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.
| 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 respiratory effort.
- Call for ALS intercept
| EMT - Emergency Medical Technician Perform/Confirm All Above Interventions
|
- Initiate early transport with ongoing assessment
- Assess blood glucose for any altered mental status. Treat appropriately
- Call for ALS intercept and notify Medical Control
| AEMT – Advanced Emergency Medicine Tech Perform/Confirm All Above Interventions
|
- Cardiac monitoring, consider 12-lead ECG to identify rhythm if trained to do so.
- Establish IV access and contact Medical Control for fluid orders
- Initiate early transport
- Call for ALS intercept
| Intermediate - Perform/Confirm All Above Interventions
|
- Initiate transport
- Establish IV access en route to hospital.
- If systolic BP < 90mm Hg or, patient’s skin is cool, diaphoretic and clammy, with clear lungs, administer a fluid bolus of 500 mL.
- Contact Medical Control for further fluid orders
| Paramedic - Perform/Confirm All Above Interventions
|
