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What is the GOAL of the protocol
manual? (Forward 5, 6)
The GOAL is to STANDARDIZE prehospital patient care in Clark County.
What does OEMSTS stand for?
(Forward 5, 6)
Office of EMS & Trauma System
When should you fill out a Protocol Deviation
form? (Forward 5, 6)
When the provider feels the administration of an ordered medication
would endanger the patient, a medication is not available, or a physician's
orders is outside the protocol.
,What is the definition of a patient?
(Forward 5, 6)
A patient is any individual that meets at least one of the following criteria:
- a person who has a complaint or mechanism suggestive of potential
illness or injury
- a person who has obvious evidence of illness or injury
- a person identified by any informed 2nd or 3rd party caller as requiring
evaluation for potential illness or injury
Who is considered a pediatric
patient? (Forward 5, 6)
Patients under 18 yo and for patients who do not show signs of puberty
(including chest hair or underarm hair on males & any breast development
in females).
Where should you take sexual assault victims?
(General Adult Assessment Protocol 11, 12)
- Victims under 13 yo should be transported to Sunrise Hospital
- Victims 13 yo to 18 yo should be transported to Sunrise Hospital or UMC
- Victims 18 yo and older should be transported to UMC
* Victims outside a 50 mile radius from Sunrise Hospital and UMC should be
transported to the nearest appropriate facility
,What is the Waiting Room Criteria?
(General Adult Assessment Protocol 11,
12)
1. Normal vital signs
2. Did not receive any parenteral medication during EMS transport
except for a single dose of analgesia &/or antiemetic
3. Does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their medical
condition
5. Is left with a verbal report to hospital personnel
*patients cannot be on a L2K
, What are you immediate treatments for:
- suspected tension pneumothorax
- sucking chest wound
- control active hemorrhaging
- obvious fractures
- suspected traumatic brain injury
- open wounds
(General Adult Trauma Assessment Protocol 13, 14)
- suspected tension pneumothorax → needle decompression
- sucking chest wound → apply 3 sided occlusive dressing
- control active hemorrhaging → hemorrhage control
- obvious fractures → immobilize fracture and assess distal pulses
- suspected traumatic brain injury → capnography (ETCO2 35mmHg)
- open wounds → cover with gauze; wet trauma dressing for
abdominal evisceration
When should you do a 12 Lead ECG?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16),
(Chest Pain (Non-Traumatic) and Suspected Acute Coronary Syndrome
Protocol 29, 30)
Over the age of 35 yo experiencing jaw/chest/abdominal discomfort