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EVD Screening and Refusals

What do you do when a patient screens positive for EVD, yet refuses transport? CDC Guidelines state that you should notify the Health Department and the CDC. An updated EMS screening tool will be provided soon by the CDC.

How to notify the Virginia Department of Health and CDC: Notification should be made to your local health district and to the CDC. See this document "Health District and CDC Contacts - NSPA Region" for contact info to report positive screened patients who refust transport.


Is your PSAP doing initial screening for EVD? All PSAPs should be screening every call NOW. The CDC provides guidance for a simple modified call query:

For modified caller queries:

It will be important for PSAPs to question callers and determine if anyone at the incident possibly has Ebola. This should be communicated immediately to EMS personnel before arrival and to assign the appropriate EMS resources. Local and state public health officials should also be notified. PSAPs should review existing medical dispatch procedures and coordinate any changes with their EMS medical director and with their local public health department.

  • PSAP call takers should consider screening callers for symptoms and risk factors of Ebola. Callers should be asked if they, or if the affected person, has fever of 38.0 degrees Celsius or 100.4 degrees Fahrenheit or greater, and if they have additional symptoms such as severe headache, muscle pain, vomiting, diarrhea, abdominal pain, or unexplained bleeding.
    • If PSAP call takers suspect a caller is reporting symptoms of Ebola, they should screen callers for risk factors within the past 3 weeks before onset of symptoms. Risk factors include:
      • Contact with blood or body fluids of a patient known to have or suspected to have Ebola; or
      • Residence in or travel to a country where an Ebola outbreak is occurring (a list of countries can be accessed at the following link: 2014 Ebola Outbreak in West Africa).
    • If PSAP call takers have information alerting them to a person with possible Ebola, they should make sure any first responders and EMS personnel are made aware of the potential for a patient with possible exposure/symptoms of Ebola before the responders arrive on scene.
    • If responding at an airport or other port of entry to the United States, the PSAP should notify the CDC Quarantine Station for the port of entry. Contact information for CDC Quarantine Stations can be accessed at the following link: Quarantine Station Contact List, Map, and Fact Sheets.

Subscribe to Our Mailing List!

Stay current on important information from WVEMS! Click HERE to subscribe to our electronic mailing list. Information concerning EMS and infectious disease, particularly Ebola Virus Disease (EVD) is evolving daily. We will not bombard you with unnecessary emails... Only critical  information and training opportunities.

Ebola Virus Disease Information UPDATED 10-23-14

The Virginia Office of EMS (VaOEMS) has created a seperate webpage with a number of douments from the Virginia Department of Health (VDH), Center for Disease Control (CDC) and the Assistant Secretary for Preparedness and Response (ASPR).

The essential documents include these. When obtaining documents for use by your agency or your PSAP, pay close attention to teh revision date. These documents are evolving and changing at a rapid pace:

Use these documents along with the others on OEMS's webpage and direction from your Operational Medical Director, Agency leadership and receiving facility to develop your plan for assessing, treating and transporting patient suspected of being infected with the Ebola virus.  Make sure your plans include PPE and decontamination of your unit.

WVEMS 2014 EMS Protocols

Our regional Protocols have been reviewed and modified and the WVEMS 2014 EMS Protocols have been released. Changes from the 2013 Protocols to the 2014 Protocols include corrections and clarifications, changes reflecting State Scope of Practice updates allowing allowing additional medications to be administered by EMTs. EMT- Enhanced/Advanced and EMT Intermediates. and 1 NEW Protocol for Intractable V-Fib/V-Tach (Adult).  There are also changes to Procedures, Policies and Medication References including 1 NEW Procedure, Defibrillation - Manual, Double Sequential. All the Changed, Modified, New Protocols, Procedures, Policies and References which includes an Apendix of the updates.

REMEMBER. just reading a Protocol, Procedure or Policy that allows you to perform a new skill or administer a new medication does not allow you to do that.  Your OMD must release you to perform the skill or administer the medication, and in most cases that release to perform/administer will most likely be proceeded by traininng and check-off. 

New IV Fluid Guidelines In Effect


Due to the nationwide shortage of IV fluids, beginning immediately, EMS providers in the WVEMS Region will only spike and use a bag of Normal Saline (or any other IV fluid) if they are responding to the following categories of patients (unless otherwise directed by medical control):

  • Hypotension, secondary to traumatic or medical issues
  • Hypovolemia
  • Cardiac Arrest
  • All other patients should receive a saline lock until advised differently.

Download a copy of the IV Fluid Shortage Protocol Revision Memo from Dr. Charles Lane, Regional Medical Director.

If you have further questions, you can contact the regional council at or at


New Criminal Background Check Procedure is Now in Effect

The requirement for Criminal History Background Checks conducted through the Central Criminal Records Exchange and the National Crime Information Center via Virginia Office of EMS and the Virginia State Police per 12VAC5-31-540 are NOW in EFFECT.  VaOEMS has published a Criminal History Record Verification FAQ's and a number of other documents regarding this that are available at VaOEMS Criminal History Information. The required fingerprint cards are available through WVEMS.  Contact your Field Coordinator or the office to obtain them.  Any questions regarding the process should be directed to Micahel Berg, Manger, Regulation and Compliance.

WVEMS Board Minutes Archive

minutesWVEMS' former administrative intern Matthew Chupp recently completed a monumental project to scan all of the Board of Directors meeting minutes (and other corporate documents) dating back to the Council's organizational meeting held on October 2, 1975. Looking over these many notebooks filled with minutes brought back memories, especially to those who have been involved with WVEMS in one form or another since near the beginning. For a trip down memory lane, or to research how things got to be where they are, feel free to take a look HERE!

You "old-timers" might recall some of our incorporating directors: Mt. Pleasant Rescue Squad member Mr. Gary E. Dogan; Our first president and regional medical director Dr. John M. Garvin; Executive Director of the SW Virginia Health Systems Agency Mr. Dale Byington; Attorney Mr. Kenneth C. King, Jr; Giles Memorial Hospital administrator Mr. Robert Smith; New River Valley PDC EMS Coordinator Ms. Elizabeth Kaplan; NRV orthopedic surgeon Dr. Stuart Mackler;  and Montgomery County Sheriff Mr. Louis E. Barber.

Donate to WVEMS!

WVEMS is a 501(c)(3) not-for-profit corporation. We strive to support our citizens, EMS providers, hospitals, localities and EMS/public safety agencies to the best of our ability. But we also need your support! All contributions, no matter how small, are greatly appreciated!

Upcoming Events From Our Calendar

BLS & ALS CE- Montgomery County
November 01, 2014 (9:00 am - 6:00 pm)
BLS & ALS CE Various Category 1 and 2 AREA Topics Christiansburg Rescue Squad 190 Depot St.,...
Consolidated Test Site - Fairlawn
December 06, 2014 (8:30 am - 1:30 pm)
Pre-Registration is Required for all sites - NO EXCEPTIONS
Registration deadline is 10 days before...
Trauma Perfromance Improvement
December 11, 2014 (10:00 am - 11:00 am)
WVEMS Roanoke Office
1944 Peters Creek Rd NW
Roanoke, VA...
General Performance Improvement
December 11, 2014 (11:00 am - 12:00 - noon)
WVEMS Roanoke Office
1944 Peters Creek Rd NW
Roanoke, VA...
Consolidated Test Site - Daleville
December 13, 2014 (8:30 am - 1:30 pm)
Pre-Registration is Required for all sites - NO EXCEPTIONS
Registration deadline is 10 days before...
Consolidated Test Site - Rocky Mount
January 10, 2015 (8:30 am - 1:30 pm)
Pre-Registration is Required for all sites - NO EXCEPTIONS
Registration deadline is 10 days before...
Consolidated Test Site - Daleville
January 31, 2015 (8:30 am - 1:30 pm)
Pre-Registration is Required for all sites - NO EXCEPTIONS
Registration deadline is 10 days before...


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