Medical First Responder Program Protocols

Size: px
Start display at page:

Download "Medical First Responder Program Protocols"

Transcription

1

2 Medical Scene Safety Protocol Verify Scene Safety with Police or Dispatch UNKWN Scene Safe? Enter Continue to Appropriate Protocol Possible to Make Safe Make Safe Then Continue Exit Area and Stage Outside Agencies Needed Stay Staged Contact Agency and Wait Contact EMS with Update Document Time and Events

3 Chest Pain Protocol Pt. C/O Chest Pain 100% O 2 via Nasal Cannula (4 lpm) Obtain Vital Signs Is Pain Suggestive of Cardiac / Heart Pain? (no change on movement, deep breaths or palpation) Continue with treatment and update EMS Right Person Right Medication Right Dosage Right Time Right Route Right Documentation (Time, dose, route, effect) 6 Rights of Medication -Pt. Supine position Assist w/ Patient Medication. Max 3 Doses Nitro Contraindications - BP < 100 Systolic - Pulse < 60 bpm - Viagra/Levitra < 24 hrs - Cialis < 48 hrs Contraindications Give 2 X 80mg Chewable ASA if no contraindications -Asthma - Allergic to ASA - Recent Significant Bleeding Contact with Update EMS On- Scene Assist EMS Recheck Vitals q5min Document Time and Events

4 Anaphylaxis Protocol Pt. Presents with Severe Allergic Reaction 100% O 2 via NRB (10-12 lpm) Pt. In Respiratory Distress Plus one of the following -Hives - Tongue Swelling -Throat Swelling -Previous Reaction Epi Pen Available? Prepare EPI-PEN Jr. Pt. > 12 y/o Prepare EPI-PEN 6 Rights of Medications Right Person Right Medication Right Dosage Right Time Right Route Right Documentation (Time, dose, route, effect) Document Time and Events Remove Safety Cap Place injection tip against outer thigh & push auto injector firmly against thigh quick motion You should hear a click, hold for 10 sec Remove epinephrine auto-injector and send to hospital w/ patient. Monitor ABC s and Vitals until arrival

5 Diabetic Reaction Protocol Pt. conscious and known diabetic Primary and Secondary Survey plus Vitals Patient is diabetic symptoms and/or states they feel like their sugars are low Monitor ABC s and Vital Signs Give pt. half tube of oral glucose, sugar and water or something sweet to eat or drink ***gag reflex must be present Go to appropriate protocol Provide Oxygen Monitor ABC s and Vitals Document Time and Events

6 Cardiac Arrest Protocol Patient Presents with No Pulse and No Respirations Do Not Resuscitate conditions met? Start CPR Suspend treatment Defibrillator Available? Continue CPR and Pt > 1 y/o Pt. > 8 y/o Attach Adult Pads Assess Rhythm Shock Advised? Attach Pedi Pads if available, if not use Adult/Child Pads Shockable Rhythm Non-Shockable Rhythm Clear pt.- ANALYZE 1 Shock ** Only 1 shock if pt. Hypothermic/ check pulse for 45 sec. Immediately Resume CPR 30:2* for 2 Min CPR 30:2* Immediately Resume CPR 30:2* for 2 Min Repeat steps until EMS arrives or Shock Indicated Continue CPR until EMS arrives *PLEASE TE Repeat Steps till EMS arrives or No Shock Indicated Child & Pediatric CPR cycle consists of 30 compressions (1 rescuer) or 15 compressions (2 rescuers) per 2 breaths Document Time and Events

7 Respiratory Arrest Protocol Pt. presents not breathing Airway Opened with appropriate maneuver Breathing Absent? Attempt to ventilate X2 Pt. tolerates OPA? Continue with Primary Survey Continue with Manual Airway Technique Go to Choking protocol Air Goes In? Check if pulse present Goto Cardiac Arrest Protocol Document Time and Events Insert OPA Does Pt Tolerate OPA? Continue with Manual Airway Technique Ventilate Pt Adult- every 5 sec Child- every 3 sec Check for pulse after 1 min and every few minutes

8 Choking Adult/Child Protocol Pt. presents with signs of choking Pt. unable to breath, cough or speak? Encourage pt. to continue to cough Document Time and Events Deliver 5 back blows / 5 abdominal thrusts Airway cleared? Monitor ABC s and check vital signs Pt. conscious? Tongue jaw lift Look into mouth Finger sweep only if FBAO visible ADULT Lower pt. to ground CHILD Tongue jow lift Look into mouth Finger sweep only if FBAO seen Start CPR Start CPR FBAO Relieved? Pt Breathing on own? FBAO Relieved? Goto Resp arrest protocol Monitor Vital Signs and ABC s

9 Choking Infant Protocol Infant < 1yr presents unable to breathe, cough or cry 5 chest compressions with 2 fingers Conscious? Look into mouth and sweep only if FBAO seen 5 back blows Position head in sniffing position and ventilate Repeat until FBAO is relieved or pt. goes unconscious Give 2 nd breath Air goes in? Document Time and Events Check Pulse Give 30 chest compressions with 2 fingers Goto Cardiac Arrest protocol Is there a pulse? Is pt. breathing on own? Goto Respiratory Arrest Protocol Monitor ABC s and Vital Signs

10 Do Not Resuscitate Protocol Patient presents in Cardiac Arrest Are any of the following circumstances present: - DNR order present signed by Doctor? - Decapitation? -Rigor Mortis? -Lividity? -Gross Evisceration? -Incineration? -Transection? -Decomposition? Go to Cardiac Arrest Protocol Do Not Resuscitate or Cease resuscitation efforts Document Time and Events

11 Trauma with Suspected C-spine Injury Protocol Mechanism of Injury suspect of c-spine injury Scene Safe/ Stable? Prepare for Emergency Rapid Extrications Manual c-spine taken by one rescuer Manual c-spine taken by one rescuer Second rescuer complete primary and secondary survey Pt. placed on long spine board Continue to hold c-spine until EMS arrives EMS Request pt immobilization Pt. moved to safer location With c-spine held move pt. onto long spine board Document Time and Events Strap patient s body to long spine board Put on head immobilizers and secure head Monitor Vital Signs and ABC s

12 Opioid Protocol Pt. Presents unconscious & not responding to verbal stimuli Evidence of Opiate use Pt. In Respiratory Distress No detectable breathing or poor respiratory effort Bystander Information Drug Paraphernalia Known History Pinpoint Pupils Other Opioid use indications Naloxone Kit Avaialable? Prepare syringe, Draw entire vial of Naloxone. Depress plunger to remove air. Known Naloxone Alergy **PATIENT MAY RESPOND VIOLENTLY** Place patient in recovery position Right Person Right Medication Right Dosage Right Time Right Route Right Documentation (Time, dose, route, effect) 6 Rights of Medications Inject at 90 o angle into shoulder or thigh. Document Time and Events Repeat in 3-5 minutes if no or minimal responsiveness. Send used kit to hospital w/ patient. Monitor ABC s and Vitals until arrival Approved and Added Oct 19/2017

BASIC LIFE SUPPORT (BLS)

BASIC LIFE SUPPORT (BLS) ADULT Suspected Foreign Body Airway Obstruction (FBAO) 1 If conscious, ask, "Are you choking?" 2 If patient is unable to speak and/or shakes head yes, give abdominal thrusts, (chest thrusts if pregnant

More information

CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS

CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS PRACTICAL STATIONS CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS 1. CARDIAC ARREST MANAGEMENT 2. AIRWAY & RESPIRATORY MANAGEMENT 3. SPINAL IMMOBILIZATION

More information

San Benito County EMS Agency Section 700: Patient Care Procedures

San Benito County EMS Agency Section 700: Patient Care Procedures Purpose: To outline the steps EMTs & paramedics will take to manage possible life threats in any child or adult patient they encounter. This policy is in effect for all treatment protocols & is to be referred

More information

Level 5 Paramedic Primary Skills

Level 5 Paramedic Primary Skills Title: Paramedic Primary Assessment Sheets V-4 Page: 1 of 15 Owner: LD Approved by: Examination Quality Group Approval date: March 2017 PHECC National Qualification in Emergency Medical Technology (NQEMT)

More information

Naloxone Intranasal EMT OPTIONAL SKILL. Cell Phones and Pagers. Course Outline 09/2017

Naloxone Intranasal EMT OPTIONAL SKILL. Cell Phones and Pagers. Course Outline 09/2017 EMT OPTIONAL SKILL Naloxone Intranasal Cell Phones and Pagers Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off. Course Outline Introduction and Overview

More information

Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off.

Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off. 1 2 EMT OPTIONAL SKILL Naloxone Intranasal Cell Phones and Pagers Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off. 3 4 5 6 Course Outline Introduction

More information

Emergency Care Progress Log

Emergency Care Progress Log Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All

More information

Frontline First Aid First Responder Session Quizzes

Frontline First Aid First Responder Session Quizzes Session 1 1. One of the 4 parts of the Patient Assessment Model is: a. Injury Survey b. Patient Survey c. Critical Survey d. Ongoing Survey 2. One of the Secondary responsibilities of the First Responder

More information

Airway management. Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department

Airway management. Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department Airway management Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department Airway management Airway management is the medical process of ensuring there is an open pathway between a patient

More information

BLS ROUTINE MEDICAL CARE

BLS ROUTINE MEDICAL CARE BLS ROUTINE MEDICAL CARE Scene safety # Assure scene safety prior to patient contact C-spine # Perform manual cervical spine stabilization if indicated (Follow the cervical spine protocol.) ABCs # Assess

More information

Pediatric Emergencies. Lesson Goal. Lesson Objectives 9/10/2012

Pediatric Emergencies. Lesson Goal. Lesson Objectives 9/10/2012 Pediatric Emergencies Lesson Goal Explain special characteristics of infants and children to become both comfortable & efficient in treating pediatric emergencies Lesson Objectives Identify physical &

More information

1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are:

1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are: BLS Basic Life Support Practice Test Questions 1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are: a. Airway, Breathing, Check Pulse b. Chest compressions, Airway, Breathing c. Airway,

More information

Portage County EMS Annual Skills Labs

Portage County EMS Annual Skills Labs Portage County EMS Annual Skills Labs Scope: Provide skills labs for all Emergency Medical Responders and First Response EMTs to assure proficiency of skills and satisfy the Wisconsin State approved Operational

More information

CPR Cardio Pulmonary Resuscitation

CPR Cardio Pulmonary Resuscitation CPR Cardio Pulmonary Resuscitation CPR = sequence of immediate actions to sustain flow of oxygenated blood unconsciousness and not breathing normally > start CPR! vital functions: Consciousness Breathing

More information

EMT OPTIONAL SKILL. Cell Phones and Pagers. Epinephrine Auto-injector. Course Outline 9/2017

EMT OPTIONAL SKILL. Cell Phones and Pagers. Epinephrine Auto-injector. Course Outline 9/2017 EMT OPTIONAL SKILL Epinephrine Auto-injector Cell Phones and Pagers Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off. Course Outline Introduction and

More information

Allergic Reactions and Envenomations. Chapter 16

Allergic Reactions and Envenomations. Chapter 16 Allergic Reactions and Envenomations Chapter 16 Allergic Reactions Allergic reaction Exaggerated immune response to any substance Histamines and leukotrienes Chemicals released by the immune system Anaphylaxis

More information

Airway and Ventilation. Emergency Medical Response

Airway and Ventilation. Emergency Medical Response Airway and Ventilation Lesson 14: Airway and Ventilation You Are the Emergency Medical Responder Your medical emergency response team has been called to the fitness center by building security on a report

More information

OCMCA Education Task Force. Practical Skill Guide

OCMCA Education Task Force. Practical Skill Guide OCMCA Education Task Force Practical Skill Guide MFR & Basic MFR/EMT Epinephrine Study (MABEES) Practical Component In-service training: MFR & Basic MFR/EMT Epinephrine Study (MABEES) Purpose: Every licensed

More information

Cardiac arrest Cardiac arrest (CA) occurs when the heart ceases to produce an effective pulse and circulate blood It includes four conditions:

Cardiac arrest Cardiac arrest (CA) occurs when the heart ceases to produce an effective pulse and circulate blood It includes four conditions: Basic Life Support: Cardiopulmonary Resuscitation (CPR). 2017 Lecture prepared by, Amer A. Hasanien RN, CNS, PhD Cardiac arrest Cardiac arrest (CA) occurs when the heart ceases to produce an effective

More information

Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket

Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket BLS BASICS: Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket facemask or AMBU bag) Adults call it in, start CPR, get AED Child CPR First, Phone call second

More information

Skill Evaluation Sheets

Skill Evaluation Sheets Skill Evaluation Sheets Skill Drill 2-: How to Remove Gloves Skill Drill 4-: Primary Check: RAP-CAB Skill Drill 4-2: Perform a Secondary Check Skill Drill 5-: Adult CPR Skill Drill 5-2: Child CPR Skill

More information

Managing Illness 8/9/2010 1

Managing Illness 8/9/2010 1 Managing Illness 1 Fainting Caused by a temporary drop in blood pressure thus causing a reduction in oxygen to the brain. Insufficient oxygen causes casualty to black out and fall. Consciousness normally

More information

Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights

Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights Nor-Cal EMS February 2018 version 1 Special Thank You To Seattle / King County EMS NY State Department of Health, Check

More information

WHY IS FIRST AID IMPORTANT?

WHY IS FIRST AID IMPORTANT? Chapter 1 -BACKGROUND INFORMATION WHY IS FIRST AID IMPORTANT? 1. 2. SOME THINGS I SHOULD HAVE IN MY FIRST AID KIT 1. 2. 3. 4. 5. VOCABULARY Place the key points of the first aid term in the box provided

More information

Module 2: Facilitator instructions for Airway & Breathing Skills Station

Module 2: Facilitator instructions for Airway & Breathing Skills Station Module 2: Facilitator instructions for Airway & Breathing Skills Station 1. Preparation a. Assemble equipment beforehand. b. Make sure that you have what you need and that it is functioning properly. 2.

More information

Competency Log Professional Responder Courses

Competency Log Professional Responder Courses Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the

More information

SEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION

SEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION The following individual has completed the Seminole County EMS Provisional EMT Skills Verification check in the following areas: Oxygen, Airway and Ventilation Skills ALS Assistance Trauma Management Medical

More information

Opiate Overdose Treatment: Naloxone Training Protocol

Opiate Overdose Treatment: Naloxone Training Protocol OREGON STATE PUBLIC HEALTH DIVISION EMS & Trauma Systems Kate Brown, Governor September 22, 2016 For more information, contact David Lehrfeld, MD, Medical Director, EMS & Trauma Systems: (971) 673-0520

More information

Waitin In The Wings. Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider

Waitin In The Wings. Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider Waitin In The Wings Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider 1 CombiTube Kit General Description The CombiTube is A double-lumen tube with

More information

Routine Patient Care Guidelines - Adult

Routine Patient Care Guidelines - Adult Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures

More information

BLS Guideline 1 AIRWAY MANAGEMENT

BLS Guideline 1 AIRWAY MANAGEMENT Australian Resuscitation Advisory Network BLS Guideline 1 AIRWAY MANAGEMENT Scope Who does this guideline apply to? This guideline applies to all persons who need airway management. Airway management is

More information

HeartCode PALS. PALS Actions Overview > Legend. Contents

HeartCode PALS. PALS Actions Overview > Legend. Contents HeartCode PALS PALS Actions Overview > Legend Action buttons (round buttons) Clicking a round button initiates an action. Clicking this button, for example, checks the child s carotid pulse. Menu buttons

More information

Emergency First Response (EFR) Skills Assessment Sheets V4 June 2017

Emergency First Response (EFR) Skills Assessment Sheets V4 June 2017 Emergency First Response () Skills Assessment Sheets V4 June 2017 Airway management & ventilation Airway management & ventilation Trauma jaw thrust 1 Hand positions 2 Perform jaw thrust / mouth open 3

More information

Introduction to Emergency Medical Care 1

Introduction to Emergency Medical Care 1 Introduction to Emergency Medical Care 1 OBJECTIVES 8.1 Define key terms introduced in this chapter. Slides 12 15, 21, 24, 31-34, 39, 40, 54 8.2 Describe the anatomy and physiology of the upper and lower

More information

ADMINISTRATIVE REQUIREMENT MANUAL EFFECTIVE DATE

ADMINISTRATIVE REQUIREMENT MANUAL EFFECTIVE DATE PURPOSE: I. To establish the minimum requirements for a first responder training course in first aid, which all first responders must take, in order to meet the requirements of M.G.L. c. 111, 201 and 105

More information

Lesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED

Lesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED Lesson 4-3: Cardiac Emergencies CARDIAC EMERGENCIES Angina, AMI, CHF and AED THREE FAMILIAR CARDIAC CONDITIONS Angina Pectoris Acute Myocardial Infarction Congestive Heart Failure ANGINA PECTORIS Chest

More information

Learning Station Competency Checklists

Learning Station Competency Checklists Learning Station Competency Checklists Cardiac Arrest: Shockable Rhythm Team Dynamics Practice Demonstrates effective team dynamics (see, below) Performs manual maneuvers to open airway* Initiates assisted

More information

MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management

MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management Basic EMT Practical Examination 6.0 - Cardiac Arrest Management Station 1 RESUSCITATION & DEFIBRILLATION No Point WHILE FUNCTIONING AS FIRST RESCUER: Point 1. Verbalizes or takes body substance isolation

More information

COALINGA STATE HOSPITAL. Effective Date: August 31, 2006 SUBJECT: MANAGEMENT OF FOREIGN-BODY AIRWAY OBSTRUCTION (CHOKING VICTIM)

COALINGA STATE HOSPITAL. Effective Date: August 31, 2006 SUBJECT: MANAGEMENT OF FOREIGN-BODY AIRWAY OBSTRUCTION (CHOKING VICTIM) COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Emergency Procedures POLICY NUMBER: 701 Effective Date: August 31, 2006 SUBJECT: MANAGEMENT OF FOREIGN-BODY AIRWAY OBSTRUCTION (CHOKING

More information

Yolo County Health & Human Services Agency

Yolo County Health & Human Services Agency Yolo County Health & Human Services Agency Kristin Weivoda EMS Administrator John S. Rose, MD, FACEP Medical Director DATE: December 28, 2017 TO: Yolo County Providers and Agencies FROM: Yolo County EMS

More information

Pediatric Cardiac Arrest General

Pediatric Cardiac Arrest General Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on

More information

Manual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A

Manual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A ROC AMIODARONE, LIDOCAINE OR PLACEBO FOR OUT OF HOSPITAL CARDIAC ARREST DUE TO VENTRICULAR FIBRILLATION OR TACHYCARDIA (ALPS) STUDY: MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic

More information

1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to

1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to 1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to introduce the EMT-B student to these procedures only. In

More information

Chapter 40 Advanced Airway Management

Chapter 40 Advanced Airway Management 1 2 3 4 5 Chapter 40 Advanced Airway Management Advanced Airway Management The advanced airway management techniques discussed in this chapter are to introduce the EMT-B student to these procedures only.

More information

Airway and Breathing

Airway and Breathing Airway and Breathing ETAT Module 2 Adapted from Emergency Triage Assessment and Treatment (ETAT): Manual for Participants, World Health Organization, 2005 Learning Objectives Accurately determine whether

More information

Pediatric Patients. BCFPD Paramedic Education Program. EMS Education Paramedic Level

Pediatric Patients. BCFPD Paramedic Education Program. EMS Education Paramedic Level Pediatric Patients BCFPD Program Basic Considerations Much of the initial patient assessment can be done during visual examination of the scene. Involve the caregiver or parent as much as possible. Allow

More information

EMS-192 EMT CURRICULUM

EMS-192 EMT CURRICULUM Lesson Topic Content 1 Section #1 Welcome and Orientation MATC/EMS Orientation & Policies Student Packet 11th Edition AAOS 2 AHA - CPR AHA - CPR Basic Life Support Certification A. Management for Health

More information

FIRST AID WRITTEN EXAM. Team Name: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. a. TRUE b. FALSE

FIRST AID WRITTEN EXAM. Team Name: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. a. TRUE b. FALSE 2015 NEW IBERIA MINE RESCUE CONTEST FIRST AID WRITTEN EXAM Name: Date: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. 2. The use of accessory muscles in the chest, abdomen

More information

Johnson County Emergency Medical Services Page 23

Johnson County Emergency Medical Services Page 23 Non-resuscitation Situations: Resuscitation should not be initiated in the following situations: Prolonged arrest as evidenced by lividity in dependent parts, rigor mortis, tissue decomposition, or generalized

More information

CHANGES FOR DECEMBER 2008 PREHOSPITAL CARE MANUAL

CHANGES FOR DECEMBER 2008 PREHOSPITAL CARE MANUAL CHANGES FOR DECEMBER 2008 PREHOSPITAL CARE MANUAL Item Changed Airway Management Procedure Oral Intubation Procedure Tube Confirmation and Monitoring Procedure C10 Chest Pain/ACS M2 Allergic Reaction/Anaphylaxis

More information

IRECA BLS Challenge 2015 Scenario 1

IRECA BLS Challenge 2015 Scenario 1 Scenario 1 Team Name Team Number Captain Name Judge 1 # Judge 2 # JUDGE S SHEET Overview: This scenario challenges the competitors to use basic triage techniques and then to do the most good for the most

More information

STAYTON FIRE DISTRICT PROTOCOL QUIZ

STAYTON FIRE DISTRICT PROTOCOL QUIZ STAYTON FIRE DISTRICT PROTOCOL QUIZ Name 1. Please list the appropriate EMS Level for each of the Scope of Practice items below EMR Emergency Medical Responder B Basic Conduct primary and secondary patient

More information

Restore adequate respiratory and circulatory conditions. Reduce pain

Restore adequate respiratory and circulatory conditions. Reduce pain Pre-hospital management of the trauma patient is best performed by an integrated team focused on minimizing the time from injury to definitive care at an appropriate trauma center. Dispatchers, first responders,

More information

Resuscitation Checklist

Resuscitation Checklist Resuscitation Checklist Actions if multiple responders are on scene Is resuscitation appropriate? Conditions incompatible with life Advanced decision in place Based on the information available, the senior

More information

SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY. Administration of Epinephrine Auto-Injector Training

SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY. Administration of Epinephrine Auto-Injector Training SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY Administration of Epinephrine Auto-Injector Training Disclaimer: Authorization - EMT Optional Skills Only authorized Emergency Medical Technicians (EMT)

More information

An allergic reaction is an exaggerated response by the immune system to a foreign substance

An allergic reaction is an exaggerated response by the immune system to a foreign substance ALLERGIC REACTION An allergic reaction is an exaggerated response by the immune system to a foreign substance Anaphylaxis is an unusual or exaggerated allergic reaction; is a life threatening emergency

More information

MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.

MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6. MICHIGAN State Protocols Protocol Number Protocol Name Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.3 Tachycardia PEDIATRIC CARDIAC PEDIATRIC CARDIAC ARREST

More information

CPR: Frequently asked questions

CPR: Frequently asked questions CPR: Frequently asked questions General What is a cardiac arrest? During a cardiac arrest, a person s heart stops pumping blood around their body and to their brain. It causes the person to fall unconscious

More information

Paediatric Resuscitation. EMS Rounds Gurinder Sangha MD Paediatric Emergency Fellow June 18, 2009

Paediatric Resuscitation. EMS Rounds Gurinder Sangha MD Paediatric Emergency Fellow June 18, 2009 Paediatric Resuscitation EMS Rounds Gurinder Sangha MD Paediatric Emergency Fellow June 18, 2009 Essentials of Resuscitation Airway Breathing Circulation AIRWAY Differences in Paediatric Airway Shorter

More information

2017 Northern Mine Rescue Contest Written Exam (First Aid Competition)

2017 Northern Mine Rescue Contest Written Exam (First Aid Competition) 2017 Northern Mine Rescue Contest Written Exam (First Aid Competition) 2017 2010 June 5, 2017 Findley Lake, New York 2017 Northern Mine Rescue Contest Written Exam First Aid Competition Directions: Fill

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

Old protocol is top bullet and italicized. Revised protocol is subsequent bullets and color coded:

Old protocol is top bullet and italicized. Revised protocol is subsequent bullets and color coded: Old protocol is top bullet and italicized Revised protocol is subsequent bullets and color coded: RED is a State Change Blue is unique to Suffolk County VI. If patient has not taken aspirin and has no

More information

Cardiovascular Emergencies. Chapter 12

Cardiovascular Emergencies. Chapter 12 Cardiovascular Emergencies Chapter 12 Cardiovascular Emergencies Cardiovascular disease (CVD) claimed 931,108 lives in the US during 2001. 2,551 per day Almost two people per minute! CVD accounts for 38.5%

More information

MABEES. MFR & Basic EMT Epinephrine Study

MABEES. MFR & Basic EMT Epinephrine Study MABEES MFR & Basic EMT Epinephrine Study Acknowledgements This program is a State of Michigan approved special study designed by members of the Oakland County Medical Control Authority American CME developed

More information

September 2013 CE. Site code # E Caring for the Pediatric Patient

September 2013 CE. Site code # E Caring for the Pediatric Patient September 2013 CE Site code # 107200E-1213 Caring for the Pediatric Patient Objectives by Reviewed/revised by Sharon Hopkins, RN, BSN, EMT-P To view on the Advocate Condell website visit: www.advocatehealth.com/condell/body.cfm?id=422

More information

Emergency First Response (EFR) Assessment Sheets September 2011

Emergency First Response (EFR) Assessment Sheets September 2011 Emergency First Response () Assessment Sheets September 2011 Airway Management & Ventilation Current Version: Version 2 (Sep 2011) Airway Management & Ventilation TRAUMA JAW THRUST 1 Hand position 2 Perform

More information

Allergy to: NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE.

Allergy to: NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE. Name: D.O.B.: Allergy to: PLACE PICTURE HERE Weight: lbs. Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe

More information

What works? What doesn t? What s new? Terry M. Foster, RN

What works? What doesn t? What s new? Terry M. Foster, RN What works? What doesn t? What s new? Terry M. Foster, RN 2016 Changes Updated every 5 years Last update was 2010 All recommendations have been heavily researched with studies involving large number of

More information

B. high blood pressure. D. hearing impairment. 2. Of the following, the LEAST likely reason for an EMS unit to be called

B. high blood pressure. D. hearing impairment. 2. Of the following, the LEAST likely reason for an EMS unit to be called CHAPTER 36 Geriatrics HANDOUT 36-2: Evaluating Content Mastery Student s Name EVALUATION CHAPTER 36 QUIZ Write the letter of the best answer in the space provided. 1. Among patients over age 65, almost

More information

Appendix (i) The ABCDE approach to the sick patient

Appendix (i) The ABCDE approach to the sick patient Appendix (i) The ABCDE approach to the sick patient This appendix and the one following provide guidance on the initial approach and management of common medical emergencies which may arise in general

More information

Medical Emergencies and Current Management in Dentistry. Prof. Mark Greenwood Newcastle University

Medical Emergencies and Current Management in Dentistry. Prof. Mark Greenwood Newcastle University Medical Emergencies and Current Management in Dentistry Prof. Mark Greenwood Newcastle University Lancaster 1.02.12 PREVENTION! Attitude and environment Usually a clue in the history PREVENTION! Attitude

More information

NALOXONE CAN BE A LIFESAVER

NALOXONE CAN BE A LIFESAVER NALOXONE 1 CAN BE A LIFESAVER Naloxone is a drug which can temporarily reverse the effects of opioid (heroin/methadone) overdose. In an overdose state, it can be a lifesaver 2 3 what to do IF SOMEONE HAS

More information

CHAPTER 9. Shock National Safety Council

CHAPTER 9. Shock National Safety Council CHAPTER 9 Shock Shock Dangerous condition: Not enough oxygen-rich blood reaching vital organs, such as brain and heart Caused by anything that significantly reduces blood flow Life-threatening emergency

More information

Student Guide Module 4: Pediatric Trauma

Student Guide Module 4: Pediatric Trauma Student Guide Module 4: Pediatric Trauma Problem based learning exercise objectives Understand how to manage traumatic injuries in mass casualty events. Discuss the features and the approach to pediatric

More information

BLS Guideline 1 AIRWAY MANAGEMENT

BLS Guideline 1 AIRWAY MANAGEMENT Australian Resuscitation Advisory Network BLS Guideline 1 AIRWAY MANAGEMENT Scope Who does this guideline apply to? This guideline applies to all persons who need airway management. Airway management is

More information

Shifts 28, 29, 30 Quizzes

Shifts 28, 29, 30 Quizzes Shifts 28, 29, 30 Quizzes Name: Score: Date: 1. You are on the scene of a 4 year old in cardiac arrest. CPR is initiated and an E.T. tube has been placed, an I.V. has been established. What is the correct

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

Cardiac Arrest and CPR

Cardiac Arrest and CPR Definition Cardiac arrest Cardiac Arrest and CPR Dr. B. Paudel l Sudden and complete loss of cardiac fn l No pulse, LOC, respi ceases immediately l Death-if no effective t/t Sudden cardiac death (SCD)

More information

PALS PRETEST. PALS Pretest

PALS PRETEST. PALS Pretest PALS PRETEST 1. A child with a fever, immune system compromise, poor perfusion and hypotension is most likely to be experiencing which type of shock A. cardiogenic B. Neurogenic C. Septic D. Hypovolemic

More information

Adult Basic Life Support

Adult Basic Life Support Adult Basic Life Support UNRESPONSIVE? Shout for help Open airway NOT BREATHING NORMALLY? Call 112* 30 chest compressions 2 rescue breaths 30 compressions *or national emergency number Fig 1.2_Adult BLS

More information

EL DORADO COUNTY EMS AGENCY PREHOSPITAL PROTOCOLS

EL DORADO COUNTY EMS AGENCY PREHOSPITAL PROTOCOLS EL DORADO COUNTY EMS AGENCY PREHOSPITAL PROTOCOLS Effective: July 1, 2017 Reviewed: November 9, 2016 Revised: November 9, 2016 EMS Agency Medical Director ALLERGIC REACTION/ANAPHYLAXIS ADULT BLS TREATMENT

More information

EMT. Chapter 8 Review

EMT. Chapter 8 Review EMT Chapter 8 Review 1. During the scene size-up, you should routinely determine all of the following, EXCEPT: A. the mechanism of injury or nature of illness. B. the ratio of pediatric patients to adult

More information

STS: Circulatory/Pulmonary

STS: Circulatory/Pulmonary STS: Circulatory/Pulmonary September 27, 2017 You have a 50 y/o male who is complaining of excruciating pain in his chest. You find him sitting down on a bench, arms in a tripod position, breathing heavily.

More information

Recognize Anaphylaxis Symptoms

Recognize Anaphylaxis Symptoms Recognize Anaphylaxis Symptoms File: JHCD-F1 Recognize the Common Anaphylaxis Symptoms Sudden difficulty breathing, wheezing Hives, generalized flushing, itching, or redness of the skin, Swelling of the

More information

1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR.

1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR. 1 Pediatric Advanced Life Support Science Update 2010 2 What s New for 2010? 3 CPR Take no longer than seconds for pulse check Rate at least on per minute (instead of around 100 per minute ) Depth change:

More information

Adult Intubation Skill Sheet

Adult Intubation Skill Sheet Adult Intubation 2. Opens the airway manually and inserts an oral airway *** 3. Ventilates the patient with BVM attached to oxygen at 15 lpm *** 4. Directs assistant to oxygenate the patient 5. Selects

More information

Cardiac Emergencies. Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington

Cardiac Emergencies. Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington Cardiac Emergencies Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington The Heart -------Aorta Pulmonary Veins---- Superior Vena Cava------ Right Atrium-----

More information

Toxins and Environmental: HEAT- and COLD-RELATED EMERGENCIES. Accidental Hypothermia/Cold Exposure

Toxins and Environmental: HEAT- and COLD-RELATED EMERGENCIES. Accidental Hypothermia/Cold Exposure Toxins and Environmental: HEAT- and COLD-RELATED EMERGENCIES Accidental Hypothermia/Cold Exposure Goal: To aid EMS Providers in: the recognition and treatment of systemic effects of accidental hypothermia

More information

Michigan General Procedures EMERGENCY AIRWAY. Date: November 15, 2012 Page 1 of 16

Michigan General Procedures EMERGENCY AIRWAY. Date: November 15, 2012 Page 1 of 16 Date: November 15, 2012 Page 1 of 16 Emergency Airway Effective airway management and ventilation are important lifesaving interventions that all EMS providers must be able to perform. The approach to

More information

Management of ANAPHYLAXIS in the School Setting. Updated September 2010

Management of ANAPHYLAXIS in the School Setting. Updated September 2010 Management of ANAPHYLAXIS in the School Setting Updated September 2010 What is an Allergy? Allergies occur when the immune system becomes unusually sensitive and over reacts to common substance that are

More information

SOUTH PLAINS EMERGENCY MEDICAL SERVICES PRE-HOSPITAL TREATMENT PROTOCOL EXAM EMT-BASIC FEBRUARY *Minimum Passing Grade is 80%*

SOUTH PLAINS EMERGENCY MEDICAL SERVICES PRE-HOSPITAL TREATMENT PROTOCOL EXAM EMT-BASIC FEBRUARY *Minimum Passing Grade is 80%* SOUTH PLAINS EMERGENCY MEDICAL SERVICES PRE-HOSPITAL TREATMENT PROTOCOL EXAM EMT-BASIC FEBRUARY 2013 *Minimum Passing Grade is 80%* 2013 EMT-BASIC Protocol Exam 1. A full, completed patient care report

More information

Pediatric Basic Life Support

Pediatric Basic Life Support Nanjing, China, March 2006 Pediatric Basic Life Support Simone Rugolotto, MD Department of Pediatrics, University of Verona, Italy Alpine Pediatric Life Support Training Center http://www.provinz.bz.it/se/paednotmed/

More information

Patient Assessment From Brady s First Responder (8th Edition) 83 Questions

Patient Assessment From Brady s First Responder (8th Edition) 83 Questions Patient Assessment From Brady s First Responder (8th Edition) 83 Questions 1. Which question is important if your patient may be a candidate for surgery? p. 183 *A.) When did you last eat? B.) What is

More information

Introduction to Emergency Medical Care 1

Introduction to Emergency Medical Care 1 Introduction to Emergency Medical Care 1 OBJECTIVES 22.1 Define key terms introduced in this chapter. Slides 10, 14, 19, 37, 39 22.2 Differentiate between the signs and symptoms of an allergic reaction

More information

ANAPHYLAXIS AND EPIPEN ADMINISTRATION

ANAPHYLAXIS AND EPIPEN ADMINISTRATION ANAPHYLAXIS AND EPIPEN ADMINISTRATION EpiPen Administration This program has been designed for the school staff member who will administer an EpiPen in the event that a student has a life-threatening allergic

More information

yregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management

yregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management yregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management Overview: Managing a patient s airway may be necessitated due to upper or lower airway obstruction, inadequate

More information

ITLS Pediatric Provider Course Basic Pre-Test

ITLS Pediatric Provider Course Basic Pre-Test ITLS Pediatric Provider Course Basic Pre-Test 1. You arrive at the scene of a motor vehicle collision and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child

More information

Appendix E Choose the sign or symptom that best indicates severe respiratory distress.

Appendix E Choose the sign or symptom that best indicates severe respiratory distress. Appendix E-2 1. In Kansas EMT-B may monitor pulse oximetry: a. after they complete the EMT-B course b. when the service purchases the state approved pulse oximeters c. when the service director receives

More information

Chapter 21. Objectives. Objectives 01/09/2013. Anaphylactic Reactions

Chapter 21. Objectives. Objectives 01/09/2013. Anaphylactic Reactions Chapter 21 s Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define key terms introduced in this

More information

Chapter 31. Objectives. Objectives 01/09/2013. Head Trauma

Chapter 31. Objectives. Objectives 01/09/2013. Head Trauma Chapter 31 Head Trauma Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define key terms introduced

More information