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Drug Shortage Efforts

The national drug shortage continues to impact Emergency Medical Services and their ability to obtain certain medications. WVOEMS has developed a program to allow agencies to:

  • Review alternative supply distribution options
  • Report drug supply concerns
  • Request relief when drug supplies are below required quantities

 

Drug Shortage Relief Supporting Documents


Relief Granted

Referenced Drug Time Frame 1 Scope of Relief 2 Relief Granted

1 - All relief granted by the Office of Emergency Medical Services are temporary and have a defined time-frame in which the relief is valid.
2 - Relief may be granted to an agency, a region, or to the whole state. Relief which was granted to an agency is only valid for that agency.  



Relief Denied

Referenced Drug Agency Date
Requested
Reason
Atropine, 1 mg pre-loaded syringe Marion County Rescue Squad Inc 2/13/2013 Relief for Atropine has been granted for the entire state. The email and relief statement was issued by this office prior. You should have received this notification in your email through CIS. Both you and your medical director were sent this notice.
D50W, 25 gm pre-loaded syringe Marion County Rescue Squad Inc 2/13/2013 n/a
Sodium bicarbonate, 50 meq pre-loaded syringe Marion County Rescue Squad Inc 2/13/2013 Spare units not in service you can move supplies for your online vehicles without problems. Bicarb might also be available by making contact with new distributors from the list I forwarded to you. If not resubmit after attempts for resupply fail.
Atropine, 1 mg pre-loaded syringe Barbour County Emergency Squad Inc 3/16/2013 n/a
D50W, 25 gm pre-loaded syringe Barbour County Emergency Squad Inc 3/16/2013 n/a
Atropine, 1 mg pre-loaded syringe Cabell County EMS 4/1/2013 Relief for Atropine has already been granted state wide.
D50W, 25 gm pre-loaded syringe MJS Enterprises LTD dba St Josephs Ambulance Svcs 4/2/2013 Relief has been offered, please review emails, if you did not get send me an email and I will forward.
Dopamine (Intropin) 400 mg pre-mixed solution MJS Enterprises LTD dba St Josephs Ambulance Svcs 4/2/2013 Dopamine is not a drug that appears on the FDA Drug Shortage list and is available from other distributor sources
Sodium bicarbonate, 50 meq pre-loaded syringe MJS Enterprises LTD dba St Josephs Ambulance Svcs 4/2/2013 Sodium Bicarb is available in other dosages from multiple distributors, refer to distributors list for additional contacts at this time
Atropine, 1 mg pre-loaded syringe Tucker County Ambulance Authority 4/3/2013 Statewide relief has already been provided on Atropine, please review and monitor your emails from CIS
Atropine, 1 mg pre-loaded syringe Randolph County Emergency Squad 4/8/2013 Relief has been offered, please review emails, if you did not get send me an email and I will forward.
D50W, 25 gm pre-loaded syringe Randolph County Emergency Squad 4/8/2013 Relief has been offered, please review emails, if you did not get send me an email and I will forward.
D50W, 25 gm pre-loaded syringe Jefferson County Emergency Services Agency 4/23/2013 D50 relief has been granted with temporary protocol available previously. Please check your emails.
Fentanyl (Sublimaze), 200 mcg total Jefferson County Emergency Services Agency 4/23/2013 n/a
Epinephrine, 1:10,000, 1 mg pre-loaded syringe Burlington VFD Inc 4/30/2013 Duplicate request
D50W, 25 gm pre-loaded syringe Burlington VFD Inc 5/2/2013 relief for D50 has already been provided. Please review your emails and consult webpage for direction.
Epinephrine, 1:10,000, 1 mg pre-loaded syringe Burlington VFD Inc 5/2/2013 Available by other distributors
Epinephrine, 1:10,000, 1 mg pre-loaded syringe Burlington VFD Inc 5/2/2013 Epi is still available from other suppliers and in vial form. Please review the distributors list for other sources of product.
Fentanyl (Sublimaze), 200 mcg total Summit Bechtel Reserve 7/13/2013 n/a
Fentanyl (Sublimaze), 200 mcg total Pendleton County Emergency Rescue Inc 9/3/2015 n/a
Thiamine, 100 mg total Cabell County EMS 2/29/2016 No drug available as substitution for thiamine

Relief Expired

Referenced Drug Time Frame 1 Scope of Relief 2 Relief Granted
Epinephrine, 1:10,000, 1 mg pre-loaded syringe 4/13/2016 to 7/12/2016 Statewide Use 1ml of Epinephrine 11000 solution added to 9ml of Normal Saline results in 10 ml of 110,000 concentration.
D50W, 25 gm pre-loaded syringe 4/13/2016 to 7/12/2016 Statewide policy online
Epinephrine, 1:10,000, 1 mg pre-loaded syringe 4/13/2016 to 7/12/2016 Statewide Use 1ml of Epinephrine 11000 solution added to 9ml of Normal Saline results in 10 ml of 110,000 concentration.
Atropine, 1 mg pre-loaded syringe 2/7/2013 to 9/3/2013 Statewide Due to the nationwide shortage/unavailability of ATROPINE, the following relief is being offered to all WV Licensed EMS Agencies. Protocols affected are the following : 4205 Pulseless Arrest, 4211 Symptomatic Bradycardia, 4407 Dysrhythmia - Pediatric, 9202 Nerve Agent, Agencies with ATROPINE may continue to use the medication as directed by protocol until their stock is depleted. Agencies without ATROPINE are to notify Medical Command that the medication is not available. There are no alternatives available for ATROPINE. Patient therapy requiring atropine (4205, 4211 , 4407) are to utilize PACING instead. • 4205 Pulseness Arrest - PACEMAKER 4211 Symptomatic Bradycardia - PACEMAKER 4407 Dysrhythmia - Pediatric - PACEMAKER Protocol 9202 will be reviewed further and a decision will be made at a later date. If Mark-1 kits are available; continue to follow protocol. Otherwise use 2-Pam (pralidoximine) and treat symptoms accordingly. No formal/permanent change to the State Protocols will occur at this time in anticipation of future ATROPINE availability. This relief/directive will be effective starting 2/11/2013 and will continue for 90 days until 5/10/2013. If ATROPINE is still unavailable, this directive will be reviewed and renewed. All vehicle equipment lists will temporarily change from the current requirement of 3 Atropine doses on class "C" ALS vehicles to be optional with no required quantity for the 90 day extension . A memo outlining these changes will be forwarded to all Medical Command Facilities outlining these protocol treatment options.
D50W, 25 gm pre-loaded syringe 3/4/2013 to 7/5/2013 Statewide Due to the nationwide shortage / unavailability of D50W, the following relief is offered to all licensed West Virginia EMS agencies. Protocols affected are the following: 4604 Diabetic Emergencies Agencies with D50W may continue to use the medication as directed by protocol until their stock is depleted. Agencies without D50W may use the modified protocol utilizing D5W. No formal/permanent change to State Protocols will occur at this time in anticipation of future D50W availability. This relief/directive will be effective starting 4/5/2013 and will continue for 90 days until 7/5/2013. If D50 is still unavailable, this directive will be reviewed and renewed.
Normal saline, 0.9%, 1,000 ml 2/19/2014 to 11/20/2014 Statewide Substitute Lactated Ringers for normal saline until NS becomes available again
Epinephrine, 1:10,000, 1 mg pre-loaded syringe 4/13/2016 to 7/12/2016 Statewide Use 1ml of Epinephrine 11000 solution added to 9ml of Normal Saline results in 10 ml of 110,000 concentration.
Epinephrine, 1:10,000, 1 mg pre-loaded syringe 4/13/2016 to 7/12/2016 Statewide Use 1ml of Epinephrine 11000 solution added to 9ml of Normal Saline results in 10 ml of 110,000 concentration.
Epinephrine, 1:10,000, 1 mg pre-loaded syringe 4/13/2016 to 7/12/2016 Statewide Use 1ml of Epinephrine 11000 solution added to 9ml of Normal Saline results in 10 ml of 110,000 concentration.

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