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|4.04||[[Pulseless Electrical Activity (PEA)]]||April-12
|4.04||[[Pulseless Electrical Activity (PEA)]]||April-12
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|-
|4.05||[[Premature Ventricular Contractions (PVC)]]||March-09
|4.05||[[Premature Ventricular Contractions (PVC)]]||May-12
|-
|-
|4.06||[[Supraventricular Bradycardia and AV Blocks]]||March-09
|4.06||[[Supraventricular Bradycardia and AV Blocks]]||March-09
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|4.07||[[Supraventricular Tachycardia]]||April-12
|4.07||[[Supraventricular Tachycardia]]||April-12
|-
|-
|4.08||[[Ventricular Fibrillation Pulseless Ventricular Tachycardia]]||April-12
|4.08||[[Ventricular Fibrillation Pulseless Ventricular Tachycardia]]||May-12
|-
|-
|4.09||[[Ventricular Tachycardia with a Palpable Pulse]]||April-12
|4.09||[[Ventricular Tachycardia with a Palpable Pulse]]||May-12
|-
|-
|4.10||[[Wide Complex Tachycardia Uncertain Origin]]||April-12
|4.10||[[Wide Complex Tachycardia Uncertain Origin]]||May-12
|-
|-
|4.11||[[Acute Cardiogenic Pulmonary Edema Pneumonia]]||March-09
|4.11||[[Acute Cardiogenic Pulmonary Edema Pneumonia]]||March-09

Revision as of 15:11, 18 March 2013

TABLE OF CONTENTS

Medical Director Authorization

Section 1 - Administrative Policies

Section Description Revision Date
1.01 General Measures March-09
1.02 Radio Report Format March-09
1.03 Refusal of Service March-09
1.04 Physician or Nurse on Scene March-09
1.05 Initiation of CPR and Determination of Death March-09
1.06 Determination of Death in Trauma March-09
1.07 Crime or Unattended Death Scene March-09
1.08 Medical Evaluation of Person in Police Custody March-09
1.09 Trauma Transport Protocol March-09
1.10 Emergency Transport March-09
1.11 Criteria for Helicopter Transport March-09
1.12 Medical Patient Transport Decision March-09
1.13 Obstetrical Patient Transport Decision March-09
1.14 Emergency Inter Facility Transport March-09
1.15 EMS Saturation Disaster Response Levels March-09
1.16 EMS Offload Policy March-09
1.17 EMT and Paramedic County Certification Procedure Jan-10
1.18 EMS Quality Improvement Program March-09
1.19 HIV Post Exposure Prophylaxis (PEP) March-09
1.20 Scope of Practice March-09

Section 2 - Primary Care

Section Description Revision Date
2.01 Initial Medical Assessment and Care March-09
2.02 Initial Trauma Assessment and Care March-09
2.03 Rapid Trauma Assessment, Focused History and Physical Exam March-09
2.04 Analgesia and Sedation March-09

Section 3 - Respiratory

Section Description Revision Date
3.01 Acute Asthma or COPD with Wheezing March-13
3.02 Carbon Monoxide Inhalation March-09
3.03 Foreign Body Airway Obstruction March-09
3.04 Infectious Upper Airway Obstruction - Croup or Epiglottitis March-09
3.05 Severe Respiratory Pathogens November-10
3.06 Anxiety / Hyperventilation February-11

Section 4 - Cardiac

Section Description Revision Date
4.01 Chest Pain Acute Coronary Syndrome March-09
4.02 Asystole April-12
4.03 Atrial Fibrillation Atrial Flutter March-09
4.04 Pulseless Electrical Activity (PEA) April-12
4.05 Premature Ventricular Contractions (PVC) May-12
4.06 Supraventricular Bradycardia and AV Blocks March-09
4.07 Supraventricular Tachycardia April-12
4.08 Ventricular Fibrillation Pulseless Ventricular Tachycardia May-12
4.09 Ventricular Tachycardia with a Palpable Pulse May-12
4.10 Wide Complex Tachycardia Uncertain Origin May-12
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-13

Section 5- Medical

Section Description Revision Date
5.01 Acute Abdominal Pain March-09
5.02 Allergic Reaction Anaphylactic Shock March-09
5.03 Altered Mental Status (AMS) March-09
5.04 Suspected Stroke Transcient Ischemic Attack TIA March-09
5.05 Drug Overdose Poisoning March-09
5.06 Cold Emergencies April-12
5.07 Heat Emergencies April-12
5.08 Hazardous Materials March-09
5.09 Severe Hypertension March-09
5.10 Hypo or Hyperglycemia March-13
5.11 Psychological Behavioral Emergencies March-09
5.12 Seizure March-09
5.13 Shock March-09
5.14 Sickle Cell Anemia Crisis March-09
5.15 Syncope March-09
5.16 Vertigo March-09
5.17 Sepsis Septic Shock May-12
5.18 Suspected Kidney Stone March-09
5.19 Cyanide Poisoning April-09
5.20 Excited Delirium or Drug Induced Agitation November -10

Section 6 - Trauma

Section Description Revision Date
6.01 Animal Bites Stings March-09
6.02 Burns - Thermal, Electrical, Chemical March-09
6.03 Selective Spinal Immobilization March-09
6.04 Chest Injuries March-09
6.05 Decompression Sickness or Dysbarism March-09
6.06 Extremity Injuries April-12
6.07 Head Injuries March-09
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 April-12

Section 7 - Pediatric and Obstetrical

Section Description Revision Date
7.01 Pediatric Asystole March-09
7.02 Pediatric Pulseless Electrical Activity PEA March-09
7.03 Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia March-09
7.04 Pregnancy Induced Hypertension (PIH) March-09
7.05 Preterm Labor March-09
7.06 Emergency Childbirth March-09
7.07 Childbirth Complications March-09
7.08 Newborn Care March-09
7.09 Post Partum Care March-09
7.10 Pediatric Febrile Emergency March-09
7.11 Vaginal Bleeding March-09
7.12 Trauma In Pregnancy March-09

Section 8 - Medication Guidelines

Section Description Revision Date
8.01 Adrenergics March-09
8.02 Analgesics March-09
8.03 Anesthetics March-09
8.04 Antagonists March-09
8.05 Antianginals March-09
8.06 Antiarrhythmics March-09
8.07 Antidiabetics March-13
8.08 Antipyretic / Anti Inflammatory March-09
8.09 Antiemetics March-09
8.10 Antihistamines March-09
8.11 Bronchodilators March-09
8.12 Corticosteroids March-09
8.13 Diuretics March-09
8.14 Electrolytes March-09
8.15 Sedative Hypnotics November-10
8.16 Medical Gases March-09
8.17 Hormones Vitamins March-09
8.18 Salicylates March-09
Medication Infusion Tables March-09

Section 9 - Procedure Guidelines

Section Description Revision Date
9.00 Autopulse Resuscitation System March-09
9.01 Autovent March-09
9.02 Blood Alcohol Draw on Scene March-09
9.03 Blood Draw using Vacutainer March-09
9.04 Blood Glucose Test March-09
9.05 Buretrol Usage March-09
9.06 Cardiac Monitor April-12
9.07 Cardioversion March-09
9.08 Continuous Positive Airway Pressure Device March-09
9.09 Cricothyrotomy Needle March-09
9.10 Cricothyrotomy Surgical March-09
9.11 Defibrillation March-09
9.12 Defibrillation Pediatric March-09
9.13 End Tidal CO2 Monitoring / Capnography March-09
9.14 Intraosseous Infusion March-09
9.15 Intubation Endotracheal March-09
9.16 Intubation Nasotracheal March-09
9.17 IVAC Medsystem III MultiChannel Infusion Pump March-09
9.18 King Tube March-09
9.19 Medication Administration Intramuscular March-09
9.20 Medication Administration Nasal Atomizer March-09
9.21 Medication Administration Nebulizer March-09
9.22 Medication Administration Subcutaneous March-09
9.23 Nasogastric/Orogastric Tube March-09
9.24 Oxygen Administration March-09
9.25 Peripheral IV Administration March-09
9.26 Pleural Decompression March-09
9.27 Removal of Taser Probes March-09
9.28 Reconstitution of Medications March-09
9.29 ResQPOD Impedance Threshold Device March-09
9.30 Transcutaneous Pacing Procedure March-09
9.31 ResQGuard Impedance Threshold Device April-11
9.32 Emergency Chest Wall Escharotomy April-11
9.33 Venous Lactate Monitoring Procedure May-12
9.34 Central Venous Access Devices June-12
9.35 Medication Administration Cross Check Jun-12

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 Rules of Nine 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

Section 11 - Medical Director Memos

Subject Effective Date
EMS Blood Draws for SSCH 2013-07-13
OB Transports 2011-01-31
Transport of Psychiatric Patients 2010-05-17
Alert Terminology 2010-05-06
Patient Reports Being Given to Hospitals 2009-09-23
Multiple Patient Refusal - Wording 2009-06-04
Patient Medications 2009-04-23
Leaving run reports at the E.R. 2009-02-03
Stemi Transport Destinations 2008-07-22
STEMI Alerts to Winter Park Hospital 2008-02-04
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