PIKE COUNTY — Pike County Emergency Medical Services (EMS) agencies have implement-ed new treatment protocols amid the SARS-CoV-2 pandemic. These new protocols were put in place so the EMS providers could better assist the individuals needing help, and stay safer while doing it. Many COVID-19 patients treated by EMS experience respiratory difficulties and the treatment changes have centered on treating the breathing problems of the patient. On the Basic Life Support (BLS) ambulances’ they will now be providing meter-dosed inhalers rather than using a nebulizer. With this change, came creating a new makeshift nebulizer spacer that was designed by Montgomery County Hospital District EMS in Texas and applied here in Pike County.
Kyle Wright, Captain of Delaware Township Volunteer Ambulance Corps (DTVAC) and Incident Commander of the COVI9-19 response stated, “These spacers will allow for the providers to administer Albuterol Sulfate to patients in respiratory distress with-out fear of any aerosolization of the virus.” Albuterol Sulfate is a bronchodilator used to treat or prevent bronchospasms. Wright has made these spacers available to other EMS agencies in the tri-state area and has already distributed many.
At the Advanced Life Support (ALS) level of EMS, DTVAC paramedics, under the guidance of Medical Director, Dr. John McCarthy, can now administer subcutaneous injections of Terbutaline to patents who are expressing respiratory distress. Wright said, Terbutaline is a drug that was used a long time ago before albuterol became the front-line medication for bronchospasm. It is exceptionally safe and effective and can help significantly improve the patient’s respiratory symptoms” DTVAC provides ALS service on an as-needed basis to and the townships of Dingman, Delaware, Milford, Shohola, Blooming Groove, and Milford Borough.
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