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Notices and Events

State Emergency Medical Control Committee Meeting (SEMCC)
Meeting Notices
Training Opportunities
General Notices

State Emergency Medical Control Committee Meeting (SEMCC)

The next SEMCC meeting is scheduled for Monday, December 5, 2016 at 1:00 p.m. The meeting will be held at the Alabama Power Conference Center, 2030 7th Street South, Clanton, Alabama 35045 (map). Parking restrictions have been implemented. Please be aware of the changes in the notice received from the conference center.

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Meeting Notices

The Alabama Administrative Monthly is published by the Legislative Reference Service pursuant to subsection (f) of Section 41-22-7 of the Code of Alabama 1975. The Monthly contains notices by state agencies of the intent to adopt, amend, or repeal rules.

The Open Meetings Act guarantees that Alabama's citizens have open access to agencies, boards, commissions, and other governmental bodies which conduct the people's business. Meeting notices can be found online.


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Training Opportunities

Invitation to American Heart Association (AHA) Sessions

Invitation to AHA Sessions in New Orleans, November 12-14, 2016. 

Again this year, the 3CPR Council is sponsoring EMS Travel Stipends to attend ReSS (Resuscitation Science Symposium), the three day conference at AHA Scientific Sessions specifically focused on resuscitation. These $1,000 awards are available to non-physician EMS personnel who have an interest in cardiac arrest, CPR and resuscitation care.  The deadline has been extended to August 10, 2016. 

Award criteria and information may be found online along with the application information.

18th Annual Trauma Symposium

The Trauma Center at UAB is hosting the 18th Annual Trauma Symposium for nurses, ancillary health care providers, and pre-hospital care providers. We will once again host the conference at the Sheraton Birmingham Hotel (map) on
Friday, September 23, 2016.

Critical concepts covering the spectrum of care will be reviewed in this conference.  Clinicians representing multiple specialties will provide information on current issues in trauma care including unique nursing innovations.  In addition to important didactic lectures, case presentations will be used to highlight concepts.

Upon completion, participants will be eligible for 7.8 contact hours. This symposium is sponsored by The Trauma Center at UAB and approved by the Alabama State Nurses’ Association, which is accredited as an approver of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation.

On The Front Lines: Addressing Stress, Trauma, and Suicide Prevention in Community Responders

The Alabama Suicide and Prevention Resource Coalition (ASPARC), the Alabama Public Health Center for
Emergency Preparedness, and the Alabama Public Health Division of Social Work have joined together to host: On The Front Lines: Addressing Stress, Trauma, and Suicide Prevention in Community Responders. The conference will be held at the Alabama Activity Center, 201 Dexter Avenue, Montgomery, AL 36104 (map) on September 7, 2016. The cost of the conference is $30.00/per person. Mail payment to the following address: Harriet Schaffer, Treasurer, ASPARC, 2633 Alta Glen Drive, Vestavia, AL 35243. Registration is currently available online. Pre-registration and payment deadline: Wednesday, August 31, 2016.

Alabama Wilderness Life Support

There will be another Alabama Wilderness Life Support (AWLS) course held at Ruffner Mountain in Birmingham, AL, September 8-10.

Developed at the University of Utah School of Medicine, the curriculum covers everything from initial assessment to field management of trauma, drowning, lightning, hypothermia, envenomations, and more.
The class will go forward, rain or shine. Substantial hands-on workshop components will occur throughout each day in order to apply skills and knowledge discussed in didactic sessions.

In order to cover all of this material in three days, participation is limited to those with medical training (MD, RN, EMT, paramedic, and second-year med students or above).  Licensed physicians will receive 20.5 hours of category I CME credit through the Wilderness Medical Society.  All course materials, supper on Thursday, lunches on Friday and Saturday, light breakfasts, and coffee are included.

Participants who successfully complete the class, including a written exam and demonstration of hands-on competency, will receive AWLS certification lasting four years.

Further information on the AWLS curriculum and certification is available online. For additional information or inquiries please contact Alabama Wilderness Medical Association.

Ebola Response Guidelines for Alabama's First Responders

The Office of EMS is presenting a webcast December 15, 2014 at 9:00 a.m. to discuss Ebola response guidelines.

Emergency Medical Services (EMS) transports present unique challenges because of the uncontrolled nature of the work, the potential for resuscitation procedures being needed, enclosed space during transport, and a varying range of patient acuity. Close coordination and frequent communication are important among 9-1-1 Public Safety Answering Points (PSAPs), the EMS system, healthcare facilities, and the public health system when preparing for and responding to
patients with suspected Ebola.

The Alabama Department of Public Health (ADPH) Office of Emergency Medical Services (OEMS), has worked in conjunction with the Alabama Emergency Management Agency (AEMA), the Alabama Trauma Communication Center (ATCC) and 9-1-1 representatives to develop a protocol for suspected Ebola Virus Disease (EVD) cases. In order to help protect Alabama’s First Responders and to provide the best care to the citizens of Alabama, program faculty will discuss the protocol to screen for suspected EVD cases, including Ebola First Responder Guidelines.

EMS Grand Rounds: Children and Disasters

The Alabama EMS for Children Program presented EMS Grand Rounds: Children and Disasters on July 29, 2014. The satellite conference and webcast are available online until July 29, 2016. Registration and technical information are available online.

Protecting Our Children: Recognizing Child Abuse

The Alabama EMSC Program presented Protecting Our Children: Recognizing Child Abuse (1.4MB) on January 15, 2013. The satellite conference and webcast are available online until January 15, 2015.  Registration and technical information are currently available online.

Drug Shortage Information

American Society of Health-System Pharmacists and its partners works to keep the public informed of the most current drug shortages. Shortages can adversely affect drug therapy, compromise or delay medical procedures, and result in medication errors.

Pediatric Trauma and Disaster Course

This online course addresses specific topics in pediatric trauma care, hospital disaster preparedness, and response for incidents involving children. The course provides an overview of early hospital responder care for pediatric trauma and disasters with an emphasis on hazards and response capabilities. The curriculum covers emergency department preparedness for receiving multiple pediatric patients, and conducting an acute assessment, diagnosis and stabilization of the severely injured child. Examples and lessons learned from responding to pediatric injuries resulting from the 2011 Alabama tornado outbreak are discussed.

The course incorporates recommendations and guidelines published by several organizations including the American College of Surgeons (ATLS), the American Heart Association (PALS), the American College of Emergency Physicians (APLS), the American Academy of Pediatrics (PALS, APLS), and the American Medical Association (ADLS). The curriculum is developed by pediatric emergency physicians at the Children’s Hospital of Alabama with assistance from content experts from the Alabama Poison Center and the Alabama Department of Public Health. CEUs: Nurses 3.3; Social Workers 3.25

Health Information Technology Workforce Training Program

By 2014, everyone will be required to have electronic health records. The work required to reach this goal is expected to create a high demand for several types of health information technology (IT) professionals to support this project. Itawamba Community College's intensive non-degree education program is designed to provide a pool of qualified workers with both medical and IT knowledge to ensure the electronic health record project will provide the quality and efficiency benefits needed, while maintaining privacy and security of medical information. Enrollment has begun. Please review the Health IT Work Information Sheet or the Health IT Workforce Training Program document for more information.  If you have questions, please contact Mallory Pennington (662) 620-5145 or Lori Little (662) 620-5122 or visit the Itawamba Community College.

New Program Allowing Paramedics to Earn RN Degree

Calhoun Community College is excited to announce a new program which will allow paramedics to earn a registered nursing degree. The Paramedic-to-RN Mobility program began spring semester 2011. The new program has been approved by both the Alabama Department of Postsecondary Education and the National League for Nursing Accrediting Commission, Inc.

Qualified paramedics must first complete the mobility courses and validate certain skills prior to starting in the second year of the nursing program. The program will allow increased access to education, educational advancement for the experienced paramedic, expansion of Calhoun services and an increase in enrollment capacity for nursing.

Minimum admissions standards for the program include:

  • Unconditional admission to the college
  • Receipt of completed application for the nursing program(s), unofficial college transcripts, and the Test of Essential Academic Skills (TEAS) Entrance Exam scores within three years
  • Meeting the essential functions required for nursing
  • Possess an unencumbered license to practice as a Paramedic in the State of Alabama
  • Documentation of one year of full-time work experiences as a paramedic within two years of program admission
  • Possess an Associate in Applied Science degree in Emergency Medicine or have all general education requirements completed for the nursing program
  • All course work applicable to the AAS degree in nursing must be completed with a “C” or higher.
  • Minimum of 2.5 cumulative GPA based on the following:
    • most recent 24 credit hours of undergraduate work, if applicable
    • most recent 24 credit hours of graduate-level work, if applicable
    • if less than 24 credit hours at graduate level, the most recent 24 undergraduate credit hours will be used and graduate credit hours will be ignored

For more information on the Calhoun’s Paramedic-to-Nursing program, call (256) 306-2861 or (256) 306-2804.

Difficult Airway Course

Calhoun Community College and Northeast Alabama Community College are putting on a, Difficult Airway Course. 

Difficult Airway Course Information, call Shelia Barnes (205)228-6001 x2341 or email barness@nacc.edu

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General Notices

EMS Standing Orders Threatened by Pending DEA Rule

Pending federal regulations threaten a longstanding practice allowing EMS personnel to administer controlled substances to patients.

This practice will soon be prohibited unless the Controlled Substance Act is amended.

Urge your U.S. Legislator to Co-Sponsor H.R. 4365, the “Protecting Patient Access to Emergency Medications Act."

H.R. 4365, bi-partisan legislation recently introduced by Rep. Richard Hudson (R-NC), would amend the Controlled Substance Act to allow EMS Agencies to continue using standing orders from their medical director for the delivery and administration of a controlled substance (Schedule II -V).

Please visit the NAEMSP Advocacy website and view the toolkit for H.R. 4365.

Naloxone Administration for Law Enforcement

All participating law enforcement officers will receive initial training that will include, at minimum, an overview of 2015 House Bill 208 that permits law enforcement use of Naloxone, patient assessment (e.g., signs/symptoms of overdose), universal precautions, rescue breathing, seeking medical attention, and the use of intra-nasal naloxone.

When Ambulances Crash

NHTSA has put together an infographic with crash data collected between 1992 and 2011.

EMS Specialist Position Available

The Office of EMS is looking for an EMS specialist. The register is being established for applicants who meet the minimum qualifications of a bachelor's degree in any major from an accredited college or university and two years of field experience providing pre-hospital emergency medical care. You will also be required to attain licensure as a paramedic during the probationary period in order to obtain permanent employment. Application information is available from the State of Alabama Personnel Department.

Platinum Educational Group Inaugural EMS Scholarship Program

Platinum Educational Group has announced its inaugural EMS scholarship program. It consists of two $1,000.00 scholarships. There is more information available online as well as in the application packet.

Association of State and Territory Health Officials Information Update: Public Health Response to Ebola Outbreak

CDC reported on the ASTHO All State and Territorial Health Officials call on August 8 (call notes) that there have been 1700 confirmed cases of Ebola Virus and 900 deaths in West Africa.  Those are conservative numbers and expectations are that the situation may get worse before it gets better in West Africa.  The primary CDC strategy at this point is to contain the spread of the disease in West Africa.  CDC has deployed 33 people, have 19 deployments pending and are ramping up for additional deployments.  CDC has elevated the status of its Emergency Operations Center to Level 1 which enables them to have more flexibility with resources and makes all CDC staff available as needed in the response.   The key messages Dr. Frieden conveyed during the call were:

  • This outbreak is unprecedented in Africa- may surpass all other Ebola outbreaks combined; will be a long hard fight, but we have the right tools- "traditional public health"
  • Ebola doesn't spread through casual contact and is only contagious from individuals who are sick
  • 1st line of defense: To protect Americans, we must stop this at the source in Africa; seeing some progress - Guinea is doing better; deeply concerned about Lagos; out of control in Liberia
  • 2nd line of defense is exit screening: Improving airport screening procedures
  • 3rd line of defense: Educating physicians to think Ebola if the patient has been in West Africa and the patient has a fever and symptoms consistent with Ebola
  • Control is straightforward: meticulous attention and adherence to standard infection control procedures (gown, gloves, eye protection and mask)

On August 8, the World Health Organization declared the outbreak to be an international public health emergency.  CDC's staff is working in partnership with affected countries on exit border screening procedures to control the spread of the outbreak.

For more information and latest updates, please see Ebola Virus Disease on ADPH and the CDC's Ebola Hemorrhagic Fever website.

Ebola Guidance for EMS Systems

CDC Ebola Response Update

CDC has released key messages and a response update on the ebola situation.

Ebola Fast Facts Flyer

The ADPH Epidemiology Division has developed a fast facts flyer for those who might have to deal with an ebola situation.

American Academy of Pediatrics (AAP) Ebola Outbreak information

The Children and Disasters section of the AAP website also has resources available.

Federal Drug Administration (FDA) Warning: Powdered Pure Caffeine

The FDA is warning about powdered pure caffeine being marketed directly to consumers, and recommends avoiding these products. In particular, FDA is concerned about powdered pure caffeine sold in bulk bags over the internet. The FDA is aware of at least one death of a teenager who used these products.
These products are essentially 100 percent caffeine. A single teaspoon of pure caffeine is roughly equivalent to the amount in 25 cups of coffee.
Pure caffeine is a powerful stimulant and very small amounts may cause accidental overdose. Parents should be aware that these products may be attractive to young people.

Symptoms of caffeine overdose can include rapid or dangerously erratic heartbeat, seizures and death. Vomiting, diarrhea, stupor and disorientation are also symptoms of caffeine toxicity. These symptoms are likely to be much more severe than those resulting from drinking too much coffee, tea or other caffeinated beverages.

All consumers seeking caffeinated products should be aware of the potentially high potency of these powdered pure caffeine products. Parent should recognize that teenagers and young adults may be drawn to these products for their perceived benefits.

What to do:

  • The FDA advises consumers to avoid powdered pure caffeine.
  • It is nearly impossible to accurately measure powdered pure caffeine with common kitchen measuring tools and you can easily consume a lethal amount.
  • If you believe that you are having an adverse event related to caffeine, stop using it and seek immediate medical care or advice.
  • The FDA wants to know about adverse events associated with powdered pure caffeine and other highly caffeinated products. You or your health care provider can help by reporting these adverse events to FDA in the following ways: by phone at 240-402-2405 or by email at CAERS@cfsan.fda.gov

Why this advice is important: Pure caffeine products are potentially dangerous, and serious adverse events can result, including death. People with pre-existing heart conditions should not use them.

Normal Saline Shortage

It has come to the attention of the OEMS that a nationwide shortage is affecting the ability of EMS Providers in Alabama to obtain Normal Saline. Please see the memo from Alabama State EMS Medical Director, Dr. William E. Crawford.

Pediatric Emergency Quick Reference Guide

A user-friendly mobile application has been developed by Children's National Medical Center physicians in the Division of Emergency and Transport Medicine. It provides a quick reference for the vitals, equipment, and dosage guidelines for an emergency pediatric patient.

EMS License Plates

In an effort to bring Professional Recognition to Alabama EMS Providers, an EMS Vehicle License Tag has been designed and will be available to all ADPH Licensed EMS Personnel! We must have 1000 commitments to purchase this tag before we can submit the proposal to the Alabama Department of Motor Vehicles (DMV). The cost of the tag will be $50.00 in addition to your regular tag fee. The money generated through the State DMV for these tags will benefit the Alabama EMT Association.
For more information, please visit the Alabama EMT (AEMT) Association website or visit the “Create an Alabama EMS License Plate” Facebook page. To sign up for the tags, please fill out the form on the AEMT website, or send an email with your name, address, phone number, and number of tags you wish to purchase to ALAEMSTAG@gmail.com

Inter-facility Transfer issues

Dr. William Crawford, State EMS Medical Director, has responded to several questions posted to our office about inter-facility patient transfers.

Influenza A (H7N9) updates

The Centers for Disease Control and Prevention (CDC) released updated information related to human infections with influenza A (H7N9) in China.

  • CDC issued a Health Update via the Health Alert Network that summarizes the H7N9 situation and new testing and reporting recommendations for H7N9 in the United States.
  • The following guidance documents for health professionals are also available on the CDC website:
    • Interim Guidance on Case Definitions to be Used for Avian Influenza A (H7N9) Case Investigations in the United States. The guidance is available online.
    • Interim Guidance for Specimen Collection, Processing, and Testing for Patients Who May Be Infected with Avian Influenza A (H7N9) Virus. The guidance is available online.
    • Interim Risk Assessment and Biosafety Level Recommendations for Working with Influenza A (H7N9) Viruses. The guidance is available online.

Guide to Infection Prevention in EMS

The purpose of this guide is to provide EMS system responders and their organizations with a practical resource to infection recognition and prevention in the EMS environment. This guide contains current information, recommendations, regulations, resources, program examples, and forms to utilize in the EMS system responder setting. Please distribute freely.

Alabama Law for Volunteer First-Responder Vehicle Operators

Many communities rely on volunteer fire departments for their fire protection and EMS response. A brochure is provided to educate volunteer fire and EMS personnel as to their responsibilities and legal considerations while responding to calls for service in an effort to keep them - and the community they serve - safe.

EMS Community News and Updates

There are things happening in local communities that you may not be aware of. Please check out our EMS Community News and Updates page for more information.

Intelligence Guide for First Responders

The Interagency Threat Assessment and Coordination Group (ITACG) has released the Intelligence Guide for First Responders 2nd Edition. It is designed to assist first responders in accessing and understanding Federal intelligence reporting and to encourage the sharing of information. The ITACG consists of state, local, and tribal first responders from around the United States and federal intelligence analysts from the Department of Homeland Security, Federal Bureau of Investigation, and National Counterterrorism Center working to enhance the sharing of federal information on counterterrorism, homeland security, and weapons of mass destruction with state, local, and tribal consumers of intelligence.

Nerve Agent Antidote Kits

The Alabama Department of Public Health received notice from the Food and Drug Administration (FDA) that the expiration dates for certain Duodote (nerve agent antidote kits) lot numbers have been extended up to one year due to a manufacturer's backorder. First responders who received the antidote kits should verify if the expiration date has been extended before discarding kits. More lot numbers may received extended expiration dating in the future.

The lot numbers that received extended dating are:

Lot Number

Manufacturer's Original Expiry Date

New Use Date


October 31, 2012

October 31, 2015


January 31, 2013

January 31, 2016


March 31, 2013

March 31, 2016


March 31, 2013

March 31, 2016


March 31, 2013

March 31, 2016


May 31, 2013

May 31, 2016


May 31, 2013

May 31, 2016


June 30, 2013

June 30, 2016


September 30, 2013

September 30, 2016


December 31, 2013

December 31, 2016


December 31, 2013

December 31, 2016 


February 28, 2014

February 28, 2017


April 30, 2014

April 30, 2017


May 31, 2014

May 31, 2017


May 31, 2014

May 31, 2017


September 30, 2014

September 30, 2017


December 31, 2014

December 31, 2017


February 28, 2015

February 28, 2018


April 30, 2015

April 30, 2018


March 30, 2015

March 30, 2018


May 31, 2015

May 31, 2018


June 30, 2015

June 30, 2018


August 31, 2015

August 31, 2018


September 30, 2015

September 30, 2018


September 30, 2015

September 30, 2018


October 31, 2016

October 31, 2019

There is more information available in a letter from the FDA and on the FDA website. Please direct any questions regarding the Duodotes to Alice Floyd.

Intravenous Fluid and Other Advanced Life Support Procedures

Please remember that intravenous (IV) fluids and Advanced Life Support (ALS) procedures are to be performed only when done by protocol, an on-line medical direction physician gives a verbal order, or under the physician's direct supervision. The August 2, 2010 Memo from Director Dennis Blair offers more information as well as a position statement from the Alabama High School Athletic Association.

Emergency Preparedness Workbook for State and Local Planners

The Centers for Disease Control and Prevention (CDC) has posted the Coordinating Call Centers for Responding to Pandemic Influenza and Other Public Health Emergencies (4.5 MB), a workbook for state and local planners.

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Last Updated: October 5, 2016

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