Airway/Ventilation/Oxygenation EMT AEMT EMT-I(99) Paramedic

Transcription

1 Table 5.1. rizona Scope of Practice Skills KEY: = rizona Scope of Practice skill = skill * = lready intubated irway/ventilation/oxygenation EMT EMT EMTI(99) Paramedic irway esophageal irway supraglottic irway nasal irway al utomated transpt ventilat Bagvalvemask (BVM) BiPP/CPP Chest decompression needle Chest tube placement assist only Chest tube moniting and management Cricoid pressure (Sellick s maneuver) Cricothyrotomy needle Cricothyrotomy percutaneous Cricothyrotomy surgical Demand valve manually triggered ventilation End tidal CO2 moniting/capnography Gastric decompression NG tube Gastric decompression OG tube Headtilt chin lift Intubation nasotracheal Intubation otracheal Jawthrust Jawthrust modified (trauma) Medication ssisted Intubation (paralytics) Mouthtobarrier Mouthtomask Mouthtomouth Mouthtonose Mouthtostoma Obstruction direct laryngoscopy Obstruction manual Oxygen therapy humidifiers Oxygen therapy nasal cannula 85

2 Oxygen therapy nonrebreather mask Oxygen therapy partial rebreather mask Oxygen therapy simple face mask Oxygen therapy venturi mask PEEP therapeutic Pulse oximetry Suctioning upper airway Suctioning tracheobronchial * Cardiovascular/Circulation EMT EMT EMTI (99) Paramedic Cardiac moniting multiple lead (interpretive) Cardiac moniting single lead (interpretive) Cardiac multiple lead acquisition (noninterpretive) Cardiopulmonary resuscitation Cardioversion electrical Carotid massage ( 17 years) Defibrillation automatic/semiautomatic Defibrillation manual Hemrhage control direct pressure Hemrhage control tourniquet Internal; cardiac pacing moniting only Mechanical CPR device Transcutaneous pacing manual Immobilization EMT EMT EMTI (99) Paramedic Spinal immobilization cervical collar Spinal immobilization long board Spinal immobilization manual Spinal immobilization seated patient (KED,etc.) Spinal immobilization rapid manual extrication Extremity stabilization manual Extremity splinting Splint traction Mechanical patient restraint Emergency moves f endangered patients Medication administration routes EMT EMT EMTI (99) Paramedic erosolized/nebulized (beta agonist) ssisting patient with his/her own prescribed medications (aerosolized/nebulized) 86 ssisting patient with his/her own prescribed medications

3 (S/Nitro) ssisting patient with his/her own prescribed medications (autoinject) utoinject (self peer) Buccal Endotracheal tube Inhaled selfadministered (nitrous oxide) Intradermal Intramuscular Intranasal Intravenous push Intravenous piggyback Intraosseous Nasogastric Oral Rectal Small volume nebulizer Subcutaneous Sublingual IV initiation/maintenance fluids EMT EMT EMTI (99) Paramedic ccess indwelling catheters and implanted central IV pts Central line moniting Intraosseous initiation Intravenous access Intravenous initiation peripheral Intravenous maintenance of nonmedicated IV fluids capped access Intravenous maintenance of medicated IV fluids Umbilical initiation Miscellaneous EMT EMT EMTI (99) Paramedic ssisted delivery (childbirth) ssisted complicated delivery (childbirth) Blood glucose moniting Blood pressure automated Blood pressure manual Eye irrigation Eye irrigation (Mgan lens) Thrombolytic therapy initiation Urinary catheterization Venous blood sampling 87

4 Blood chemistry analysis Use/moniting of agents specified in Table 5.4 during interfacility transpts Use/moniting of infusion pump f agent administration during interfacility transpts 88

5 Table 5.2. Eligibility f uthization to dminister, Monit, and ssist in Patient Selfadministration of gents by EMCT Classification; dministration Requirements; and Minimum Supply Requirements f gents KEY: = uthized to administer the agent SVN = gent shall be administered by small volume nebulizer MDI = gent shall be administered by metered dose inhaler * = uthized to assist in patient selfadministration [ ] = Minimum supply required if an EMS provider chooses to make the optional agent available f EMCT administration GENT MINIMUM SUPPLY EMT EMT EMTI (99) Paramedic denosine 18 mg lbuterol Sulfate SVN MDI (sulfite free) miodarone Lidocaine 10 mg 300 mg 3 prefilled syringes, total of 300 mg and 1 g vials premixed infusion, total of 2 g 89 spirin 324 mg tropine Sulfate tropine Sulfate 3 prefilled syringes, total of 3 mg Optional [8 mg multidose vial (1)] tropine Sulfate utoinject None tropine Sulfate and Pralidoxime Chlide (Combined) utoinject None Calcium Chlide 1 g Calcium Gluconate, 2.5% topical gel Optional [50 g] Charcoal, ctivated (without sbitol) Optional [50 g] Cyanokit Optional [5 g] Dexamethasone Optional [8 mg] Dextrose 50 g Dextrose, 5% in H2O Optional [250 ml bag (1)] Diazepam Lazepam Midazolam 20 mg 8 mg 10 mg Diazepam Rectal Delivery Gel Optional [20 mg] Diltiazem Verapamil HCl 25 mg 10 mg Diphenhydramine HCl 50 mg Dopamine HCl 400 mg Epinephrine utoinject Optional [2 adult autoinjects 2 pediatric autoinjects] Epinephrine HCl, 1:1,000 2 mg Epinephrine HCl, 1:1,000 Optional [30 mg multidose vial (1)]

6 GENT MINIMUM SUPPLY EMT EMT EMTI (99) Paramedic Epinephrine HCl, 1:10,000 5 mg Etomidate Optional [40 mg] Furosemide Bumetanide Optional [100 mg] Optional [4 mg] Glucagon 2 mg Glucose, al Optional [30 gm] Immunizing gent Optional Ipratropium Bromide 0.02% SVN MDI 5 ml Lactated Ringers 1 L bag (2) Magnesium Sulfate 5 g Methylprednisolone Sodium Succinate 250 mg Mphine Sulfate Fentanyl 20 mg 200 mcg Nalmefene HCl Optional [4 mg] Naloxone HCl 10 mg Nitroglycerin Sublingual Spray Nitroglycerin Tablets Nmal Saline 1 bottle 1 bottle 1 L bag (2) Optional [250 ml bag (1)] Optional [50 ml bag (2)] * * Ondansetron HCl Optional [4 mg] Oxygen 13 cubic feet Oxytocin Optional [10 units] Phenylephrine Nasal Spray 0.5% Optional 1 bottle Pralidoxime Chlide utoinject None Rocuronium Optional [100 mg] Sodium Bicarbonate 8.4% Optional [100 meq] Succinylcholine Optional [400 mg] Thiamine HCl 100 mg Tuberculin PPD Optional [5 ml] Vasopressin Optional [40 units] 90

7 Table 5.3. gents Eligible f uthization f dministration During a Hazardous Material Incident KEY: [ ] = Minimum supply required if an EMS provider chooses to make the optional agent available f Paramedic administration Drug Preparation ctivated Charcoal lbuterol myl Nitrite Inhalants tropine trovent Calcium Carbonate Calcium Gluconate CyanoKit (Hydroxocobalamin) Dextrose 50% Diazepam DuoDote uto Inject Glucagon Methylene Blue Neosynephrine Propanolol Protopam Chlide (pralidoxime) Pyridoxine Sodium Chlide.95 Sterile Water Tetracaine Minimum Supply 91