PBCFR Protocols ALS Medical Emergencies
2024 latest versions
1. Sources, signs and symptoms of sepsis include, but are not limited to:: -
Fever, UTI, Pneumonia, wounds or insertion sites, patient is on
antibiotics and has significant diarrhea, abdominal pain or tenerdess,
recent history of surgery/invasive medical procedure, AMS and/or poor
oral intake over the past 24-48 hours, bed sores, abscesses, cellulitis or
imnmobility
2. Transport all Sepsis Alerts as:: Priority 2
3. SEPSIS ALERT CRITERIA. If all of the following are met, call a SEPSIS
ALERT: Adult NOT pregnant, AND suspected or documented infection
AND at least TWO POINTS of the H.A.T Criteria
4. H.A.T Criteria: H - Hypotension (SBP <100mm Hg) = 1 point, A -
Altered Mental Staus of GCS < or = 14 (new onset) = 1 point, T -
Tachypnea Respiratory rate > 22 AND/OR EtCO2 <25 mm HG = 1 point
5. It is imperative once sepsis is identified, that the patient is kept
1/3
, from becoming: Hypotensive
6. Pneumonia Patients with rales still require: IV Fluids
7. Monitor and during fluid administration:
EtCO2, SpO2
8. Witnesses stroke: Spouse, family, friends or bystander can identify that
the signs and symptoms have developed within 24 hours.
9. Witnesses stroke symptoms shall not be
consid- ered stroke alerts: > 24hours
10. Onset of signs and symptoms of a stroke are unable to be determined: -
Unwitnessed
11.Stroke assessments: stroke scale shall be initial
stroke assessment: Cincinnati
12. Stroke assessments: is Stroke suspected, patient shall receive a
(+) assessment: R.A.C.E
13.STROKE ALERT CRITERIA: Any positive findings from the
Cincinnati Stroke Scale: New
14.STROKE ALERT CRITERIA: R.A.C.E (plus) assessment score: >0
15.STROKE ALERT CRITERIA: All and
strokes will be transported as Stroke Alerts: Witnesses, unwitnessed
2/3
2024 latest versions
1. Sources, signs and symptoms of sepsis include, but are not limited to:: -
Fever, UTI, Pneumonia, wounds or insertion sites, patient is on
antibiotics and has significant diarrhea, abdominal pain or tenerdess,
recent history of surgery/invasive medical procedure, AMS and/or poor
oral intake over the past 24-48 hours, bed sores, abscesses, cellulitis or
imnmobility
2. Transport all Sepsis Alerts as:: Priority 2
3. SEPSIS ALERT CRITERIA. If all of the following are met, call a SEPSIS
ALERT: Adult NOT pregnant, AND suspected or documented infection
AND at least TWO POINTS of the H.A.T Criteria
4. H.A.T Criteria: H - Hypotension (SBP <100mm Hg) = 1 point, A -
Altered Mental Staus of GCS < or = 14 (new onset) = 1 point, T -
Tachypnea Respiratory rate > 22 AND/OR EtCO2 <25 mm HG = 1 point
5. It is imperative once sepsis is identified, that the patient is kept
1/3
, from becoming: Hypotensive
6. Pneumonia Patients with rales still require: IV Fluids
7. Monitor and during fluid administration:
EtCO2, SpO2
8. Witnesses stroke: Spouse, family, friends or bystander can identify that
the signs and symptoms have developed within 24 hours.
9. Witnesses stroke symptoms shall not be
consid- ered stroke alerts: > 24hours
10. Onset of signs and symptoms of a stroke are unable to be determined: -
Unwitnessed
11.Stroke assessments: stroke scale shall be initial
stroke assessment: Cincinnati
12. Stroke assessments: is Stroke suspected, patient shall receive a
(+) assessment: R.A.C.E
13.STROKE ALERT CRITERIA: Any positive findings from the
Cincinnati Stroke Scale: New
14.STROKE ALERT CRITERIA: R.A.C.E (plus) assessment score: >0
15.STROKE ALERT CRITERIA: All and
strokes will be transported as Stroke Alerts: Witnesses, unwitnessed
2/3
