Universal Protocol Section , s ' / ) , s founds or zosteror , IM / and strict and IO / . , A patient with a patient A with kg PO kg Ibuprofen . . / mg PO mg scabies , ) mg IV mg and and Neuro mg mg Lymphomas ) , / 1000 15 15 15 15 ) s ): ( MRSA . Do patients Do to not give who g Sepsis This level of precaution precaution of levelThisis . . / Toradol e ( . . Tumors ( . Exit to Exit / Extremities Protocol , as as indicated Arthritis Vasculitis

Age Age Appropriate Adults Adults Only   ( . Infections Infections Cancer drug or Medication reaction tissueConnective disease Hyperthyroidism Heat Stroke Meningitis Acetaminophen Acetaminophen Back

Acetaminophen Acetaminophen : Ketorolac Ketorolac , ( Differential        : . Adult Peds Ketorolac Ketorolac , NSAIDs Abdomen . , in have in who NSAID patients allergiesto known drug , drug resistant organisms resistantorganisms drug B A - , change of gloves after every patient contactevery patient after gloveschange of . , ) Lungs F rash ,

. severe headaches in which intracranial bleeding is inheadachesbleeding intracranialwhich suspected is severe ° , are a contraindication to Ibuprofen to are contraindication a , 4 This level of precaution should be utilized when be utilized influenza when precaution of should levelThis . ) 10 abdominal abdominal pain . . , Heart chest pain chest 100 ) . , ,

C as per as per the protocolpain usedcontrol can patientsbe for fever with ≥ UP

) ° and AirbornePrecautions and IOProcedure Neck dysuria , 38 / cough If If indicated if if available , , ( Do not use Ketorolac and Ibuprofen and Ketorolactogether Ibuprofen Do use not , . IV IV Rigors / Toradol ( InfectionControl Droplet stomach ulcers or in patients who may need acute surgical acutemayneedsuch surgical aswho in intervention or stomach patients ulcers HEENT , , yalgias with active bleeding with active

and other illnesses spread via large particle droplets are viaspreadare otherdropletsparticlelarge suspected illnesses and , Temperature , . , s abilityto and s loss sweat improves heat Warm Flushed Sweaty Chills M headache status mental changes ) ’ / mask for the patientthe for mask

Helpful to localize source to Helpfullocalize 2     Symptoms Associated (  Signs andSymptoms Temperature Measurement Measurement TemperatureProcedure Skin , years inflammatory medications inflammatory Contact - Ketorolac Ketorolac . , . 15 15 ). ≤ HIV , A B age age , SARS This level of precaution This levelof whenmulti is utilized . g include standard PPE plus airborne precautions precautions precautions PPE contactstandard airborne plus include plus . . steroidal steroidal anti . - Mental Status Mental e ( include standard PPE plus utilization of a of PPE standard utilization gown a include plus Fever : : transplant include standardPPE include astandardsurgical plus providers accompanymask infor who patients theback the of (

non NO ( streptococcal pharyngitis streptococcal inflammatory medications inflammatory , This protocol has been altered from the original NCCEP Protocol by the Johnston County EMS MedicalDirector byCountythe from hasJohnston protocol the original Protocol EMS This altered been NCCEP - ) s ( ) mumps or other illnesses spread by contact are are contactbyspreadother suspected or illnesses , Exit to Exit , cancer ) give aspirin to a child aaspirin to give , Protocol

as as indicated steroidal steroidal anti Age Age Appropriate - hazards hazards precautions - non shingles Do not Do NSAIDs should not be used in the setting of environmentalsettingthe heatused of emergencies should NSAIDs in be not Rehydration with fluids increases the increases with Rehydrationpatient the fluids medications pain to documentedallergies prior administering drug should have All patients to Allergies NSAIDs All Airborne precautions precautions Airborne Patients with a history of liver failure should not receive acetaminophenreceivenot liver historya of Patients should failure with precautions Droplet Recommended Exam Recommended temperature elevation rapida and in seizuresfebrile with with history ain of likely children are seizuresmore Febrile abdominal pain when GI bleeding is suspected is abdominal bleeding GI when pain deformitiesfractureorfracturesopen in protocol fever Ibuprofenthe aches of body instead have renal diseaserenaltransplant renalor have diseaserenalknown transplantrenalpatients or used with should in be not ( ( i agent unknown iscausative infectionthe the when or etiology theof anwhen outbreak initialof thephases utilized during behighly to contagious potentially infectious rash should be treated with treated rashwith infectious should precautions droplet potentially be precautions washing hand ambulance and a surgical mask or NRB NRB surgicaloramaskO and ambulance meningitis

Environmental exposureEnvironmental ibuprofenor acetaminophen Last Severity fever Severity of medicalhistory Past Medications Immunocompromised Age feverDuration of diabetes

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