Emergency Medical Protocol Guide

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

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

5-16

5-17

5-18

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

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

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

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

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

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

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
Incident Command System EMS Incident Command Functions Mass Casualty Incident START Triage JUMPSTART Triage Common Drugs Common Medical Phrases (Sign) Manual Alphabet English Spanish Field Reference Human Body Figures (in Spanish) Notes Protocol Change Form	11-2 11-3 11-4 to 11-6 11-7 11-8 11-9 to 11-11 11-12 11-13 11-14 to 11-16 11-17 to 11-18 11-19 11-20
SECTION 12 - KNOXVILLE VOLUNTEER RESCUE SQUAD	12-1
SECTION 13 - OPERATING PROTOCOL FOR THE OAK RIDGE RESERVATION INSERT