MARION COUNTY REGIONAL EMS CONSORTIUM Marion & Polk County Oregon Emergency Medical Services PATIENT TREATMENT PROTOCOLS 2021 1 , and Marion County 1 HOSPITALS ADDRESS MAIN PHONE ED PHONE FAX NUMBER 890 Oak St SE Salem Hospital 503-561-5200 503-814-1055 Salem OR 97301 1401 N 10th St Santiam Hospital 503-769-2175 503-769-9256 503-769-4023 Stayton OR 97383 342 Fairview St, Legacy Silverton Hospital (503) 873-1500 Silverton, OR 97381 1046 6th Ave SW Good Sam Albany Hospital 541-812-4000 Albany, OR 97321 Good Sam Regional Medical 3600 NW Samaritan Drive 541-768-5111 Center Corvalllis Corvallis, OR 97330 Samaritan Lebanon 525 Santiam Hwy SE, 541-258-2101 Community Hospital Lebanon, OR 97355 525 SE Washington Street West Valley Hospital 503-623-8301 Dallas OR 97355 Providence Newberg Medical 1001 Providence Dr. 503-537-1555 503-537-1785 Center Newberg. OR 97132 Shriners Hospital for Children 3101 SW Sam Jackson Park Rd 503-241-5090 -Portland Portland OR 97239 2801 N. Gantenbein Ave. Legacy Emanuel 503-413-2200 503-413-4121 Portland OR 97227 Randall Children’s Hospital at 2801 N. Gantenbein Ave. 503-276-6500 Legacy Emanuel Portland OR 97227 3181 SW Sam Jackson Park Rd OHSU ED 503-494-4036 503-494-7551 Portland OR 97239 3710 SW US Veterans Hospital Rd, VA Portland ED 503-721-7803 Portland, OR 97239 Willamette Valley Medical 2700 SE Stratus Ave. 503-472-6131 Center McMinnville OR 97128 10180 Sunnyside Rd Kaiser Sunnyside 503-813-2000 503-571-9516 Clackamas OR 97015 19300 S.W. 65th Ave. Legacy Meridian Park 503-692-1212 503-692-7467 Tualatin Oregon 97062 Portland Adventist Medical 10300 SE Main St 503-251-6168 503-257-2500 Center ED Portland OR 97216 9205 SW Barnes Rd. Providence St Vincent ED 503-216-1234 503-216-2444 Portland OR 97225 Providence Willamette Falls 1500 Division St 503-656-1631 503-657-6702 ED Oregon City 97045 Mckenzie Willamette Medical 1460 G Street 541-726-4400 Center Springfield OR 97477 Sacred Heart University 1255 Hilyard Street 541-686-7300 District Eugene OR 97401 1253 NE Neff Rd Saint Charles Bend 541-382-4321 Bend OR 97701 Table of Contents Scope of Practice ....................................................................................................................... 00.010 Medical Control of Medications and Procedures ................................................................... 00.040 Treatment – 10.000 Universal Patient Care ....................................................................................................... 10.005 Abdominal Pain .................................................................................................................. 10.010 Altered Mental Status & Coma ............................................................................................ 10.020 Anaphylaxis & Allergic Reactions....................................................................................... 10.030 Brief Resolved Unexplained Event (BRUE)....................................................................... 10.035 Burns ................................................................................................................................... 10.040 Cardiac Arrest – AED / CPR ............................................................................................... 10.050 Cardiac Arrest – General Guidelines .................................................................................. 10.050 Cardiac Arrest – Asystole .................................................................................................... 10.050 Cardiac Arrest – PEA .......................................................................................................... 10.050 Cardiac Arrest – VFib / Pulseless VT .................................................................................. 10.050 Cardiac Arrest – Trauma ……………………………………………………………………….10.050 Cardiac Arrest – Pregnancy >22 Weeks ............................................................................. 10.050 Cardiac Arrest – Post Resuscitation ................................................................................... 10.050 Cardiac Dysrhythmias – Bradycardia .................................................................................. 10.060 Cardiac Dysrhythmias – Tachycardia - Stable .................................................................... 10.060 Cardiac Dysrhythmias – Tachycardia - Unstable ............................................................... 10.060 Chest Pain / Acute Coronary Syndrome ............................................................................ 10.070 Crush Injury / Entrapment................................................................................................... 10.075 Eye Emergencies ................................................................................................................10.076 Fever Management ............................................................................................................ 10.077 Hyperkalemia ...................................................................................................................... 10.078 Hyperthermia ...................................................................................................................... 10.080 Hypothermia ........................................................................................................................10.090 Musculoskeletal Trauma – Extremity / Hemorrhage .......................................................... 10.100 Musculoskeletal Trauma – Spinal Injury ............................................................................ 10.100 Nausea & Vomiting ............................................................................................................. 10.110 Neonatal Resuscitation ...................................................................................................... 10.120 Obstetrical Emergencies & Childbirth ................................................................................ 10.130 Pain Management ...............................................................................................................10.135 Preface – Revised 10/1/20 Table of Contents - Page 1 of 5 Table of Contents Treatment – 10.000 (Continued) Poisoning & Overdose .........................................................................................................10.140 Respiratory Distress ............................................................................................................10.160 Seizures ...............................................................................................................................10.170 Sepsis ................................................................................................................................. 10.175 Shock .................................................................................................................................. 10.180 Stroke / CVA ....................................................................................................................... 10.190 Submerged Patient ............................................................................................................. 10.200 Traumatic Brain Injury ..........................................................................................................10.300 Medications – 20.000 Acetaminophen ....................................................................................................................20.005 Activated Charcoal...............................................................................................................20.010 Adenosine (Adenocard®) ..................................................................................................... 20.020 Albuterol (Ventolin®) ............................................................................................................ 20.030 Amiodarone (Cordarone®) ................................................................................................... 20.040 Aspirin ..................................................................................................................................20.050 Atropine Sulfate ...................................................................................................................20.060 Calcium Gluconate ............................................................................................................. 20.070 Dexamethasone (Decadron®).............................................................................................. 20.075 Dextrose ..............................................................................................................................20.080 Diphenhydramine (Benadryl®) ............................................................................................. 20.090 Dopamine (Intropin®) ...........................................................................................................20.100 Droperidol ............................................................................................................................20.102 Epinephrine ........................................................................................................................