EMS 2

30 degrees

systolic less than 90 mmHG

if time of onset is greater than 2 hours

if time of onset is 2 hours or less

only if time will be saved 

• -distance + travel exceeds 25 min
• -helicopter can be launched prior to rescue arrival

full Fowler's position

220 mmHG

120 mmHG

semi-Fowler's position

100%

• Unwitnessed Arrest
• Perform 2min of CPR prior to any other intervention

Supine, Fowlers or Semi-Fowlers

Shock position (Trendelenburg position)

LSB elevated on right side approx. 15° or (6")

If LSB cannot be elevated, manually displace uterus to the left as much as possible without causing spinal movement and maintain this throughout transport.

Shock position- use caution with trauma PT, potential respiratory compromise.

Maintain pt in supine position to reduce leakage of fluids from the eye.

If blood noted in anterior chamber elevate head or LSB to 40°

Place them in the shock position

Place them in the position of comfort, with head of bed elevated to 30° if tolerated.

Full Fowlers position

Semi-Fowlers or position of comfort

Recovery position

sitting position with head leaning forward

Shock position

Semi-Fowlers with the head elevated 30°

1st or 2nd trimester- position of comfort

3rd trimester- recover position (left side)

Breech Delivery - Knee-Chest position

Limb or Brow presentation- Knee-Chest

Prolapsed Cord- Knee-Chest or supine with hips elevated

Head of the stretcher should be at least at a 45° angle

• Apearance
• Pulse
• Grimmace
• Activity
• Respirations

• Appearance
• 0 Blue all over
• 1 Acrocyanosis
• 2 Pink all over

• Pulse
• 0 Absent
• 1 Less than 100
• 2 Greater or equal to 100

• Grimmace
• 0 No Response
• 1 Grimmace/Weak Cry
• 2 Sneeze/Cough Vigorous Cry

• Activity/Muscle Tone
• 0 Limp/Flacid
• 1 Some Motion/Flexion
• 2 Active Motion

• Respirations
• 0 Absent
• 1 Slow/irregulat
• 2 Vigorous Cry/Normal Respirations

• EYE Opening
• 4 Spontaneous
• 3 To Speach
• 2 To Pain
• 1 None

• Verbal Response
• 5 Oriented
• 4 Confused
• 3 Inappropriate Words
• 2 Incomprehensible sounds
• 1 None

• Best Motor Response
• 6 Obeys
• 5 Localizes
• 4 Withdraws
• 3 Flexion
• 2 Extension
• 1 None

• Statewide #, obtain name and ID from contact person
• Notify Rescue District/Batt Chief
• Notify Division Chief of Rescue in writing within 24hrs that you've reported to Florida Abuse Regisry

Sharps

Active airway assistance beyond beyond administration of oxygen

• Patient lacks a radial pulse with HR >120
• or
• Has systolic <90

• Pt. has 2nd or 3rd degree burns to 15% or more of the total body surface area
• or
• Amputation proximal to wrist/ankle
• or
• Penetrating injury to the head, neck or torso

• The PT exihibits a score or 4 or less on the GCS 
• or
• exhibits the presence of paralysis
• or
• there is suspicion of spinal cord injury
• or
• the loss of sensation

Pt reveals signs or symptoms of two or more long bone fracture sites

The patient as a resp rate of 30 or greater

patient has a sustained HR of 120 or greater

BMR of 5 on GCS

Pt has soft tissue loss from either major degloving or a major flap avulsion 5" or greater.

GSW to extremities

Pt reveals signs or symptoms of a single longbone fracture from a MVC or a fall from 10' or greater

Pt is 55yrs or older

Pt has been ejected from a motor vehicle or driver of vehicle impacted with the steering wheel causing steering wheel deformity