Regional Protocol PROTOCOL SECTION NORTHWEST ARKANSAS REGIONAL EMS PROTOCOLS 2019 REVISION 2019 a Regional Protocol PROTOCOL SECTION TABLE OF CONTENTS……………………………………………………………………………….b - e INTRODUCTORY STATEMENT………………......……………………………………………….........f PARTICIPATING AGENCIES………………………………………………………………………….…………..g 2019 DEPARTMENT MEDICAL DIRECTORS & SIGNATURE………………..…………………………........h SECTION ONE - PROTOCOLS GENERAL PROTOCOLS UNIVERSAL PATIENT CARE ................................................................................................................... 1 CHEMICAL EXPOSURE (HAZMAT) ......................................................................................................... 2 CHEMICAL SEDATION FOR VIOLENT PATIENT .................................................................................... 3 PAIN MANAGEMENT ............................................................................................................................... 4 SPINAL RESTRICTION ............................................................................................................................ 5 VASCULAR ACCESS ............................................................................................................................... 6 RESPIRATORY OXYGEN ADMINISTRATION……….…………………………………………………………..…………………..7 GENERAL AIRWAY MANAGEMENT………………….……………………………………..…………………….8 ADVANCED AIRWAY MANAGEMENT….……………………………………………………..…………………..9 PHARMACOLOGICAL ASSISTED INTUBATION (PAI)………………….……………………………………..10 ALLERGIC REACTION—ANAPHYLAXIS….……………………………………………………………………..11 ASTHMA………………………………….……………………………….………..…………………...……………12 COPD……………………………………………………………………………………………………...................13 PULMONARY EDEMA……………………………………………………………………………………………...14 STRIDOR (UPPER AIRWAY OBSTRUCTION)………………………....…………………………...................15 CARDIAC / RESUSCITATION ACUTE CORONARY SYNDROMES ...................................................................................................... 16 AUTOMATED DEFIBRILLATION/ CPR .................................................................................................. 17 DEATH/WITHHOLDING RESUSCITATION ............................................................................................ 18 DO NOT RESUSCITATE ........................................................................................................................ 19 TERMINATION OF RESUSCITATION PROTOCOL ............................................................................... 20 ASYSTOLE ............................................................................................................................................. 21 BRADYCARDIA ...................................................................................................................................... 22 CARDIAC ARREST ................................................................................................................................ 23 NARROW COMPLEX TACHYCARDIA ................................................................................................... 24 POST RESUSCITATION ........................................................................................................................ 25 PULSELESS ELECTRICAL ACTIVITY ................................................................................................... 26 VENTRICULAR FIBRILLATION / PULSLESS V-TACH .......................................................................... 27 WIDE COMPLEX TACHYCARDIA.......................................................................................................... 28 MEDICAL/ENVIRONMENTAL EMERGENCIES ABDOMINAL PAIN ................................................................................................................................. 29 ACUTE STROKE—CVA ......................................................................................................................... 30 ALTERED LEVEL OF CONSCIOUSNESS/MENTATION ....................................................................... 31 BITES, STINGS, and ENVENOMATIONS .............................................................................................. 32 DIABETIC EMERGENCIES .................................................................................................................... 33 HEAT EMERGENCIES ........................................................................................................................... 34 HYPERTENSIVE CRISIS ....................................................................................................................... 35 HYPOTENSION—SYMPTOMATIC ........................................................................................................ 36 HYPOTHERMIA ..................................................................................................................................... 37 2019 b Regional Protocol PROTOCOL SECTION NAUSEA—VOMITING—DIARRHEA .......................................................................................................38 NEAR DROWNING/DROWNING ............................................................................................................39 OVERDOSE/TOXIC EXPOSURE ............................................................................................................40 SEIZURE .................................................................................................................................................41 SEPSIS………………...…………………………………………………………………………………………….42 SYNCOPE ...............................................................................................................................................43 TRAUMA BURNS ....................................................................................................................................................44 CHEST TRAUMA ....................................................................................................................................45 DESTINATION PROTOCOL ....................................................................................................................46 GLASGOW COMA SCORE .....................................................................................................................48 DIVING EMERGENCIES (SCUBA) .........................................................................................................49 EXTREMITY TRAUMA ............................................................................................................................50 SHOCK- TRAUMA ..................................................................................................................................51 TASER REMOVAL ................................................................................................................................ ..52 TRAUMA…………………………………...………………………………………………….…………………….53 TRAUMATIC BRAIN INJURY ................................................................................................................. .54 OBSTETRICS CHILDBIRTH ...........................................................................................................................................55 COMPLICATIONS IN CHILDBIRTH (Multiples/Prolapsed Limb/Nuchal & Prolapsed Cord/Pre- Term)……...…………………………………………………………………………………………………………56 COMPLICATIONS IN CHILDBIRTH (Shoulder Dystocia/Breech) ............................................................57 ECLAMPSIA-PREECLAMPSIA…. ...........................................................................................................58 POST PARTEM CARE…………………………………………………...………………………………………..59 NEWBORN RESUSCITATION ............................................................................................................. ...60 PEDIATRIC UNIVERSAL PATIENT CARE - Pediatric.................................................................................................61 AIRWAY MANAGEMENT - Pediatric .......................................................................................................62 ALLERGIC REACTION – ANAPHYLAXIS - Pediatric ..............................................................................63 ASTHMA - PEDIATRIC ...........................................................................................................................64 ASYSTOLE/PULSELESS ELECTRICAL ACTIVITY - Pediatric ...............................................................65 BRADYCARDIA - Pediatric ......................................................................................................................66 DIABETIC EMERGENCIES - Pediatric ....................................................................................................67 MULTIPLE TRAUMA - Pediatric ..............................................................................................................68 OVERDOSE/TOXIC EXPOSURE - Pediatric ...........................................................................................69 POST RESUSCITATION - Pediatric ........................................................................................................70 SEIZURE - Pediatric ................................................................................................................................71 STRIDOR(UPPER AIRWAY OBSTRUCTION) - Pediatric .......................................................................72 TACHYCARDIA - Pediatric ......................................................................................................................73