Bonner County EMS System Operational Guidelines Administration: specific patient care guideline-1002

PATIENT CARE TREATMENT GUIDELINE FORMATIndication For Specific Patient Care Treatment Guidelines

HISTORY Age Medications/ Allergies Past Medical History Recent physical exertion Palliation/provocation Signs/symptoms time, quality,

severity, location and duration Prior to arrival treatment

SIGNS AND SYMPTOMS Symptom

o Locationo Radiationo Qualityo Severityo Durationo Associated symptoms

Time of onset

ASSESSMENT Trauma vs. Medical Alternate diagnoses to

consider Overdose

TREATMENT GUIDELINESR-EMR E – EMT A-AEMT P-PARAMEDIC **M-Medical Control

*****Higher level of providers are responsible for lower level treatments***

Initial Patient Contact (2000). Manage the patient’s airway, breathing and circulation priorities. Follow general medical assessment guidelines. Treatment appropriate for EMR level provider.

R EMT Evaluation Procedures. Assist ALS with Procedures. Obtain and reassess vital signs every 5-10 minutes. Treatment appropriate for EMT level provider.

E Establish IV and consider establishing a second IV if time permits. Draw labs if appropriate. (do not delay transport establishing an IV). Consider additional treatment appropriate for AEMT provider

A2

Higher level assessment procedure such as EKG interpretation. Determine Patient destination and transportation mode if not already done. Notify receiving facility Transport according to local EMS System Plan and contact Medical Control as appropriate. Administer medications generally given in this clinical situation. Additional medications to consider For additional symptoms, consider other Patient Treatment Guidelines. Further management decisions and Paramedic level treatment Procedures.

P3

** Additional medications authorized by On-Line Medical Control ** ** Additional management decisions to discuss with Medical Control ** M2EMT and 3AEMT providers may perform these procedures if credentialed with the appropriate OM.Pearls:This is where important pearls of information useful to the provider will be placed.OK to split cells into two or three parallel pathways with arrows and decision trees.QA Denotes parameters subject to BCEMS QA.

____________________________________________________________________________________________________________BCEMS Medical DirectorEffective: 01/01/16 final 5/19/2023 page 1 of 1