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Combined display of all available logs of Protocopedia. You can narrow down the view by selecting a log type, the username (case-sensitive), or the affected page (also case-sensitive).

• 18:18, 16 April 2025 Treloars talk contribs created page Memo - Medical Clearance (Created page with "March 31, 2025 '''Medical Clearance''' We are receiving more calls from law enforcement to check a patient prior to being transported by law enforcement under a Baker Act. We have had a couple of problems and there will be more if we are not more careful. First, there is no such thing as a "vitals check". You must touch that person to do vitals therefore that person is a patient. You will be writing a thorough run report. That includes history, observations, physic...") Tag: Visual edit
• 18:15, 16 April 2025 Treloars talk contribs created page Memo - Patient Assists (Created page with "March 31, 2025 '''Patient Assists''' We need to clarify what we should be doing when called to "assist" a patient. "You observe people, you touch patients." This is the only way to delineate who's who. The old term "lift assist" found us trying to determine if that's all they needed, or more. How did this happen? How did they end up on the floor? How have they been feeling? What are the other medical issues?  OPQRST. Do they have any fractures/dislocations? Do...") Tag: Visual edit
• 15:56, 16 April 2025 Treloars talk contribs created page Memo - Face to face Medical Director meetings (Created page with "MEMORANDUM March 31, 2025 The medical director team and I believe strongly in face-to-face medical director meetings in small groups. It is an important piece of a successful, high-quality EMS system. It has been proven over decades. I don't think everyone embraces it and has importance. It's just a chore or another requirement. It's not always convenient. Knowing your feelings we decided to change a few things. We are no longer going to have 630 p.m. meetings that in...")
• 18:40, 4 March 2025 Treloars talk contribs created page Elegard - Pediatric (Created page with "==Procedure Guidelines== ===Elegard - Pediatric=== '''Therapeutic Goal''' To recognize the pediatric patient requiring cardiopulmonary resuscitation and to restore a stable cardiac rhythm with adequate cardiac output and perfusion leading to neurologically intact survival. '''Assessment / Pathophysiology''' * Most cardiac arrest in infants and children is secondary to other causes (respiratory insult, illness, congenital heart defect, drowning, etc.) rather than corona...")
• 18:28, 4 March 2025 Treloars talk contribs created page Elegard - Adult (Created page with "Cardiac Arrest (Adult) Therapeutic Goal To recognize the patient requiring cardiopulmonary resuscitation and to restore a stable cardiac rhythm with adequate cardiac output and perfusion leading to neurologically intact survival. 1. This protocol is for medical cardiac arrest and does not apply to hemorrhagic cardiac arrest. 2. The first few minutes are critical and must be focused on establishing optimal perfusion (BLS). Utilize the “carry less do more” strategy t...")
• 19:51, 28 January 2025 Treloars talk contribs moved page Lift Assist to Patient Assist (Better description)
• 15:38, 27 January 2025 Treloars talk contribs created page Lift Assist (Created page with "For all falls or lift assist calls the following protocol guidelines are to be followed and docuemented: {| class="wikitable" |+ !Manual Vitals !Assess AVPU/GCS and compare to normal baseline if possible. Tachycardia (HR>100) or relative hypotension (SBP<110) is concerning for sepsis. Assess skin color, condition, and temp. Assess blood sugar level. |- !Events leading to fall or list assist !Any new symptoms? Generalized weakness? Poor appetite? Shortness of breath? Syn...") Tag: Visual edit
• 19:02, 3 December 2024 Treloars talk contribs created page Buprenorphine (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTICONVULSANT=== ====Buprenorphine ==== '''DESCRIPTION / ACTION:''' * Medication to treat opioid use disorder (OUD) '''INDICATIONS:''' * Patients precipitated opioid withdrawal who agree to start recovery and agree to transport to a designated CORE transport facility '''CONTRAINDICATIONS:''' * Severe hypersensitivity, including anaphylaxis and angioedema '''DOSE:''' * 8mg Sublingual Tablet as per Protocol Category:Medication...")
• 19:45, 22 October 2024 Treloars talk contribs created page File:LifeVac.jpg (Picture of LifeVac device)
• 19:45, 22 October 2024 Treloars talk contribs uploaded File:LifeVac.jpg (Picture of LifeVac device)
• 19:41, 22 October 2024 Treloars talk contribs created page LifeVac (Created page with "==Procedure Guidelines== ===9.42 LifeVac=== INDICATIONS *The Lifevac is a non-powered single patient portable suction apparatus used to remove a foreign body airway obstruction. *If the victim is unable to ventilate any air, then perform Abdominal Thrusts. If Abdominal Thrusts fail after three attempts or the victim becomes unconscious then it is recommended to attempt use of the LifeVac. (Modifications of Chest thrusts for pregnancy or obese and 5 back slaps/5 chest co...")
• 16:03, 18 October 2024 Treloars talk contribs created page CORE Opioid Addiction Recovery (Created page with "==Section 5 -MEDICAL== ===5.23 CORE Opioid Addiction Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL CARE : PRECIPTIATED OPIOID WITHDRAWAL: Once the patient has received naloxone (Narcan/Kloxxado)...")
• 15:38, 18 October 2024 Treloars talk contribs created page CORE Opioid Addition Recovery (Created page with "==Section 5 -MEDICAL== ===5.23 CORE Opioid Addition Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL CARE : PRECIPTIATED OPIOID WITHDRAWAL: Once the patient has received naloxone (Narcan/Kloxxado) a...")
• 13:26, 19 March 2024 Treloars talk contribs created page Controlled Substance Disposal Procedures (Created page with "==Procedure Guidelines== ===9.41 Controlled substances disposal procedure=== *This procedure applies to DEA controlled substances that have expired, have a broken seal, or otherwise need to be disposed of. It does not apply to the wasting of remaining medications after partial administration to a patient. *Each agency will designate who in their agency will be responsible for disposal of controlled substances, this should not be a street paramedic responsibility. *The...")
• 20:58, 22 January 2024 Treloars talk contribs created page Hypertonic Saline (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ELECTROLYTE=== ====Hypertonic Saline / 3% Saline==== '''DESCRIPTION''' Strong saline solution used to shift fluid out of the cells and decrease intercranial pressure '''INDICATIONS''' Traumatic Brain Injury '''CONTRAINDICATIONS''' None found '''PRECAUTIONS''' None found '''DOSAGE''' * Pediatrics - 5 ml/kg IV/IO utilizing 10 gtts drip set. * Max dose 250 ml Hypertonic Saline")
• 20:43, 22 January 2024 Treloars talk contribs created page Keppra (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTICONVULSANT=== ====Keppra / Levetiracetam==== '''DESCRIPTION / ACTION:''' * Anticonvulsant for Traumatic Brain Injury patients. '''INDICATIONS:''' * TBI in the Pediatric Patient '''CONTRAINDICATIONS:''' * Hypersensitivity or allergy '''DOSE:''' * For pediatrics, 20 mg/kg IV or IO push. May repeat at 40 mg/kg * Max dose of 1 gram. Keppra")
• 16:31, 22 January 2024 Treloars talk contribs created page Ancef (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTIBIOTIC=== ====CEFAZOLIN / ANCEF==== '''DESCRIPTION / ACTION:''' * Cefazolin is a first generation cephalosporin antibiotic that is used to treat bacterial infections * Cefazolin is often used pre-operatively to reduce the risk of surgical infections '''INDICATIONS:''' * Open extremity fracture * Penetrating trauma to the torso '''CONTRAINDICATIONS:''' * Allergy to penicillin or cephalosporins '''POSSIBLE ADVERSE REACTIONS'''...")
• 18:24, 15 September 2023 Treloars talk contribs created page T-POD Pelvic Stabilization Device (Created page with "==Procedure Guidelines== ===9.40 T-POD Pelvic Stabilization Device=== T-POD® Pelvic Stabilization Device is indicated for treating a pelvic injury or significant pelvic pain. Untreated, pelvic injuries can result in extreme pain, significant internal bleeding and can be fatal. Traumatic injuries from pelvic fractures may occur with minimal external signs and have been associated with significant hemorrhage. When pelvic trauma has occurred, binding the hips quickly and...")
• 17:44, 15 September 2023 Treloars talk contribs moved page Hospital Capability Chart - DRAFT to Hospital Capability Chart (Removed DRAFT)
• 12:50, 27 June 2023 Treloars talk contribs deleted page Hormones Vitamins (No longer in protocol)
• 13:16, 28 September 2022 Treloars talk contribs created page Memo - Hurricane Ian – EMS OPERATIONS (Created page with "MEMORANDUM Date: 09/26/2022 To: Lake Mary FD, Longwood FD, Oviedo FD, Sanford FD, Seminole County FD From: Todd Husty, DO Seminole County EMS Medical Director Re:...")
• 14:28, 31 August 2022 Treloars talk contribs created page Memo - Masks Required in ED's (Created page with "MEMORANDUM TO: EMS Personnel FROM: Dr. Todd Husty DATE: August 22, 2022 RE: Masks It has come to my attention from several hospital EDs that masks are not being worn when...")
• 19:42, 11 July 2022 Treloars talk contribs created page File:HazMatAlert.jpg
• 19:42, 11 July 2022 Treloars talk contribs uploaded File:HazMatAlert.jpg
• 15:55, 22 March 2022 Treloars talk contribs created page Memo - QA/QI Program (Created page with "''''MEMORANDUM TO: EMS Personnel FROM: Dr. Todd Husty DATE: March 21, 2022 RE: QA/QI Program The Office of the Medical Director will be establishing a new program for Qua...")
• 15:15, 12 November 2021 Treloars talk contribs book (User:Treloars exported as a PDF book)
• 15:15, 12 November 2021 Treloars talk contribs book (User:Treloars exported as a PDF book)
• 14:18, 11 November 2021 Treloars talk contribs created page File:Lucas QRG.jpg
• 14:18, 11 November 2021 Treloars talk contribs uploaded File:Lucas QRG.jpg
• 14:13, 11 November 2021 Treloars talk contribs created page File:Lucas QRG.pdf
• 14:13, 11 November 2021 Treloars talk contribs uploaded File:Lucas QRG.pdf
• 14:05, 11 November 2021 Treloars talk contribs created page File:Lucas Components.jpg
• 14:05, 11 November 2021 Treloars talk contribs uploaded File:Lucas Components.jpg
• 13:48, 11 November 2021 Treloars talk contribs created page Lucas Device (Created page with "==Procedure Guidelines 10.17== ===LUCAS Device=== ====INDICATIONS:==== The Lucas Device is an automated, battery-powered chest compression system that can be deployed for an...")
• 14:42, 8 November 2021 Treloars talk contribs moved page HIV Post Exposure Prophylaxis (PEP) to Post Exposure Prophylaxis (PEP) (Removing HIV, making it more general)
• 18:24, 1 September 2020 Treloars talk contribs created page Memo - Additional EMS Skills (Created page with "MEMORANDUM TO: EMS Personnel FROM: Dr. Todd Husty DATE: September 1, 2020 RE: Additional EMT Skills The Medical Director has authorized EMTs trained through paramedic sch...")
• 14:38, 20 July 2020 Treloars talk contribs created page Memo - Transport of SEPSIS Patients to Freestanding ED's (Created page with "TO: EMS Personnel FROM: Dr. Todd Husty DATE: July 15, 2020 RE: Transport of SEPSIS Patients to Freestanding Clinics Please be advised that it is extremely important that e...")
• 13:57, 20 July 2020 Treloars talk contribs created page Memo - Transport of SEPSIS Patients to Freestanding Clinics (Created page with "TO: EMS Personnel FROM: Dr. Todd Husty DATE: July 15, 2020 RE: Transport of SEPSIS Patients to Freestanding Clinics Please be advised that it is extremely important that e...")
• 13:55, 20 July 2020 Treloars talk contribs created page Clearance of COVID Positive, symptomatic and or exposed individuals from our previous advice (Created page with "TO: EMS Personnel FROM: Dr. Todd Husty DATE: July 15, 2020 RE: **UPDATE**Clearance of COVID Positive, symptomatic and or exposed individuals from our previous advice Clear...")
• 13:53, 20 July 2020 Treloars talk contribs created page Updated COVID Transport to FSED (Created page with "TO: EMS Personnel FROM: Dr. Todd Husty DATE: July 20, 2020 RE: Updated Directive on FSED Destinations/COVID 19 Updated Directive A COVID positive patient can be transport...")
• 14:47, 24 April 2020 Treloars talk contribs created page TXA (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTI-FIBRINOLYTICS=== ====Tranexamic Acid (TXA)==== '''DESCRIPTION''' * Inhibits both plasminogen activation and plasmin activity, t...")
• 14:45, 24 April 2020 Treloars talk contribs created page Aspirin (Created page with "==Section 8 - MEDICATION GUIDELINES== ===SALICYLATES=== ====Aspirin (ASA) / Anti-inflammatory, platelet aggregation inhibitor==== '''DESCRIPTION''' * Commonly used over the...")
• 14:42, 24 April 2020 Treloars talk contribs created page Vasopressin (Created page with "==Section 8 - MEDICATION GUIDELINES== ===HORMONES / VITAMINS=== ====Vasopressin / pituitary hormone==== '''DESCRIPTION''' * Pituitary hormone that can cause vasoconstriction...")
• 14:27, 24 April 2020 Treloars talk contribs created page Oxygen (Created page with "==Section 8 - MEDICATION GUIDELINES== ===MEDICAL GASES=== ====Oxygen==== '''DESCRIPTION''' * An odorless, colorless, tasteless gas that is essential for life. It is one of th...")
• 13:53, 24 April 2020 Treloars talk contribs created page Geodon (Created page with "==Section 8 - MEDICATION GUIDELINES== ===SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC=== ====Ziprasidone (GEODON) / Antipsychotic==== '''DESCRIPTION''' * An atypical antipsychotic a...")
• 13:52, 24 April 2020 Treloars talk contribs created page Versed (Created page with "==Section 8 - MEDICATION GUIDELINES== ===SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC=== ====Midazolam (VERSED) / Sedative / Hypnotic==== '''DESCRIPTION''' * It is a skeletal muscle...")
• 13:52, 24 April 2020 Treloars talk contribs created page Valium (Created page with "==Section 8 - MEDICATION GUIDELINES== ===SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC=== ====Diazepam (VALIUM) / Sedative Hypnotic==== '''DESCRIPTION''' * It is a skeletal muscle rel...")
• 13:49, 24 April 2020 Treloars talk contribs deleted page Electrolytes (content was: "==Section 8 - MEDICATION GUIDELINES== ===8.14 ELECTROLYTES=== ====Calcium Chloride==== '''DESCRIPTION''' * It may increase myocardial contractile force and may increase ventricular automaticity. '''INDICATIONS''' * To counteract Magnesium Sulfate used in Eclampsia, hyperkalemia, and hypocalcemia. '''CONTRAINDICATIONS''' * It may pre...", and the only contributor was "Treloars" (talk))
• 13:42, 24 April 2020 Treloars talk contribs created page Sodium Bicarbonate (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ELECTROLYTES=== ====Sodium Bicarbonate (NaHCO3)==== '''DESCRIPTION''' * It provides bicarbonate to assist the buffer system in reduci...")
• 13:40, 24 April 2020 Treloars talk contribs created page Magnesium Sulfate (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ELECTROLYTES=== ====Magnesium Sulfate==== '''DESCRIPTION''' * It is an anticonvulsant, especially effective in the control of seizure...")