Maitland Fire Rescue Department Practice Parameters

From Practice Parameters
Jump to navigation Jump to search

TABLE OF CONTENTS

Medical Director Authorization

Section 1 - Administrative Policies

Section Description Revision Date
1.01 General Measures April-16
1.02 Radio Report Format March-16
1.03 Refusal of Service October-17
1.04 Physician or Nurse on Scene March-09
1.05 Initiation of CPR and Determination of Death July-16
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 Dec-19
1.10 Emergency Transport March-09
1.11 Criteria for Helicopter Transport March-09
1.12 Medical Patient Transport Decision April-14
1.13 Obstetrical Patient Transport Decision Feb-15
1.14 Emergency Inter Facility Transport March-09
1.15 EMS Disaster Response Level March-09
1.16 EMS Offload Policy March-09
1.17 EMS Quality Improvement Program March-09
1.18 Scope of Practice March-09
1.19 Freestanding ED Transport Criteria October-13
1.20 Hospital Capability Chart May-18
1.21 Documentation Guidance June-17

Section 2 - Primary Care

Section Description Revision Date
2.01 Initial Medical Assessment and Care March-09
2.02 Initial Trauma Assessment and Care September-17
2.03 Rapid Trauma Assessment, Focused History and Physical Exam Sept-15
2.04 Analgesia and Sedation November-2017
2.05 Drug Assisted Intubation December-2016

Section 3 - Respiratory

Section Description Revision Date
3.01 Acute Asthma or COPD with Wheezing February-19
3.02 Carbon Monoxide Inhalation March-09
3.03 Foreign Body Airway Obstruction March-09
3.04 Infectious Upper Airway Obstruction - Croup or Epiglottitis April-16
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 Sept-17
4.02 Asystole April-16
4.03 Atrial Fibrillation Atrial Flutter June-17
4.04 Pulseless Electrical Activity (PEA) January-16
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 December-16
4.09 Ventricular Tachycardia with a Palpable Pulse July-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 August-18

Section 5 - Medical

Section Description Revision Date
5.01 Acute Abdominal Pain April-16
5.02 Allergic Reaction Anaphylactic Shock April-16
5.03 Altered Mental Status (AMS) April-17
5.04 Suspected Stroke or Transient Ischemic Attack May-18
5.05 Drug Overdose Poisoning March-09
5.06 Cold Emergencies April-12
5.07 Heat Emergencies August-15
5.08 Hazardous Materials March-09
5.09 Severe Hypertension March-09
5.10 Hypo or Hyperglycemia April-16
5.11 Psychological Behavioral Emergencies March-09
5.12 Seizure April-16
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 September-17
5.18 Suspected Kidney Stone April-16
5.19 Cyanide Poisoning April-16
5.20 Excited Delirium or Drug Induced Agitation November-17
5.21 Ebola Virus Disease Patient Management October-14
5.22 Acute Adrenal Insufficiency June-18

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 August-14
6.04 Chest Injuries March-09
6.05 Decompression Sickness or Dysbarism March-09
6.06 Extremity Injuries Feb-15
6.07 Head Injuries November-17
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
6.13 Hemorrhagic Shock October-18

Section 7 - Pediatric and Obstetrical

Section Description Revision Date
7.01 Pediatric Asystole April-16
7.02 Pediatric Pulseless Electrical Activity PEA April-16
7.03 Pediatric Tachycardia, Ventricular Fibrillation or Pulseless Ventricular Tachycardia April-16
7.04 Pregnancy Induced Hypertension (PIH) March-09
7.05 Preterm Labor November-17
7.06 Emergency Childbirth November-17
7.07 Childbirth Complications November-17
7.08 Newborn Care April-16
7.09 Post Partum Care November-17
7.10 Pediatric Febrile Emergency April-16
7.11 Vaginal Bleeding March-09
7.12 Trauma In Pregnancy March-09

Section 8 - Medication Guidelines

INTRODUCTION The following pages contain guidelines for the medications commonly encountered by the Paramedic. They identify the name and class of the drug, a short description, indications, contraindications, precautions, and dosages. This is only a guideline to medication administration and shall not circumvent the need to refer to the appropriate Standing Order or to contact Medical Control for orders and consultation. For detailed and extensive information on each drug, refer to the Physician's Desk Reference, the Advanced Cardiac Life Support text or an emergency pre-hospital pharmacology reference.

Certain medications listed have various dosages depending on the patient's condition. Refer to the appropriate Standing Order or contact Medical Control for specific dosage information. All IV piggyback medications must be placed on a micro-gtt. solution set for field administration and if available, an infusion pump or infusion regulator MUST BE UTILIZED.

The following medications are authorized to be administered by Maitland Fire Rescue EMS:

Medication Name Revision Date
Acetaminophen March-09
Adenosine January-20
Albuterol April-16
Aspirin March-09
Ativan April-16
Atropine July-17
Atrovent April-16
Calcium Chloride April-16
Cardizem July-17
Cyanokit April-16
Dextrose 10% April-16
Dextrose 50% April-16
Diphenhydramine April-16
Dopamine April-16
Epinephrine April-16
Etomidate April-16
Fentanyl November-16
Flumazenil April-16
Glucagon April-16
Ketamine November-17
Lasix April-16
Lidocaine July-17
Magnesium Sulfate April-16
Morphine Sulfate November-16
Naloxone April-16
Nitro Drip April-17
Nitro Spray April-17
Nitro Tablets April-17
Nitrous Oxide November-16
Oxygen March-09
Pepcid April-16
Pontocaine November-17
Promethazine April-16
Racemic Epinephrine April-16
Sodium Bicarbonate April-16
Solu-Medrol January-17
Toradol March-09
TXA October-20
Xopenex April-16
Vasopressin October-13
Valium April-16
Versed April-16
Zofran April-16
Medication Infusion Tables

Section 9 - Procedure Guidelines

Section Description Revision Date
9.00 LUCAS Device July-16
9.01 Pneupac VR1 Ventilator 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
9.14.1 Intraosseous Infusion - Femoral February-15
9.14.2 Intraosseous Infusion - Humeral Head December-16
9.15 Intubation Endotracheal March-09
9.16 Intubation Nasotracheal March-09
9.17 Braun Syringe Infusion Pump March-14
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 Transcutaneous Pacing Procedure March-09
9.30 Emergency Chest Wall Escharotomy April-11
9.31 Central Venous Access Devices June-12
9.32 Medication Administration Cross Check Jun-12
9.33 Combat Application Tourniquet Jan-14
9.34 Zoll LifeVest Wearable Defibrillator Dec-14
9.35 Medication Temperature Monitoring Feb-19

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

Section 11 - Medical Director Memos

Subject Effective Date
Opening of Oviedo Medical Center 2017-01-29
Blood Draws - Florida Hospital 2017-01-25
Medical Alerts 2016-04-27
Discontinuation of Central Venous Access 2013-08-03
Shortage of Atropine 2013-04-11
EMS Blood Draws for SSCH 2013-03-07
Respiratory/Breathing Treatments 2012-12-19
OB Transports 2011-01-14
Aspirin Administration Documentation 2010-12-01
Alert Terminology 2010-05-06