Albuquerque (NM) Protocols (2010)

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Transcript of Albuquerque (NM) Protocols (2010)

Albuquerque Bernalillo County Emergency Medical Services System Protocols and GuidelinesEMT - Basic - Intermediate - Paramedic Revision Release: April 1, 2010

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Albuquerque Bernalillo County Emergency Medical Services System Protocols and GuidelinesApproved for release this date: University of New Mexico Hospital Presbyterian Hospital System Lovelace Hospital System Heart Hospital of New Mexico Veterans Administration Medical Center April 1, 2010 Paul Cheney, M.D. Timothy Durkin, M.D. Lance Wilson, M.D. Robert McDevitt, M.D. Audrey Urbano, M.D.

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Table of ContentsAirway Section ................................................................................................................................. 6 A-1 Airway Management & Intubation Guidelines ............................................................... 7 A-2 Adult Obstructed Airway ............................................................................................... 9 A-3 Pediatric Airway Obstruction ....................................................................................... 10 A-4 Pediatric Croup, Epiglottitis ......................................................................................... 11 Adult Cardiac Section [AC] ........................................................................................................... 12 AC-1 Adult Cardiac Section............................................................................................... 13 AC-2 Analgesia-Sedation for Noninvasive Pacing ............................................................ 15 AC-3 Asystole ................................................................................................................... 16 AC-4 Atrial Fibrillation & Atrial Flutter ................................................................................ 17 AC-5 Symptomatic Bradycardia ........................................................................................ 18 AC-6 Cardiogenic Shock ................................................................................................... 19 AC-7 Pulseless Electrical Activity ...................................................................................... 20 AC-8 Myocardial Infarction ................................................................................................ 21 AC-9 Pulmonary Edema, Congestive Heart Failure .......................................................... 23 AC-10 Sinus Tachycardia.................................................................................................. 24 AC-11 Supraventricular Tachycardia................................................................................. 25 AC-12 Ventricular Fibrillation/Pulseless Ventricular Tachycardia ...................................... 27 AC-13 Stable Ventricular Tachycardia .............................................................................. 29 AC-14 Unstable Ventricular Tachycardia .......................................................................... 30 AC-15 Cardiac Arrest-Post Resuscitation: Unconscious ................................................... 32 Pediatric Cardiac Section [PC] ..................................................................................................... 33 PC-1 Pediatric Asystole..................................................................................................... 34 PC-2 Pediatric Bradycardia With Cardio-respiratory Compromise .................................... 35 PC-3 Pediatric Pulseless Electrical Activity ....................................................................... 36 PC-4 Neonatal Resuscitation ............................................................................................ 37 PC-5 Pediatric Sinus Tachycardia ..................................................................................... 38 PC-6 Pediatric Supraventricular Tachycardia.................................................................... 39 PC-8 Pediatric Ventricular Tachycardia............................................................................. 40 PC-9 Pediatric Transport Protocol ..................................................................................... 41 Medical Section .............................................................................................................................42 M-1 Anaphylaxis ................................................................................................................ 43 M-2 Reactive Airway Disease ........................................................................................... 44 M-3 Carbon Monoxide Poisoning ...................................................................................... 45 M-4 Heat Exhaustion and Heat Stroke .............................................................................. 46 M-5 Hypoglycemia............................................................................................................. 47 M-6 Hypothermia ...............................................................................................................49 M-7 Apparent Life-Threatening Events in Infants .............................................................. 50 M-8 Drug Overdose ........................................................................................................... 51 M-9 Stroke ......................................................................................................................... 53 M-10 Seizures, Status Epilepticus ..................................................................................... 54 M-11 Unconscious, Unknown Cause ................................................................................ 55 M-12 Snakebite ................................................................................................................. 56 M-13 Transport Drugs ....................................................................................................... 57 M-14 Septic Shock ............................................................................................................58 M-15 Drowning/Near Drowning ......................................................................................... 59

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Obstetrics Section ......................................................................................................................... 61 OB-1 General Active Labor ............................................................................................... 62 OB-2 Imminent Vertex Delivery Guidelines ....................................................................... 63 OB-3 Vaginal Bleeding During Pregnancy ........................................................................ 65 OB-4 Prolapsed Umbilical Cord ........................................................................................ 66 OB-5 Breech Delivery........................................................................................................ 67 OB-6 Pre-Eclampsia and Eclampsia ................................................................................. 69 Trauma Section..............................................................................................................................70 T-1 Airway Management for the Trauma Patient ............................................................... 71 T-2 Major Trauma Patients, Penetrating ........................................................................... 72 T-4 Trauma Triage Algorithm ............................................................................................ 75 T-5 Hypovolemic Shock .................................................................................................... 77 T-6 University Hospital Trauma Distribution Plan .............................................................. 78 T-7 Burns .......................................................................................................................... 79 Protocols for the EMT-Intermediate [EMT-I] ................................................................................ 81 I-1 EMT-I Respiratory Arrest ............................................................................................. 82 I-2 EMT-I Myocardial Infarction ......................................................................................... 83 I-3 EMT-I Cardiogenic Shock ............................................................................................ 84 I-4 EMT-I Pulmonary Edema ............................................................................................. 85 I-5 EMT-I Cardiac Arrest ................................................................................................... 86 I-6 EMT-I Anaphylaxis ....................................................................................................... 87 I-7 EMT-I Asthma ..............................................................................................................88 I-8 EMT-I Heat Exhaustion and Heat Stroke ..................................................................... 89 I-9 EMT-I Hypoglycemia .................................................................................................... 90 I-10 EMT-I Hypothermia .................................................................................................... 91 I-11 EMT-I Imminent Vertex Delivery Guidelines .............................................................. 92 I-12 EMT-I Drug Overdose ................................................................................................ 93 I-13 EMT-I Seizures, Status Epilepticus ............................................................................ 94 I-14 EMT-I Unconscious, Unknown Cause........................................................................ 95 I-15 EMT-I Trauma ....................................