ToxMedics and Special Event EMS

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Comment by Kenneth Peterson on July 13, 2010 at 10:33pm

SPECIAL OPERATIONS VEHICLES! I am looking for people who may have or are considering development of a special operations vehicle for their department or organization. I am a Lieutenant with a commercial Ambulance agency. The reason for my interest in this type of vehicle is for a couple of reasons:

1st We are currently developing and have been deploying a Tox-Medic Team with our County Haz-Mat Team and area Fire Districts. Since its inception the call volume has been rather significant.

2 nd our agency has been contracted with multiple venues in our area for large sporting/entertainment events.

3rd is the potential for growth with a multitude of Special Operations groups/teams that are being developed for technical rescue / SWAT / Haz-Mat.

I potentially have at my disposal a Large Ambulance to fabricate the interior to meet my needs ( not sure what those are) If you have one please feel free to contact me via e-mail.

Comment by Bud Paine on June 8, 2010 at 11:12pm

My experience has been that the hardest things is to get a Medical Director on board if he is not familiar with it. Once I had that the rest was easy but AZ has had Toxmedics operating statewide for years.
The other thing is to make absolutely sure that the appropriate meds are authorized under your state's Scope of Practice, or that there is a way to get them authorized. Many states do not have the drugs in their EMS formulary and a medic could get in serious trouble operating outside scope by administering the meds if not under Scope.
New Mexico is a great example where their system will not even permit the scope of practice for a toxmedic to operate in any fashion as a toxmedic since most everything there is classified as a "Special Skill" which is its own regulatory quagmire that is almost impossible to get anything approved.
AZ has a specific rule (R9-25-507. Protocol for an EMT-P to Practice Knowledge and Skills in a Hazardous Materials Incident) that regulates who is authorized to operate as a Toxmedic at a HazMat incident and what extent of training they must have. You can find it here:
http://www.azsos.gov/public_services/Title_09/9-25.htm#Article_5

It is a great resource to show justification for bringing in an AHLS training program as that is what the AZ rule is based on (makes sense since the AHLS program was developed by the Univ of AZ School of Medicine).
The other thing is that RSI is very common here statewide for Paramedics and the agencies here require their Toxmedics to be trained and signed off on it. Most agencies and Med Directors here require the medics have a minimum two years in the field before they will permit them to do RSI or Toxmedic. Hope this helps.

Comment by Kenneth Peterson on June 8, 2010 at 6:10pm

My name Ken Peterson I have been in EMS and Fire for the past 17 yrs. As of recent I have accepted a leiutenants position with a Commercial agency within Rochester NY. I am currently attempting with success getting a TOX MEDIC Team off the ground. Currently we are working in conjunction with the county Haz-Mat team and hoping to expand to additional department that have Haz-Mat response capabilities. Anyone faced with the same or even different circumstances please let me know and we can bounce Ideas off of each other...

Comment by Captain Busy on January 23, 2010 at 8:50pm

so... what are your thoughts on what you would consider first responders need to know in regard to toxmedicine? what would you recommend for a basic level of understanding when it comes time to learning about everything a toxmedic does with exception of drug therapy / antidote delivery.

TCSS,
CBz

Comment by Tina Webster on December 30, 2009 at 12:07am

Hi,
I'm from Perth, Western Australia and woek in a private medical education and event ambulance service. I was a NBCD instructor in Royal Australian Navy for many years.

Comment by Traci on June 28, 2009 at 6:54am

Thought I would give a shout out. I am a nurse with an interest in forensic nursing. ( Sexual assault nurse examiner etc ).
Recently heard of a medic who brought in all the bed linen of a rape victim and turned over to the SANE on duty in a local ED.. BRAVO. Keep up the good work !! :>0

Comment by CJ on June 1, 2009 at 7:58pm

I have been volunteering for a local organization for about 13 years and about 6 years ago volunteered my services as an EMT-D. The two (2) primary events each year have an attendance of about 3000 visitors per event. In 2007, I created the EMS branch of this non-profit and now I head the EMS division as the EMS Coordinator. It's ALL volunteer but SO much fun and very rewarding! As for the toxic aspect to this, that really isn't an issue unless you consider wine as being "Toxic". lol The variety of restaurants that attend does create a small hazard but very minimal.

Comment by alex on May 12, 2009 at 4:37pm

jeani where in nj are u going to school i'm trying to do pre reqs for hodson community college..after u become a paramedic u would take a course called ahls (advanced hazmat life support ) don't know if nj has it

Comment by Alan on March 30, 2009 at 12:19pm

I echo Mr. Paine's comment. I am an AHLS certified provider/instructor and this certification has opened many doors, both clinically and otherwise. A great curriculum offered by many talented instructors. Made my approach to the patient change entirely...and for good reason. As a practicing PA and former medic, I HIGHLY recommend this to all pre-hospital first responders and first receivers! You will not be sorry you took the course! Best of luck as well in medic school.

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