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<p>All EMS providers:<br>
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Please see attached emergency protocol release.<br>
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Ethan<br>
----- Forwarded message from Nick DaDalt <<a href="mailto:ndadalt@cmemsc.org">ndadalt@cmemsc.org</a>> -----<br>
Date: Mon, 16 Dec 2019 13:46:33 -0500<br>
From: Nick DaDalt <<a href="mailto:ndadalt@cmemsc.org">ndadalt@cmemsc.org</a>><br>
Subject: FW: Emergency release of Protocol 2.20 Home Hemodialysis Emergency Disconnect<br>
To: <a href="mailto:ndadalt@cmemsc.org">ndadalt@cmemsc.org</a><br>
Cc: Tina Dixson <<a href="mailto:tdixson@cmemsc.org">tdixson@cmemsc.org</a>>, David Pederzani <<a href="mailto:dpederzani@cmemsc.org">dpederzani@cmemsc.org</a>>, <a href="mailto:ira.nemeth@umassmemorial.org">ira.nemeth@umassmemorial.org</a>, Deb Foss <<a href="mailto:dfoss@cmemsc.org">dfoss@cmemsc.org</a>><br>
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<p class="MsoNormal">Good Afternoon EMS Training Officer,</p>
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<p class="MsoNormal">Please see attached and below for an important notice from OEMS with regard to an Emergency Release of new STP 2.20 Home Hemodialysis Emergency Disconnect. Please reach out to CMEMSC or as directed below with any questions. </p>
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<p class="MsoNormal">Also, special thanks go to Region II Paramedic Al Deshler for his input and participation in the development/finalization of this protocol. </p>
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<p class="MsoNormal">Respectfully,</p>
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<p class="MsoNormal">Nick DaDalt</p>
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<p class="MsoNormal" style="background: white;"><b><span lang="DE" style='color: rgb(0, 112, 192); font-family: "Arial",sans-serif; font-size: 14pt;'>Nicholas J. DaDalt</span></b></p>
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<p class="MsoNormal" style="background: white;"><b><span style='color: rgb(34, 34, 34); font-family: "Arial",sans-serif;'>Education Director</span></b></p>
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<p class="MsoNormal" style="background: white;"><span style='color: rgb(34, 34, 34); font-family: "Arial",sans-serif; font-size: 10pt;'>Central MA EMS Corp.</span></p>
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<p class="MsoNormal" style="background: white;"><span style='color: rgb(34, 34, 34); font-family: "Arial",sans-serif; font-size: 10pt;'>361 Holden Street</span></p>
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<p class="MsoNormal" style="background: white;"><span style='color: rgb(34, 34, 34); font-family: "Arial",sans-serif; font-size: 10pt;'>Holden, MA 01520</span></p>
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<p class="MsoNormal" style="background: white;"><span style='color: rgb(34, 34, 34); font-family: "Arial",sans-serif; font-size: 10pt;'>office: 508.854.0111 | mobile: 508.868.8110 | CMED (24/7): 508.854.0100</span></p>
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<p class="MsoNormal" style="background: white;"><span style='color: rgb(34, 34, 34); font-family: "Arial",sans-serif; font-size: 10pt;'><a href="mailto:ndadalt@cmemsc.org">ndadalt@cmemsc.org</a></span></p>
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<p class="MsoNormal" style="background: white;"><span style='color: rgb(34, 34, 34); font-family: "Arial",sans-serif; font-size: 10pt;'><a href="http://www.cmemsc.org/">http://www.cmemsc.org</a></span></p>
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<p class="MsoNormal"><b>From:</b> Reilly, Patricia (DPH) <<a href="mailto:Patricia.Reilly@MassMail.State.MA.US">Patricia.Reilly@MassMail.State.MA.US</a>><br>
<b>Sent:</b> Monday, December 16, 2019 12:22 PM<br>
<b>Cc:</b> Burstein, Jon (DPH) <<a href="mailto:jon.burstein@state.ma.us">jon.burstein@state.ma.us</a>>; Cluett, Scott (DPH) <<a href="mailto:william.cluett@state.ma.us">william.cluett@state.ma.us</a>>; Atherton, Renee (DPH) <<a href="mailto:renee.atherton@state.ma.us">renee.atherton@state.ma.us</a>><br>
<b>Subject:</b> Emergency release of Protocol 2.20 Home Hemodialysis Emergency Disconnect</p>
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<p class="MsoNormal"><b><span style="color: rgb(31, 73, 125); font-size: 24pt; font-variant: small-caps;">Office of Emergency Medical Services</span></b></p>
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<p class="MsoNormal"><span style="color: rgb(31, 73, 125); text-transform: uppercase; font-size: 13.5pt;">Department of Public Health</span><span style="color: navy; text-transform: uppercase; font-size: 13.5pt;"> </span></p>
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<p class="MsoNormal"><span style="color: rgb(31, 73, 125); text-transform: uppercase; font-size: 13.5pt;">Commonwealth of Massachusetts</span></p>
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<p class="MsoNormal"><b><span style="color: rgb(31, 73, 125); font-size: 24pt;">Notice</span></b></p>
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<p class="MsoNormal"><b><u><span style="color: rgb(31, 73, 125); font-size: 14pt;">Emergency Update to Statewide Treatment Protocols, Protocol 2.20 Home Hemodialysis Emergency Disconnect</span></u></b></p>
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<p class="MsoNormal"><span style="color: rgb(31, 73, 125);">The Massachusetts Department of Public Health’s Office of Emergency Medical Services (OEMS) is releasing this protocol to provide guidance to the EMS provider for emergency management of a patient using a home dialysis machine. The most important items to remember are to</span></p>
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<li class="MsoListParagraph" style="color: rgb(31, 73, 125); margin-left: 0.75in; mso-list: l2 level1 lfo3;"><span style='font-family: "Calibri",sans-serif; font-size: 11pt;'>Stop the machine,</span>
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<li class="MsoListParagraph" style="color: rgb(31, 73, 125); margin-left: 0.75in; mso-list: l2 level1 lfo3;"><span style='font-family: "Calibri",sans-serif; font-size: 11pt;'>Clamp the arterial and venous lines (usually leaving them IN the patient’s shunt),</span>
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<li class="MsoListParagraph" style="color: rgb(31, 73, 125); margin-left: 0.75in; mso-list: l2 level1 lfo3;"><span style='font-family: "Calibri",sans-serif; font-size: 11pt;'>Disconnect the machine from the patient, and</span>
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<li class="MsoListParagraph" style="color: rgb(31, 73, 125); margin-left: 0.75in; mso-list: l2 level1 lfo3;"><span style='font-family: "Calibri",sans-serif; font-size: 11pt;'>Leave the machine at the patient’s home.</span>
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<li class="MsoListParagraph" style="color: rgb(31, 73, 125); margin-left: 0.75in; mso-list: l2 level1 lfo3;"><span style='font-family: "Calibri",sans-serif; font-size: 11pt;'>During this process, of course, provide care for the patient’s complaint</span>
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<li class="MsoListParagraph" style="color: rgb(0, 32, 96); margin-left: 0in; mso-list: l1 level1 lfo6;"><span style='color: rgb(31, 73, 125); font-family: "Calibri",sans-serif; font-size: 11pt;'>New Protocol 2.20</span>
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<p class="MsoNormal"><span style="color: rgb(31, 73, 125);">Please share this with your affiliate hospital medical directors. If you have any questions, please contact Patricia Reilly, at</span> <a href="mailto:patricia.reilly@state.ma.us,%20or">patricia.reilly@state.ma.us, or</a><span style="color: rgb(31, 73, 125);"> Renee Atherton, at</span> <a href="mailto:renee.atherton@state.ma.us">renee.atherton@state.ma.us</a><span class="MsoHyperlink">.</span></p>
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<p class="MsoNormal"><b><span style="color: navy; font-size: 10pt;">Dr. Jonathan Burstein, State EMS Medical Director</span></b></p>
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<p class="MsoNormal"><b><span style="color: navy; font-size: 10pt;">Office of Emergency Medical Services</span></b></p>
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<p class="MsoNormal"><b><span style="color: navy; font-size: 10pt;">Bureau of Health Care Safety & Quality</span></b></p>
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<p class="MsoNormal"><b><span style="color: navy; font-size: 10pt;">Massachusetts Department of Public Health</span></b></p>
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<p class="MsoNormal"><b><span style="color: navy; font-size: 10pt;">67 Forest Street</span></b></p>
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<p class="MsoNormal"><b><span style="color: navy; font-size: 10pt;">Marlborough, Massachusetts 01752</span></b></p>
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<p class="MsoNormal"><b><span style="color: navy; font-size: 10pt;">_________________________________________</span></b></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif;'>Regards,</span></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif; font-size: 9pt;'>Patricia Reilly, RN, MSN.</span></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif; font-size: 9pt;'>Clinical Coordinator</span></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif; font-size: 9pt;'>Office of Emergency Medical Services</span></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif; font-size: 9pt;'>67 Forest Street</span></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif; font-size: 9pt;'>Marlborough, MA 01752</span></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif; font-size: 9pt;'>Ph:617-753-7318</span></p>
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<p class="MsoNormal"><span style='font-family: "Times New Roman",serif; font-size: 9pt;'>email: <a href="mailto:patricia.reilly@state.ma.us"><span style="color: blue;">patricia.reilly@state.ma.us</span></a></span></p>
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----- End forwarded message -----<br></p>
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