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===Section 1 - Administrative Policies=== | ===Section 1 - Administrative Policies=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
! Section !! Description !! Revision Date | ! Section !! Description !! Revision Date !! Reviewed Date | ||
|- | |- | ||
| 1.01 || [[General Measures]] || | | 1.01 || [[General Measures]] || March-24 ||March-24 | ||
|- | |- | ||
| 1.02 || [[Radio Report Format]] || | | 1.02 || [[Radio Report Format]] || July-21 || | ||
|- | |- | ||
| 1.03 || [[Refusal of Service]] || October-17 | | 1.03 || [[Refusal of Service]] || October-17 || | ||
|- | |- | ||
| 1.04 || [[Physician or Nurse on Scene]] || March-09 | | 1.04 || [[Physician or Nurse on Scene]] || March-09 || | ||
|- | |- | ||
| 1.05 || [[Initiation of CPR and Determination of Death]] || July-16 | | 1.05 || [[Initiation of CPR and Determination of Death]] || July-16 || | ||
|- | |- | ||
| 1.06|| [[Determination of Death in Trauma]]|| March-09 | | 1.06|| [[Determination of Death in Trauma]]|| March-09 || | ||
|- | |- | ||
| 1.07|| [[Crime or Unattended Death Scene]] || March-09 | | 1.07|| [[Crime or Unattended Death Scene]] || March-09 || | ||
|- | |- | ||
| 1.08|| [[Medical Evaluation of Person in Police Custody]]|| March-09 | | 1.08|| [[Medical Evaluation of Person in Police Custody]]|| March-09 || | ||
|- | |- | ||
| 1.09|| [[Trauma Transport Protocol]]|| February-19 | | 1.09|| [[Trauma Transport Protocol]]|| February-19 || | ||
|- | |- | ||
| 1.10|| [[Emergency Transport]]|| March-09 | | 1.10|| [[Emergency Transport]]|| March-09 || | ||
|- | |- | ||
| 1.11|| [[Criteria for Helicopter Transport]]|| March-09 | | 1.11|| [[Criteria for Helicopter Transport]]|| March-09 || | ||
|- | |- | ||
| 1.12|| [[Medical Patient Transport Decision]]|| April-14 | | 1.12|| [[Medical Patient Transport Decision]]|| April-14 || | ||
|- | |- | ||
| 1.13|| [[Obstetrical Patient Transport Decision]]|| | | 1.13|| [[Obstetrical Patient Transport Decision]]|| October-20 || | ||
|- | |- | ||
| 1.14|| [[Emergency Inter Facility Transport]]|| March-09 | | 1.14|| [[Emergency Inter Facility Transport]]|| March-09 || | ||
|- | |- | ||
| 1.15|| [[EMS Saturation Disaster Response Levels]]|| April-16 | | 1.15|| [[EMS Saturation Disaster Response Levels]]|| April-16 || | ||
|- | |- | ||
| 1.16|| [[EMS Offload Policy]]|| March-09 | | 1.16|| [[EMS Offload Policy]]|| March-09 || | ||
|- | |- | ||
| 1.17|| [[EMT and Paramedic County Certification Procedure]]|| | | 1.17|| [[EMT and Paramedic County Certification Procedure]]|| July-23 || | ||
|- | |- | ||
| 1.18|| [[EMS Quality Improvement Program]]|| March-09 | | 1.18|| [[EMS Quality Improvement Program]]|| March-09 || | ||
|- | |- | ||
| 1.19|| [[ | | 1.19|| [[Post Exposure Prophylaxis (PEP)]]|| November-21 || | ||
|- | |- | ||
| 1.20|| [[Scope of Practice]]|| | | 1.20|| [[Scope of Practice]]|| July-23 || | ||
|- | |- | ||
| 1.21|| [[Freestanding ED Transport Criteria]]|| | | 1.21|| [[Freestanding ED Transport Criteria]]|| April-23 || | ||
|- | |- | ||
| 1.22|| [[Hospital Capability Chart - DRAFT]]|| | | 1.22|| [[Hospital Capability Chart - DRAFT|Hospital Capability Chart]]|| May-24 ||May-24 | ||
|- | |- | ||
| 1.23|| [[Documentation Guidance]]|| June- | | 1.23|| [[Documentation Guidance]]|| June-24 ||June-24 | ||
|- | |- | ||
| 1.24|| [[School Medication Authorization Forms]]|| June-18 | | 1.24|| [[School Medication Authorization Forms]]|| June-18 || | ||
|} | |} | ||
===Section 2 - Primary Care=== | ===Section 2 - Primary Care=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
Line 72: | Line 72: | ||
||2.03 ||[[Rapid Trauma Assessment, Focused History and Physical Exam]]||Sept-15 | ||2.03 ||[[Rapid Trauma Assessment, Focused History and Physical Exam]]||Sept-15 | ||
|- | |- | ||
||2.04||[[Analgesia and Sedation]]|| | ||2.04||[[Analgesia and Sedation]]||December-20 | ||
|- | |- | ||
||2.05||[[Drug Assisted Intubation]]||December-16 | ||2.05||[[Drug Assisted Intubation]]||December-16 | ||
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===Section 3 - Respiratory=== | ===Section 3 - Respiratory=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
Line 85: | Line 85: | ||
| 3.01|| [[Acute Asthma or COPD with Wheezing]]|| February-19 | | 3.01|| [[Acute Asthma or COPD with Wheezing]]|| February-19 | ||
|- | |- | ||
| 3.02|| [[Carbon Monoxide Inhalation]]|| | | 3.02|| [[Carbon Monoxide Inhalation]]|| June-19 | ||
|- | |- | ||
| 3.03|| [[Foreign Body Airway Obstruction]]|| | | 3.03|| [[Foreign Body Airway Obstruction]]|| October-24 | ||
|- | |- | ||
| 3.04|| [[Infectious Upper Airway Obstruction - Croup or Epiglottitis]]|| April-16 | | 3.04|| [[Infectious Upper Airway Obstruction - Croup or Epiglottitis]]|| April-16 | ||
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===Section 4 - Cardiac=== | ===Section 4 - Cardiac=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
! Section !! Description !! Revision Date | ! Section !! Description !! Revision Date | ||
|- | |- | ||
|4.01 || [[Chest Pain Acute Coronary Syndrome]]|| | |4.01 || [[Chest Pain Acute Coronary Syndrome]]||Mar-22 | ||
|- | |- | ||
|4.02 || [[Asystole]]|| | |4.02 || [[Asystole]]||December-22 | ||
|- | |- | ||
|4.03 || [[Atrial Fibrillation Atrial Flutter]]|| | |4.03 || [[Atrial Fibrillation Atrial Flutter]]||April-20 | ||
|- | |- | ||
|4.04||[[Pulseless Electrical Activity (PEA)]]||January-16 | |4.04||[[Pulseless Electrical Activity (PEA)]]||January-16 | ||
Line 112: | Line 112: | ||
|4.05||[[Premature Ventricular Contractions (PVC)]]||May-12 | |4.05||[[Premature Ventricular Contractions (PVC)]]||May-12 | ||
|- | |- | ||
|4.06||[[Supraventricular Bradycardia and AV Blocks]]|| | |4.06||[[Supraventricular Bradycardia and AV Blocks]]||April-24 | ||
|- | |- | ||
|4.07||[[Supraventricular Tachycardia]]|| | |4.07||[[Supraventricular Tachycardia]]||January-20 | ||
|- | |- | ||
|4.08||[[Ventricular Fibrillation Pulseless Ventricular Tachycardia]]||December-16 | |4.08||[[Ventricular Fibrillation Pulseless Ventricular Tachycardia]]||December-16 | ||
Line 120: | Line 120: | ||
|4.09||[[Ventricular Tachycardia with a Palpable Pulse]]||July-12 | |4.09||[[Ventricular Tachycardia with a Palpable Pulse]]||July-12 | ||
|- | |- | ||
|4.10||[[Wide Complex Tachycardia Uncertain Origin]]|| | |4.10||[[Wide Complex Tachycardia Uncertain Origin]]||January-20 | ||
|- | |- | ||
|4.11||[[Acute Cardiogenic Pulmonary Edema Pneumonia]]||March-09 | |4.11||[[Acute Cardiogenic Pulmonary Edema Pneumonia]]||March-09 | ||
Line 128: | Line 128: | ||
|4.13||[[Adult Immediate Post-Cardiac Arrest Care]]||April-12 | |4.13||[[Adult Immediate Post-Cardiac Arrest Care]]||April-12 | ||
|- | |- | ||
|4.14||[[Ventricular Assist Devices]]|| | |4.14||[[Ventricular Assist Devices]]||March-22 | ||
|} | |} | ||
===Section 5 - Medical=== | ===Section 5 - Medical=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
Line 139: | Line 139: | ||
|5.01||[[Acute Abdominal Pain]]||April-16 | |5.01||[[Acute Abdominal Pain]]||April-16 | ||
|- | |- | ||
|5.02||[[Allergic Reaction Anaphylactic Shock]]|| | |5.02||[[Allergic Reaction Anaphylactic Shock]]||March-19 | ||
|- | |- | ||
|5.03||[[Altered Mental Status (AMS)]]||April-17 | |5.03||[[Altered Mental Status (AMS)]]||April-17 | ||
|- | |- | ||
|5.04||[[Suspected Stroke Transcient Ischemic Attack TIA|Suspected Stroke or Transcient Ischemic Attack]]|| | |5.04||[[Suspected Stroke Transcient Ischemic Attack TIA|Suspected Stroke or Transcient Ischemic Attack]]||May-24 | ||
|- | |- | ||
|5.05||[[Drug Overdose Poisoning]]||March-09 | |5.05||[[Drug Overdose Poisoning]]||March-09 | ||
Line 151: | Line 151: | ||
|5.07||[[Heat Emergencies]]||August-15 | |5.07||[[Heat Emergencies]]||August-15 | ||
|- | |- | ||
|5.08||[[Hazardous Materials]]|| | |5.08||[[Hazardous Materials]]||July-22 | ||
|- | |- | ||
|5.09||[[Severe Hypertension]]||March-09 | |5.09||[[Severe Hypertension]]||March-09 | ||
Line 169: | Line 169: | ||
|5.16||[[Vertigo]]||March-09 | |5.16||[[Vertigo]]||March-09 | ||
|- | |- | ||
|5.17||[[Sepsis Septic Shock]]|| | |5.17||[[Sepsis Septic Shock]]||Jan-24 | ||
|- | |- | ||
|5.18||[[Suspected Kidney Stone]]||April-16 | |5.18||[[Suspected Kidney Stone]]||April-16 | ||
Line 180: | Line 180: | ||
|- | |- | ||
|5.22||[[Acute Adrenal Insufficiency]]||June-18 | |5.22||[[Acute Adrenal Insufficiency]]||June-18 | ||
|- | |||
|5.23 | |||
|[[CORE Opioid Addiction Recovery]] | |||
|October-24 | |||
|} | |} | ||
===Section 6 - Trauma=== | ===Section 6 - Trauma=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
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|6.05||[[Decompression Sickness or Dysbarism]]||March-09 | |6.05||[[Decompression Sickness or Dysbarism]]||March-09 | ||
|- | |- | ||
|6.06||[[Extremity Injuries]]|| | |6.06||[[Extremity Injuries]]||January-24 | ||
|- | |- | ||
|6.07||[[Head Injuries]]|| | |6.07||[[Head Injuries]]||September-24 | ||
|- | |- | ||
|6.08||[[Near Drowning]]||March-09 | |6.08||[[Near Drowning]]||March-09 | ||
Line 210: | Line 214: | ||
|6.11||[[Suspected Sexual Assault]]||March-09 | |6.11||[[Suspected Sexual Assault]]||March-09 | ||
|- | |- | ||
|6.12||[[Trunk Penetrating Injuries]]|| | |6.12||[[Trunk Penetrating Injuries]]||January-24 | ||
|- | |- | ||
|6.13||[[Hemorrhagic Shock]]||October-18 | |6.13||[[Hemorrhagic Shock]]||October-18 | ||
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===Section 7 - Pediatric and Obstetrical=== | ===Section 7 - Pediatric and Obstetrical=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
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|7.03||[[Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia]]||April-16 | |7.03||[[Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia]]||April-16 | ||
|- | |- | ||
|7.04||[[Pregnancy Induced Hypertension (PIH)]]|| | |7.04||[[Pregnancy Induced Hypertension (PIH)]]||April-20 | ||
|- | |- | ||
|7.05||[[Preterm Labor]]||November-17 | |7.05||[[Preterm Labor]]||November-17 | ||
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===Section 8 - Medication Guidelines=== | ===Section 8 - Medication Guidelines=== | ||
INTRODUCTION | |||
The following pages contain guidelines for the medications commonly encountered by the Paramedic. They identify the name and class of the drug, a short description, indications, contraindications, precautions, and dosages. This is only a guideline to medication administration and shall not circumvent the need to refer to the appropriate Standing Order or to contact Medical Control for orders and consultation. For detailed and extensive information on each drug, refer to the Physician's Desk Reference, the Advanced Cardiac Life Support text or an emergency pre-hospital pharmacology reference. | |||
Certain medications listed have various dosages depending on the patient's condition. Refer to the appropriate Standing Order or contact Medical Control for specific dosage information. All IV piggyback medications must be placed on a micro-gtt. solution set for field administration and if available, an infusion pump or infusion regulator MUST BE UTILIZED. | |||
The following medications are authorized to be administered by Seminole County EMS: | |||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
! | ! Medication Name!! Revision Date | ||
|- | |||
|[[Acetaminophen]]||March-09 | |||
|- | |||
|[[Adenosine]]||January-20 | |||
|- | |||
|[[Albuterol]]||April-16 | |||
|- | |||
|[[Amiodarone]]||July-17 | |||
|- | |||
|[[Ancef]]||January-24 | |||
|- | |||
|[[Aspirin]]||March-09 | |||
|- | |||
|[[Atropine]]||July-17 | |||
|- | |||
|[[Atrovent]]||April-16 | |||
|- | |||
|[[Calcium Chloride]]||April-16 | |||
|- | |||
|[[Cardizem]]||July-17 | |||
|- | |||
|[[Cyanokit]]||April-16 | |||
|- | |||
|[[Dextrose 10%]]||April-16 | |||
|- | |||
|[[Dextrose 50%]]||April-16 | |||
|- | |||
|[[Diphenhydramine]]||April-16 | |||
|- | |||
|[[Dopamine]]||April-16 | |||
|- | |||
|[[Epinephrine]]||April-16 | |||
|- | |||
|[[Flumazenil]]||April-16 | |||
|- | |||
|[[Geodon]]||April-16 | |||
|- | |||
|[[Glucagon]]||April-16 | |||
|- | |||
|[[Hypertonic Saline|Hypertonic (3%) Saline]]||September-24 | |||
|- | |||
|[[Keppra]]||September-24 | |||
|- | |||
|[[Ketamine]]||November-20 | |||
|- | |||
|[[Lasix]]||April-16 | |||
|- | |||
|[[Lidocaine]]||July-17 | |||
|- | |- | ||
|[[Magnesium Sulfate]]||April-16 | |||
|- | |- | ||
|[[Morphine Sulfate]]||November-16 | |||
|- | |- | ||
|[[Naloxone]]||April-16 | |||
|- | |- | ||
|[[Nitro Drip]]||April-17 | |||
|- | |- | ||
|[[Nitro Spray]]||April-17 | |||
|- | |- | ||
|[[Nitro Tablets]]||April-17 | |||
|- | |- | ||
|[[Nitrous Oxide]]||November-16 | |||
|- | |- | ||
|[[Oxygen]]||March-09 | |||
|- | |- | ||
|[[Pepcid]]||April-16 | |||
|- | |- | ||
|[[Pontocaine]]||November-17 | |||
|- | |- | ||
|[[Promethazine]]||April-16 | |||
|- | |- | ||
|[[Racemic Epinephrine]]||April-16 | |||
|- | |- | ||
|[[Sodium Bicarbonate]]||April-16 | |||
|- | |- | ||
|[[Solu-Medrol]]||January-17 | |||
|- | |- | ||
|[[Toradol]]||August-24 | |||
|- | |- | ||
|[[TXA]]||October-20 | |||
|- | |- | ||
|[[Xopenex]]||April-16 | |||
|- | |- | ||
|[[Valium]]||April-16 | |||
|- | |- | ||
|[[Versed]]||April-16 | |||
|- | |- | ||
|[[Zofran]]||April-16 | |||
|- | |- | ||
|[[Medication Infusion Tables]]||March-09 | |||
|} | |} | ||
===Section 9 - Procedure Guidelines=== | ===Section 9 - Procedure Guidelines=== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
! Section !! Description !! Revision Date | ! Section !! Description !! Revision Date | ||
|- | |- | ||
|9.00||[[ | |9.00||[[Lucas Device]]||November-21 | ||
|- | |- | ||
|9.01||[[Autovent]]||March-09 | |9.01||[[Autovent]]||March-09 | ||
Line 381: | Line 441: | ||
|9.38||[[iTClamp Hemorrhage Control System]]||Feb-15 | |9.38||[[iTClamp Hemorrhage Control System]]||Feb-15 | ||
|- | |- | ||
|9.39||[[I-gel Supraglottic Airway]]|| | |9.39||[[I-gel Supraglottic Airway]]||February-24 | ||
|- | |||
|9.40||[[T-POD Pelvic Stabilization Device]]||Sept-23 | |||
|- | |||
|9.41||[[Controlled Substance Disposal Procedures]]||Mar-24 | |||
|- | |||
|9.42||[[LifeVac]]||Oct-24 | |||
|} | |} | ||
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|10.09||[[Checking Range of Motion]]||March-09 | |10.09||[[Checking Range of Motion]]||March-09 | ||
|- | |- | ||
|10.10||[ | |10.10||[https://www.health.state.mn.us/communities/ep/surge/burn/tbsa.html Rule of Nines]||March-09 | ||
|- | |- | ||
|10.11||[[Florida Statutes]]||March-09 | |10.11||[[Florida Statutes]]||March-09 | ||
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|10.15||[[Sepsis and Venous Lactate Powerpoint]]||April-12 | |10.15||[[Sepsis and Venous Lactate Powerpoint]]||April-12 | ||
|- | |- | ||
|10.16||[[Media: | |10.16||[[Media:MCSO EMS LVAD Guide.pdf| LVAD EMS Guide]]||Sept-18 | ||
|- | |- | ||
|10.16.1||[[Media: | |10.16.1||[[Media:LVAD HeartmateIII Green.pdf| HeartMate III LVAD - Green]]||Sept-18 | ||
|- | |- | ||
|10.16.2||[[Media: | |10.16.2||[[Media:LVAD HeartmateII Red.pdf| HeartMate II LVAD - Red]]||Sept-18 | ||
|- | |- | ||
|10.16.3||[[Media: | |10.16.3||[[Media:LVAD HeartWare DarkBlue.pdf| HeartWare LVAD - Dark Blue]]||Sept-18 | ||
|- | |- | ||
|10.16.4||[[Media: | |10.16.4||[[Media:LVAD Jarvik Lavender.pdf| Jarvik 2000 LVAD - Lavendar]]||Sept-18 | ||
|- | |- | ||
|10.16.5||[[Media: | |10.16.5||[[Media:LVAD Thoratec LightBlue.pdf| Thoratec LVAD - Light Blue]]||Sept-18 | ||
|- | |- | ||
|10.16.6||[[Media: | |10.16.6||[[Media:LVAD DuraHeart Purple.pdf| DuraHeart LVAD - Purple]]||Sept-18 | ||
|- | |- | ||
|10.16.7||[[Media: | |10.16.7||[[Media:LVAD TotalArtificialHeart Pink.pdf| Total Artificial Heart LVAD - Pink]]||Sept-18 | ||
|} | |} | ||
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! Subject !! Effective Date | ! Subject !! Effective Date | ||
|- | |- | ||
| [[Memo - EMS Reports on | | [[Memo - Hurricane Ian – EMS OPERATIONS]]|| 2022-09-28 | ||
|- | |||
| [[Memo - Masks Required in ED's]]|| 2022-08-22 | |||
|- | |||
| [[Memo - QA/QI Program]]|| 2022-03-21 | |||
|- | |||
| [[Memo - Additional EMS Skills]]|| 2020-09-01 | |||
|- | |||
| [[Memo - Transport of SEPSIS Patients to Freestanding ED's]]|| 2020-07-15 | |||
|- | |||
| [[Memo - Clarification on Destination Choices|Clarification on Destination Choices]]|| 2019-11-14 | |||
|- | |||
| [[Memo - Transport to the OD Hospital – Advent Health Altamonte Clarification|Transport to the OD Hospital – Advent Health Altamonte Clarification]]|| 2019-11-07 | |||
|- | |||
| [[Memo - Transport to the OD Hospital – Advent Health Altamonte|Transport to the OD Hospital – Advent Health Altamonte]]|| 2019-11-04 | |||
|- | |||
| [[Memo - Further clarification on Advent Health OD Facility|Further clarification on Advent Health OD Facility]]|| 2019-08-26 | |||
|- | |||
| [[Memo - Transporting of Overdose Patients to AdventHealth Altamonte|Transporting of Overdose Patients to AdventHealth Altamonte]]|| 2019-08-12 | |||
|- | |||
| [[Memo - EMS Reports on Lift Assists|EMS Reports on Lift Assists]]|| 2019-03-01 | |||
|- | |- | ||
| [[Memo - Blood Draws - Nurses refusing tubes|Blood Draws - Nurses refusing tubes]]|| 2018-08-23 | | [[Memo - Blood Draws - Nurses refusing tubes|Blood Draws - Nurses refusing tubes]]|| 2018-08-23 | ||
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! Section !! Description !! Revision Date | ! Section !! Description !! Revision Date | ||
|- | |- | ||
|12.01||[[ | |12.01||[[Media:PCAP Guidelines Document Jan 2019.pdf|PCAP Guidelines]]||Jan-19 | ||
|- | |||
|12.02||[[Media:ALS Contact Form Rev 2010.pdf|ALS Contact Form]]||June-10 | |||
|- | |||
|12.03||[[Media:Evaluation Form Equip.pdf|Evaluation Form - Equip]]||Jan-13 | |||
|- | |||
|12.04||[[Media:Evaluation Form Protocols.pdf|Evaluation Form - Protocols]]||Jan-13 | |||
|- | |||
|12.05||[[Media:Definition of an ALS contact.pdf|ALS Contact Definition]]||June-10 | |||
|- | |||
|12.06||[[Media:Daily Performance Evaluation Report Form.pdf|Daily Performance Eval]]||Sept-17 | |||
|- | |||
|12.07||[[Media:Medical director meetings roster.pdf|MD Meetings Roster]]||May-13 | |||
|- | |||
|12.08||[[Media:Mentor evaluation.pdf|Mentor Evaluation]]||May-13 | |||
|- | |||
|12.09||[[Media:Verification of EMT Skills edited final.pdf|Verification of EMT Skills]]||May-13 | |||
|- | |- | ||
|12. | |12.10||[[Media:PCAP Completion Checklist.pdf|PCAP Completion Checklist]]||Sept-17 | ||
|- | |- | ||
|12. | |12.11||[[Media:Verification of PM Skills.pdf|Verification of Paramedic Skills]]||May-13 | ||
|- | |- | ||
|12. | |12.12||[[Media:ALS Contact Form Example 1.pdf|ALS Contact Form Example 1]]||Dec-14 | ||
|- | |- | ||
|12. | |12.13||[[Media:ALS Contact Form Example 2.pdf|ALS Contact Form Example 2]]||Dec-14 | ||
|- | |- | ||
|12. | |12.14||[[Media:Incapacitated Patient Management.pdf|Incapacitated Patient Management]]||Dec-14 | ||
|} | |||
===Section 13 - COVID-19=== | |||
{| class="wikitable" | |||
|- | |- | ||
! Section !! Description !! Revision Date | |||
|- | |- | ||
| | | 13.01|| [[MD Memo - Please use Common Sense]]|| 2020-03-13 | ||
|- | |- | ||
| | | 13.02|| [[Hospital Screening and Procedures]]|| 2020-03-26 | ||
|- | |- | ||
| | | 13.03|| [[Dispatch Screening and Procedures]]|| 2020-04-01 | ||
|- | |- | ||
| | | 13.04|| [[Media:SRP Question Card.pdf| Strict Respiratory Precautions Question Card]]|| 2020-04-01 | ||
|- | |- | ||
| | | 13.05|| [[American Red Cross Changed Response Procedures]]|| 2020-03-31 | ||
|- | |- | ||
| | | 13.06|| [[Clearance of COVID Positive, symptomatic and or exposed individuals from our previous advice]] || 2020-07-15 | ||
|- | |- | ||
| | | 13.07|| [[Updated COVID Transport to FSED]]|| 2020-07-20 | ||
|} | |} | ||
[https://forms.gle/XA7uhzLGYbwqBHTZ9 Link to MD Meeting Sign In] |
Latest revision as of 19:51, 22 October 2024
TABLE OF CONTENTS
Medical Director Authorization
Section 1 - Administrative Policies
Section 2 - Primary Care
Section | Description | Revision Date |
---|---|---|
2.01 | Initial Medical Assessment and Care | March-09 |
2.02 | Initial Trauma Assessment and Care | September-17 |
2.03 | Rapid Trauma Assessment, Focused History and Physical Exam | Sept-15 |
2.04 | Analgesia and Sedation | December-20 |
2.05 | Drug Assisted Intubation | December-16 |
Section 3 - Respiratory
Section | Description | Revision Date |
---|---|---|
3.01 | Acute Asthma or COPD with Wheezing | February-19 |
3.02 | Carbon Monoxide Inhalation | June-19 |
3.03 | Foreign Body Airway Obstruction | October-24 |
3.04 | Infectious Upper Airway Obstruction - Croup or Epiglottitis | April-16 |
3.05 | Severe Respiratory Pathogens | November-10 |
3.06 | Anxiety or Hyperventilation | February-11 |
Section 4 - Cardiac
Section | Description | Revision Date |
---|---|---|
4.01 | Chest Pain Acute Coronary Syndrome | Mar-22 |
4.02 | Asystole | December-22 |
4.03 | Atrial Fibrillation Atrial Flutter | April-20 |
4.04 | Pulseless Electrical Activity (PEA) | January-16 |
4.05 | Premature Ventricular Contractions (PVC) | May-12 |
4.06 | Supraventricular Bradycardia and AV Blocks | April-24 |
4.07 | Supraventricular Tachycardia | January-20 |
4.08 | Ventricular Fibrillation Pulseless Ventricular Tachycardia | December-16 |
4.09 | Ventricular Tachycardia with a Palpable Pulse | July-12 |
4.10 | Wide Complex Tachycardia Uncertain Origin | January-20 |
4.11 | Acute Cardiogenic Pulmonary Edema Pneumonia | March-09 |
4.12 | Code Cool Post ROSC Induced Hypothermia | March-09 |
4.13 | Adult Immediate Post-Cardiac Arrest Care | April-12 |
4.14 | Ventricular Assist Devices | March-22 |
Section 5 - Medical
Section | Description | Revision Date |
---|---|---|
5.01 | Acute Abdominal Pain | April-16 |
5.02 | Allergic Reaction Anaphylactic Shock | March-19 |
5.03 | Altered Mental Status (AMS) | April-17 |
5.04 | Suspected Stroke or Transcient Ischemic Attack | May-24 |
5.05 | Drug Overdose Poisoning | March-09 |
5.06 | Cold Emergencies | April-12 |
5.07 | Heat Emergencies | August-15 |
5.08 | Hazardous Materials | July-22 |
5.09 | Severe Hypertension | March-09 |
5.10 | Hypo or Hyperglycemia | April-16 |
5.11 | Psychological Behavioral Emergencies | March-09 |
5.12 | Seizure | April-16 |
5.13 | Non-Hemorrhagic Shock | October-18 |
5.14 | Sickle Cell Anemia Crisis | March-09 |
5.15 | Syncope | March-09 |
5.16 | Vertigo | March-09 |
5.17 | Sepsis Septic Shock | Jan-24 |
5.18 | Suspected Kidney Stone | April-16 |
5.19 | Cyanide Poisoning | April-16 |
5.20 | Excited Delirium or Drug Induced Agitation | November-17 |
5.21 | Ebola Virus Disease Patient Management | October-14 |
5.22 | Acute Adrenal Insufficiency | June-18 |
5.23 | CORE Opioid Addiction Recovery | October-24 |
Section 6 - Trauma
Section | Description | Revision Date |
---|---|---|
6.01 | Animal Bites Stings | August-18 |
6.02 | Burns - Thermal, Electrical, Chemical | March-09 |
6.03 | Selective Spinal Immobilization | August-14 |
6.04 | Chest Injuries | March-09 |
6.05 | Decompression Sickness or Dysbarism | March-09 |
6.06 | Extremity Injuries | January-24 |
6.07 | Head Injuries | September-24 |
6.08 | Near Drowning | March-09 |
6.09 | Ophthalmic Injuries | March-09 |
6.10 | Suspected Abuse Neglect | March-09 |
6.11 | Suspected Sexual Assault | March-09 |
6.12 | Trunk Penetrating Injuries | January-24 |
6.13 | Hemorrhagic Shock | October-18 |
Section 7 - Pediatric and Obstetrical
Section | Description | Revision Date |
---|---|---|
7.01 | Pediatric Asystole | April-16 |
7.02 | Pediatric Pulseless Electrical Activity PEA | April-16 |
7.03 | Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia | April-16 |
7.04 | Pregnancy Induced Hypertension (PIH) | April-20 |
7.05 | Preterm Labor | November-17 |
7.06 | Emergency Childbirth | November-17 |
7.07 | Childbirth Complications | November-17 |
7.08 | Newborn Care | April-16 |
7.09 | Post Partum Care | November-17 |
7.10 | Pediatric Febrile Emergency | April-16 |
7.11 | Vaginal Bleeding | March-09 |
7.12 | Trauma In Pregnancy | March-09 |
Section 8 - Medication Guidelines
INTRODUCTION The following pages contain guidelines for the medications commonly encountered by the Paramedic. They identify the name and class of the drug, a short description, indications, contraindications, precautions, and dosages. This is only a guideline to medication administration and shall not circumvent the need to refer to the appropriate Standing Order or to contact Medical Control for orders and consultation. For detailed and extensive information on each drug, refer to the Physician's Desk Reference, the Advanced Cardiac Life Support text or an emergency pre-hospital pharmacology reference.
Certain medications listed have various dosages depending on the patient's condition. Refer to the appropriate Standing Order or contact Medical Control for specific dosage information. All IV piggyback medications must be placed on a micro-gtt. solution set for field administration and if available, an infusion pump or infusion regulator MUST BE UTILIZED.
The following medications are authorized to be administered by Seminole County EMS:
Medication Name | Revision Date |
---|---|
Acetaminophen | March-09 |
Adenosine | January-20 |
Albuterol | April-16 |
Amiodarone | July-17 |
Ancef | January-24 |
Aspirin | March-09 |
Atropine | July-17 |
Atrovent | April-16 |
Calcium Chloride | April-16 |
Cardizem | July-17 |
Cyanokit | April-16 |
Dextrose 10% | April-16 |
Dextrose 50% | April-16 |
Diphenhydramine | April-16 |
Dopamine | April-16 |
Epinephrine | April-16 |
Flumazenil | April-16 |
Geodon | April-16 |
Glucagon | April-16 |
Hypertonic (3%) Saline | September-24 |
Keppra | September-24 |
Ketamine | November-20 |
Lasix | April-16 |
Lidocaine | July-17 |
Magnesium Sulfate | April-16 |
Morphine Sulfate | November-16 |
Naloxone | April-16 |
Nitro Drip | April-17 |
Nitro Spray | April-17 |
Nitro Tablets | April-17 |
Nitrous Oxide | November-16 |
Oxygen | March-09 |
Pepcid | April-16 |
Pontocaine | November-17 |
Promethazine | April-16 |
Racemic Epinephrine | April-16 |
Sodium Bicarbonate | April-16 |
Solu-Medrol | January-17 |
Toradol | August-24 |
TXA | October-20 |
Xopenex | April-16 |
Valium | April-16 |
Versed | April-16 |
Zofran | April-16 |
Medication Infusion Tables | March-09 |
Section 9 - Procedure Guidelines
Section 10 - References
Section | Description | Revision Date |
---|---|---|
10.01 | Abbreviations | March-09 |
10.02 | Apgar Score | March-09 |
10.03 | Glasgow Coma Score | March-09 |
10.04 | Pediatric Vital Signs | March-09 |
10.05 | Adult Trauma Alert Criteria | March-09 |
10.06 | Pediatric Trauma Alert Criteria | March-09 |
10.07 | Pediatric Trauma Score | March-09 |
10.08 | Nitroglycerin Drip | March-09 |
10.09 | Checking Range of Motion | March-09 |
10.10 | Rule of Nines | March-09 |
10.11 | Florida Statutes | March-09 |
10.12 | Evaluation and Treatment Flow Chart | March-09 |
10.13 | Spinal Injury Assessment Critical Criteria | March-09 |
10.14 | Celox Gauze Powerpoint | April-12 |
10.15 | Sepsis and Venous Lactate Powerpoint | April-12 |
10.16 | LVAD EMS Guide | Sept-18 |
10.16.1 | HeartMate III LVAD - Green | Sept-18 |
10.16.2 | HeartMate II LVAD - Red | Sept-18 |
10.16.3 | HeartWare LVAD - Dark Blue | Sept-18 |
10.16.4 | Jarvik 2000 LVAD - Lavendar | Sept-18 |
10.16.5 | Thoratec LVAD - Light Blue | Sept-18 |
10.16.6 | DuraHeart LVAD - Purple | Sept-18 |
10.16.7 | Total Artificial Heart LVAD - Pink | Sept-18 |
Section 11 - Medical Director Memos
Section 12 - Paramedic Clinical Assessment Program
Section | Description | Revision Date |
---|---|---|
12.01 | PCAP Guidelines | Jan-19 |
12.02 | ALS Contact Form | June-10 |
12.03 | Evaluation Form - Equip | Jan-13 |
12.04 | Evaluation Form - Protocols | Jan-13 |
12.05 | ALS Contact Definition | June-10 |
12.06 | Daily Performance Eval | Sept-17 |
12.07 | MD Meetings Roster | May-13 |
12.08 | Mentor Evaluation | May-13 |
12.09 | Verification of EMT Skills | May-13 |
12.10 | PCAP Completion Checklist | Sept-17 |
12.11 | Verification of Paramedic Skills | May-13 |
12.12 | ALS Contact Form Example 1 | Dec-14 |
12.13 | ALS Contact Form Example 2 | Dec-14 |
12.14 | Incapacitated Patient Management | Dec-14 |
Section 13 - COVID-19
Section | Description | Revision Date |
---|---|---|
13.01 | MD Memo - Please use Common Sense | 2020-03-13 |
13.02 | Hospital Screening and Procedures | 2020-03-26 |
13.03 | Dispatch Screening and Procedures | 2020-04-01 |
13.04 | Strict Respiratory Precautions Question Card | 2020-04-01 |
13.05 | American Red Cross Changed Response Procedures | 2020-03-31 |
13.06 | Clearance of COVID Positive, symptomatic and or exposed individuals from our previous advice | 2020-07-15 |
13.07 | Updated COVID Transport to FSED | 2020-07-20 |