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NOTE: Pages in each section start with #1. Therefore, the pages go section 1 page 1,
section 1 page 2, etc.
Section 1 PROTOCOL ACKNOWLEDGMENT AND AUTHORIZATION
Standing Medical Orders and Treatment Protocols . 1.2
Section 2 ADVANCED CARDIAC LIFE SUPPORT GUIDELINES
Asystole . 2.2 Bradycardia (Heart rate < 60 beats per minute). 2.4 Tachycardia (heart rate > 100 beats per minute) . 2.7 Atrial Fibrillation or Atrial Flutter . 2.9 Paroxysmal Supra Ventricular Tachycardia (PSVT) . 2.10 Regular Wide Complex Tachycardia of Uncertain Type (e.g., Ventricular Tachycardia, PSVT with aberrancy). 2.12 V-fib/pulse less Ventricular Tachycardia . 2.14 Pulseless Electrical Activity (PEA) . 2.18
Section 3 GENERAL MEDICAL PROTOCOLS
Abdominal Pain. 3.2 Altered Mental Status and Coma . 3.4 Anaphylaxis . 3.7 Burns . 3.10 Chest Pain . 3.12 Childbirth. 3.14 Hypertensive Crisis . 3.17 Hyperthermia - Environmental Heat Injury . 3.19 Hypoglycemia . 3.20 Hypothermia . 3.22 Hypotension/Shock . 3.24 Near Drowning . 3.26 Poisoning and Overdoses. 3.28 Specific Poisoning Considerations: Tricyclic Anti-depressants . 3.30 Calcium Channel Blockers and Beta Blockers . 3.30 Cholinergic Poisoning . 3.30 Benzodiazepine. 3.31 Seizures. 3.32 Stroke . 3.34 Syncope. 3.37 Vaginal Bleeding . 3.39
Section 4 AIRWAY AND RESPIRATORY GUIDELINES
Respiratory Distress. 4.2 Treatment of Specific Field Diagnoses: Asthma. 4.5 Croup/Epiglotitis . 4.7 COPD/Emphysema. 4.9 CHF/Pulmonary Edema . 4.10 Foreign Body Aspiration with Complete or Partial Airway Obstruction . 4.12 Miscellaneous Causes of Respiratory Distress . 4.13
Section 5 TRAUMA PROTOCOLS
Trauma Protocols . 5.2 Routine Trauma Assessment and Care . 5.3 Injury Specific Protocols: Amputation . 5.4 Fractures and Dislocations. 5.6 Head Trauma . 5.8 Spine Trauma. 5.11
Section 6 AIRWAY PROCEDURAL PROTOCOLS AND USE OF AIRWAY EQUIPMENT
Capnometry (If Available) . 6.2 Combitube . 6.6 Cricothyrotomy. 6.9 Rapid Sequence Intubation (RSI) with Neuromuscular Blocking Agents6.12 Continued Care of the Intubated Patient. 6.15
Section 7 MEDICAL PROCEDURES AND PROTOCOLS
Defibrillation . 7.2 Emergency Synchronized Cardioversion . 7.3 External Cardiac Pacing . 7.5 Semiautomatic Defibrillation . 7.7 Intraosseous Infusion. 7.9 Orogastric Tube . 7.11 Tension Pneumothorax Decompression . 7.12
Section 8 PUBLIC RELATIONS PROTOCOLS TRANSPORTATION GUIDELINES
Advanced Directives and DNR Orders. 8.2 Death in the Field. 8.5 Patient Refusal . 8.8 Patient Restraint Procedures . 8.13 Mandatory Communication with Salem Hospital Physician . 8.15 Protocol for Medical Professionals on the Scene. 8.16
Section 9 MEDICATION GUIDELINES
Activated Charcoal. 9.2 Acetaminophen . 9.3 Adenosine (Adenocard) . 9.4 Albuterol (Ventolin, Proventil. 9.7 Aspirin. 9.9 Atropine Sulfate . 9.10 Atrovent……………………………………………………………………. 9.12 Calcium Gluconate. 9.14 Dextrose . 9.15 Diltiazem (Cardizem) . 9.17 Diphenhydramine HCL (Benadryl) . 9.19 Dopamine (Intropin) . 9.20 Epinephrine. 9.22 Flumazenil (Romazicon) . 9.24 Glucagon USP . 9.25 Lidocaine (Xylocaine). 9.28 Magnesium Sulfate . 9.29 Midazolam HCL (Versed). 9.31 Morphine Sulfate. 9.34 Naloxone (Narcan). 9.36 Nitroglycerin. 9.38 Oxygen . 9.39 Promethazine HCL (Phenergan). 9.40 Sodium Bicarbonate. 9.42 Succinylcholine (Anectine, Quelicin) . 9.45 Thiamine . 9.46 Vecuronium. 9.48
Section 10 APPENDIX

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