Spina Bifida (a developmental defect of the spine) is a factor related to a high incidence of latex allergies (especially in children and infants).

Before treating a child, try to elicit a history from the parent or caretaker paying special attention to any reference that is made to spinal deformities.  If in doubt, use only latex-free equipment and supplies.

For additional information you can go to the website of the Spina Bifida Association.

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Things that keep us safe are always worth reviewing.

Misuse of tank-to-regulator washers accounted for a number of incidents where leaking oxygen caused fire or explosions.

In a nutshell – NIOSH (National Institute for Occupational Safety & Health) states: Do not reuse the “crush” washers that usually come free with each refilled O2 tank. Whenever possible, use the “metal-bound” sealing washers that come with new regulators and are designed for re-use. If the original washer is lost or damaged, you should replace it with an equivalent washer.

See the original FDA and NIOSH Public Health Notification for further clarification.

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Agencies should consider the storage temperature requirements of common medications (as stated by the manufacturers).

Albuterol Sulfate, for example, should be stored between 36 and 77 degrees Farenheit. Epi-Pens are even more restrictive; the manufacturer requires storage at 77 degrees with temporary variances from 59-86 degrees allowable.

While some agencies probably cannot guarantee these temperatures exactly, they should ensure that the drugs they store in ambulances and first response vehicles are kept within these ranges. Other meds have similar requirements and should be reviewed as needed.

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