Northwest Region EMS Protocols Clallam, Mason, Kitsap & Jefferson Counties and Navy Region NW MPD Approved December 2014 Washington State DOH approved October 2014 1 2014 - Northwest Region Emergency Medical Services & Trauma Care Council 2 2014 - Northwest Region Emergency Medical Services & Trauma Care Council Sections are color coded as follows: Introduction Regional Guidelines ...................................................................................................................... 8 NW Region Patient Care Procedures ............................................................................................ 8 CDC National Trauma Triage Procedure ....................................................................................... 9 Clallam .................................................................................................................................... 10-A Jefferson ................................................................................................................................. 10-B Mason ..................................................................................................................................... 10-C Kitsap ...................................................................................................................................... 10-D West Olympic Penninsula ....................................................................................................... 10-E Prehospital Provider Conduct ...................................................................................................... 11 Infection Control Standards ......................................................................................................... 11 Patient Refusal of Medical Evaluation ......................................................................................... 11 Protocols Adult/Pediatric START/JumpSTART Triage ................................................................................ 12 Universal Patient Care ................................................................................................................ 13 Suspected Abuse ........................................................................................................................ 14 Cardiac Cardiac Arrest ............................................................................................................................. 15 Non-Traumatic Shock.................................................................................................................. 16 Bradycardia ................................................................................................................................. 17 Narrow Complex Tachycardia ..................................................................................................... 18 Wide Complex Tachycardia ........................................................................................................ 19 V-Fib/Pulseless V-Tac ................................................................................................................. 20 Asystole / PEA (no shock advised) .............................................................................................. 21 Hyperkalemia .............................................................................................................................. 22 Chest Pain / Acute Coronary Syndrome ...................................................................................... 23 Respiratory Airway (Adult) .............................................................................................................................. 24 Failed Airway (Adult) ................................................................................................................... 25 Reactive Airway Disease ............................................................................................................. 26 Pulmonary Edema ....................................................................................................................... 27 Post Resuscitation Management ................................................................................................. 28 Medical Abdominal Pain ........................................................................................................................... 29 Allergic Reaction ......................................................................................................................... 30 Altered Mental Status / Diabetic Emergency ............................................................................... 31 General Illness ............................................................................................................................ 32 Overdose / Poisoning .................................................................................................................. 33 Pain Management ....................................................................................................................... 34 Psychological / Emotional / Excited Delirium ............................................................................... 35 Seizure ........................................................................................................................................ 36 Stroke .......................................................................................................................................... 37 OB / GYN Pregnancy Induced Hypertension ............................................................................................... 38 Postpartum .................................................................................................................................. 39 3 2014 - Northwest Region Emergency Medical Services & Trauma Care Council Environmental Environmental ................................................................................................................................ 40 Burns .............................................................................................................................................. 41 SCUBA Emergencies ..................................................................................................................... 42 Drowning / Near Drowning ............................................................................................................. 43 Head Injury ..................................................................................................................................... 44 Multi-system Trauma ...................................................................................................................... 45 Pediatric Protocols Pediatric Airway ............................................................................................................................ 46 Pediatric Rapid Sequence Intubation ............................................................................................. 47 Pediatric Cardiac Arrest ................................................................................................................. 48 Pediatric Bradycardia ..................................................................................................................... 49 Pediatric Narrow Complex Tachycardia ......................................................................................... 50 Pediatric Wide Complex Tachycardia ............................................................................................. 51 Pediatric V-Fib/Pulseless V-Tach (shock advised) ......................................................................... 52 Pediatric PEA / Asystole ................................................................................................................. 53 Pediatric Post Resuscitation Management ..................................................................................... 54 Pediatric Anaphylaxis ..................................................................................................................... 55 Pediatric Apparent Life Threatening Event (ALTE) ......................................................................... 56 Pediatric Breathing Difficulty .......................................................................................................... 57 Pediatric Diabetic Ketoacidosis / Hyperglycemia ............................................................................ 58 Pediatric Hypoglycemia .................................................................................................................. 59 Newborn Resuscitation/Post Delivery Care .................................................................................... 60 Pediatric Known Toxic Exposure .................................................................................................... 61 Pediatric Pain Management ........................................................................................................... 62 Pediatric Fever ............................................................................................................................... 63 Pediatric Shock Non-Traumatic ...................................................................................................... 64 Pediatric Seizure ............................................................................................................................ 65 Pediatric Multi-System Trauma .....................................................................................................