Draft Policies

Use this Comment Form to provide your comments and feedback regarding the draft policies to the EMS Agency.
EMS Policy and Procedure Comment Form

This EMS Protocol and Policy Review will begin October 3, 2018 and end November 7, 2018. The newly reviewed EMS Protocols and Policies protocols will become effective November 18, 2018.

Medical Protocol Review

Adult M13 Dystonic Reactions (New)

Dystonic Reaction is a reaction that occurs after ingestion of certain medications like antipsychotics, antidepressants, as well as antiemetics. Dystonic drug reaction causes worry in the affected people as it causes sustained muscle reactions that lead to twisting, repetitive abnormal posturing, and even pain. This condition is rarely life-threatening but needs medical attention.

Adult M14 Behavioral Emergency (New)

The vast majority of patients are non-violent, requiring only supportive care & transport. Responder & patient safety are paramount, especially when treating an aggressive or violent patient. In a known violent situation, EMS personnel should stand by until the scene is secured by Law Enforcement.

Adult M15 Envenomation-Bites-Stings (New)

Envenomation, bites or stings may present as a localized reaction with redness, pain and swelling at the site or a systemic reaction such as itchiness, flushing of skin, rash, urticaria, tachycardia, and anaphylaxis.

Adult M16 Organophosphate Exposure (New)

Organophosphate poisonings may cause bronchospasm, an increase in pulmonary and nasal secretions, constricted pupils, vomiting, diarrhea, urinary incontinence, diaphoresis, and cardiac dysrhythmias including both bradycardia and AV blocks. Remember the following mnemonic: SLUDGEM (Salivation, Lacrimation, Urination, Defecation, Gastric upset, Emesis and Miosis).

Adult M17 OB-GYN Emergencies (New)

Birth may be imminent if the woman is having regular contractions/low back pain, bloody show, rupture of membranes or feels like bearing down/pushing/or having a bowel movement. Attempt to provide privacy and psychosocial support.

Adult T4 Burns (New)

Burns are injuries to tissues caused by energy, (heat, cold, electricity, radiation, or chemicals).

Other O-06 Pediatric Intubation (New)

To provide for guidelines in the proper utilization and performance of advanced airway management of pediatric patients, equal to or less than 11 years in age or fits onto length based assessment tape.

Other O-07 Trauma and Burn Destination (New)

The purpose of this policy is to identify those patients whose injuries would most benefit from the services of a trauma or burn center and provide destinations for such patients.

Pediatric M8 Hyperglycemia (New)

Characterized by: thirst and increased urination, confusion, dehydration, deep, and rapid respirations, nausea, vomiting, fruity odor on breath, missed insulin dose, or non-compliant with diabetic medications. Determine if patient has been diagnosed with diabetes previously.

Pediatric M9 Hyperthermia (New)

Elevated core body temperature above normal limits, usually caused by prolonged exposure to an excessive heat environment, in adequate fluid intake and the associated fluid loss.

Pediatric M10 Hypothermia (New)

The hypothermic pediatric patient is one who has a core body temperature of 95°F or less.

Pediatric M11 Poisonings (New)

Known or suspected drug overdose, poisoning, or accidental ingestion. Common symptoms include weakness/dizziness, mild confusion, syncope, unconsciousness, bradycardia, hypotension, arrhythmias/widening QRS and seizures.

Pediatric M12 Non Traumatic Shock (New)

History of the non-traumatic shock patient may include: GI bleeding, vomiting, diarrhea, allergic reaction, sepsis, antihypertensive medication overdose. Physical signs may include: collapsed peripheral/neck veins, confusion, cyanosis, disorientation, thready pulse, pale, cold, clammy, mottled skin, rapid respirations, and anxiety.

Pediatric M13 Dystonic Reactions (New)

Dystonic Reaction is a reaction that occurs after ingestion of certain medications like antipsychotics, antidepressants, as well as antiemetics. Dystonic drug reaction causes worry in the affected people as it causes sustained muscle reactions that lead to twisting, repetitive abnormal posturing, and even pain. This condition is rarely life-threatening but needs medical attention.

Pediatric M15 Envenomation-Bites-Stings (New)

Envenomation, bites or stings may present as a localized reaction with redness, pain and swelling at the site or a systemic reaction such as itchiness, flushing of skin, rash, urticaria, tachycardia, and anaphylaxis.

Pediatric M16 Organophosphate Exposure (New)

Organophosphate poisonings may cause bronchospasm, an increase in pulmonary and nasal secretions, constricted pupils, vomiting, diarrhea, urinary incontinence, diaphoresis, and cardiac dysrhythmias including both bradycardia and AV blocks. Remember the following mnemonic: SLUDGEM (Salivation, Lacrimation, Urination, Defecation, Gastric upset, Emesis and Miosis).

Pediatric M17 Newborn Resuscitation (New)

Newborn resuscitation is intervention after a baby is born to help it breathe and to help its heart beat. Many babies go through this transition without needing intervention.

Pediatric T4 Burns (New)

Burns are injuries to tissues caused by energy, (heat, cold, electricity, radiation, or chemicals).