AEMS Blog
A Message from the Central Arizona Regional EMS Medical Directors Consortium
As previously discussed, we will be adding the PediSTAT calculator to the CAREMSG. Go live is scheduled for Monday, July 7th.
Click the button below for instructions on how to use PediSTAT integrations with the CARES Guidelines:
PediSTAT has several pharmacists that reviewed all of our guidelines to ensure correct dosing. As mentioned at the last CAREMDC meeting, the calculator identified some dosing changes that needed to be made to conform with the weight-based dosing algorithm and clear up dosing ambiguity. The guidelines still list an option to use a lower dose for patients over a certain age; however, the calculator will calculate the fixed weight-based dose. The summary of the changes is outlined below:
Push Dose Epi:
- Added route of administration (IV/IO) that was missing throughout the document.
- Corrected the dosing to weight-based 1 mcg/kg to max 20 mcg per dose; previous version resulted in underdosing.
- These changes were applied to the Shock, Crashing Patient, Bradycardia, Bites and Envenomations guidelines along with the Push Dose Epi instructions.
Pain Management:
- Morphine dose updated to 4 mg increments to max total dose of 16 mg.
- Previous version was 2–5 mg increments to max total dose of 15 mg.
Seizure:
- Updated midazolam and lorazepam doses to weight-based dosing.
Hypoglycemia:
- Updated oral glucose to fixed dose instead of range.
- Glucagon was updated to remove conflicting doses for age/weight criteria.
Shock:
- Updated verbiage for IVF bolus for clarity.
Chest Pain:
- Eliminated Morphine for pain control per discussion at CAREMDC.
Agitated Patients:
- Adult lorazepam: removed range dose of 2–4 mg and changed to 2 mg increments.
- Pediatric midazolam: removed range dose for IM and IV/IO options.
Host: Sara Latham
Tuesday, February 25, 2025
9:00 AM | (UTC-07:00) Arizona | 1 hr 15 mins
“Orthopedic Injuries and Management in the Pre-Hospital Environment” with speaker Dr. Elizabeth Mangin.
Webex Meeting - Registration Required
Phoenix Children’s Trauma Program and Child Protection Team are sponsoring our annual Child Maltreatment Symposium on April 17, 2025, at Creighton University 3100 N. Central Ave, Phoenix, 85012. This is a hybrid event offering 7.8 CE credits for RNs, EMS, and Social Workers. This annual symposium is designed to help community and medical professionals expand their knowledge of child maltreatment, abuse, and neglect-with a focus on recognition and appropriate management. This year’s symposium will feature impactful presentations including:
This is a reminder to register for the 16th Annual NAEMS Pediatric Symposium. Please share this flyer and email widely, so we can increase our attendance this year. There are 3 weeks left to register before the rates increase!
A few reminders:
- Registration rates increase after February 11th and shirts cannot be guaranteed after that point
- Registration closes February 25th at 5pm.
- Day 1 is limited to 140 participants, so don't wait!
Please go to our website at https://naems.org/pediatric-symposium to see more information or click here register.
EMS Base Hospital Operations
Simbulance Training Program
Phoenix Children’s Simbulance program was created to help educate, improve patient outcomes, and raise the standard of care, benefiting all neonates, infants, and children facing emergency situations. The Program will provide training to first responders, firefighters, and EMTs responsible for medical oversight, stabilization and prehospital patient care to neonates, infants, and children.
OBLS Grant Training Initiative and Study
We are excited to announce a community collaboration that aims to enhance maternal healthcare and improve outcomes in underserved areas across the state of Arizona.
Participate in a FREE online OBLS event
3rd Annual Obstetric Life Support (OBLS) Conference: Addressing the Maternal Rural Health Conference
Date: February 7, 2025
Time: 9:45 am - 5:30 pm (EST) / 7:45 am - 3:30 pm (MST/AZ)
Location: Virtual
Purpose: This one-day virtual conference will explore emerging topics, trends, and treatments of maternal medical emergencies and maternal cardiovascular diseases. CE is available.
The 2025 changes to the Central Arizona Regional EMS Guidelines (CAREMSG) were approved 11/2024 and go into effect 1/15/2024. The CAREMSG with the 2025 changes are now published on AEMS website.
Click the buttons below for the Guidelines and Overview of the 2025 changes:
Additionally, the below training video has been developed as a resource to review and implement these changes.
From the State
November 13-17 is Crash Responder Safety Week. This year’s theme is “Protect Those who Protect You!” Every minute of every day, law enforcement, fire and rescue, emergency medical services, public works, transportation, towing, and other responders work to make roadways safe for all road users. These traffic incident responders put their lives at risk when clearing each of the nearly 7 million motor vehicle crashes that occur in the U.S. each year.