Lifeline jan feb 2015

VIRGINIA LIFELINE

JANUARY / FEBRUARY 2015

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2014-2015 VAVRS Officers President Rickey Hodge Vice President Kim Craig Secretary Scott Davis Treasurer Steve Grayson Training Officer Cecil Leach Chaplain Mike Smoot Chaplain Emeritus Page Entsminger Historian Dreama Chandler Editor Gary Dalton Legal Advisor S. Craig Lane Parliamentarian J. C. Phillips Immediate Past President Bubby Bish Medical Advisor James R. Dudley, MD, MBA

District 1 V. P. Steve Southworth District 2 V. P. Carolyn White District 3 V. P. Warren Winner District 5 V. P. L. Frank Smith District 6 V. P. Doug Adams District 7 V. P. Coby Fizer District 8 V. P. Steven Reynolds District 9 V. P. Dwayne Stanley District 10 V. P. George Langford Office Manager Frances Brooks Training Coordinator Kathy Eubank Administrative Secretary Shirley Bagby Lobbyist Ed Rhodes

2014-2015 VAVRS Committee Chairs Nominating: Bruce Stratton Membership: Kim Craig By-Laws: Bruce Edwards Lifeline: Gary Dalton Conference: Ford Wirt Camporee: Ronnie Slough Finance: Steve Grayson Scholarship: Carolyn Brand EMS Memorial: Kevin Dillard Grant: Elizabeth Papelino Facility Manager: Lin Matthews Web Page: Gary Dalton Legislative: Dreama Chandler Legislative: Bubby Bish

Rescue College: Rickey Hodge Rescue College: Wayne Myers Human Resources: Kim Craig Life Membership: Ronnie Slough Rescue Hall of Fame: Page Entsminger EMS Advisory Board: Valeta Daniels EMS Advisory Board: Denene Hannon Strategic Planning: Bubby Bish New Course Development: Wayne Myers Recruitment and Retention: Fran Phillips Recruitment and Retention: Bobby Hill Volunteer Management: Page Entsminger EMS Exchange Program: Jane Laverne

2014-2015 VAJVRS Officers President Victoria Gaudin Vice President Elizabeth Pittman Secretary/Treasurer Savannah Hise Historian Cara Beasley Chaplain TBA Official

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Advisor, Chair Alfred Smith Advisor Brandon Baugus Advisor Woody Conner Advisor Micky Grodski

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2014-2015 AVAVRS Officers President - Sharon Campbell Immediate Past President - Fern Puckett Vice President - Harry Householder Midwestern VP - Nancy Linkous Secretary - Dolores Hudson Northeastern VP - Debbie Smallwood Treasurer - Patsy Wingfield Southcentral VP - Clara Craig Chaplain - Ailease Short Southeastern VP - Roger Lynthlin Historian - Linda Berkstresser Southwestern VP - Valarie Becker Parliamentarian - Maxie Skeen Western VP - Janis Slough

For a complete list of the current courses being offered by the VAVRS—go to

2014-2015 AVAVRS Committee Chairs Conference: Vickie Arnold Conference: Sheila Gordon Nominating: Ruth Swicegood Life Membership: Carolyn Brand Emergency Care: Laura Booze Resolutions: Maxie Skeen

Membership: Patsy Wingfield Finance: Harry Householder Roll Call: Donna Porter Roll Call: Valarie Becker Fundraising: Stacey Frame Fundraising: Tracey Frame

Deadline for the Upcoming Issues of the VIRGINIA LIFELINE Articles may be submitted by any member of the VAVRS, AVAVRS and VAJVRS. Feature articles are encouraged. Photos and/or graphics are acceptable and can be returned if requested.

Contact the Editor if you need assistance in writing an article at gdalton@vavrs.com Deadline for future issues as follows: February 1, 2014 for March/April 2015 Issue April 1, 2015 for May/June 2015 Issue June 1, 2015 for the July/August 2015 Issue August 1, 2015 for the September/October 2015 Issue

THE VIRGINIA LIFELINE ISSN 0279-6023 is the official bimonthly publication of the Virginia Association of Volunteer Rescue Squads, Inc. Editorial material should be sent directly to the VAVRS Editor at P O Box 522 Woodstock, VA 22664 (H) 540-459-4849 (W) 540-536-2758 (FAX) 540-459-4925 (C) 540-481-0125 Email-gdalton@vavrs.com Requests for advertising rates, material specifications and deadlines should be directed to the Editor.

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RECRUITMENT & RETENTION Submitted by Fran Phillips, VAVRS R&R Committee Chair Many of you will have new officers in 2015. All officers, old or new, both Administrative and Operations, should follow the Bylaws and SOP’s set forth by your squad. These guidelines are there for a reason. That reason is to keep the squad running properly and smoothly.

The Bylaws are just that -“BY LAW”. These LAWS have been voted on by your membership to govern your rescue squad or fire department. These laws should be worded so that their meaning is obvious. They should be laws for all persons in your organization not just a few.

The Standard Operation Procedures [SOPs] are usually the Operations end of the squad or fire department.

These are rules or guidelines and must be followed so that the organization will run properly. Again, these SOPs are for all persons in your organization not just a few.

Many squads have internal problems. “One side against the other”, stated one caller.

This discontent can undermine your organization and if you are not careful destroy it. You may wish to have a “Tell the President and Chief” meeting.

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may state what is bothering them. Rules should be set before the meeting. Persons may ask questions, make comments, without repercussions from Administration or Operations.

agree or disagree with the synopsis of what happened and the outcome of the meeting.

The original is stored in a designated place and a copy is placed in the members personnel file. If the infraction is considered bad enough, the President or Chief should instigate an investigation. This investigation should be a step by step procedure which should be outlined in your Bylaws. If everyone follows the laws/ rules/guidelines as outlined in the Bylaws and SOPs then your membership will continue to grow in Recruitment and Retention of members in a healthy environment with few decisive issues.

When members bring a problem to the attention of the President or Chief that problem should be looked into immediately and if necessary corrected. Either way the member bring the problem to the attention of the officer should be contacted with the results of the examination of the problem and what if anything will be done. At least the person will know it was looked into. If the officers deem it necessary to correct the problem it should be corrected immediately if possible. Everyone in your organization should be treated “Respect ALL members in the same - Senior Squad, your organization with the Auxiliary and Junior Squad. If same degree that you wish to there is an infraction of the be respected.”

Bylaws or SOPs the persons should be counseled on the infraction.

This meeting should MEMBERS be recorded on a “Counseling Form” by SOPs the person doing the counseling. The person doing the BYLAWS counseling and the member should sign OFFICERS this document stating that they VAVRS

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Auxiliary to Staunton Augusta Rescue Squad Submitted by Kim Galloway The Auxiliary to Staunton Augusta Rescue Squad had an exciting time at conference e this year. Our Auxiliary received the Emergency Care Trophy which recognized our participation and promotion of First Aid/Emergency Care Training, Safety and Community Awareness.

Auxiliary members accompanied the squad along with Sam the Safety Saurus to various activities in the community throughout the year to promote topics such as bike and summer safety, along with other educational items. The Auxiliary also participated in Community Day at Gypsy Hill Park to promote community awareness. This gives our organization an opportunity to interact with the community personally in a non-emergency, crisis situation so that relationships and trust can be built.

The Auxiliary was also honored to receive the Auxiliary of the Year. This outstanding service award recognized an auxiliary’s achievements in five main categories: AVARS participation, Service to the community, Recruiting Program, Service to the squad and increased community awareness. Our auxiliary has always been active in our district, attended district Official

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meetings and served in various leadership positions. Some of our local community activities include supporting our local food bank, Toys for Tots, Valley Mission, and Augusta Health Hospice of the Shenandoah Hospice House.

We also have provided support and gifts to residents in our local nursing homes. We continue to look for new ways to recruit new members and display our membership information at various activities.

The Auxiliary picture project and other fundraisers have allowed us to assist with the purchase of a new ambulance

and other equipment. We continue to support the squad by serving meals for the business and training meetings as well as other special events.

Upon returning from conference the auxiliary celebrated with a meal that was served by members of the quad and we took the opportunity to recognize our members and their commitment of the time and talents to the organization. The Auxiliary celebrates over 45 years of service to Staunton Augusta Rescue Squad and we look forward to continuing our mission to assist the squad in any way possible.

Left to right: Kim Galloway, Debbie Rohr, Judy Leach, Paige Wagner, Jane Drumheller, Tori Warrington, Randy Swisher, Nancy Lawler, Eugenia Taylor, Patty Smith, Margaret Lyle and Jim Reid.

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Waynesboro FAC Auxiliary Submitted by Cece McCormick, Waynesboro FAC Auxiliary Historian Hello everyone from Waynesboro.

their 2015 officers were installed. Our Junior crew is a small bunch but a strong group of young adults. We are so very proud of what they do for

our organization. Keep up the good work.

We hope everyone had a safe and wonderful holiday.

It's hard to believe Conference is over.

The Waynesboro First Aid Crew had an MCI drill with 40 rescuers and auxiliary members being involved. We fed them dinner Thursday night and breakfast Friday morning. We also prepared a meal for the Mason’s Ladies Night Out where in turn they presented us with the "Community Worker’s Award". What a great honor!

Some Auxiliary and Junior members joined the Senior crew going to the District One Meeting in Boiling Springs.

What a great time and fellowship was had by everyone.

At the District meeting Cece McCormick took first place on scrapbook.

Our officers for 2015 were installed. We finished up with our picture project where again, thanks to the community, we have done very well. We served over 100 members and their family for our annual Thanksgiving dinner that the Auxiliary gives to the crew members and their families.

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The 60 Second Parliamentarian Tip Submitted by J. C. Phillips, VAVRS Parliamentarian I thought you might be interested in a brief history of the eleven editions of Robert’s Rules Of Order, published over the past 139 years. General Henry M. Robert was born on May 2, 1837 and wrote the first edition on Parliamentary Law in February 1876. It was called, “POCKET MANUAL OF RULES OF ORDER FOR DELIBERATIVE ASSEMBLIES.” “A Deliberative Assembly is a group of people, having or assuming freedom to act in concert, meeting to determine, in full and free discussion, courses of action to be taken in the name of the entire group.” In other words, a meeting such as a rescue squad meeting.

The first edition was so successful, that the second edition was published five months later, July 1876. The third edition was published in 1893 with minor changes and had a shorter title, simply called, “ROBERT’S RULES OF ORDER.”

1951, the seventh edition in 1970, the eighth edition in 1981, the ninth edition in 1990, the tenth edition in 2000 and the eleventh edition in 2011.

Some of the past seven editions were written by members of the Robert’s family and other Parliamentarians, such as Sarah Corbin Robert, Henry’s daughter-in-law and Henry M. Robert, III, Henry’s grandson.

There are more than five and a half million copies of Robert’s Rules Of Order in print. It is the most recognized authority that most organizations use as a meeting guide to cover items that are not covered in their own bylaws.

NOTE ... If you need to contact me by e-mail, I have a new email address,

rs1inva@gmail.com

In 1915, the fourth edition was published with many updates.

This was the last edition that Henry Robert wrote. The word “REVISED” was added to the title.

The fifth edition was published in 1943, the sixth edition in Official

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L-R VAVRS President Rickey Hodge, Lobbyist Ed Rhodes, VAVRS Immediate Past President Bubby Bish and Virginia EMS Advisory Board Chair Gary Critzer

VAVRS President Rickey Hodge reading a section |of names during the ceremony.

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Brick from the Virginia Public Service Memorial Wall dedicated to VAVRS President Rickey Hodge for his service as a Virginia Public Safety Foundation Director January

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Providing Emergency Medical Care: An Art or a Science Submitted by Gerald W. Morton, NRP - Ashe Medics

of the veteran members of the team had foretold, a very different person and a very much enlightened EMS provider. What most “changed” me as a provider, however, was a discussion I had one evening with one of the ER physicians who had organized the mission, followed the next day by our efforts to treat a very atypical patient for our clinic setting.

In August 2014, I had the opportunity to visit Haiti as a member of a medical mission sponsored by the Azil Foundation of Johnson City, Tennessee. Three ER physicians who work primarily at Bristol Regional Medical Center formed the core of the team. We had two nurses, a nutritionist, and several volunteers who served in support roles. I was the lone paramedic.

Prior to going to Haiti, I had known all three of the physicians on the trip for several years. I had worked as a paramedic in Bristol, Virginia and taken patients to the ER at Bristol Regional Medical Center. I had developed a solid working relationship with all the doctors, but then became friends with them during our mission to Haiti. When one of the physicians learned that in my first profession I had served as a university English professor and that I had a

Each day the team set up clinics in or near Caphaitian, on the northern coast of Haiti.

Predictably, we were overwhelmed with patients, so much so that I spent much of the time way outside my comfort zone. My role, because of the number of patients we tried to serve, at times became to assess patients, treat them when possible, and prescribe medications. Our clinic pharmacy would then fill those prescriptions. Fortunately, we were treating patients mostly for urinary and bladder infections, yeast infections, hypertension, basic allergies, STDs, and generalized body aches as a result of our patients’ having suffered from chikungunya fever. I returned from the mission, just as some Official

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doctorate in English, he observed: “I have always preferred the math and sciences where you have a right or wrong answer to most questions. In English, you guys seem to have a more flexible approach to analysis and problem solving.” I had heard a version of his observation throughout my career.

For about 30 minutes we discussed how the humanities are different from the sciences, but that to be successful in both requires critical thinking. I gave basically the short lecture I used to give students about how interpreting a work of literature requires our use of evidence and logic, even if the nature of evidence appears to be subjective. In essence, I explained that analyzing a poem requires taking what we have from the text and using that text to guide our thinking.

True, determining the meaning to a literary text is not the same as solving an equation. But (Continued on page 15)

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both are best performed by an analytical mind. The next day, the physician with whom I had had the “science/art� discussion and I found ourselves in a challenging situation and perfect follow-up to our discussion.

Our mission trip was about half way completed when the team made its most difficult journey.

We drove approximately three hours into the mountains south of Cap Haitien in our converted troop carrier. When the mountain road gave way to a path, we hiked another mile.

Because we carried our gear in on our backs, we had minimal supplies. We were greeted by a local pastor and his congregation. More than 200 very eager, but amazingly patient and polite, Haitians awaited our arrival. As quickly as we could, we set up our pharmacy, triage area, and physicians stations, then began seeing patients. Although most of the complaints were relatively minor, the numbers were so great that I had been asked to circulate through the waiting area under a low hanging tarp and look for any patients who appeared to need to be fast tracked through triage. I was able to spot a few elderly patients and pediatrics who appeared to be in greater need of care than were most of those waiting.

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an 84 year old man who was much sicker than anyone we had seen that week.

We took him directly to the physician area. Our patient was hypotensive and able to speak only in short gasps. He was suffering from abdominal pain and fighting both nausea and diarrhea. The physician who examined the patient, the very doctor with whom I had had the late night discussion about problem solving in the arts and the sciences, considered his options. He ordered bilateral IVs with a normal saline challenge, reassessment of blood pressure every ten minutes, 8 mg of Zofran, and 2 grams of Rocephin. We placed the patient in Trendelenburg position and began treatment.

The only difficult part was giving the Rocephin as a slow IV push since this broad spectrum antibiotic is usually given one gram over 30 minutes, using an IV pump. I spent the next hour administering the drug using a syringe connected to the IV line as slowly as I could to compensate for the lack of equipment. The patient, however, was dehydrated and septic, so improvisation was in order. After about two hours, he was stable enough for the family to take him home, and our mission coordinator provided funding so that they could arrange transport to a hospital in Cap Haitien.

Later, I asked about the assessment and recommended procedures, especially without having the benefit of blood work, an abdominal CAT scan, or any other of the diagnostic tools routinely used in the ER. The response was ironic given the previous night’s discussion.

The doctor had used his best judgment, based on the evidence he had and his experience as a physician. He had, in other words, engaged in the type of critical thinking that I had used and taught when I was an English teacher.

What struck me most about this whole experience is how much those of us who work in the field, without advanced assessment tools, rely on experience and judgment. We engage routinely in the type of critical thinking that all three doctors had used in the Haitian mountains and that I had used as a student and teacher of literature. We practice very much the kind of critical thinking which is used in all the academic disciplines. In the field, with a serious patient, we have only very basic assessment tools. However, if we do our jobs well and constantly strive to learn, to become better paramedics, we do have our most reliable tool, our ability to think critically.

Emergency medicine is certainly a science, but it is sometimes performed by an artist.

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News from District Nine Lebanon Lifesaving Crew was awarded the Governor's EMS Award for Outstanding Prehospital Educator at the 2014 EMS Symposium. William Akers has made tremendous contributions to the advancement of EMS education throughout the Commonwealth in his nearly 40 years of experience as an EMT. As an educator, he has coordinated and instructed more than 142 approved EMS courses and implemented the region’s only paramedic program, the Southwest Virginia Paramedic Program, a nationally accredited consortium that is uniquely structured to allow a large geographic area to be efficiently served. The program has pass rates on the

Submitted by Ruth T. Stanley The District 9 meeting was hosted by Lebanon Lifesaving Crew on October 18, 2014.

The Betty Fields Memorial Award was presented to Glade Spring Vol. Life Saving Crew for overall best EMT team for the 2013-2014 year, congratulations to Dwayne Stanley, Chris Bryant, Angela Bussey and Kimberly Phillips and also Jonathan Wymer for filling in when needed.

The Claude Graybeal Memorial Award was presented to Alesia Crewey of Glade Spring Vol. Life Saving Crew for best overall EVOC driver for the year. Congratulations Alesia.

William Akers Jr. from

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National Registry exams that exceed the national average, and its graduates have experienced a 100 percent job placement rate. In addition, William has worked to obtain grant funding to implement several high school-based EMT programs throughout the region. His expertise and reputation have earned him recognition throughout the state and he has served on various prestigious state committees focused on EMS education. William Akers’ significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued by the Commonwealth of Virginia.

Congratulations Bill.

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Steven Dove Wins Prestigious EMS Award Submitted by Sara Hunt Longtime member of Chancellor Volunteer Fire & Rescue cited for work with children Steven Dove, a member of Chancellor Volunteer Fire & Rescue (CVFR), won the Governor's EMS Award for Outstanding Contribution to EMS for Children. The award was presented to Dove at the EMS Symposium held recently in Norfolk, Va. For many years, Dove has been instrumental in shaping a future for children and their involvement with Emergency Medical Services. His efforts to educate the younger generation about the importance of public safety in the community have focused on teaching valuable life-saving skills to youngsters of all ages.

countless hours to working with boys and girls throughout the Commonwealth, he also has financially supported many projects that continue to ensure future generations will make outstanding contributions to the public safety system. According to the team that nominated Dove for the award, his significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly appreciated by the Commonwealth of Virginia.

“So many people helped me get to this point and I can’t thank them enough,” said Dove.

“Without them, this recognition would not have been possible.”

Kevin Dillard, Administrative Chief for CVFR, praised Dove’s longtime involvement in many positions with CVFR. “Steve is a very deserving recipient of this distinguished EMS award and we are very proud of him,” said Chief Dillard. “He has devoted considerable time and energy to ensure that children understand the importance of being safe at home, at school and at recreational activities.”

Dove’s projects with children have included working diligently with many schools, organizations and various public safety agencies to coordinate wellrounded programs on topics such as “hands-only” CPR, bike and pedestrian safety, fire safety and the roles of public safety officials. As Junior Advisor to the Virginia Association of Junior Volunteer Rescue Squad, Inc., he has worked to restructure their involvement on the district level.

Not only has he dedicated

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VAVRS Chaplain Submitted by Mike Smoot, VAVRS Chaplain

Mary Jane “Mickey� Harden Millwood-Station Auxiliary

I would like to take the time to pause and remember those that have left us over the last several months:

Donald R. Heironimus Covington Rescue

Katie Barrick Woodstock Auxiliary

Paula Lindsay Lakeside VRS

Karen Aldridge Bornstein Prince George Emergency Crew

Danny L. Parsons St. Charles Vol. Rescue Squad

Paula Thomas Brandt Brunswick Rescue

Elmer Randolph Pugh Jr., Virginia Beach Rescue Squad

Nelson Wayne Brookman Williamson Road Life Saving Crew

Leo Herschel Rutherford Bristol Life Saving

James Hubert Browning Salem Rescue Squad David Burton Cronk Cleveland Life Saving Crew John V. Goodall Fieldale-Collinsville

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Betty Kidd Northumberland Rescue

Glen Stanley Unroe, Cave Spring Rescue Gone but not forgotten!

Please continue to keep the office and myself informed of anyone needing cards and in the event of the loss of a member.

I will need pictures of your members that have passed and a patch of your squad to be included in the Memorial Service at Conference by August 1st. Please send them in as soon as possible. You may email them to me at msmoot53@hotmail.com or mail them to the state office.

I hope that each of you have a wonderful and healthy New Year!

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CBVRS Looks “Pretty in Pink” for Breast Cancer Awareness

Members of Colonial Beach Volunteer Rescue Squad created special t-shirts to help raise awareness about the fight against breast cancer. The squad put their logo on pink ribbon tie-dye shirts and sold them to fellow members and the public for $15.00 each.

Proceeds were donated to a local breast cancer fund. Several Colonial Beach VRS members and some Colonial Beach Juniors recently posed for a photo in their special pink shirts that were designed for a good cause.

“We all enjoyed working together on this fundraiser,” said Wesley Melson, CBVRS Rescue Chief.

VAJVRS President Submitted by Victoria Gaudin, VAJVRS President I am honored to be this year's VAJVRS President. We have a great group of Junior officers this year.

I was invited to attend the new officers meeting in Oilville November 1st. I gained great insight into my new position. I

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will be attending district meetings and assisting in junior squads throughout the state. I hope to double our Junior membership this year. I can't wait to see what this year will bring.

Photo to right: L-R VAJVRS Junior Advisor Micky Grodski and VAJVRS President Victoria Gaudin VAVRS

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District 3 Report Submitted by Cindy Swann, District 3 Historian District 3 November meeting was held at Colonial Heights at the Moose Lodge. As always we want to thank everyone for their hospitality and a great meal.

Our next meeting will be February 7th. at Henrico VRS. Come and join us. Valeta Daniels covered training classes that are coming up.

District 3 did good on selling the raffle tickets for the drawing at the Conference.

District 3 Life Members: Kenny Frenier Vernon Wilson Cindy Swann were given plaques recognizing us as Life Members. Again I want to thank everyone.

I hope everyone had a Wonderful Christmas and a great New Years.

Local Girl Scouts Learn First Aid Submitted by Harold Good, Southside Virginia Emergency Crew One of my favorite parts about EMS has always been community outreach, especially when interacting with kids.

Recently, Southside Virginia Emergency Crew had an opportunity to help a local Girl Scout troop learn about first aid. We were asked to teach about hyperthermia, hypothermia, shock, and things they need know when calling 911. So, we loaded up into one of our trucks and off we went.

This particular trip turned out to be not only a rewarding experience, but a challenging one as well. The group of girls, about twelve total, ranged in age from six up to seventeen.

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to be able to present our information in a way that the youngest ones could understand without losing the interest of the older scouts. It was pleasantly surprising, however, that even the youngest girls understood the information and were asking excellent questions. We even heard one of our favorite questions: “How do I become an EMT?�

SVEC has always been dedicated to educating our community about personal health and safety, and it is always a pleasure to be able to invest in the future of the community by teaching its young people.

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District 7 Report miles traveled were by Wythe County Rescue Squad. Both squads received a $25.00 gift certificate provided by Christiansburg Rescue.

VAVRS officers present were recognized as well as AVAVRS State officers, VAVRS Life Members, VAVRS Hall of Fame Members, VAJVRS Officers & members, and District 7 Life Members. In addition all US Military Veterans were recognized.

Submitted by Coby Fizer District 7 Vice President District 7 held its November 15, 2014 meeting at the Christiansburg Rescue Squad building. The meeting was called to order at 6:00pm and Jack Swicegood returned thanks and led the group in the pledge of allegiance. A good meal was had by those in attendance which was catered by Mrs. Wades Kitchen. Chief Joe Coyle welcomed everyone and let the District membership know that the meal was on Christiansburg Rescue.

ALS and BLS competition trophies were handed out with both going to the Riner Rescue Squad teams. We had a large turnout for the EVOC competition with 14 District 7 members competing. 5th place went to Gregg Plaff of Riner, 4th place Cody Blankenship of Giles, 3rd place for the second district meeting in a row went

The meeting re convened at 7:00pm with the 50/50 drawing of $31.00 going to Jack Swicewood. The squad with the most members present was Riner Rescue Squad and most Official

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to Lindsay Davis of Christiansburg, 2nd place Luke Price of Christiansburg, and 1st place for the second district meeting in a row went to Dustin Mitcham of Riner. Dustin has laid down a challenge to all District 7 members when he stated after the meeting that “if you can’t compete with the big dogs, stay at your squad building”. The challenge has been issued and we hope to see more competitors at Tannersville in February.

The Auxiliary and Junior members were released so that they could conduct their business meetings.

Reports were given by the District 7 officers and VAVRS state officers in attendance as well as visitors from District 1 (Continued on page 23)

District 7 Members Enjoying Dinner VAVRS

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Greg and Kate Burton. The state offices as well as the district’s finances were reported. A list of important dates to remember was reported to the membership.

Reminders to keep up to date with District 7 training on Facebook https:// www.facebook.com/ VAVRSdistric7 and we look forward to seeing a big group in attendance at the next District 7 meeting on February 21, 2015 at the Tannersville Community Building.

Riner ALS First Place L to R - Nic Coalson, Sr. Greg Pfaff, Dustin Mitcham, and Jolaine Kooger

The meeting adjourned at 7:20pm.

Photo on right: EVOC Competitors Waiting To Compete All photo submitted by Cody Fizer District 7 Vice President

Picture to the right: Riner BLS First Place L to R Nick Coalson, Jr Amanda Simpkins Eric Wilhurn Samantha Miles

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The Unpredictability of a Child District One Call of the Quarter submitted by Amy Markham, District One Secretary July 26th was a beautiful Saturday evening when at 2117 the Staunton Augusta Rescue Squad was toned to respond to the Staunton Fire and Rescue station for a pediatric seizure that lasted one minute. Medic 52 responded at 2117. Upon arrival at 2120 the crew found the fire fighters at the side caring for an 8 year old female.

Across the room assessment revealed an unresponsive child with cyanosis noted around mouth and agonal respirations.

Mother reports that the child was sitting on her lap and her body went rigid and she went unresponsive but was breathing. Reported history of febrile seizures but mother denies any recent illness.

The patient placed in the ambulance with a Staunton Fire medic and enhanced provider accompanying the SARS crew.

Ventilations were performed via BVM with 100% oxygen.

Pulse check at 2121 revealed that the patient pulseless. CPR was initiated and patient was placed on monitor which showed ventricular fibrillation. She was defibrillated at 50 joules and CPR was continued.

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normal saline attached at a wide open rate. A King Airway, size 2, was inserted, placement confirmation revealed bilateral breath sounds and good rise and fall of the chest.

Ventilations continued and capnograph attached. Repeat pulse check confirmed the patient remained pulseless and the monitor rhythm remained in v-fib. A second shock was performed at 100 joules and CPR continued. Epinephrine 0.25 mg was administered through the IO. Her third pulse check showed continued v -fib and a third shock was delivered at 150 joules. CPR continued. Shortly after third shock the child began breathing at a rate of 39 over the King airway and ETCO2 increased to 34 mm Hg . CPR was ceased and an organized rhythm was noted on the monitor. A femoral pulse at a rate of 113 was palpable and within one minute she lost her pulse and returned to a vfib rhythm. CPR was reinitiated. A fourth shock was delivered at 150 joules and CPR continued. A repeat dose of Epinephrine 0.25 mg was administered.

At 2132 she had regained a palpable pulse with an organized rhythm.

Ventilations continued and monitor while en route to hospital. Vital signs at

2137 were pulse 129, respirations 23 and a ETCO2 of 23.

Upon arrival at Augusta Health Emergency Department the patient’s vital signs were pulse 129, respirations 42, and an ETCO2 of 14. She remained unresponsive with ventilations via BVM through the King Airway and sinus rhythm on monitor. At Augusta Health she was stabilized and rapidly transferred by Augusta Health Transport to the University of Virginia Emergency Department.

Last reports are that this precious child had an implantable cardiovert defibrillator placed and has returned to school. She was found to have a genetic cardiac condition which lead to this near fatal experience. She continues to follow up with pediatric cardiology specialists.

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District One Training Submitted by Kate Burton, District One Training Officer As 2014 draws to an end, I would like to thank everyone for their continued support of VAVRS within their districts and throughout the state.

2015 is quickly approaching and I wanted to touch on some of the exciting training events scheduled; we encourage members to take opportunities to attend available training and CE that is offered throughout the state. Additionally, please remember that any time your agency is interested in a training opportunity, even if the course is not listed, please contact the state office! We are always willing to schedule any class that you are interested in; if you provide the participants, we can help to provide the instructors and any necessary supplies.

Here are a few of the upcoming events:

March 14, 2015 March Medical Madness Lake Monticello Volunteer Rescue Squad

June 12 – June 20, 2015 40th State Rescue College Virginia Tech The college offers all VAVRS courses at both the basic and instructor level. The VAVRS is excited to also host the EMT -B Instructor Institute in conjunction with the Office of EMS.

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September 22–26, 2015 81st Annual VAVRS Conference-Virginia Beach An excellent opportunity for learning new techniques through medical seminars, competitions, and participating in educational and social activities. The conference hosts one of the largest EMS product shows on the east coast, featuring vendors of EMS related equipment, supplies, vehicles and clothing.

October 10, 2015 1st Annual District 1 Super CE Dabney S Lancaster Community College Clifton Forge 6 hours of Category 1 CE will be offered by instructors from all over the state in a variety of topics for ALS and BLS providers. There is also an opportunity for a Q&A session with the District 1 Medical Advisor, Dr. Asher Brand.

Classes will be of a manageable size and many hands-on opportunities to facilitate learning are available.

Please feel free to contact us with any questions or comments.

Kate Burton, EMT-I District 1 Training Officer kcburton6912@gmail.com

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March Medical Madness March 14, 2015 Lake Monticello Volunteer Rescue Squad March Medical Madness was developed by a team of volunteers at Lake Monticello Volunteer Rescue Squad. With continuing education hours in ALS, BLS, First Responder, and Water Rescue, MMM has plenty of learning opportunities for you and your organization.

Pre-registration will begin by the end of January.

Courses offered include: Field Triage: Who Needs to Go Where and When – Mr. Buck Deforge [ALS 78; BLS 04] The Itchy Scratchy Show: The World of Allergies – Ms. Valerie Quick [ALS 75; BLS 05] Pediatric Burn Care – Ms. Carolyn Ramwell [ALS 90; BLS 04] Peds Assessment: Figuring Out if a Child is Sick – Ms. Betsy Smith [ALS 85; BLS 08] AED Refresher – Ms. Val Lopez & Mr. John Lye [ALS 72; BLS 10] Handling Large Scale Events – Mr. Frank Cheatham [ALS Cat 2; BLS 92] Anatomy & Physiology Review: Integrating the New Curriculum – Ms. Rita Krenz [ALS Cat 2; BLS 05] Don’t Die on Me: Stress Management in Emergency Response – Ms. Dana Racette [Cat 2] UVA Medcomm: What Happens in the Fishbowl? – Mr. Gary Morris [Cat 2] Capnography & Respiratory Case Studies – Mr. Steve Elliott [ALS 88; BLS 03] The Bug Update – Dr. Joanne Lapetina [ALS 89; BLS 06] 12 Lead: Review of When and How to Perform a 12 Lead ECG – Ms. Donna Burns & Mr. Gary Wyatt [ALS 88; BLS 09] Sepsis for the Prehospital Provider – Ms. Courtney Lambert & Ms. Jennifer Noble [ALS 83; BLS 05] Rules & Regulations Update – Mr. Michael Berg [ALS Cat 2; BLS 07] Peds Assessment Scenarios – Dr. Theresa Guins [ALS 86; BLS 08] If Time Is Brain, Then What Are We Waiting For?: The Evolving Paradigm of Acute Stroke Care – Dr. Andrew Southerland [ALS 89; BLS 05] Active Shooter – Mr. John Burruss [Cat 2]

For more information, please visit: http://marchmedicalmadness.wordpress.com or call (434) 760-0337 Page

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District One Report Submitted by Greg Burton, District 1 Alt. VP Covington Rescue Squad District 1 rescue squads met on October 26, 2014 in Alleghany County for their quarterly meeting. Boiling Springs Fire and Rescue hosted the meeting with well over 100 people in attendance representing 15 ems agencies. The day was filled with friendly but competitive contests in EVOC, Vehicle Extrication, EMT ALS, and EMT BLS. The following agencies received awards: EVOC: 1st- Justin Strader (Stuarts Draft RS), 2nd- Kate Burton (Covington RS), 3rdSherri Strader (Stuarts Draft RS) Vehicle Extrication: 1stCovington Rescue Squad, 2ndStaunton-Augusta Rescue Squad, 3rd- Waynesboro First Aid Crew ALS: 1st- Stuarts Draft Rescue Squad, 2nd- StauntonAugusta Rescue Squad EMT: 1st- Covington Rescue Squad, 2nd- Waynesboro First Aid Crew, 3rd- Stuarts Draft Rescue Squad Man Miles: Staunton-Augusta Rescue Squad Activity Report: 1st- Staunton -Augusta Rescue Squad, 2ndWaynesboro First Aid Crew Vice President's Award: Staunton-Augusta Rescue Official

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Guests in attendance at this meeting were: Kim Craig: VAVRS Vice President, Steve Grayson: VAVRS Treasurer/ Life Member, Jeanette Mann: EMS Coordinator at Dabney S. Lancaster Community College, and Andrea Gibson: Southeastern Emergency Equipment.

District 1 Life Members Glenn Drumheller, Greg Burton, Bobby Varner, Betty Dean, Amy Markham, Robbi Blackburn, Betty Wolfe, and Della Hylton were also present.

Kate Burton, who was announced as District 1’s Training Officer, gave report on upcoming events. Lake Monticello Rescue Squad, near Charlottesville, will be hosting March Medical Madness, an excellent CE opportunity for BLS and ALS providers, on March 14, 2015. All agencies in District 1 were challenged to send at least one member to the event. It was also announced that District 1 will be hosting their first annual Super CE Training Day to be held at Dabney S. Lancaster Community College in Clifton Forge on October 10, 2015.

This event will be an opportunity for all providers to earn up to 6 Category 1 CE hours from an excellent array VAVRS

of speakers and topics!

We were excited to announce that the 2015 State Rescue College Brochure is now available online with registration to begin soon. The registration deadline for Rescue College is April 13; be sure to register early as classes fill up quickly.

Kim Craig, Junior Advisor, introduced Victoria Gaudin (Waynesboro First Aid Crew) who was elected as the new Junior Vice President at the Conference in September, 2014.

Glenn Drumheller, Chairman of District Life Members, announced that Clifton Forge Rescue Squad will be hosting the next District Life Member’s Dinner to be held on June 6, 2015. Thank you for volunteering to be the host for this annual occasion to honor the life members.

Steve Grayson, VAVRS Treasurer, reported on the 2014 Conference activities and added that the Conference Committee will be meeting in the near future to discuss plans for the 2015 Conference.

Bonnie Caplinger from Broadway Emergency Squad was in attendance and was excited to announce the plans for the next District Meeting on January 25, 2015. We are looking forward to seeing everyone!

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Boiling Springs Rescue Squad Volunteers who helped in hosting a successful district meeting in October.

Stuarts Draft, Dunlap, Staunton-Augusta, Clifton Forge, Boiling Springs, Covington, Burnsville Page

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The VAVRS will be hosting several of these events and currently working on additional training dates. Below is what we have established at this time. Please see our website to register and note that 15 persons will have to register by the deadline for these classes or they will not be held.

Save Lives Location: VAVRS State Headquarters 2535 Turkey Creek Road Oilville VA 23129 Tuesday, January 6

6 pm to 10 pm

Tuesday, January 20 6 pm to 10 pm Saturday, February 7 8 am to 12 noon 1 pm to 5 pm 6 pm to 10 pm What is Traffic Incident Management: A new coordinated, multi-disciplinary training program developed through the Second Strategic Highway Research Program (SHRP 2) available for all emergency responders and those supporting Traffic Incident Management operations.

-Faster incident response and clearance times result in fewer secondary crashes.

-Training results in less exposure of responder team to moving traffic during recovery.

Save Money -Less congestion leads to fewer freight and traveler delays in backups.

-Fewer secondary crashes save on insurance claims.

-Faster cleanups lead to cost savings for incident personnel.

Save Time -Smarter response techniques cut congestion clearance time- decreasing delays.

This training puts police, firefighters, state and local departments of transportation, towing, medical personnel, and other incident responders on the same page, leading to a safer, faster, integrated responder team.

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District 10 Host 5th Annual Fall Rescue Camp for Kids Submitted by Steve Dove On Saturday, October 11, 2014 VAVRS District 10 hosted the 5th Annual Fall Rescue Camp for Kids at the Fredericksburg EXPO & Conference Center.

Despite some minor changes because of inclement weather the Camp was another huge success for District 10.

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Fifty-three kids ranging in age from 8 to 18 years of age took part in this exciting event. The participants took part in five break-out stations during the beginning of the Camp. Kelly Southard (Orange Vol. Rescue Squad and VAVRS Life Member) along with Sam Burnette (Virginia Department of Fire Programs) instructed the kids on how to tie knots that would safely withstand weight and could be used to help secure items or personnel.

In addition the kids learned that the use of a pulley system could help move items such as a vehicle, working as a team pulling ropes VAVRS

through the system.

Kids also participated in Infant CPR training and relieving a foreign body airway obstruction for a responsive and unresponsive infant. In years past we have instructed the kids on adult CPR, with many repeat attendees we decided to change up this year’s training.

This life saving lesson instructed the kids on how to properly perform two-finger chest compressions as one rescuer and the thumbsencircling method for two (Continued on page 33)

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rescuers. The participants found that giving enough air to cause the chest to rise in an infant required much less force and volume than that of the adult. The kids also learned that five back slaps and five chest thrust should help relieve a foreign airway obstruction in a choking infant.

If those attempts are unsuccessful and the infant became unresponsive the kids learned to activate the 911 system and being chest compression to help relieve the item. Special thanks to Beth Addington, (Chancellor

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Volunteer Fire & Rescue Department & American Heart Association BLS Instructor) for helping coordinate this valuable training for the kids during the Camp.

Another station at the Camp focused on venomous and nonvenomous snakes in the Commonwealth of Virginia. Sgt. Pete O’Brien with the Spotsylvania Sheriff’s Office Animal Control Division provided an in depth look at those snakes that are common to Virginia. Kids helped

identify which of these snakes were venomous as opposed to those that were not. Sgt. O’Brien also brought several snakes to introduce the kids to.

In addition, a small alligator was there for hands –on experience many of the kids will not soon forget. Many of these creatures had been seized during criminal activity and are now used to help educate the public on the dangers these animals face (Continued on page 34)

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because of the lack of knowledge from those that posses them. While many of the adults were skeptical about stepping foot inside the room, the interaction between the kids and the reptiles proved to be a very positive experience.

Stacy Southard (Orange Vol. Rescue Squad) worked with the kids in another station, teaching them how moulage was used to help simulate injured patients

for training situations. The kids focused on how to darken the skin to create what would appear to be a contusion. They applied make-up wax to create wounds that would have stage blood oozing from them. The kids find it exciting to apply makeup to one another to simulate a “black eye.� Many of the kids were so proud of their simulated injuries they decided to keep them applied for the (Continued on page 35)

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duration of the Camp. This of course provided many concerned looks on the parent’s faces as they arrived at the end of the Camp to pick up their children.

We brought back a very popular attraction at this year’s Camp for the kids.

Christopher Kerns (Colonial

Beach Vol. Rescue Squad) and Kevin Dillard (LifeCare Medical Transports & VAVRS Life Member) set-up a cone course for the kids to safely negotiate a UTV through. Despite the occasional rain showers the kids had a blast maneuvering the apparatus through the course attempting to avoid the traffic cones outlining their route of travel. Kids learned that when operating any vehicle

they should maintain control by keeping both hands on the steering wheel. Chris and Kevin explained the importance of wearing a seatbelt no matter where they were seating in a vehicle, and how seatbelts reduce the number of injuries to those that may become involved in a motor vehicle crash. This outlook on safety helps become instilled in the minds of the younger generation as they moved towards obtaining their operator’s license in the future.

When the kids took a break for lunch many took the opportunity to meet members of other organizations or new friends they had meet at the Camp to talk about the morning activities. Many of the Junior Members from attending Rescue Squad’s spoke to kids that were not active in their local Junior Rescue Squad program to engage them to become involved and explained the different activities they participate in. The interaction between the kids was an outstanding example of being part of a team and working together to help others.

As the skies began to clear in the afternoon, we realized the cloud ceiling would still not be safe to land a medical helicopter on site. Slight adjustments were made in the schedule without missing a beat though and the kids moved to (Continued on page 36)

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the next schedule event.

The Fredericksburg Fire Department arrived to explain to the kids how they safely setup a landing zone for the air medical transport units. The kids learned that a safe area would be marked with flashing strobe lights to help guide the aircraft in to the landing point.

Kids learned that not only did the ground need to be level and clear of debris but they must

also look overhead and ensure there are no obstacles that would prohibit the aircraft from landing safely, paying close attention to power lines, communication towers, light post and tree lines. The participants respected the decision of not jeopardizing the safety of those providers on the helicopter by flying in less than favorable conditions.

Soon the sound of loud barking could be heard in the Fredericksburg EXPO &

Conference Center. This was an indication that our next guest had arrived. Officer Josh Lynch with the Fredericksburg Police Department and his K-9 partner Max would conduct a presentation on how K-9’s are used to help law enforcement officials in searching for missing people and items. In addition, the kids learned that Max was trained to apprehend suspects that may be fleeing from a crime scene. Officer Kenny Camp donned one of the training tools used to help teach Max how to take down a subject that may be uncooperative with law enforcement officials. Max instinctively went into action when Officer Lynch yelled the command. His actions would result in being able to play with his favorite toy that is used to reward K-9’s for performing their tasks.

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Each participant also received a goodie bag stuffed with items from different businesses and public safety agencies in the region.

As the kids began to exit the Camp many asked about the tshirt color for next year’s Camp. This has been a ritual to change the color of the tshirts for each camp and it is kept a secret until they arrive at the Camp. In keeping with that tradition, the color will be kept a secret until October 2015.

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As Max departed to patrol the street in the City of Fredericksburg, Sam Burnette conducted a PowerPoint presentation on the Use of Fire Extinguishers for the participants. The kids learned the P.A.S.S. method of using an extinguisher. Emphasis was placed on knowing when to use a fire extinguisher to put out a small fire, or if the fire was too large, exit the area and call for additional help. There was discussion about having safe routes out of homes and a central meeting place for all parties in a home to go to in case of an emergency.

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their homes and to test them monthly. Finally, George Langford (VAVRS District 10 VP and VAVRS Life Member) along with Kelly Southard worked with the participants in practicing their skills of using an extinguisher by Pulling the pin on an extinguisher, Aiming the discharge hose at the base of a fire, Squeezing the handle and Sweeping back and forth to extinguish a simulated fire.

The day came to a close with a brief graduation ceremony.

The Colonial Beach Volunteer Junior Rescue Squad Honor Guard Members did a presentation of the flags prior to the medals and certificates being awarded to each participant of the 5th Annual Fall Rescue Camp for Kids.

We look back on the past five years of the VAVRS District 10 Fall Rescue Camp for Kids as an excellent way to expose kids to the public safety system in the Commonwealth of Virginia. The lessons they learn from the Camp may one day save a life or encourage them to make a career out of helping others.

We are thrilled to have the generous financial support of our sponsors for the Fall Rescue Camp, without them the Camp would not be possible.

We would also like to thank all those that help throughout the day with mentoring and counseling the kids.

Additionally, without our presenters conducting their seminars in each station, the Camp would not be a success, so to all those that shared their talents with the kids we send a sincere thank you.

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Elimination of Requirement to Obtain Medical Practioner Signature on Prehospital Patient Care Report November 14, 2014 Memo from Michael D. Berg, BS, NRP, Manager, Regulation and Compliance for the Virginia Office of EMS

During the 2013 session of the General Assembly, several bills were introduced and subsequently passed to amend §54.1-3408 of the Code of Virginia permitting certified EMS personnel acting within their scope of practice to administer drugs and devices pursuant to an oral or written order or standing protocol. The Board of Pharmacy (BOP) subsequently adopted these changes within their regulation.

The following is an excerpt from the above referenced BOP regulation: “Drugs may be administered by an emergency medical technician upon an oral or written order or standing protocol of an authorized medical practitioner in accordance with § 54.1-3408 of the Code of Virginia. Oral orders shall be reduced to writing by the technician and shall be signed by a medical practitioner. Written standing protocols shall be signed by the operational medical director for the emergency medical services agency. The Page

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emergency medical technician shall make a record of all drugs administered to a patient.”

Effective November 24, 2014, the Virginia EMS Regulations will change to reflect the changes in the BOP regulations and to remove the requirement of a practioner’s signature for any drug administration, patient assist medications or invasive therapy. Provision of patient care documentation (12VAC5-31-1140) will state in part: Marissa J. Levine, MD MPH, FAAFP, State Health Commissioner “EMS personnel and EMS agencies shall provide the receiving medical facility or transporting EMS agency with a copy of the prehospital patient care report for each patient treated at the time of patient transfer. Should EMS personnel be unable to provide the full prehospital patient care report at the time of patient transfer, EMS personnel shall provide an abbreviated documented report with the critical EMS findings and actions at the time of patient transfer and the full prehospital patient care report shall be provided to the accepting facility within 12 hours.”

There is language in the pending regulatory packet for the BOP to further amend 18VAC- 110-20-500 stating: “3. Drugs and devices may be administered by an emergency medical technician EMS provider upon an oral or written order or standing protocol of an authorized medical practitioner in accordance with § 54.1-3408 of the Code of Virginia. Oral orders shall be reduced to writing by the technician EMS provider and shall be signed by a medical practitioner. Written standing protocols shall be signed by the operational medical director for the emergency medical services EMS agency. A current copy of the signed standing protocol shall be (Continued on page 45)

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2014 Governor’s EMS Award Winners!

Taken from the Virginia Office of EMS Website Congratulations to the 2014 Governor’s EMS Award winners!

By the virtue of the authority vested by the Constitution in the Governor of the Commonwealth of Virginia, there is hereby officially recognized:

The Governor’s EMS Award for Excellence in EMS Matthew Lawler Matthew Lawler has been involved in Emergency Medical Services for more than 30 years, and his drive and commitment to bettering the EMS system has demonstrated his excellence in the field.

Matthew is an active life member of the StauntonAugusta Rescue Squad and he holds a current certification as a nationally registered paramedic. He is also a Virginia Official

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certified education coordinator and plays an integral role in the region as an educator, mentor and administrator. He established and currently oversees the region’s only accredited ALS training program, which has enabled the region to increase the number of ALS providers while ensuring that they are receiving the most up-to-date and progressive training available. Matthew is also working on bringing paramedic education to the region in 2015.

He takes pride in making every minute count as a learning experience for his students and fellow providers, and he shares his knowledge willingly and enthusiastically. Currently, Matthew serves as the program director and assistant director of the Central Shenandoah EMS Council, and he works with a number committees and work groups on both the regional and state level. He also served as an accreditation site reviewer for state accreditation visits conducted by the Office of EMS. Matthew Lawler’s contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued by the Commonwealth of Virginia.

The Governor’s EMS Award for Outstanding EMS Administrator The Kent J. Weber Trophy Ronald Passmore For more than 25 years, Ron Passmore’s career in EMS and health care has been committed to the advancement of professionalism in EMS. Ron took over as Chief of GalaxGrayson EMS in 2008, and since that time he has built a solid reputation for excellence in agency administration. Under his leadership, he has transformed Galax-Grayson EMS into a high quality, professional and Governor’s EMS Award-winning agency, through the implementation of innovative programs that enhance the quality of care provided. He has also strengthened the agency’s workforce by establishing high (Continued on page 41)

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expectations and standards, in addition to transitioning all of the staff to paramedic level through the implementation of a comprehensive staff education program. In addition to greatly strengthening GalaxGrayson EMS, Ron has also served actively as a member of the Southwest Virginia EMS Council Board of Directors and is a member of the State EMS Advisory Board. Ron’s significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued in the Commonwealth of Virginia.

The Governor’s EMS Award for Physician with Outstanding Contribution to EMS The Frank M. Yeiser Trophy Michael Moran, M.D. Dr. Michael Moran’s medical career has spanned the course Page

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of 21 years, and has involved his work in emergency medicine as a physician, medical director and an Operational Medical Director (OMD) for eight EMS agencies in Alleghany County.

He also remains a volunteer member of Falling Spring Rescue Squad. Dr. Moran is committed to his involvement in EMS education and the delivery of quality EMS services in Alleghany County. He is a teacher, mentor and supporter of EMS providers, ER nurses and staff. His passion and enthusiasm for emergency medicine is demonstrated when he teaches college students and providers. His knowledge is communicated in a way that encourages his students to reach for higher goals and strive to be the best. Dr. Moran is very engaged with, and accessible to, the EMS agencies under his direction and he is constantly looking for ways to support emergency medical services and bridge the gap between prehospital and hospital care. Dr. Moran’s significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued by the Commonwealth of Virginia.

The Governor’s EMS Award for Nurse with Outstanding Contribution to EMS Jane LaVerne, R.N. For 35 years, Jane LaVerne has worked as a registered nurse for Virginia Commonwealth University Health Systems, where she currently coordinates training rotations for advanced level EMT students. She is also a life member of the Powhatan Volunteer Rescue Squad and a member of Middlesex Volunteer Rescue Squad. In addition to teaching and facilitating training sessions, Jane has played an important role in the Special Operations Combat Medic Program, which the military has awarded her for her contribution. She also serves as chair of the EMS Exchange Program for the Virginia Association of Volunteer Rescue Squads, Inc., where she is responsible for (Continued on page 42)

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German paramedics who visit Virginia and operate with our EMS agencies, and in turn alternate with Virginia paramedics visiting Germany to do the same. Jane is selfless in her dedication to EMS and has used her skills and efforts to assure that the citizens in her community obtain the best medical care, regardless of sex, race or income. Jane LaVerne’s significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued in the Commonwealth of Virginia.

The Governor’s EMS Award for Outstanding Prehospital Educator

education throughout the Commonwealth in his nearly 40 years of experience as an EMT. As an educator, he has coordinated and instructed more than 142 approved EMS courses and implemented the region’s only paramedic program, the Southwest Virginia Paramedic Program, a nationally accredited consortium that is uniquely structured to allow a large geographic area to be efficiently served. The program has pass rates on the National Registry exams that exceed the national average, and its graduates have experienced a 100 percent job placement rate. In addition, William has worked to obtain grant funding to implement several high school-based EMT programs throughout the region. His expertise and reputation have earned him recognition throughout the state and he has served on various prestigious state committees focused on EMS education. William Akers’ significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued by the Commonwealth of Virginia.

William Akers, Jr. William Akers has made tremendous contributions to the advancement of EMS Official

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The Governor’s EMS Award for Outstanding Prehospital Provider Amy Ward For more than 18 years, Amy Ward has provided outstanding and dedicated service to the system through her involvement in all facets of EMS at the local and regional level. Ward has worked tirelessly to improve EMS services in her agency, Portsmouth Fire, Rescue and Emergency Services, as well as in the Tidewater region. As a paramedic, she is an advocate for employee training, clinical initiatives and the strengthening of the EMS division within Portsmouth Fire, Rescue and Emergency Services. As a clinical coordinator for the department, Amy has introduced an inaugural EMS (Continued on page 43)

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academy along with the Field Training Evaluation Program, which has greatly aided in the success of newly hired paramedics within the agency.

Amy Ward’s significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued by the Commonwealth of Virginia.

The Governor’s EMS Award for Outstanding Contribution to EMS Health and Safety David Jones David Jones lives and breathes physical fitness and wellness, which is evident through his enthusiasm serving as Roanoke County’s Medical and Fitness Coordinator for the past 10 years. In 2004, the initial goals of the department were to develop a fitness program modeled after the International Association of Fire Chiefs and International Page

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Association of Fire Fighters’ Wellness Fitness Initiative.

Under David’s leadership and dedication, Roanoke County’s wellness and fitness program has met this goal and is regularly called upon by other agencies to demonstrate its progress. The program requires all Roanoke County fire and rescue personnel to have an individual fitness profile, which is designed to help achieve personal goals. David has shown great commitment to helping all of Roanoke County Fire and Rescue to be as healthy and physically fit as possible, so that they can provide high quality service to their patients. David Jones’ significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued in the Commonwealth of Virginia.

The Governor’s EMS Award for Outstanding Contribution to EMS for Children Steven Dove An article and photo covering Steven Dove’s prestigious award can be found on page 17 of this publication.

The Governor’s EMS Award for Outstanding EMS Agency Bland County Volunteer Rescue Squad Over the past decade, Bland County Volunteer Rescue Squad has transformed from a small volunteer agency to a professional-grade agency that serves as a model to others. It is the only licensed EMS agency that serves the 359-square mile of mountainous area in Bland County, and it provides both emergency and convalescent transports. They provide a host of community services aimed at improving the health and safety of their community through health screenings, CPR and first aid training at community events, which are provided free of charge to all public school teachers and employees. In addition, the agency supports its own members by emphasizing ongoing education (Continued on page 44)

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and professional development.

Bland County Volunteer Rescue Squad operates under one mission, to provide the services that are needed by their community. This agency has proven that tough economic conditions and a rural location is not an obstacle for providing quality patient care. Bland County Volunteer Rescue Squad’s significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued by the Commonwealth of Virginia.

training providers and helping callers with pre-arrival instructions. She is a 25-year veteran of the MartinsvilleHenry County 911 Center. Early in her career she was instrumental in the development and implementation of 911 in Henry County. Due to technology and conditions in the community at that time, there was no 911 or Emergency Medical Dispatch (EMD). Currently, Susan provides internal training to 24 full-time Emergency Medical Dispatchers on all levels, in addition to helping to maintain the Martinsville-Henry County’s state of readiness to serve the citizens, visitors and agencies in that region. She is often called upon by other agencies and peers to assist with training, and to provide advice and input on key topics related to EMS, EMD and 911 services.

Susan Fulcher’s dedication and significant contributions to Virginia’s local, regional and state EMS system are exceptional and greatly appreciated by the Commonwealth of Virginia.

The Governor’s EMS Award for Outstanding Contribution to EMS Telecommunications Susan Fulcher For the last 31 years, Susan Fulcher has shown her passion to serve her community as a volunteer EMS provider, by Official

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The Governor’s EMS Award for Outstanding Contribution to EMS by a High School Senior The Dr. Carol Gilbert $5,000 Scholarship Michael A. Hoffman, II Michael Hoffman takes great pride in being able to serve his community in Appomattox, Va. He was inspired by both of his parents to become involved in EMS and he realized very early on all of the great things that EMS has to offer.

Michael joined the Appomattox County Rescue Squad in the spring 2013, and has proven through his level of commitment and dedication that EMS truly is his passion.

While in high school, Michael earned his associate’s degree in general studies from Central Virginia Community College, and he’s currently attending the University of Virginia. The most import aspect of EMS for (Continued on page 45)

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him is helping people during a tough time in their life and making a difference. In efforts to help improve the EMS system in Virginia, Michael wishes to encourage more people to become volunteers.

For Michael, continuing his education is essential to achieving his goals in life and he hopes one day to become an emergency physician. Michael’s contributions to Virginia’s local, regional and state EMS system are exceptional and greatly valued by the Commonwealth of Virginia.

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maintained by the pharmacy participating in the kit exchange. The emergency medical technician EMS provider shall make a record of all drugs and devices administered to a patient.”

All EMS agencies are encouraged to submit a copy of their agency protocols signed by their agency operational medical director (OMD) to pharmacies frequently used to restock drug kits in anticipation of this regulatory change.

In conclusion, effective November 24, 2014, there is no longer a requirement to obtain

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a practioner’s signature for any drug administration, invasive procedure or patient assist medication. The Virginia EMS Regulations 12VAC5-31 will be updated on November 24, 2014 to reflect the changes (http://www.vdh.virginia.gov/ OEMS/Agency/RegCompliance/ Regulations.htm).

If there are additional questions to this memorandum, please contact your area EMS Program Representative or Mr. Michael D. Berg, Regulation and Compliance manager, Virginia Office of EMS at 1-800-5236019 (toll free in Virginia), 804-888-9131 (direct) or by email at michael.berg@vdh.virginia.gov.

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Dear Rescue Ranger Dear Rescue Ranger, I know you are a hunter and was curious, have you bagged a deer yet?

Hunter from Hampshire Dear Hunter Yes I did. Kind of a funny story. Three of us from the squad went on a hunting trip.

There was a rookie, the captain and me. The weather was miserable and we hadn’t seen any deer all day. Finally we came across an old shack where we went inside to play a game of poker.

After loosing a couple of hands, I threw down my cards and said “That does it! I am going out to get me a deer.”

About fifteen minutes later, I came back with a nice four point buck. The captain and the chief asked, “How did you get that?”

I replied, “I walked out fifty feet, followed some tracks and shot this buck.” The captain then said, “I’ve had enough of this I am going to get my deer.”

He came back a half hour later with a 6 point buck.

The rookie asked, “How did you get that?” The captain then replied, I walked out a hundred feet, followed some tracks and shot this buck.

The rookie not wanting to be out done said, “I’m out of here, I’m going to bag the biggest buck of the day.” He came back Official

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an hour later, all mangled up and bloody. We asked, “What happened to you?”

The rookie replied, "I walked out there five hundred feet, followed some tracks, and got hit by a TRAIN! Dear Rescue Ranger, I heard you had something funny happen to you last week while you were at McDonalds.

Can you clue us in?

S. R. Dear Steve, Yeah, I was eating there with a friend when suddenly the Town’s Fire Alarm went off … my friend jumped up and headed for the door … I shouted, “Hey, Tom, I didn’t know you were a fireman!” Tom replied, “I’m not, but my girlfriend’s husband is…”

Dear Rescue Ranger, If you are so smart and you know me so well, tell me some things about me!

Anonymous Dear Bubby, 10 Facts About You: 1. You're reading this now.

2. You're realizing that this is a stupid fact.

4. You didn't notice I skipped number 3.

VAVRS

5. You're checking now.

6. You're smiling.

7. You're still reading this even though it is stupid.

9. You didn't realize I skipped number 8.

10.You're checking again and smiling because you fell for it again.

11. You're enjoying this.

12. You didn't realize I said 10 facts not 12.

Dear Rescue Ranger, Which is faster, light or sound?

D. E. Dear Doug, Light travels faster than sound. This is why some people appear bright until you hear them speak.

Dear Rescue Ranger, What do you like most in me, my pretty face or my beautiful figure?

D. C. Dear Dreama, Your sense of humor!

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PO Box 279 2535 Turkey Creek Road Oilville, VA 23129 ISSN 0279-6023

NON-PROFIT ORGAN..

U.S.POSTAGE PAID WOODSTOCK, VA PERMIT NO. 82

Virginia Association of Volunteer Rescue Squads, Inc.

Phone: 804-749-8191 Phone: 800-833-0602 Fax: 804-749-8910 E-mail: vavrs@vavrs.com

"Greater Love Hath No Man Than This, That A Man Lay down His Life For His Friends." John 15:13 Virginia Association of Volunteer Rescue Squads, Inc. PO Box 279 2535 Turkey Creek Road Oilville, VA 23129 (800)833-0602

(804)749-8191

Website: www.vavrs.com Email: vavrs@vavrs.com

HAVING AN IN-DEPTH UNDERSTANDING OF YOUR NEEDS AND GOALS IS THE WAY WE SERVE YOU The Virginia Association of Volunteer Rescue Squads is THE voice of EMS…. the advocate for our members, Virginia’s EMS agencies and providers. We link members and agencies for the purpose of sharing ideas, giving you a voice at the General Assembly, on state advisory boards, as well as on state and local committees.

When our members have training issues or needs, they come to the VAVRS. When our members need assistance from leadership to budgets they come to the VAVRS. We help rescue squads throughout the Commonwealth thrive and succeed so they can provide prompt, effective patient care 24/7 in the communities they serve.

Celebrating our 80th Anniversary