Protocol Revisions 2006 to 2008

Brief review of edits in 2008 version

1080 – Alternate Airway Devices – King LTS-D

Addition of ETCO2 for “B”. 

 

2090 – Chest Pain

Some clarification reference “I” and “P” application of ecg. **This will need to be revisited in the future secondary to Rule 500 changes reference ecg application and interpretation at each level including “B”. Refer to you Medical Director for guidance pending these changes

 

4015 – Acute Intoxication

Added new protocol.

 

4020 – Allergies & Anaphylaxis

Corrected SQ/IM Epi dose. Clarified “I” vs. “P” acts.

 

4055 – Bites & Stings/Snake Bites:

Corrected need for base contact by “B” prior to Medication Administration.

 

7020 – Med administration

Remove age restriction and clarify IM

 

Narcan

Correct to all levels (IN, IV)**Please note! This does not accurately/clearly illustrate that EMT-B with IV may only use the IN and IV route for Narcan administration** It is clear and correct in other references in the book.

 

Odansetron

Add IM as route of administration; remove references to base contact for pregnancy and pediatrics

 

Page 270

Matrix for all levels corrected and edited.

Click on the names of the Protocol for complete printable versions

August 2007

• St. Anthony Agency Midazolam  (Versed) Protocol & Memo  – Primary change is the deletion of "use for airway managment in patients with head injury"

July 2007

• St. Anthony Agency QA Form for Supraglottic Airway Study
• St. Anthony Agency King Airway Protocol  – alternative endotracheal intubation for airway management in Pts greater than 4 feet tall

 February 2007

• St. Anthony Agency QA Form for IO
• St. Anthony Agency QA Form for CPAP
• St. Anthony Agency QA Form for Antiemetic

New January 2007

• St. Anthony Agency Skill Assessment Policy
• St. Anthony Agency Adult IO Protocol Update Minor change - removed reference to "bottoming out needle" during insertion under procedure. Medic should advance until resistance is lost.

 December 2006

• Airway Management/Continuous Positive Airway Pressure (CPAP)

July 31, 2006

• Diphenhydramine (Benadryl)  - addition of pediatric IM administration
• Epinephrine  – addition of adult and pediatric IM administration. Change in pediatric arrest dose to 0.01mg/kg of 1:10,000. Addition of adult IO as route. 
• Glucagon   – addition of IM as pediatric route for hypoglycemia.
• Infant & Child Resuscitation  Pediatric resuscitation guidelines – addition of AED recommendation for use consistent with 2006 guidelines (age 1-8).
• IO (Intraosseous Infusion – Adult) Update Jan 2007  – Protocol for adult IO.
• Lidocaine 2% – addition of protocol for anesthesia with adult IO fluid administration only.
• Medication Administration (Parenteral) – add intranasal (IN) as route of administration, add pediatric IM. Reference ET route being a last resort route and not preferred.
• Morphine Sulfate – addition of IM route and dose clarifications
• Naloxone (Narcan) – addition of IN and IM routes of administration /li>

       St. Anthony Agency specific protocol edit. 

Fentanyl – dose and indication clarification

We are always working on improving the protocols . Thanks you for your patience.

Peter Vellman, MD  * Gerald Estep, MD * Thomas Candlin * Scott Phillips

If you have any questions or need further clarification
please contact Thomas Candlin
PreHospital Field Manager
303-629-4480
thomascandlin@centura.org