Emergency Medical Protocols

 TABLE OF CONTENTS

 

 

Make sure you read the entire protocol including the " Special Instructions Section".

 

 

SECTION 1 -   Preface to Seventh Edition  1-1 to 1-2
SECTION 2 - DEFINITIONS 2-1 to 2-3
SECTION 3 - MASTER TREATMENT GUIDE 3-1 to 3-2
SECTION 4 - CONVENTIONAL THERAPY 4-1 to 4-9
SECTION 5 - ADULT TREATMENT GUIDE

5-1

 

 

CARDIAC

  These sheets with a little folding or cutting will fit in the side pockets of the medication divider in the EMS bag. The sheets contain all the protocols that include medications. All the extra stuff has been removed and all that remains is medication routes, dosages, and order, for a quick 3am reference. The sheets tend to work better printed on card stock and printed under the general ink setting for the printer.

PROTOCOL SHEETS

 

Chest Discomfort-Cardiac in Origin                                                             

Ventricular Ectopy                                                                                    

Narrow Complex Tachycardia                                                                    

Symptomatic Bradycardia                                                                         

CHF with Acute Pulmonary Edema                                                            

Cardiogenic Shock                                                                                   

Ventricular Fibrillation                                                                               

Ventricular Asystole                                                                                 

Pulseless Electrical Activity                                                                      

Wide Complex Tachycardia                                                                       

Post-Cardiac Arrest Syndrome                                                                  

 

5-2

5-3

5-4 to 5-5

5-6

5-7

5-8

5-9 to 5-10

5-11

5-12

5-13 to 5-14

5-15

RESPIRATORY

 

Respiratory Distress Syndrome                                                                

Acute Asthma Attack

COPD                                                                                                   

CPAP Use         

 

ProceduralGuidelineVentilatorTransport2 

MechanicalVentilatorTransportbyCCEMTP                                                                                                

5-16

5-17

5-18

MEDICAL

 

Unconscious - (EUD)                                                                                

Unconscious- Suspected-Alcohol-Intoxication

Hypoglycemia                                                                                          

Hyperglycemia                                                                                         

Seizures                                                                                               

Status Epilepticus                                                                                 

Drug Ingestion                                                                                          

Hypothermia                                                                                            

Heat Stress Syndrome                                                                              

Anaphylactic Shock                                                                                  

CVA                                                                                                        

Cincinnati Pre Hospital Stroke Scale                                                          

Page Left Blank                                                                                        

OB/Gyn Emergencies                                                                               

Nausea and Vomiting  

Q-Tips    

Septic Shock    

                                                                       

5-19

5-20

5-21

5-22

5-23

5-24

5-25 to 5-26

5-27 to 5-28

5-29 to 5-30

5-31

5-32

5-33

5-34

5-34

5-35

TRAUMA

 

Multiple Trauma                                                                                        

Hypovolemic Shock                                                                                  

Traumatic Arrest                                                                                       

Neurogenic Shock                                                                                    

Near Drowning                                                                                          

Thermal Burns                                                                                          

Chemical Exposure                                                                                  

Poisonous Snake Bite                                                                               

Physician Contact Impossible                                                                    

Pain Management          

                                                                          

5-36

5-37

5-38

5-39

5-40

5-41 to 5-42

5-43

5-44

5-4

5-46 to 5-47

SECTION 6 - PEDIATRIC TREATMENT GUIDE                                         

6-1

CARDIAC

 

Supraventricular Tachycardia                                                                      

Symptomatic Bradycardia                                                                        

Cardiogenic Shock                                                                                    

Ventricular Fibrillation                                                                               

Ventricular Asystole                                                                                  

Pulseless Electrical Activity                                                                       

Ventricular Tachycardia           

                                                                   

6-2

6-3

6-4

6-5

6-6

6-7

6-8

RESPIRATORY

 

Acute Pulmonary Edema                                                                           

Respiratory Distress/Asthma                                                                     

Respiratory Distress- Croup            

                                                         

6-09

6-10

6-11

MEDICAL

 

Hypoglycemia                                                                                           

Hyperglycemia                                                                Seizures                                                                                                    

Drug Ingestion

Hypothermia                                                                                                      

Heat Stress Syndrome                                                                               

Anaphylactic Shock                                                                                   

Septic Shock                                                                                             

Nausea and Vomiting

                                                                                                   

                       

                                                         

6-12

6-13

6-14 to 6-15

6-16 to 6-17

6-18 to 6-19

6-20 to 6-21

6-22

6-23

6-24

 TRAUMA

 

Hypovolemic Shock                                                                                     

Neurogenic Shock                                                                                      

Near Drowning                                                                                            

Thermal Burns                                                                                          

Chemical Exposure                                                                                     

Poisonous Snake Bite                                                                                

Pain Management                                                                        

              

6-25

6-26

6-27

6-28 to 6-29

6-30

6-31

6-32 to 6-33

SECTION 7 BLS TREATMENT GUIDE 

7-1

Preface to BLS treatment Guide                                                                

Chest Pain of Cardiac Origin                                                                      

Cardiac Arrest                                                                                           

Airway Management                                                                                 

Respiratory Distress                                                                                 

Anaphylactic Shock                                                                                  

Spinal Immobilization                                                                               

Nerve Agent                                                                                             

Methamphetamine Laboratory Exposure                                                    

I.V. Therapy                                                                                             

EMT Attending to Emergency Room                    

                                     

7-2

7-3

7-4

7-5

7-6

7-7

7-8

7-9 to 7-10

7-11 to 7-12

7-13

7-14

SECTION 8 SPECIAL SITUATIONS                                                     

8-1

Nerve Agent Protocol                                                                                

Port a-Cath Access                                                                                

Methamphetamine Laboratory Exposure                                                     

EMT Attending to Emergency Room                                                            

No Patient Carry (NPC or AMA)                                                                  

Vaccination/Exposure Plan

EZ-IO

TASER Use Treatment        

                                                                

8-2 to 8-3

8-4 to 8-5

8-6 to 8-7

8-8

8-9 to 8-10

8-11 to 8-12

SECTION 9 - APPENDIX A                                                                        

9-1

Adult Trauma Treatment Priority Guide                                                        

Adult Trauma Score Chart                                                                          

Adult Trauma Destination Guidelines                                                            

Adult Triage Decision Scheme                                                                     

Knox County Trauma Guidelines/Definitions                                                  

 

9-2 to 9-4

9-5

9-6

9-7

9-8

SECTION 10 - APPENDIX B                                                                       

10-1

Pediatric Assessment Guide                                                                       

Pediatric Trauma Treatment Priority Guide                                                    

Pediatric Trauma Score Chart                                                                      

Pediatric Destination Guidelines ETCH vs. UT                                               

Pediatric Trauma Destination Guidelines 

                                                      

10-2

10-3 to 10-5

10-6

10-7

10-8 to 10-9

SECTION 11 RESOURCES                                                                       

11-1

EMS Incident Command Functions                                                               

Mass Casualty Incident                                                                               

START Triage                                                                                              

JUMPSTART Triage                                                             

Protocol Change Form                                                                                  

11-2

11-3

11-4 to 11-6

11-7

11-8

 

 

SECTION 12 -   KNOXVILLE VOLUNTEER RESCUE SQUAD                       

12-1

SECTION 13 -  State Of Tn Protocols Guidelines