2015 -2016 Protocols are available for download

The Final revision is complete and available for download in .pdf. The following is a list of changes in this revision:

  • Numerous editing, spelling and formatting corrections
  • “Celox” deleted and a hemostatic agent /dressing protocol created
  • King Airways added as an agency optional”
  • “combitube” language removed in treatment algorithms and “Supraglottic airway” added due to the addition of King Airway.
  • Ketamine updated to include analgesia
  • Morphine changed; initial dose is now 2-5mg instead of 2-4mg.
  • Helicopter use updated with newest air ambulance protocol language
  • STEMI has saline lock added as preferred IV access in the non-hemodynamically compromised patient.
  • Added V4R requirement to 12-lead suspicion of RVI
  • Fixed AEMT protocols to reflect full scope of practice
  • Rocuronium Bromide added due to unavailability of Vecuronium
  • Adrenal Crisis protocol added
  • digital version is indexed for easier searching of a specific protocol

AMR-Josephine County Wins AHA 2015 Mission:lifeline  EMS Silver Recognition Award.

AMR Josephine County was recently awarded an AHA EMS Silver recognition Award for their commitment and overall system performance and success with recognition of out of hospital STEMI patients.

The criteria to achieve the Mission: Lifeline EMS Silver award is based on meeting the achievement measures annually with no single measure scoring below 75%. The individual measures are as follows:


·         Percentage of patients with non-traumatic chest pain > 35 years of age, treated and transported by EMS who receives a pre-hospital 12 Lead ECG.

·         Percentage of STEMI patients transported to a STEMI Receiving Center, with pre-hospital First Medical Contact (FMC) to Device (PCI) < 90 Minutes.

·         Percentage of STEMI patients transported to a STEMI Referring Center with Arrival (to Referring Center) to Fibrinolytic Therapy administration in <30 Minutes.

      AMR Josephine County performs well above the 75% requirement. In fact, Southern Oregon and the multiple county STEMI program have seen out-of-hospital death rates due to AMI plummet from the national average of around 13% down to 3-4%. This success story is testament to the commitment of first responders, EMT’s, Paramedics and physicians to make their community “heart safe”.

Dr. Brian Gross, MD and the principal cardiac interventionist responsible for the development of the Southern Oregon STEMI program had this to say,

 I have said it before…AMR was the stimulus that got the wheels rolling on the STATE of JEFFFERSON STEMI program (ASSET) -- one of the absolute very first STEMI systems in the country.  You could easily have just said “no” and stayed with national protocols of going to the nearest hospital for thrombolysis.  But we had witnessed too many severe MIs with CHF and early deaths with that approach.  I applaud your willingness to take incredibly sick folks on what can be a terrifying 30 minute trip down I-5 for the most definitive care that can be offered.   And you did it with the foresight and  support of corporate AMR that already had long standing national MI protocols for chest pain (i.e., go to the nearest hospital for lysis in 2003).   They were willing to let you test the waters and challenge the politics of bypassing closer non-interventional hospitals in the interest of patient care which soon became the paradigm change for MI treatment (the move away from thrombolysis and on to stenting).   That process requires a level of EMS skill, chutzpah, cooperation and commitment unparalleled in previous medical endeavors. You were among the earliest innovators of proof of concept.”

Congratulations to all of the EMS professionals in Josephine County who are making a difference, by caring for people in need.

EMS Week Breakfast

AMR will be hosting a FREE EMS breakfast May 19th, 20th, &21st, 2015. Come on down to the ROC for good food and hot coffee! we would love to see you there!


EMS Continuing Education Webinars are here!

posted: 3/12/2015

Hosted by AMR, we are proud to offer live, online webinars to help our rural providers meet their CE needs. Webinars will be hosted in the evenings and will offer a variety of topics. All you will need is a computer,tablet, or smartphone! Tablets and smart phones require the WebEx app. You wil also need a good internet connection and the ability to hear audio and stream video. Look for links to offered webinars on the training calendar!

As a live "hosted" event webinars count hour for hour towards your CE. Record Webinars will also be uploaded for review, however will only count as hours you can recieve from online sources.

Google Calendar added as the new calendar for training and events!

 Google calendar has been added as the new training calendar for the website. If you would like to be able to add events to the calendar or you would like to set up the calendar to remind you of upcoming events, please let me know and I will add you as an adminstrator or user. This will be a great way for multiple agencies to add open-invitation training events, as well as send you either text or email reminders of upcoming posted training. All you need is a Google account!

Alaris Medsystem III infusion pumps join the AMR JoCo team!

JoCo has added the Alaris Medsystem III pump to our units in an effort to bring a higher degree of medication infusion accuracy. The 3-channel infusion pumps allow for the adminstration of a variety of medications in both the prehospital and interfacility transport environment.

paraPAC transport ventilator now a part of the AMR critical care transport option!

Recognizing a need to provide high-quality, effective mechanical ventilation in the critical care and long distance transport environment, AMR Josephine County purchased a PARApac 200d to serve our community. This piece of equipment will enhance the level of quality service and patient care our customers and patients have come to expect.


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