In Episode 28, we provide an urgent update on the Marburg Virus and its implications for EMS clinicians. On November 6, 2024, the U.S. DOT Office of EMS transmitted a national email outlining new guidelines for handling Viral Hemorrhagic Fevers (VHFs), including Marburg Virus Disease (MVD), Ebola, Lassa fever, and Crimean-Congo hemorrhagic fever. With fatality rates averaging around 50% for Marburg, these VHFs are severe illnesses with the potential to spread internationally.

This episode explores the updated guidelines from the National Emerging Special Pathogens Training & Education Center (NETEC) and CDC recommendations, focusing on the "Identify, Isolate, and Inform" approach. We cover essential information on where these diseases are prevalent, how they spread, critical questions EMS clinicians should ask, and protective measures. Stay informed on best practices for handling VHFs and the steps EMS professionals can take to protect themselves and the public.

Disclaimer: This information is provided for informational purposes. Always follow physician medical direction and EMS protocols, and the latest CDC guidelines.

Resources

• NETEC Guidelines for EMS Encounters with potential Marburg Virus Patients
• CDC Health Advisory on Marburg (Oct 3, 2024)
• CDC's Situation Summary of Marburg in Rwanda

In Episode 27, we explore the EMS Systems Act of 1973, a landmark piece of legislation that, while ultimately unsustainable and unable to meet all of its stated goals, remains a foundational part of EMS history. This Act provided critical federal support and funding to build cohesive, effective EMS systems across the country, laying the groundwork for the structures we rely on today. We examine its origins, impact, and the lasting influence it has had on modern EMS. Join us as we look back at this pivotal moment that helped shape the future of emergency medical services.

Resources

• EMS History Website
• EMS Systems Act of 1973
• Brochure About the Act
• Regional EMS Systems

In Episode 26, we take a closer look at the EMS Compact, a groundbreaking agreement that allows EMS clinicians to practice across state lines with ease. We break down how the Compact works, the concept of the "Privilege to Practice," and the many benefits it brings to EMS professionals and patients alike. We also address some of the common myths and misconceptions about the Compact, clarifying its real impact on the EMS profession. Tune in for a detailed exploration of how the EMS Compact is transforming workforce mobility, increasing standards, and improving access to emergency medical services.

Resources

• EMS Compact Website https://emscompact.gov/
• Fact Sheet