Ocala/Marion County EMS Pre-Hospital Medical Protocols and Procedures Table of Contents ADULT MEDICAL PROTOCOLS FUNDAMENTALS OF CARE ................................................................................................................... 1-5 ABDOMINAL PAIN ................................................................................................................................... 6 ABDOMINAL AORTIC ANEURYSM ............................................................................................................ 7 ALTERED MENTAL STATUS .................................................................................................................... 8 ANAPHYLAXIS ........................................................................................................................................ 9 CARDIAC ARREST (GENERAL APPROACH) ............................................................................................ 10 CARDIAC ARREST (PEA / ASYSTOLE) .................................................................................................. 11 CARDIAC ARREST (V-FIB / V-TACH) ..................................................................................................... 12 CARDIAC ARREST (POST RESUSCITATION) ........................................................................................... 13 CARDIAC ARREST (THERAPEUTIC HYPOTHERMIA) ................................................................................ 14 CARDIAC DYSRHYTHMIAS (BRADYCARDIA) ........................................................................................... 15 CARDIAC DYSRHYTHMIAS (TACHYCARDIA) ........................................................................................... 16 CHEST PAIN .................................................................................................................................... 17-18 EXTRA PYRAMIDAL SYNDROME (EPS) ................................................................................................. 19 HEMORRHAGIC STROKE .................................................................................................................. 20-21 HYPERKALEMIA ................................................................................................................................... 22 HYPERTENSION .................................................................................................................................... 23 HYPERTHERMIA ................................................................................................................................... 24 HYPOTHERMIA ..................................................................................................................................... 25 NAUSEA AND VOMITING ....................................................................................................................... 26 OBSTETRICAL EMERGENCIES (CHILD BIRTH) .................................................................................. 27-28 OBSTETRICAL EMERGENCIES (PRE-ECLAMPSIA / ECLAMPSIA) ........................................................ 29-30 OVERDOSE / TOXIC EXPOSURE ............................................................................................................ 31 RESPIRATORY EMERGENCIES (GENERAL APPROACH) .......................................................................... 32 RESPIRATORY EMERGENCIES (ASTHMA / COPD) ........................................................................... 33-34 RESPIRATORY EMERGENCIES (CHF) .............................................................................................. 35-36 RESPIRATORY EMERGENCIES (FAILED AIRWAY) .................................................................................. 37 SEIZURES ............................................................................................................................................ 38 SEPSIS ................................................................................................................................................ 39 TRAUMA (GENERAL APPROACH) ..................................................................................................... 40-42 TRAUMA (BURNS) .......................................................................................................................... 43-44 TRAUMA (CRUSH INJURIES) ................................................................................................................. 45 TRAUMA (EXTREMITY INJURIES) ........................................................................................................... 46 TRAUMA (EYE INJURIES) ...................................................................................................................... 47 PEDIATRIC MEDICAL PROTOCOLS PEDIATRIC FUNDAMENTALS OF CARE (GENERAL APPROACH) .......................................................... 49-54 ALTERED MENTAL STATUS .................................................................................................................. 55 ANAPHYLAXIS ...................................................................................................................................... 56 CARDIAC ARREST (GENERAL INFORMATION) ................................................................................... 57-58 CARDIAC ARREST (V-FIB / V-TACH & ASYTOLE / PEA) ........................................................................ 59 CARDIAC DYSRHYTHMIAS (BRADYCARDIA) ........................................................................................... 60 CARDIAC DYSRHYTHMIAS (SUPRAVENTRICULAR TACHYCARDIA) ........................................................... 61 Table of Contents NAUSEA & VOMITING ........................................................................................................................... 62 NEWLY BORN ................................................................................................................................. 63-64 RESPIRATORY EMERGENCIES (GENERAL APPROACH) .......................................................................... 65 RESPIRATORY EMERGENCIES (ASTHMA / BRONCHIOLITIS) ................................................................. 66 RESPIRATORY EMERGENCIES (CROUP / EPIGLOTTITIS) ...................................................................... 67 RESPIRATORY EMERGENCIES (AIRWAY OBSTRUCTION (FBAO) ......................................................... 68 SEIZURES ............................................................................................................................................ 69 SHOCK ................................................................................................................................................ 70 TRAUMA (GENERAL APPROACH) ..................................................................................................... 71-72 TRAUMA (BURNS) ........................................................................................................................... 73-74 TRAUMA (FRACTURES & DISLOCATIONS) ............................................................................................. 75 TRAUMA (HEAD INJURIES) ............................................................................................................... 76-77 MEDICAL PROCEDURES AIRWAY MANAGEMENT (GENERAL APPROACH) .................................................................................... 79 AIRWAY MANAGEMENT (AUTO VENT 4000) ..................................................................................... 80-81 AIRWAY MANAGEMENT (BOUGIE AS AN ENDOTRACHEAL TUBE INTRODUCER) ................................. 82-83 AIRWAY MANAGEMENT (CHEST TUBE PLACEMENT (PIG TAIL)) ....................................................... 84-85 AIRWAY MANAGEMENT (CHEST DECOMPRESSION) ............................................................................... 86 AIRWAY MANAGEMENT (CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)) ...................................... 87 AIRWAY MANAGEMENT (CRICOTHYROTOMY – NEEDLE) ........................................................................ 88 AIRWAY MANAGEMENT (CRICOTHYROTOMY – SURGICAL) ..................................................................... 89 AIRWAY MANAGEMENT (END TIDAL CO2) ............................................................................................. 90 AIRWAY MANAGEMENT (ENDOTRACHEAL INTUBATION) ......................................................................... 91 AIRWAY MANAGEMENT (KING AIRWAY) ........................................................................................... 92-93 AIRWAY MANAGEMENT (NASOTRACHEAL INTUBATION) .................................................................... 94-95 AIRWAY MANAGEMENT (NEBULIZER UPDRAFT) .................................................................................... 96 AIRWAY MANAGEMENT (REVEL VENTILATOR) ................................................................................. 97-99 AIRWAY MANAGEMENT (RSI) ...................................................................................................... 100-101 AIRWAY MANAGEMENT (SUCTIONING) ......................................................................................... 102-103 ARTERIAL LINE INSERTION ................................................................................................................. 104 BALLOON PUMP................................................................................................................................