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	Southern Tier Regional Emergency Medical Services Council

The Southern Tier Regional Policies (previously known as BLS Policies) have been reviewed, and revisions made to some of the policies. Some policies needed no change, some were deleted as no longer needed, other had changes recommended as needed.

Below is a brief summary of the changes; the complete policies can be viewed here; policies not listed below have not been revised:

• Policy #3. Interfacing Levels of Prehospital Care: Add "for pain management."
• Policy #4. Cancellation of ALS: Change the asterisk to a footnote, and add a second footnote at every "May cancel ALS" statement, saying "Contact Medical Control."
• Policy #6. Patient Refusing Treatment/Transport: "recommend" 3 sets of vitals, as the patient often will not wait.
• Policy #7. Leaving the Scene: Eliminate use of "CUPS," as that is no longer taught. Top of page: "Determine the number of patients and status of each patient." Where the policy says C or U, change to Critical or Unstable. Where it says P or S, change to Stable.
• Policy #10. Interfacility Transfer: update list. EMT-I: add LR, intubated patient, central venous lines. EMT-CC: intubated patients of all ages, central venous lines. EMT-P: add "additional medications per training and Medical Director approval." Consider also adding CPAP, pacer/monitor, pick lines, portacath, etc.
• Policy #12. Helicopter use: delete; DOH has Policy 05-05
• Policy #13. MAST: current DOH policy still requires regional approval for use of MAST. Update protocol references. Adult Major Trauma - T-6; Hypoperfusion - SC-2
• Policy #17. Coordination of EMS Resources: update NIIMS to NIMS. Delete references to seniority determined by date of credentialing, as unworkable.
• Policy #20. Informed Consent: Add a statement making it clear that if the person does not meet the criteria, they cannot refuse.