COVID-19 Resources

KANSAS BOARD OF EMS 2019 Coronavirus (COVID-19) – Guidance Documents

  • KBEMS Guidance – 2019 Coronavirus (COVID-19) – Service Personnel
  • KBEMS Guidance – 2019 Novel Coronavirus (COVID-19) – Ambulance Cleaning
  • KBEMS Guidance – 2019 Novel Coronavirus (COVID-19) – Ambulance Staffing

    KANSAS BOARD OF EMS Operational Guidance – 2019 Coronavirus (COVID-19)

    ***Please note that although the minimum PPE says facemask, the gold standard is a respirator if available.

    The Centers for Disease Control and Prevention (CDC) have done an excellent job of providing guidance for not only EMS systems, but also included 911 Public Safety Answering Points (PSAPs).  A link to the entire guidance document is included at the end of this page.  CDC is updating their site as changes/recommendations occur.  The Kansas Board of EMS encourages use of and supports the CDC recommendations.  The following is a summary of those recommendations:

     

    EMS 101 for dealing with COVID-19 (and any other respiratory related illness):

    • Minimum PPE
      • Gloves, Facemask (surgical works), and Protective Eyewear (not daily eyewear).
      • Consider a gown if you suspect splashes and sprays or high-contact patient activities.
    • Assessment
      • One responder enter the scene with minimum PPE to assess each patient from at least 6 feet away to determine whether the patient is experiencing, or has had within the past 15 days, the following:
        • Fever
        • Cough
        • Shortness of Breath / Respiratory Distress
      • If the answer is yes, all responders coming into close contact with the patient and/or their surroundings should adhere to the minimum PPE.
      • Limit the number of responders coming into close contact with the patient and/or their surroundings to only the minimum number NECESSARY to effectively treat, care for, and move the patient.
      • Limit your scene time to less than 10 minutes, when possible.
      • Consider placing a facemask over the mouth and nose of your patient (if the patient condition tolerates).
    • Transport
      • Isolate the patient compartment from the driver’s compartment if possible.
      • If physical isolation is unable to be done, utilize the vehicle ventilation system (turn air flow in driver compartment on high) and utilize the patient compartment exhaust system at its highest setting.  This creates a slight negative pressure environment that should keep air movement away from the driver compartment.
      • Let the receiving facility know you have a suspected patient as early as possible (to help them prepare).
      • If at all possible, no family members with the patient.  If someone must accompany your patient, they must adhere to the same PPE as you.
    • At the Receiving Facility
      • Upon arrival at the facility, leave the ambulance attended with the patient compartment doors open while the patient is being transferred to the facility’s care team.
      • Initial decon – wearing the minimum PPE, clean with standard cleaning supplies.
      • Secondary decon – after standard cleaning is complete and before removing your PPE, apply an EPA-registered, hospital-grade disinfectant according to the manufacturer’s instructions for SARS-CoV-2 to all potentially contacted surfaces.
    • Follow-Up
      • Complete the patient care report as soon as possible – ensure the report identifies all persons that would have been in close contact.
      • If you develop symptoms (fever, cough, or respiratory symptoms), self-isolate and notify your service/department.

     

    Ambulances do not need to be quarantined after transport – simply decontaminated.

    Providers do not need to be quarantined after treating a COVID-19 patient or suspected patient if the proper PPE is worn and the provider remains asymptomatic.

     

    If you have other specific questions regarding EMS and COVID-19, please review the CDC guidance https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html or feel free to reach out to us.