New pages
From CRS EMS Guidelines
(newest | oldest) View (newer 50 | older 50) (20 | 50 | 100 | 250 | 500)
- 20:56, 3 April 2022 4-1 PEDIATRIC FOREIGN BODY-AIRWAY OBSTRUCTION (hist | edit) [2,120 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # All patients will be assessed immediately as to patency of the airway and adequacy of respirations. # Aggressive airway management is indicated if any of the following exist: ## Cardiac or respiratory arrest ## Obstructed airway ## Unconscious patient ## Respiratory distress with labored, shallow, or rapid respiration # When aggressive management is indicated, the following sequence should be initiated:...") Tag: Visual edit
- 20:54, 3 April 2022 4 - Pediatrics (hist | edit) [635 bytes] Cgabryszek (talk | contribs) (Created page with "4-1 PEDIATRIC FOREIGN BODY-AIRWAY OBSTRUCTION 4-2 PEDIATRIC ALTERED MENTAL STATUS-HYPOGLYCEMIA 4-3 PEDIATRIC ANAPHYLACTIC-ALLERGIC REACTION 4-4 PEDIATRIC BRADYCARDIA 4-5 PEDIATRIC NEAR DROWNING 4-6 PEDIATRIC NON-TRAUMATIC CARDIAC ARREST 4-7 PEDIATRIC NON-TRAUMATIC HYPOPERFUSION 4-8 PEDIATRIC PAIN MANAGEMENT 4-9 PEDIATRIC RESPIRATORY DISTRESS 4-10 PEDIATRIC SEIZURES 4-11 PEDIATRIC TACHYCARDIA 4-12 PEDIATRIC TOXIC EX...") Tag: Visual edit
- 20:50, 3 April 2022 3-10 TRAUMA-PROLONGED EXTRICATION-PAIN (hist | edit) [2,740 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To ensure that pain and nausea are appropriately addressed in the field to promote safe and comfortable extrication, management, and transport of the patient. Under this guideline, there is recognition that the dissociative effects of Ketamine may be of greater benefit than the analgesic effects of opioids in order to maximize patient comfort and facilitate difficult manipulation of patients that will require prolonged and painful extrication from a trap...") Tag: Visual edit
- 20:43, 3 April 2022 3-9 TRAUMA-EYE INJURY (hist | edit) [2,934 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Do not allow eye injury to distract you from the basics of trauma care. # If patient and time permit, examine the globe briefly for gross injury as the lid may be swollen tightly shut later. # '''TRAUMATIC INJURY:''' ## Penetrating: ### Do not remove any foreign body imbedded in the eye or orbit. Stabilize any large protruding foreign bodies. ### Cover both ey...") Tag: Visual edit
- 20:39, 3 April 2022 3-8 TRAUMA-EXTREMITY (hist | edit) [2,204 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per Guidelines. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Assess and maintain Scene Safety # Control bleeding: ## Direct pressure, elevation and splinting ## Use pressure points as necessary ## Do not apply a tourniquet unless all other measures to control bleeding fail # Do not utilize injured extremity for BP measurement # Focused assessment of injury: ## Deformity ## Swelling, discoloration ## Distal pulses ## Gr...") Tag: Visual edit
- 20:36, 3 April 2022 3-7 TRAUMA-NEAR DROWNING (hist | edit) [1,723 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # '''Assess and Maintain Scene Safety''' ## Removal from water should be performed by a trained rescuer with appropriate equipment # Assess for indications to withhold CPR. If none, initiate CPR # Assess, secure and maintain an adequate airway via the airway management protocol. ## Apply appropriate C-spine stabilization for all diving or fall mechanisms, espec...") Tag: Visual edit
- 20:09, 3 April 2022 3-6 TRAUMA-BURNS (hist | edit) [3,434 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Assess and Maintain Scene Safety # Remove patient from the source and stop the burning process. Remove involved clothing. ## Thermal Burn: Apply water to stop the burning process. If > 10% of BSA involved, limit water exposure to 2 minutes to avoid hypothermia. ## Chemical Burn: Brush off visible dry chemical before flushing vigorously with water for 15 minut...") Tag: Visual edit
- 20:05, 3 April 2022 3-5 TRAUMA-ABDOMINAL PAIN (hist | edit) [1,517 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform a focused assessment of the abdomen, including: ## Visualization of any obvious injury ### Do Not Remove any impaled objects, stabilize in place ## If the patient has an evisceration: ### Do not attempt to replace abdominal contents in the abdomen ### Cover exposed tissue with moist saline dressing ## Gently palpate the abdomen, noting any tenderness, g...") Tag: Visual edit
- 20:03, 3 April 2022 3-4 TRAUMA-CHEST (hist | edit) [1,879 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform a focused assessment of the chest, including: ## Visualization of chest movement ### Stabilize flail segment with manual pressure ### Do not remove impaled objects. Stabilize in place. ### Treat sucking chest wound with occlusive dressing taped on 3 sides {| class="wikitable" |'''EMT - Emergency Medical Technician''' ''Perform/Confirm All Above In...") Tag: Visual edit
- 20:01, 3 April 2022 3-3 TRAUMA-CARDIAC ARREST (hist | edit) [1,841 bytes] Cgabryszek (talk | contribs) (Created page with "Traumatic cardiac arrest is almost universally fatal. However, cardiac arrest in the setting of minor trauma may indicate initial cardiac or medical origin of incident requiring ACLS intervention. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Asses Scene Safety # Assess for indications to withhold CPR. If none, initiate CPR. # Apply AED and shock as advised # Notify responding agency immediately of condition and mechanism of injury (blunt vs....") Tag: Visual edit
- 19:59, 3 April 2022 3-2 SELECTIVE SPINAL PROTECTION (hist | edit) [2,989 bytes] Cgabryszek (talk | contribs) (Created page with "The following protocol is designed to selectively exclude patients from unnecessary and potentially harmful, spinal precautions when a low index of suspicion of injury and reassuring assessment is present. <u>For patients with a potential spinal injury, perform routine trauma assessment while manually stabilizing the cervical spine.</u> # If any of the following apply to the patient, spinal protection is indicated: ## Significant mechanism of injury? ## Altered level o...") Tag: Visual edit
- 19:56, 3 April 2022 3-1 INITIAL TRAUMA CARE (hist | edit) [5,445 bytes] Cgabryszek (talk | contribs) (Created page with "Any patient with injuries, which have the potential to cause hypotension/shock, must be treated aggressively regardless of what current vital signs may show. Any patient who is injured and has a persistent resting tachycardia is assumed to be in compensated shock until proven otherwise. '''Goal scene time less than 10 minutes for Major Trauma patients.''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} Assess the scene to determine scene safety and...") Tag: Visual edit
- 19:50, 3 April 2022 3 - Adult Trauma (hist | edit) [320 bytes] Cgabryszek (talk | contribs) (Created page with "3-1 INITIAL TRAUMA CARE 3-2 SELECTIVE SPINAL PROTECTION 3-3 TRAUMA-CARDIAC ARREST 3-4 TRAUMA-CHEST 3-5 TRAUMA-ABDOMINAL PAIN 3-6 TRAUMA-BURNS 3-7 TRAUMA-NEAR DROWNING 3-8 TRAUMA-EXTREMITY 3-9 TRAUMA-EYE INJURY 3-10 TRAUMA-PROLONGED EXTRICATION / PAIN") Tag: Visual edit
- 17:48, 3 April 2022 2-22 CYANIDE EXPOSURE (hist | edit) [5,814 bytes] Cgabryszek (talk | contribs) (Created page with " '''Any patient requiring ACLS care should have an ALS intercept if logistically possible''' {| class="wikitable" |EMR - Emergency Medical Responder |} # Perform scene size-up and ensure crew safety. In a hazardous materials incident, stage upwind of the incident and do not attempt to treat patients who have not been decontaminated. # Immediately remove patient from continued exposure # Assess vitals # If necessary, provide CPR as outlined in the Adult Cardiac Arre...") Tag: Visual edit
- 17:44, 3 April 2022 2-21 ADULT SEIZURE (hist | edit) [2,741 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Begin initial medical care. # If still seizing, protect patient from injury ## Do not restrain the patient ## Document closely type of seizure activity and eye deviation # If postictal: ## Maintain airway open by placing a nasopharyngeal airway ## Avoid placing anything in the patient’s mouth ## Place in recovery position if no chance of spinal injury ## Administer supplemental oxygen via any manner t...") Tag: Visual edit
- 17:42, 3 April 2022 2-20 PAIN MANAGEMENT (hist | edit) [3,257 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To ensure that pain and nausea are appropriately addressed in the field to promote safe and comfortable management and transport of the patient. '''Inclusion Criteria''' without prior Medical Control Authorization: # Musculoskeletal injury # Burns # Chest Pain # Abdominal or flank pain # Age greater than 6 # Systolic BP > 100 mm Hg in an adult # Now known allergies to medications being administered # No known exclusion criteria present '''Inclusion Crit...") Tag: Visual edit
- 17:38, 3 April 2022 2-19 OBSTETRICAL EMERGENCIES & CHILDBIRTH (hist | edit) [5,535 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Initial Assessment and Care # Obtain a history to include ## Gravida (number of pregnancies, including this one) ## Para (number of previous live births) ## Due Date. A fetus delivered before 20 weeks gestation does not usually survive. ## How far apart are the contractions? ## Length of previous labors ## Has the bag of water ruptured? ## Inquire regarding medication, drug or alcohol use # Administer...") Tag: Visual edit
- 17:34, 3 April 2022 2-18 HYPERTHERMIA (hist | edit) [2,325 bytes] Cgabryszek (talk | contribs) (Created page with "Heat exhaustion is characterized by systemic symptoms such as weakness, dizziness, nausea, vomiting, muscle cramps and or syncope due to excessive loss of body fluids and salts while in a hot environment. Heat Stroke is a medical emergency signified by very hot, dry skin with associated mental status changes such as decreased level of consciousness, confusion and/or seizures. This condition occurs most frequently in the very young and old {| class="wi...") Tag: Visual edit
- 17:32, 3 April 2022 2-17 HYPOTHERMIA (hist | edit) [3,128 bytes] Cgabryszek (talk | contribs) (Created page with " Significant hypothermia occurs when a patient’s trunk feels cool to the touch and shivering is absent. This increases the likelihood of fatal dysrhythmias. Hypothermia may occur in relatively warm weather with prolonged exposure. * Mild: Conscious with an intact shivering mechanism, may be confused. Still able to rewarm themselves with shivering. * Moderate/Severe: Depressed LOC or coma, often with some degree of rigidity. Cold skin at the trunk with absence o...") Tag: Visual edit
- 17:29, 3 April 2022 2-16 ADULT HYPOGLYCEMIA (hist | edit) [3,115 bytes] Cgabryszek (talk | contribs) (Created page with " The true diabetic emergency is that of hypoglycemia (low blood sugar). This can cause seizures and be fatal if not rapidly recognized and treated. In the field, when a known diabetic patient is unresponsive and no means to obtain a blood sugar level is available, assume the patient is hypoglycemic. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Initial assessment ## Last oral intake ## Assess if the patient is on diabetic medications, and if s...") Tag: Visual edit
- 17:27, 3 April 2022 2-15 PSYCHIATRIC & BEHAVIORAL EMERGENCIES (hist | edit) [1,926 bytes] Cgabryszek (talk | contribs) (Created page with "Also consider medical causes of altered mental status, especially hypoglycemia. Enlist Law Enforcement as needed to assist with safe management of the scene and patient. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # '''Scene safety''' is a priority # Additional resources as needed. Law Enforcement if patient resistant or violent. # Initial assessment # Patient interaction ## Be calm and reassuring ## Verbal de-escalation of agitation ## Enlist La...") Tag: Visual edit
- 17:25, 3 April 2022 2-14 ALTERED MENTAL STATUS (hist | edit) [2,780 bytes] Cgabryszek (talk | contribs) (Created page with "Considerations: cardio-respiratory arrest, airway obstruction, shock, stroke, seizure, trauma, overdose, diabetic complications, hypo/hyperthermia. Evaluate for suspected child abuse in infants with altered mental status or new seizures. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform an initial assessment, confirm ABCs ## If apneic, pulseless or in shock/hypotension, refer to appropriate protocol. ## Cervical spine precautions are to be...") Tag: Visual edit
- 17:22, 3 April 2022 2-13 ABDOMINAL-BACK PAIN (SUSPECTED AAA) (hist | edit) [1,626 bytes] Cgabryszek (talk | contribs) (Created page with "Hypotension can be defined as systolic blood pressure less than 90mmHg in adults. Shock is indicated by symptoms of inadequate perfusion: pale, cool, and clammy skin, change in mental status, ischemic chest pain, etc. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Evaluate ABC’s # Apply oxygen or support ventilations. Monitor airway and breathing closely. # Place the patient in Trendelenburg position as tolerated by airway control and respirator...") Tag: Visual edit
- 17:21, 3 April 2022 2-12 RESPIRATORY DISTRESS (hist | edit) [3,336 bytes] Cgabryszek (talk | contribs) (Created page with "Considerations: airway obstruction, foreign body aspiration, chemical exposure, asthma, chronic obstructive pulmonary disease, emphysema, pulmonary edema, upper respiratory infection, bronchitis, pneumonia, pneumothorax, pulmonary embolus, bronchospasm with anaphylaxis. Note: Anxiety and hyperventilation, while possible, are not prehospital diagnoses. Respiratory distress will be treated with oxygen appropriate for the symptoms and delivery device applied. '''Any patient...") Tag: Visual edit
- 17:18, 3 April 2022 2-11 ACUTE ALLERGIC REACTION (hist | edit) [6,947 bytes] Cgabryszek (talk | contribs) (Created page with "A condition in which the patient has been exposed to an allergen such as bee stings, certain foods or medicines and exhibits any or all of the following symptoms: itching, hives, respiratory distress, airway swelling, and hypotension {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Initial assessment. ## It is useful, but not necessary to identify source of reaction. ## Assess for latex allergy and utilize latex-free equipment as needed. ## Time fro...") Tag: Visual edit
- 17:11, 3 April 2022 2-10 ACUTE CVA (STROKE) (hist | edit) [3,686 bytes] Cgabryszek (talk | contribs) (Created page with "'''''Goal scene time is less than 10 minutes.''''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform an initial assessment, confirm ABCs ## Cervical spine precautions are to be taken if circumstances surrounding the event are not known or indicate a possible spine or head injury. # Begin initial medical care with emphasis on maintaining a functional airway ## Refer to the airway protocol ## Apply high-flow oxygen, if not already done ## If no...") Tag: Visual edit
- 17:06, 3 April 2022 2-9 ADULT CHEST PAIN (hist | edit) [4,152 bytes] Cgabryszek (talk | contribs) (Created page with "Life threatening etiologies for chest pain, such as acute MI, aortic dissection, pulmonary embolism and others, should be considered in all patients with a complaint of chest pain regardless of age. If the etiology is unclear, the provider should '''consult Medical Control''' and err on the side of cardiac treatment. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform initial assessment to include: # Time of onset of symptoms or change in symptom...") Tag: Visual edit
- 16:58, 3 April 2022 2-8 ACUTE ST ELEVATION MYOCARDIAL INFARCTION (hist | edit) [2,280 bytes] Cgabryszek (talk | contribs) (Created page with "Note: This protocol assumes that the patient has already had a 12 lead EKG diagnostic of an Acute ST Elevation MI. Patients with suspected MI should be treated via the Adult Chest Pain protocol until 12 Lead EKG done and evaluated. EKG findings diagnostic of ST Elevation MI are ST elevations of > 1mm in 2 or more contiguous leads or any patient with a Left Bundle Branch Block and symptoms consistent with cardiac chest pain. '''Time from onset of symptoms to reperfusion...") Tag: Visual edit
- 16:56, 3 April 2022 2-7 MEDICAL HYPOTENSION - SHOCK (hist | edit) [3,276 bytes] Cgabryszek (talk | contribs) (Created page with "Hypotension is defined as systolic BP less than 90mmHg in adults. Shock is a state of decreased tissue oxygenation. Significant vital organ hypoperfusion may be present without hypotension. Clinical signs and symptoms of hypoperfusion include pale, cool, and clammy skin, tachycardia, altered mental status; ischemic chest pain, etc. Home medications and/or comorbidities may limit development of tachycardia. Goal of therapy is to maximize oxygen delivery to tissues wit...") Tag: Visual edit
- 16:52, 3 April 2022 2-6 BRADYCARDIA (SYMPTOMATIC) (hist | edit) [2,924 bytes] Cgabryszek (talk | contribs) (Created page with "Symptomatic dysrhythmia may be indicated by: acute altered mental status, ongoing severe ischemic chest pain, congestive heart failure, hypotension, or other signs of shock that persist despite adequate airway and breathing. '''Any patient requiring ACLS care should have an ALS intercept if logistically possible.''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Begin initial medical care # Administer oxygen # Assist ventilations if RR < 8 or > 35...") Tag: Visual edit
- 16:47, 3 April 2022 2-5 STABLE TACHYCARDIA (hist | edit) [2,817 bytes] Cgabryszek (talk | contribs) (Created page with "'''Any patient requiring ACLS care should have an ALS intercept if logistically possible''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Begin initial medical care # Administer oxygen # Assist ventilations if RR < 8 or > 35 # Assess for hypotension/ shock (HR >130, cap refill > 2 seconds) & follow shock protocol # '''Call for ALS intercept''' {| class="wikitable" |'''EMT- Emergency Medical Technician''' ''Perform/Confirm All Above Interventions...") Tag: Visual edit
- 16:42, 3 April 2022 2-4 UNSTABLE TACHYCARDIA (hist | edit) [5,578 bytes] Cgabryszek (talk | contribs) (Created page with "Symptomatic dysrhythmia may be indicated by: acute altered mental status, ongoing severe ischemic chest pain, congestive heart failure, hypotension, or other signs of shock that persist despite adequate airway and breathing. '''Any patient requiring ACLS care should have an ALS intercept if logistically possible.''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Begin initial medical care # Administer oxygen # Assist ventilations if RR < 8 or >...") Tag: Visual edit
- 16:35, 3 April 2022 2-3 ADULT CARDIAC ARREST: CEREBRAL COOLING PROTOCOL (hist | edit) [1,848 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMT - Emergency Medical Technician''' ''Perform/Confirm All Above Interventions'' |} This protocol is designed to be implemented by providers at the Intermediate and paramedic levels only due to the need for a functioning IV and advanced airway. It assumes the provider has followed all of the steps in the Adult CCR protocol prior to institution. '''Inclusion Criteria:''' # Patient sustained a witnessed cardiac arrest from V-tach, V-fib or PEA...") Tag: Visual edit
- 16:00, 3 April 2022 2-2 ADULT CARDIAC ARREST: CARDIO-CEREBRAL RESUSCITATION (hist | edit) [6,888 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish that the patient is unresponsive, without a pulse, and not breathing. # Check for DNR bracelet, dependent lividity, rigor mortis, or other indications to withhold CPR. # Initiate Resuscitation: ## Follow American Heart Association Guidelines for use of the AED. # Perform Effective Chest Compressions: ## Push hard and fast, between 100 - 120 compressions per minute. ## Allow for complete chest r...") Tag: Visual edit
- 15:52, 3 April 2022 2-1 ASYSTOLE-PEA (hist | edit) [2,295 bytes] Cgabryszek (talk | contribs) (Created page with "'''Any patient requiring ACLS care should have an ALS intercept if logistically possible''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish unresponsiveness and PNB status # Provide CPR as outlined in the Adult Cardiac Arrest: Cardio-Cerebral Resuscitation Protocol # '''Call for ALS intercept''' # Prepare for transport {| class="wikitable" |'''EMT- Emergency Medical Technician''' ''perform/confirm all above interventions'' |} '''Assure...") Tag: Visual edit
- 15:31, 3 April 2022 1-19 STANDARD MINIMUM DRUG AND SOLUTION LIST (hist | edit) [1,868 bytes] Cgabryszek (talk | contribs) (Created page with "(Paramedic Units) Standard Drugs 5 adenosine (Adenocard) vials (6 mg) 2 albuterol (Ventolin) pre-mixed solution for nebulization (2.5 mg) (may also carry DuoNeb Solution) 3 amiodarone (Cordarone)(150/3mL) 12 ASA (81 mg) 2 atropine ampules (1 mg) (Optional based on operational needs, but must carry some formulation) 3 atropine sulfate pre-filled syringes (1 mg/10 mL) 1 calcium chloride 10% pre-filled syringe (1 gram/10 mL) 2 dextrose 50% pre-filled syringes (25 gra...") Tag: Visual edit: Switched
- 15:19, 3 April 2022 1-19 STANDARD MINIMUM DRUG AND SOLUTION STOCK LIST (hist | edit) [1,817 bytes] Cgabryszek (talk | contribs) (Created page with "(Paramedic Units) Standard Drugs 5 adenosine (Adenocard) vials (6 mg) 2 albuterol (Ventolin) pre-mixed solution for nebulization (2.5 mg) (may also carry DuoNeb Solution) 3 amiodarone (Cordarone)(150/3mL) 12 ASA (81 mg) 2 atropine ampules (1 mg) (Optional based on operational needs, but must carry some formulation) 3 atropine sulfate pre-filled syringes (1 mg/10 mL) 1 calcium chloride 10% pre-filled syringe (1 gram/10 mL) 2 dextrose 50% pre-filled syringes (25 gra...")
- 15:13, 3 April 2022 1-18 ORGANOPHOSPHATE POISONING (hist | edit) [1,811 bytes] Cgabryszek (talk | contribs) (Created page with "Exposure to organophosphates (used as commercially as insecticides, and as nerve agents in wartimes) can cause symptoms such as salivation, lacrimation, urination, defecation, small pupils, sweating, muscle tremors and confusion. Onset of symptoms is usually within minutes. Primary endpoint of treatment is diminished airway secretions (lungs clear to auscultation), hypoxia improves, and dyspnea improves. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |}...") Tag: Visual edit
- 15:10, 3 April 2022 1-17 DISASTER SITUATIONS (hist | edit) [1,489 bytes] Cgabryszek (talk | contribs) (Created page with "'''Duties of First Responding EMS Unit''' A disaster situation is defined as multi-casualty incident that will likely tax the normal workings of the EMS system. A disaster may be called for fewer patients depending on patient acuity at the discretion of the EMS Unit in charge of the scene. In the event that an EMT-Basic unit is the first on the scene, it has EMS jurisdiction until relieved by an ALS unit. Any multi-casualty incident should require an ALS response....") Tag: Visual edit
- 15:09, 3 April 2022 1-16 NARCOTICS AND CONTROLLED SUBSTANCES (hist | edit) [3,556 bytes] Cgabryszek (talk | contribs) (Created page with "'''Medications utilized in the care of a patient:''' When a rescue squad utilizes a medication(s) they may get these restocked at any Inpatient Pharmacy at any Brown County Hospital, regardless of where the patient was delivered. This will be done by presenting to the Inpatient Pharmacy and asking a pharmacist or pharmacist tech to exchange the medication. A Pharmacy Exchange Form will be filled out including Patient Name, Date of Birth, PCR number, and medication being...") Tag: Visual edit
- 15:08, 3 April 2022 1-15 UNIT STAFFING (hist | edit) [826 bytes] Cgabryszek (talk | contribs) (Created page with "EMT unit staffing will be in accordance with state law. Continuing Educational Requirements '''EMT – Emergency Medical Technician''' EMT’s are required to meet the following CME requirements mandated by Wisconsin Statute Chapter 256.15 and Administrative Code HSS 110 for biennial re-licensure. # Biennial AHA BLS certification. Current BLS card required. # Wisconsin EMT Refresher Course. '''Paramedic''' Paramedics are required to meet the following CME requi...") Tag: Visual edit
- 15:07, 3 April 2022 1-14 PROTECTION AGAINST BLOODBORNE AND AIRBORNE PATHOGENS (hist | edit) [2,066 bytes] Cgabryszek (talk | contribs) (Created page with "All EMS providers are required to have an exposure plan in place and are expected to adhere to it. Some general guidelines are listed below. * Heavy duty leather gloves should be worn during extrication procedures to protect your hands against cuts and scratches that could become contaminated with a patient’s blood or body fluids. * Exam or surgical gloves should be worn at all times when in contact with bleeding or draining wounds, starting IV’s or childbirth situa...") Tag: Visual edit
- 15:05, 3 April 2022 1-13 PATIENT REFUSAL FOR MEDICAL CARE-TRANSPORT (hist | edit) [1,793 bytes] Cgabryszek (talk | contribs) (Created page with "If the patient refuses medical care at the scene or transport to the hospital, and in the opinion of the EMT-Basic or EMT-Paramedic team and/or the medical control physician, the patient does not have decision making capacity (i.e. drug/alcohol intoxication, medically compromised, psychotic etc.) ''and'' the patient requires immediate medical attention to prevent loss of life or permanent impairment, transport should be initiated. If necessary, the appropriate police a...") Tag: Visual edit
- 14:01, 3 April 2022 1-12 ALS INTERFACILITY TRANSPORTS (hist | edit) [850 bytes] Cgabryszek (talk | contribs) (Created page with "All ambulances performing interfacility transports shall have appropriate personnel, as defined by the state interfacility transport guidelines, are present on board the unit at the time of transfer. Written orders for treatment/medication to be administered while a patient is being transferred between two medical facilities should accompany the patient. The written orders should include the following: # The patient’s name, date and physician signature # The patient...") Tag: Visual edit
- 14:00, 3 April 2022 1-11 RESTRAINTS (hist | edit) [4,313 bytes] Cgabryszek (talk | contribs) (Created page with "Violent, agitated or potentially violent patients who are medically unable to give consent should be restrained on the cot to prevent injury to the patient or paramedics. If a patient is refusing treatment, but deemed to be at threat for loss of life or permanent impairment by the paramedic team, the appropriate police agency should be contacted, assist with restraints as needed and prepare an EM-1. Notify receiving hospital about the nature of the patient and the need...") Tag: Visual edit
- 13:57, 3 April 2022 1-10 AMPUTATED/AVULSED PARTS (hist | edit) [217 bytes] Cgabryszek (talk | contribs) (Created page with "Amputated or avulsed parts should be wrapped in dry gauze or Kling, placed in a sealed plastic bag or wrapped in plastic and kept cool by placing on ice or a cold pack and transported with the patient to the hospital.") Tag: Visual edit: Switched
- 13:56, 3 April 2022 1-9 SEXUAL ASSAULT (hist | edit) [573 bytes] Cgabryszek (talk | contribs) (Created page with "The treatment of injuries is the primary care objective in potential sexual assault cases. Sexual Assault patients should be transported preferentially to St. Vincent Hospital for evaluation by a Sexual Assault Nurse Examiner. If the patient requests transfer to a different facility, patient choice should be honored. '''Observe the following in treatment:''' # Do not clean the patient up or allow the patient to wash # Do not question the patient concerning the incide...") Tag: Visual edit
- 13:55, 3 April 2022 1-8 CHILD/SPOUSE/ELDER ABUSE/NEGLECT (hist | edit) [642 bytes] Cgabryszek (talk | contribs) (Created page with "All suspected or actual cases of child abuse must be reported to police and/or social services by all levels of health care providers under Wisconsin Statute Chapter 48.981. In addition spousal or elder abuse should be similarly handled, although not mandatory reportable. The primary objective of pre-hospital care is transport of the victim to the hospital. Nothing should be said or done at the scene to arouse suspicions and prevent transport. A report should be made...")
- 13:51, 3 April 2022 1-7 DO NOT RESUSCITATE (DNR) (hist | edit) [3,086 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To accurately identify patients who may not want life sustaining treatment initiated, and delineate the appropriate treatments to provide in this setting. '''Indications:''' A valid pre-hospital DNR order in the Brown County EMS system is limited to the following: # A valid state DNR Bracelet or Necklace (Plastic or Metal) # A signed standardized state DNR form (Nursing homes, CBRF, Hospice) # Direct verbal order from the patient’s primary care physici...") Tag: Visual edit
- 13:48, 3 April 2022 1-6 PREFERRED RADIO REPORTING FORMAT (hist | edit) [1,765 bytes] Cgabryszek (talk | contribs) (Created page with "'''Basic Life Support''': Identify EMS unit and that you are on a “BLS Call”. If the responding unit is a BLS unit, but the patient has symptoms that suggest the need for ALS care, this should be stated and either a request be made for ALS intercept or state that such has already been requested. The following information should then be reported: # Age and sex of patient # Chief complaint # Brief history of present illness or mechanism of injury # Level of consciousn...") Tag: Visual edit
