SC EMS Advisory Council Meeting - Thursday, June 11, 2026

Agenda

1. Call to Order - Dr. DesChamps
2. Freedom of Information Act - DPH Staff
3. Roll Call - Mr. Self
4. Approval of Minutes - Dr. DesChamps
5. DPH Staff Reports - DPH Staff
6. Committee/Council Reports 
   1. EMS Training Committee - Maj. Smith
      1. Addition of 3 positions on Training Committee (for Endorsement Levels)
      2. Other
   2. Trauma Advisory Council - Mr. Jones
   3. Stroke Advisory Committee - Ms. McElveen
   4. EMS for Children Committee - Ms. Land
   5. EMS Medical Control Committee - Dr. Clanton
      1. TAC approved finger thoracostomies
      2. TAC approved increase in TXA Initial dose to 2 GMS
      3. TAC PI Subcommittee to review “invasive procedures”
      4. Transport of an interfacility patient with Cardiac Monitoring
         1. Consensus was that the patients requiring cardiac monitoring must have a paramedic or personnel from the sending facility accompany the patient during transport
      5. Oral Zofran approved for EMT-BASIC
      6. DuoNeb (albuterol + ipratropium) approved for EMT-BASIC
      7. Nitroglycerin approved for use in Hypertensive Emergency at all levels (EMT-Basic and up) (Update Formulary)
   6. EMS Association - Mr. Lewis
7. Old Business - Dr. DesChamps
   1. Buprenorphine – CIII – finally approved for Pilot Program - Mr. Dix
      1. MCC Approved other agencies to “piggyback” on Pilot Program and follow PRISMA program exactly
      2. EMS Services applying will need to go through DPH EMS and DPH-Bureau of Drug Control – then obtain DEA NEW REGISTRATION
   2. Update status for Scope of Practice Document (including Formulary changes)
   3. Status on Endorsements from DPH
      1. Medic Endorsements
      2. Agency License Endorsements
      3. Development of Comprehensive Formulary for all levels of endorsements
   4. Status on Expanded Scope for AEMTs
   5. Status of Cric Program / Materials
   6. COG Updates - Dr. Clanton
      1. Hypertensive Emergency / Urgency – COG 200-305
      2. Adult trauma triage and Bypass COG 300-001 clarification made
      3. Adult Traumatic Arrest – COG 300-004
      4. TXA Administration – COG 300-301
      5. Pediatric Tachycardiac without a pulse COG 500- 303
      6. Pediatric Asystole COG 500-304
      7. Pediatric Trauma Triage and Bypass COG 500-401
      8. Pediatric Blood transfusion COG 500-404
      9. Restraints COG 700-101
   7. Charleston County request for Pilot Program – use of SABER device (OGC)
8. New Business - Dr. DesChamps
   1. Review of New DPH-EMS Investigations Policy (EMS-INS-04)
   2. Medical Control Workshop – DPH – 26 June 2026
9. Adjourn

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