EFFECTIVE: October 23, 2020 (Replaces March 1, 2020 Version) PO BOX 3902 – LAS VEGAS, NV 89127 TABLE OF CONTENTS Foreword .................................................................................................................................................................................... 5 Terms and Conventions.............................................................................................................................................................. 8 ADULT TREATMENT PROTOCOLS...................................................................................................................................... 10 General Adult Assessment ................................................................................................................................................ 11 General Adult Trauma Assessment ................................................................................................................................... 13 Abdominal Pain/Flank Pain, Nausea & Vomiting .............................................................................................................. 15 Allergic Reaction ............................................................................................................................................................... 17 Altered Mental Status/ Syncope ....................................................................................................................................... 19 Behavioral Emergencies .................................................................................................................................................... 21 Bradycardia ....................................................................................................................................................................... 23 Burns ................................................................................................................................................................................. 25 Cardiac Arrest (Non‐Traumatic) Adult CCC CPR ................................................................................................................ 27 Chest Pain (Non Traumatic) and Suspected Acute Coronary Syndrome .......................................................................... 29 Childbirth/Labor ................................................................................................................................................................ 31 Cold Related Illness ........................................................................................................................................................... 33 Drowning ........................................................................................................................................................................... 35 Epistaxis ............................................................................................................................................................................ 37 Heat Related Illness ........................................................................................................................................................... 39 Hyperkalemia (Suspected) ................................................................................................................................................ 41 Obstetrical Emergency ...................................................................................................................................................... 43 Overdose/Poisoning .......................................................................................................................................................... 45 Pain Management ............................................................................................................................................................. 47 Pulmonary Edema/CHF ..................................................................................................................................................... 49 Respiratory Distress .......................................................................................................................................................... 51 Seizure ............................................................................................................................................................................... 53 Sepsis ................................................................................................................................................................................ 55 Shock ................................................................................................................................................................................. 57 Smoke Inhalation .............................................................................................................................................................. 59 STEMI (Suspected) ............................................................................................................................................................ 61 Stroke (CVA) ...................................................................................................................................................................... 63 Tachycardia/Stable ............................................................................................................................................................ 65 Tachycardia/Unstable ....................................................................................................................................................... 67 Targeted Temperature Management & Post‐Resuscitation Care ..................................................................................... 69 Ventilation Management .................................................................................................................................................. 71 PEDIATRIC TREATMENT PROTOCOLS ................................................................................................................................ 73 General Pediatric Assessment ........................................................................................................................................... 74 General Pediatric Trauma Assessment ............................................................................................................................. 76 Abdominal Pain, Nausea & Vomiting ................................................................................................................................ 78 Allergic Reaction ............................................................................................................................................................... 80 Altered Mental Status ....................................................................................................................................................... 82 Behavioral Emergencies .................................................................................................................................................... 84 Bradycardia ....................................................................................................................................................................... 86 Burns ................................................................................................................................................................................. 88 Cardiac Arrest (Non‐Traumatic) ........................................................................................................................................ 90 PEDIATRIC TREATMENT PROTOCOLS (CONTINUED) Cold Related Illness ........................................................................................................................................................... 92 Drowning ........................................................................................................................................................................... 94 Epistaxis ............................................................................................................................................................................ 96 Heat Related Illness ........................................................................................................................................................... 98 Neonatal Resuscitation ................................................................................................................................................... 100 Overdose/Poisoning ........................................................................................................................................................ 102 Pain Management ........................................................................................................................................................... 104 Respiratory Distress ........................................................................................................................................................ 106 Seizure ............................................................................................................................................................................. 108 Shock ..............................................................................................................................................................................