*If you are experiencing ePCR or Elite/Elite Field issues (including those that could be related to system changes and updates described below), please get in touch with the on-call ePCR HelpDesk administrator at (951) 840-0675 - Thank you for your continued participation in the Riverside County EMS System! We also appreciate your quick ImageTrend Elite bug reports. **
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07/27/2023: Aligned the eExam.02 length based tape with current practices
The length-based tape did not have the values that were added in the latest iteration of the calculation education addendum in the 2023 protocol manual.
06/12/2023: On-scene time not allowed when canceled en route.
CEMSIS has added state submission rules for eTimes reporting that include if a unit was canceled en route then an on-scene time can not be recorded. This has resulted in CEMSIS submission failures and we are adding this rule to prevent agencies from including the on-scene time when it's not applicable. If you are on scene please select canceled on scene or no patient found.
05/17/2023: Added Pertinent Negative for medications panel "Not clinically indicated."
Based on input from the field seeking clarity about hypoglycemia where a patient is not clinically indicated for medication administration when they don't need it, the documentation is required to document something to address the hypoglycemia or any other clinical situation based on protocol. "Not clinically indicated" has been added to the reasons for not giving the medication to the patient.
04/04/2023: Added enhanced demographics to the bottom toolbar
There has been confusion in the past when the "Add Patient" button is utilized for two patients that have the same name or both are not identified and Field crews have documented wrong things between the two ePCRs. This added context will help clear up some of that confusion.
04/04/2023: Procedures Size/setting implemented
With our 23.3 upgrades, we have the ability to limit the size of certain procedures: IV, IO, Intubation, and iGel were some of the standardization created to better allow for the providers to select the correct size of the equipment and inaccurately put something in the free text field.
03/25/2023: Added driver's License Scanning Function for Windows and Labeled for clear function.
Scanning functionality was added and relabeled to clarify which button is designed for which function for easier understanding for the end user. Whether you use an Apple/Android Device or a Windows Tablet there will be no loss of functionality.
03/20/2023: Aspirin Required for all Chest Pain/STEMI Patients.
The provider agencies requested us during our 03/26/2023 ePCR workgroup meeting to add a validation rule requiring documentation of aspirin.
Aspirin documentation for chest pain/ACS/STEMI patients for State CORE Measures is in the low 30s percentile.
Aspirin must be documented in the Medication GRID as of Midnight 03/21/2023 for all primary impression chest pain, acute coronary syndrome, and STEMI patients. The not value is still available, so if the patient is contraindicated, has an allergy, or refuses the medication, it can be documented that it was considered in the protocol. This will improve our CORE measure performance and allow crew members to refrain from being boxed into something that may not be administered to a patient.
03/16/2023: Inactivated confusing dextrose medications.
Dextrose concentration in water instead of normal saline has been inactivated as the correct medication given by prehospital personnel is D10 in Normal Saline only.
Values Inactivated:
D10 in Water, D25 in Water, and D50 in Water.