Tier II Critical Care ALS Transport

Chest Tubes1. General Care according to the MWLCEMS System Chest Tube policy2. Tube dislodged from patient: Ask patient to cough or exhale; apply occlusive dressing, tape on three sides: NotifyOLMC and divert to the closest hospital; Monitor for signs and symptoms of tension pneumothorax, if develops liftside of dressing to allow air release than recover wound.3. Tube disconnected from drainage system: Immediately reconnect; assess patient for signs of respiratory distress;Notify medical control immediately with assessment and for further orders.Gastric Tubes:1. Patients will not be transported with tube feedings infusing.