[CSEMSmail] IMPORTANT: Protocol Modifications and Additions

[Matt Lawler]

IMPORTANT: PROTOCOL MODIFICATIONS & ADDITIONS

 

Date:   September 24, 2008

 To:       Regional Agencies

From:  Matt Lawler, Assistant Director 

Re:      Protocol Modifications

 

This month, the Medical Control Review Committee moved to modify the
Prehospital Standard Patient Treatment Protocols as indicated in the
table below.  The Council was able to get the updates to the printer
before the field guides went to press, therefore the field guides will
not need to be updated once they are printed and distributed to regional
agencies.

 

The complete protocol document, found exclusively on the Council's
website, has been updated with the following changes.

 

Page

Location

Modification

42

Protocol 4.4 - Chest Pain (non-traumatic), line 13

Metoprolol for STEMI has been changed to a [Medical Control] drug.

44

Protocol 4.5 - Combative Patient, line 1

"or number of personnel present" has been deleted.

44

Protocol 4.5 - Combative Patient, line 10

Added: "Must be performed under the direction of law enforcement at the
scene. See key points."

44

Protocol 4.5 - Combative Patient, lines 10a, 10b, 10c

The following line has been deleted:

a.     One person per limb plus head (5 minimum)

The following lines have been moved to 'Key Points':

b.    Restrain in the supine or left lateral recumbent position.  DO NOT
"hobble", "hog-tie" or "sandwich" between backboards.

c.     Ensure method of restraint does not affect breathing or
circulation and move to chemical restraint as soon as possible. 

52

Protocol 4.11 - Nausea - Vomiting, line 7

Added repeat IV dose of Zofran in 5 minutes, if needed.

85

Protocol 4.29 - Trauma Triage, line 5

Changed first sentence from: "If the patient is located within 15
minutes of the closest hospital, transport the patient directly to the
closest hospital." to "If treatment (see #2), extrication, and transport
to the closest hospital can occur within 15 minutes, transport the
patient directly to the closest hospital. "

85

Protocol 4.29 - Trauma Triage, line 6

Changed line from: "If a patient is located more than 15 minutes from
the closest hospital, attempt to rendezvous..." to "If treatment (see
#2), extrication, and transport to the closest hospital can NOT occur
within 15 minutes, attempt to rendezvous..."

 

Page

Location

Modification

85

Protocol 4.29 - Trauma Triage, line 7

Changed second sentence from: "If a helicopter has been dispatched to
the scene and the patient is ready for transport, divert the helicopter
to the closest hospital and transport the patient to that hospital. If
ALS support is en route for a rendezvous, do not wait on the ALS
personnel." to "If a helicopter has been dispatched to the scene and the
patient is ready for transport, divert the helicopter to the closest
hospital or an alternate landing zone and transport the patient to that
hospital or landing zone (see #6)."

144

Protocol 6.21 - Metoprolol

Metoprolol for STEMI has been changed to a [Medical Control] drug.

151

Protocol 6.27 - Ondansetron

Added repeat IV dose of Zofran in 5 minutes, if needed.

 

The changes are effective immediately.  If you have any questions about
these protocol modification and additions, please contact the CSEMS
Council.

 

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