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Please take a look at the DRAFT 2022 WVEMS protocols. This version will be published as a PDF document that can be downloaded, and they will also be available as a smart-phone app for Apple and Android once released. We will be soliciting comments for the next 2 weeks. Thank you!

  These protocols are not released for use. They are DRAFT ONLY at this time 

DRAFT 2022 PROTOCOLS

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Beginning January 1, 2022 Carilion Roanoke Memorial Hospital will go live with the attached updates to their Adult Trauma Triage Criteria.

  • Trauma Centers are required to review trauma triage criteria each year (Commonwealth and American College of Surgeons guidelines)
  • CRMH received feedback from EMS providers, Emergency Department physicians, as well as Trauma surgeons specifically surrounding Gold Alert heart rate criteria
  • Feedback prompted an in depth Over and Under triage analysis
  • Results of analysis:
    • When only HR < 60 criteria was meet this led to a 70% Over-triage Rate – consistent with provider feedback
    • When only HR > 120 criteria was meet this led to a 66% Over-triage Rate – consistent with provider feedback
    • Need for Geriatric specific criteria identified – Identified as need considering high incidents of geriatric trauma and national trends
  • CRMH ED MedCom will continue to follow criteria for calling Gold/Trauma Alerts
  • If at any time an ED physician/Medical Control is needed, please request and a provider will be paged to MedCom.
  • Please contact Dan Freeman, Trauma Program Director with any questions @ This email address is being protected from spambots. You need JavaScript enabled to view it.

  pdf Click Here to see the updated Adult Trauma Triage Criteria! (101 KB)

Every agency in the WVEMS region, every hospital, and the WVEMS Council have entered into an agreement whereby the hospitals offer a ONE-FOR-ONE exchange of supply items specifically listed on the Standard List of Restocked Items. Please be aware that the listed items are the ONLY supply items that you are permitted to exchange at any hospital within our region per the agreement, and the exchange is limited to ONE per patient. For example, if you use two EZ-IO needles on a patient due to a failed attempt, you are entitled to ONE exchange needle. Not two. For other items such as IV catheters, you may exchange one-for-one for each one actually used on the patient. 

Abuse of the ONE-FOR-ONE exchange jeopardizes our entire exchange process and could result in loss of all exchange privileges. Abuses of the exchange program will be reported to the provider's OMD and agency officials to be dealt with accordingly.


Please watch for more information regarding the exchange process for specific hospitals. Remember that this supply exchange program is a benefit provided through the generosity of our hospitals and it can be rescinded at any time.

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