Patient Care Protocols - Hardin County Government

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Hyperthermia.................................................................................................... 154Hypothermia ..................................................................................................... 155Frostbite ........................................................................................................... 161Airway and Ventilation Management ....................................................................... 162Rapid Sequence Intubation (RSI) and Drug Assisted Intubation (DAI)............. 163Airway Management - Pediatric........................................................................ 172Post-Intubation Care......................................................................................... 179Mechanical Ventilation...................................................................................... 184CPAP/BIPAP Use............................................................................................. 185Medication List .......................................................................................................... 1864 | P age
Adult Medical ProtocolsRoutine Patient Care Guidelines - AdultAll levels of provider will complete an initial & focused assessment on every patient, andas standing order, use necessary and appropriate skills and procedures for which theprovider has been trained and certified or approved to perform in order to maintain thepatient’s airway, breathing, and circulation.Initial AssessmentScene Size-Up► Review dispatch information.5 | P age
Page 1 and 2: EMT-BasicEMT-AdvancedEMT-ParamedicP
Page 3: Non-traumatic Abdominal Pain.......
Page 7 and 8: . Routine Patient Care Guidelines -
Page 9 and 10: Acute Coronary Syndromes - Adult co
Page 11 and 12: Cardiac Arrest - AdultBasic Standin
Page 13 and 14: Bradycardia (Symptomatic) - AdultDe
Page 15 and 16: Tachycardia - AdultBasic Standing O
Page 17 and 18: Tachycardia Algorithm - AdultExpert
Page 19 and 20: Allergic Reaction/Anaphylaxis - Adu
Page 21 and 22: Allergic Reaction/Anaphylaxis - Adu
Page 23 and 24: Asthma/COPD/RAD (Reactive Airway Di
Page 25 and 26: Diabetic Emergencies: HypoglycemiaB
Page 27 and 28: Fever (>101.5° F/38.5° C) - Adult
Page 29 and 30: Non-Traumatic Abdominal Pain - Adul
Page 31 and 32: Pain Management - Adult - continued
Page 33 and 34: Poisoning: Overdose-Adult continued
Page 35 and 36: Poisoning: Activated Charcoal - Adu
Page 37 and 38: Poisoning: Nerve Agents and Organop
Page 43 and 44: Seizures - AdultBasic Standing Orde
Page 45 and 46: Suspected Stroke Protocol continued
Page 47 and 48: Suspected Stroke Protocol - Transpo
Page 49 and 50: Basic Standing OrdersDelivery Proce
Page 51 and 52: Obstetrical Emergencies - Normal De
Page 53 and 54: Obstetrical Emergencies - Complicat
Page 55 and 56:
Unresponsive/Altered Mental Status
Page 57 and 58:
Routine Patient Care Guidelines - P
Page 59 and 60:
Routine Patient Care Guidelines - P
Page 61 and 62:
For Epinephrine the IV routeis stro
Page 63 and 64:
Sudden Infant Death Syndrome (SIDS)
Page 65 and 66:
Cardiac Arrest - PediatricBasic Sta
Page 67 and 68:
Cardiac Arrest Algorithm67 | P age
Page 69 and 70:
Bradycardia (Symptomatic) Algorithm
Page 71 and 72:
Tachycardia Algorithm- PediatricExp
Page 73 and 74:
Shock - Pediatric continuedParamedi
Page 75 and 76:
Allergic Reaction/Anaphylaxis - Ped
Page 77 and 78:
Allergic Reaction/Anaphylaxis - Ped
Page 79 and 80:
Asthma/RAD/Croup - Pediatric contin
Page 81 and 82:
Diabetic Emergencies: Hyperglycemia
Page 83 and 84:
Poisoning: Overdose - PediatricBasi
Page 85 and 86:
Poisoning: Activated Charcoal - Ped
Page 87 and 88:
Poisoning: Activated Charcoal - Ped
Page 89 and 90:
Poisoning: Nerve Agents and Organop
Page 91 and 92:
Seizures - PediatricBasic Standing
Page 93 and 94:
Nausea/Vomiting -PediatricBasic Sta
Page 95 and 96:
Unresponsive/Altered Mental Status
Page 97 and 98:
Children with Special Health Care N
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Trauma Assessment and Management -
Page 107 and 108:
Page 109 and 110:
Head Trauma - AdultThe recommendati
Page 111 and 112:
Head Trauma - Adult continuedParame
Page 113 and 114:
Chest Trauma - Adult►►►►Che
Page 115 and 116:
Abdominal Trauma - AdultPre-hospita
Page 117 and 118:
Extremity Trauma - AdultIn the seve
Page 119 and 120:
Eye and Dental Injuries-AdultBasic
Page 121 and 122:
Burns (Thermal) - Adult continuedBa
Page 123 and 124:
Rule of Nines Chart - Burns (Therma
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Head Trauma - PediatricChildren are
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Head Trauma - Pediatric continuedBa
Page 135 and 136:
Chest Trauma - Pediatric►►►
Page 137 and 138:
Abdominal Trauma - PediatricSolid o
Page 139 and 140:
Pain Management - PediatricBasic St
Page 141 and 142:
Pelvic Trauma - PediatricA person m
Page 143 and 144:
Extremity Trauma - Pediatric contin
Page 145 and 146:
Burns (Thermal) PediatricChildren u
Page 147 and 148:
Burns (Thermal) - Pediatric continu
Page 149 and 150:
Environmental Protocols149 | P age
Page 151 and 152:
Snake BitesGeneral ConsiderationsIm
Page 153 and 154:
Heat Cramps/Heat Exhaustion - Adult
Page 155 and 156:
Hypothermia (Environmental) - Adult
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Frostbite - Adult and PediatricMana
Page 163 and 164:
Rapid Sequence Intubation (RSI) and
Page 165 and 166:
Rapid Sequence Intubation (RSI) and
Page 167 and 168:
Rapid Sequence Intubation Algorithm
Page 169 and 170:
NOTE: Paralytic agents will not be
Page 171 and 172:
Failed Airway AlgorithmFAILED AIRWA
Page 173 and 174:
Airway Management - Pediatric conti
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Post Intubation Care► Confirmatio
Page 181 and 182:
Post Intubation Care continued► V
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Post Intubation Care continuedNeuro
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CPAP/BIPAP USEIndications:► Adult
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ACTIVATED CHARCOALClassAdsorbentMec
Page 189 and 190:
ALBUTEROLClassSympathomimetic, bron
Page 191 and 192:
ASPIRINClassPlatelet inhibitor, ant
Page 193 and 194:
Dosage and AdministrationAdult:‐
Page 195 and 196:
DEXAMETHASONE SODIUM PHOSPHATE (Dec
Page 197 and 198:
DIAZEPAMClassBenzodiazepine, sedati
Page 199 and 200:
DILTIAZEM HCL(Non Inventory Item)Cl
Page 201 and 202:
DOPAMINEClassSympathomimetic, inotr
Page 203 and 204:
FENTANYL CITRATE (Non Inventory Ite
Page 205 and 206:
GLUCAGONClassHyperglycemic agent, p
Page 207 and 208:
GLYCOPROTEIN IIb / IIIa INHIBITORS(
Page 209 and 210:
HYDROXOCOBALAMIN(Non Inventory Item
Page 211 and 212:
IPRATROPRIUM BROMIDE (Atrovent)Clas
Page 213 and 214:
LIDOCAINE HCL (2%)ClassAntidysrhyth
Page 215 and 216:
MAGNESIUM SULFATEClassElectrolyte.M
Page 217 and 218:
METOPROLOL (Non Inventory Item)Clas
Page 219 and 220:
MORPHINE SULFATE (Schedule II Narco
Page 221 and 222:
NERVE AGENT ANTIDOTES (AUTO‐INJEC
Page 223 and 224:
Pralidoxime Chloride Injector (2‐
Page 225 and 226:
NITROGLYCERINClassVasodilators.Mech
Page 227 and 228:
ONDANSETRON (Zofran)ClassAnti‐eme
Page 229 and 230:
Oxytocin (Pitocin)ClassHormoneDescr
Page 231 and 232:
PROCAINAMIDE (Non Inventory Item)Cl
Page 233 and 234:
STREPTOKINASE (Non Inventory Item)C
Page 235 and 236:
THIAMINEClassVitamin (B1)Mechanism
Page 237:
VASOPRESSIN(Non Inventory Item)Clas
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Patient Care Protocols - Hardin County Government

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