just over a thousand doses, last
7 year we didn't make it to a thousand doses.
8 We have seen it slow down a little bit in the
9 past couple of weeks, but summer use was
10 pretty much as we anticipated, high usage.
11 We do have four agencies that are
12 applying for Narcan -- you want to take care
13 of that now?
14 DR. MURPHY: Well, we can. We can do it
15 here or under new business -- but why don't
16 we do it now, that's fine.
17 MR. CRUTCHER: Lenape VAC is applying,
18 New Hamburg, Pine Bush and Upper Delaware.
19 DR. MURPHY: And Pine Bush VAC?
20 MR. CRUTCHER: Yes.
21 DR. MURPHY: That's great three -- four
22 more. During that time that the resources
23 were low what did they tell you to do? They
24 just said we just have to hold on?
25 MR. CRUTCHER: Pretty much.
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2 MR. HUGHES: But we did -- we belong to
3 a coalition group that they were able to go
4 out to different places and get us a supply.
5 So over the Labor Day weekend we had none
6 available for us here to distribute so they
7 went and I believe Dutchess County was one of
8 the counties that really clipped in and gave
9 us a bunch to have available. So although
10 the agency didn't have anything for us, the
11 coalition group did come through and get some
12 for us too so we could distribute it to the
13 agencies that needed it for that weekend.
14 DR. MURPHY: All right, thanks.
15 Hospital diversion. Do you have
16 anything more on that, right now?
17 DR. PAPISH: Not since we were last
18 here --
19 DR. MURPHY: Any other issues?
20 MR. BENENATI: We were going to rollout
21 that manual and stuff, did that occur?
22 MR. HUGHES: No. Because the way we
23 left it -- at the last meeting we had a very
24 long discussion about it and the way we left
25 it was we weren't sure as to whether we
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2 should go to the CEO or emergency room and
3 where do we need to send that letter? So we
4 did have it, we didn't rollout the manual at
5 all so we are kind of -- still kind of just
6 --
7 DR. PAPISH: So why don't we just send
8 out the letter to everybody, like to the CEOs
9 -- our current -- when we send out the
10 advisory to REMAC it goes to CEO and
11 everybody.
12 DR. MURPHY: Yeah. I think it applies
13 to everybody. I agree with Dr. Papish that
14 the CEO has to definitely be on there because
15 they are the last straw for diversion. But I
16 think everybody on the front line needs to
17 know and everybody needs to announce at
18 department meetings and that this is where we
19 stand. So I think it's important for
20 everybody.
21 DR. PAPISH: Yeah.
22 MR. HUGHES: Okay.
23 DR. PAPISH: So should we do that as the
24 next step in this endeavor?
25 DR. MURPHY: Yeah. When does Karen come
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2 back?
3 MR. HUGHES: We will get it done.
4 DR. MURPHY: I'm teasing.
5 Psychiatric patients and disposition
6 issues. I've had nothing else come to our
7 attention or our committee.
8 Anybody have any issues?
9 Boy, you guys are making this easy this
10 morning.
11 BLS protocols. Mike, you already spoke
12 a bit about that. I don't think there is
13 anything else more on that. The only thing
14 is, it's going to be a long process, right?
15 It's not going --
16 MR. BENENATI: We will find that out
17 next week. I know Dr. Daily has been in
18 frequent contact with Lee Burns and I don't
19 see this process going very slow. I mean, it
20 seems to be on a fast track by what I've seen
21 and been participating in so I think we will
22 hear something next week and that will give
23 us a good indication. His goal was to have
24 it out before the end of the year so we will
25 see, obviously it will depend on
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2 representation across the State so we will
3 know more next week.
4 DR. MURPHY: And I think that now one of
5 the things that happens is, you know, you
6 have to abide by everything, the kind of the
7 fences they have up, but he is moving it
8 along.
9 MR. BENENATI: Right, it seems to be
10 moving.
11 DR. MURPHY: Okay. Evaluation
12 subcommittee report -- no -- no service
13 upgrade, sorry.
14 Arshad --
15 MR. HUGHES: We have two.
16 DR. MURPHY: We did? No, those are the
17 programs --
18 DR. ARSHAD: Quiet summer, thankfully.
19 DR. MURPHY: I don't think there were
20 any cases.
21 DR. ARSHAD: Just a reminder to
22 everyone, we exist. If there are any cases
23 that warrant attention, or some additional
24 eyes, or you just want feedback for the
25 providers, we are happy to review any case
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2 you think merits the attention of the region.
3 DR. MURPHY: Helicopter committee. Dr.
4 Berkowitz is not here.
5 MR. HUGHES: They have their Westchester
6 meeting today also.
7 DR. MURPHY: So that might be where they
8 are.
9 MR. HUGHES: No. They sent an e-mail
10 saying they would not be here, but there was
11 no change in helicopter --
12 DR. MURPHY: All right, QI. Jeff?
13 Oh, I skipped over RTAC -- sorry.
14 MR. CRUTCHER: New York State is still
15 talking about releasing the Elite Bridge
16 soon, it's the same conversation we have had
17 for the last 18 months. The additions to the
18 data dictionary that are New York State
19 specific were pushed out to the vendors about
20 30 days ago and push back to the State came
21 about 29 days ago. So they are still trying
22 to figure out what they are going to do with
23 some of the things that Mike Taylor wanted
24 added.
25 DR. MURPHY: Okay, so it's still a work
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2 in progress.
3 MR. CRUTCHER: Yes.
4 DR. MURPHY: Kind of like our whole
5 meeting this morning. Protocol committee?
6 MR. BENENATI: Post summer, you know --
7 DR. MURPHY: But usually we have some
8 things we have to do, usually September
9 meetings are a little bit more.
10 MR. BENENATI: Nothing else from the
11 protocol committee at this point.
12 DR. MURPHY: Holy moly, we are flying.
13 Under new business, so did everybody get
14 these up front?
15 MR. HUGHES: No.
16 DR. MURPHY: So we have to talk about
17 the meetings for 2018. And what I'll do --
18 you know, the next one here is November 6th,
19 but for 2018 the one conflict we see -- we
20 have January 8th, March 5th, June 4th, but to
21 have it even out to be that specific Monday
22 it falls on September 10th, which is Rosh
23 Hashana so I think we have to change that one
24 meeting and then the next one being
25 November 5th. So everybody look at their
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2 schedules over the next week or so and try
3 and get back to the office where you think we
4 should go. Because Labor Day is in the
5 beginning of the month we probably have to
6 move it back to the 17th like we did this
7 month. We can't go too far because we will
8 run into SEMAC again because generally there
9 is a September meeting, which happens next
10 week.
11 So I've got nothing to report on SEMAC
12 either.
13 MR. BENENATI: Just a quick -- as I
14 looked at my calendar the Operation Lifeline
15 has really taken up speed in the region.
16 And, you know, it maybe good to get some
17 representation from them involved in the
18 group. I know there has been a lot of action
19 that aspect --
20 DR. MURPHY: Lifeline meaning the guys
21 that fall --
22 MR. BENENATI: The America Heart
23 Association initiative --
24 DR. MURPHY: Mission Lifeline --
25 MR. BENENATI: -- maybe we should make
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2 sure they get invited to this, it's a good
3 format. I believe there is a meeting later
4 this week, a teleconference meeting.
5 DR. MURPHY: We could send an e-mail to
6 that lady -- I can't think of her name right
7 now -- but she was the one that headed that
8 thing up at West Point.
9 MR. BENENATI: Maybe that would be
10 something smart to do, Bill?
11 MR. HUGHES: Okay.
12 DR. MURPHY: Forward that e-mail to him,
13 that's the woman who directs all the
14 scheduling with them.
15 A few announcements, few new business.
16 Putnam Hospital and Northern Dutchess
17 Hospital under Health Quest have -- have
18 submitted an application to New York State to
19 provide cardiac cath lab and become PCI
20 center for both, and we have both Dr.
21 Butterfass and Dr. Wilson here if anybody has
22 any questions, but they are putting forth an
23 application to New York State to become a PCI
24 center.
25 Anything you guys need to add?
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2 DR. WILSON: It's true -- you want to
3 add --
4 DR. PAPISH: What was the rationale?
5 DR. WILSON: For not only PCI, but
6 elective cases and Health Quest to provide
7 that type of service line that extends up
8 north in the Hudson Valley --
9 DR. MURPHY: So we will have the guys
10 from Vassar and then go up?
11 DR. WILSON: Yes. And we will have a
12 call team and we have established a protocol.
13 And we also have an educational rollout for
14 EMS with physician directors if this were to
15 be approved, but we are in the very beginning
16 stages of the process, there is a good chance
17 we might not even get approved. So we are at
18 that stage, due diligence, make sure we get
19 it in the minutes.
20 DR. MURPHY: I think it's good everybody
21 is aware what is coming down the pike, so
22 it's all good then.
23 I was approached by the Ulster County
24 Department of Health, who had put forth a
25 plan with their local officials in the Ulster
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2 County EMS or EMO, Emergency Management
3 Office, they submitted a grant and were
4 awarded Cyanokits and a whole operational
5 plan was setup. So they sent it to us for us
6 to -- just to announce, they initially wanted
7 us to sign off on it. I said, we don't need
8 to. We have the protocol and they will
9 follow the protocol. Initially they had a
10 couple things that were different and we
11 pointed out that they have to follow the
12 protocol. But it's a very elaborate plan
13 that they have set up between all the fire
14 coordinators, emergency management personnel
15 and all the fire officers in the area and any
16 kind of high volume agencies to provide and
17 carry Cyanokits. So just an FYI there and
18 kudos to them. It's a great program, they
19 really set it up well. And I told them we
20 don't really need to sign off on that, it's
21 more informational.
22 MR. MAHONEY: Dr. Murphy, since they
23 came up with that it ended up across Dutchess
24 County desk, which came to my attention.
25 Some of the concerns that we have are, who is
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2 responsible for that medication? If I'm a
3 paramedic on the ambulance and I've never
4 seen that medication before and I show up on
5 the scene and a fireman comes up and hands me
6 medication and I have no idea what it is and
7 tells me I'm supposed to be administering it,
8 I have no idea. I'm not going to do it. And
9 when they file the complaint saying we had a
10 patient that needed this medication and the
11 paramedic refused to administer, what is
12 going to happen to that paramedic?
13 DR. MURPHY: Well, it's part of our
14 protocols, included in the fire inhalation --
15 the smoke inhalation protocol so people
16 should probably have an educational processes
17 on it if you're not comfortable with it
18 through your medical director because it is
19 something that is out there. Granted most
20 fire companies carry it, not a lot of EMS
21 agencies that have it. However --
22 MR. MAHONEY: Only two in my county and
23 both of them have paramedics with them so --
24 DR. MURPHY: Yeah, that's what most of
25 the fire companies do, except that it's
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2 changing in someplaces. But it is under our
3 protocol so it's something we expect people
4 that if they feel comfortable with it, again,
5 it's not something you are going to do
6 something outside of your comfort level, but
7 it's covered by our protocols.
8 MR. MAHONEY: Okay, but now are those
9 going to be temperature controlled
10 compartments that the fire departments have
11 the medication in?
12 DR. MURPHY: They have to, that's their
13 responsibility if they are going to carry it.
14 They are not governed by -- you know -- us.
15 They are really governed by what they have
16 there in the auspices if they are going to
17 take it from the protocols it's under the
18 formulary, otherwise it's not going to work.
19 MR. HUGHES: Their operational plan does
20 say it will be temperature controlled --
21 DR. MURPHY: However, I don't boss them,
22 I don't regulate them, but they have to
23 follow the protocol --
24 MR. MAHONEY: So we don't have an issue
25 of medication that is out of control of a
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2 paramedic being administered by a paramedic,
3 this medication is not in the paramedic
4 control. They will never see it until the
5 moment it needs to be administered.
6 DR. MURPHY: Well, the paramedic has to
7 feel comfortable administering just like
8 anybody else with any other medication they
9 have, if they're not, they say that.
10 MR. MAHONEY: That's if they have the
11 medication, the paramedics aren't going to
12 have it, that's why I'm concerned. This is
13 going to be scattered throughout an area and
14 the paramedics have no control until the
15 firemen comes over and says, you need to have
16 this. I'll use Dutchess as an example, we
17 follow what Ulster is doing and I have a call
18 in the middle of the county, which is a
19 volunteer fire department, with a volunteer
20 ambulance, depending on time of day and
21 everything else it could be a totally
22 different agency that they normally are used
23 to dealing with in response to the call.
24 Paramedics showing up have no idea who these
25 people are and getting told you need to go
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2 give this to somebody and having no idea
3 where that medication has been for the last
4 18 months.
5 DR. MURPHY: True. I think that if
6 somebody hands you something out of the med
7 box you still don't know.
8 DR. PAPISH: When is the last time you
9 traced every bottle of epinephrine --
10 MR. MAHONEY: But it's in my drug box
11 and I checked it that morning. I know it's
12 not brown, or at an accident scene freezing
13 for the next four hours.
14 MR. VIOLANTE: So maybe we can just
15 throw some education out there. Paramedics
16 have to check expiration dates of meditation,
17 if they are comfortable, great, if not,
18 great.
19 DR. MURPHY: And I think just like
20 anything, we put the protocols out there to
21 guide people, to help people, but I can't
22 force anybody's hand to do anything.
23 However, a Cyanokit is an intact entity, it's
24 not going to be -- hopefully broken open so
25 they are handed an intact kit. Two, like
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2 Michael is saying, there is an expiration
3 date on it. And I believe it has a
4 temperature sensitive colored thing, no?
5 MR. BENENATI: No, I don't think so.
6 There is a range, but I'm not aware of them.
7 DR. MURPHY: So that's just what we are
8 going to have to go with. I think that it is
9 lifesaving. It's like, how do we know when a
10 family member walks up with a bottle of
11 Narcan or nasal aspiration device where it's
12 been and what has it's been doing? But if we
13 can save somebody's life, we will. However,
14 if somebody is uncomfortable I can't force
15 their hand to do anything. They have to be
16 able to do what they feel is right and feel
17 comfortable with. But since it's in the
18 protocols I expect people to kind of have an
19 idea what it is as a paramedic.
20 I think in emergency medicine I don't do
21 every single procedure every day, but I
22 pretty much feel comfortable what walks
23 through the door I'll try and handle as best
24 I can.
25 DR. PAPISH: I think the default of
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2 calling medical control is a fallback that is
3 very easy, a fireman handed me this orange
4 box, I'm not so familiar, this is what I
5 have.
6 MR. LAMARCA: With REMAC advisory since
7 this is, you know, a new program just a REMAC
8 authorizes any paramedic to administer, you
9 know, Cyanokit provided by a fire department
10 that is in the program.
11 DR. MURPHY: Yes.
12 MR. LAMARCA: So REMAC gives them
13 permission to use it as long as it's intact
14 and it's covered by their protocols.
15 DR. MURPHY: As long as everybody is
16 following the protocols --
17 (Everyone is speaking at once.)
18 DR. MURPHY: -- that's pretty much what
19 I said to Ulster too, they have to make sure
20 they follow the protocol. Michael?
21 MR. MURPHY: I'm chair of the EMS
22 committee and fire committee. And the design
23 of this is that it was fiscally improbable to
24 put Cyanokits on every ambulance and since
25 hydrogen cyanide and smoke inhalation is
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2 prevalent in the fire service, the idea was
3 to have the fire department have the kit with
4 them. Therefore, when the EMS unit responds,
5 be it standby unit, or all of sudden develops
6 an issue with the firefighter, et cetera,
7 that Cyanokit is available. The idea is not
8 that a fireman is going to hand it to you and
9 say you need to give this, or give it to this
10 guy. It is the idea that the paramedic will
11 make an assessment of the smoke inhalation
12 individual and if in their belief under the
13 circumstances there is a high probability
14 that cyanide could be involved, the Cyanokit
15 would be readily available to them because it
16 would be on the fire apparatus.
17 DR. MURPHY: And it's in concert too,
18 because I think there is nobody better than a
19 fire person to tell me what is burning and
20 what is the risk of the gas right there and
21 the flammable substances that were there. I
22 mean, that's the other thing where I think
23 that it makes sense that fire --
24 MR. MURPHY: -- and that interaction
25 between the fire ground safety officer and
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2 EMS unit.
3 DR. ARSHAD: I hear what everybody is
4 saying and I certainly see and view this as
5 an opportunity not only to save potential
6 firefighters that maybe down, but it's an
7 excellent educational opportunity for EMS
8 providers as well.
9 But, firstly, congratulations to Ulster
10 County for going out and securing that grant
11 because this is an excellent medication we
12 should have for our firefighters --
13 DR. MURPHY: It's a good title for a pod
14 cast.
15 DR. ARSHAD: -- so, John, I also
16 appreciate your concerns --
17 DR. WILSON: No.
18 DR. ARSHAD: -- specially in regards to
19 preparation the Cyanokit for delivery or
20 administration, it's not a straightforward
21 process that's just drawing a medication out
22 of a vial and administering. I do appreciate
23 there is some concern from the EMS
24 perspective, I've never actually trained on
25 this, I'm not sure. Am I supposed to use D5
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2 water or normal saline? Can I use lactated
3 ringers to do 250 cc reconstitution? So for
4 fire providers or rather fire services that
5 normally respond to large alarm structural
6 fires and there is EMS unit or agency tasked
7 doing the firefighter rehabilitation should
8 it be necessary, I think it's a great
9 opportunity to reach out and say, an
10 extension or part of the fire rehab process
11 we may have extreme cases where either carbon
12 monoxide or hydroxycobalamin are involved and
13 endangering the life of a firefighter. It's
14 a very high stress situation and ideally we
15 would want that medication to be administered
16 as quickly as possible. So I definitely
17 encourage Ulster County to reach out to EMS
18 services in their backyard who may
19 potentially respond to a firefighter down or
20 on more regular basis provide firefighter
21 rehabilitation services to help as best
22 practice for the administration should we
23 need it in a critical situation.
24 MR. BENENATI: I spoke with both the
25 Director of Emergency Management and EMS
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2 coordinator after the packet of information
3 came out. I provided them with some training
4 tools as well as implementation tools, like a
5 cheat sheet that we use, as well as what our
6 kits look like and how they are built. And
7 so, you know, I certainly understand, you
8 know, John's concern looking at this. And I
9 think that the other point that we made to
10 Ulster County as well is that it's the
11 region's responsibility to ensure that it is
12 protocol driven. We approve the protocols
13 for a paramedic to administer. It's
14 approved. It's already approved. We don't
15 do the regulatory side of this, that's the
16 responsibility of the Bureau. And so they
17 have been encouraged to make sure they
18 communicate with the Bureau on those topics
19 to make sure everything is within the
20 regulatory guidelines. And so that's where
21 we left it with them, I sent them a bunch of
22 material.
23 MR. HUGHES: I have received a letter
24 from Lee Burns that she is aware of it and
25 she supports them in doing this, so the
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2 Bureau is aware of it.
3 DR. MURPHY: Yeah, that was attached --
4 MR. BENENATI: There are some logistical
5 challenges that they have, they are aware of
6 those logistical challenges, like temperature
7 control.
8 DR. MURPHY: Thank you, Michael.
9 Any other questions or concerns?
10 Thank you, John.
11 So SEMAC is next week, I don't know --
12 Arshad? Anybody has anything they want to
13 talk about?
14 This is like the quickest meeting we are
15 ever going to have.
16 MR. BENENATI: Next time will be long --
17 DR. MURPHY: I have no Pad, EpiPen,
18 Albuterol, or glucometer to -- well, you did
19 the people that are applying --
20 MR. CRUTCHER: Um, um.
21 DR. MURPHY: I do have a bunch of
22 announcements, we were busy with that.
23 MR. HUGHES: Can I do one more before
24 you go?
25 DR. MURPHY: Yeah.
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2 MR. HUGHES: I'm not sure if we
3 mentioned this, but the check and inject, BLS
4 epi inject program is available to all BLS
5 providers now so you might see BLS providers
6 doing the injection of epi, so everybody is
7 aware of it.
8 DR. MURPHY: I think we did it the last
9 time, we talked about they finally got
10 approved and we announced it, Lee's letter --
11 MR. HUGHES: I wanted to make sure
12 everybody is aware they could be seeing
13 patients.
14 DR. MURPHY: Under Department of Health
15 notifications we have -- the first one is
16 Jeffery Ruminisky (phonetic) from Holland,
17 New York. He's been suspended for one year
18 and assessed a civil penalty of $2,000.00 for
19 violations of Part 800.
20 Again, we have for the same violation,
21 David Manachevrov (phonetic), out of
22 Brooklyn, New York. He has -- his
23 certification has been revoked as of August.
24 Matthew Argona (phonetic) out of Buffalo, New
25 York, suspended for two years and assessed a
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2 civil penalty of $1,000.00 for violations
3 under Article -- Part 800.
4 And, lastly, Woodhaven Richmond Hill
5 Volunteer Ambulance Corp out of Ozone Park,
6 New York had their certification revoked
7 effective August 16th for violations of the
8 Public Health Law Part 800 and that was
9 effective August 16, 2017. And that's under
10 notifications.
11 That brings us to open forum? Oh, my
12 goodness.
13 Anything anyone wants to talk about?
14 Any issues? Things that have come to your
15 attention?
16 Wow. This is going to be a record
17 meeting, 35 minutes.
18 Anything else? Motion to adjourn?
19 MR. BENENATI: If anybody cares to see
20 what the BLS protocols look like, I have a
21 copy after --
22 DR. WILSON: Motion.
23 DR. ARSHAD: Second.
24 DR. WILSON: But I do want to look at
25 them.
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2 MR. BENENATI: You are welcome to come
3 and take a peek if you want to see it.
4 DR. MURPHY: Thanks, everybody.
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6 THE FOREGOING IS CERTIFIED to be a true
7 and correct transcription of the original
8 Stenographic minutes to the best of my ability.
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11 ___________________________ Yvette Arnold
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