SD Protocols

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Author:
jprice2010
ID:
28240
Filename:
SD Protocols
Updated:
2010-07-28 03:15:24
Tags:
SD Protocols emt bls san diego
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Description:
San Diego County EMT-B Protocols 2009/2010
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  1. S-120
    Abdominal Discomfort / GI / GU (Nontraumatic)
    • - Ensure patent airway
    • - 02 and/or ventilate prn
    • - NPO
    • -Anticipate vomiting
  2. S-121
    Airway Obstruction (Foreign Body)

    *For Conscious PT
    *If PT becomes unconscious or is found unconscious
    • *For conscious PT
    • - Reassure, encourage coughing
    • - 02 prn
    • - Abdominal thrusts (Chest thrusts for obesity or pregnant)
    • *PT become unconscious or found unconscious
    • - Begin CPR
    • - Look in mouth with each rescue breath and remove object if it is seen
    • - Once object is removed: high flow 02, ventilate prn
  3. S-122
    Allergic Reaction / Anaphylaxis
    • - Ensure patent airway
    • - 02 and/or ventilate prn
    • - Remove stinger/injection mechanism
    • - May assist patient to self medicate own prescribed MDI or EpiPen ONE TIME ONLY. Base Hospital contact required prior to any repeat dose.
  4. S-123
    Altered Neurologic Function (Nontraumatic)

    *Basic 1st
    *Hypoglycemia (suspected)
    *CVA/Stroke
    *Seizures
    *Behavioral Emergencies
    • - Ensure patent airway, 02 and/or ventilate prn
    • - Spinal stabilization prn
    • - Secretion problems, position on affected side
    • - Do not allow PT to walk
    • - Restrain prn

    • *Hypoglycemia (suspected) or PT's glucometer results read <75mg/dL
    • - If PT is awake and has gag reflex, give 3 oral glucose tabs or paste (15Gm total). PT may eat or drink if able.
    • -If PT is unconscious, NPO.

    • *CVA/Stroke
    • - For suspected stroke with major deficit with onset of symptoms known to be <3 hours in duration, expedite transport.
    • - Make initial notification early to confirm destination.
    • - Use the Prehospital Stroke Scale in the assessment of possible CVA PT's (facial droop, arm drift and speech abnormalities)

    • *Seizures
    • - Protect airway, and protect from injury
    • - Treat associated injuries

    • *Behavioral Emergencies
    • (S-422 and S-142) Restaints

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