2017 Collaborative Protocols NY.pdf - 2017 NEW YORK STATE EMS COLLABORATIVE PROTOCOLS REGIONS Adirondack Appalachian Central New York Finger Lakes

2017 Collaborative Protocols NY.pdf - 2017 NEW YORK STATE...

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2017 NEW YORK STATE EMS COLLABORATIVE PROTOCOLS REGIONS Adirondack Appalachian North Country Central New York Southern Tier Finger Lakes Susquehanna Hudson Mohawk Westchester Hudson Valley Western: Midstate Big Lakes, Monroe Livingston Southwestern, Mountain Lakes Wyoming-Erie
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2017 - 2 TABLE OF CONTENTS (1-1) Cardiac Arrest: General Cardiac Arrest Care ...................................................... 9 (1-2) Cardiac Arrest: Asystole or Pulseless Electrical Activity (PEA) ...................... 11 (1-3) Cardiac Arrest: Ventricular Fibrillation or Pulseless Ventricular Tachycardia . 12 (1-4) Cardiac Arrest: Return of Spontaneous Circulation (ROSC) ............................ 14 (1-5) Cardiac Arrest: Determination of Obvious Death ............................................. 15 (1-6) Cardiac Arrest: Termination of Resuscitation ................................................... 17 (1-7) Pediatric Cardiac Arrest: Asystole or Pulseless Electrical Activity (PEA) ....... 18 (1-8) Pediatric Cardiac Arrest: Ventricular Fibrillation or Pulseless V. Tachycardia 19 (2-1) General: Acute Asthma ...................................................................................... 21 (2-2) General: Acute Coronary Syndrome – Suspected Cardiac Chest Pain ............ 233 (2-3) General: Advance Directives ............................................................................. 24 (2-4) General: Agitated Patient ................................................................................... 25 (2-5) General: Airway Management and Oxygen Delivery ....................................... 27 (2-6) General: Allergic Reaction and Anaphylaxis .................................................... 29 (2-7) General: Amputations ........................................................................................ 31 (2-8) General: Avulsed Tooth ..................................................................................... 32 (2-9) General: Bradycardia / Heart Blocks – Symptomatic ........................................ 33 (2-10) General: Burns ................................................................................................. 34 (2-11) General: Carbon Monoxide Exposure– Suspected .......................................... 36 (2-12) General: Cardiogenic Shock ............................................................................ 38 (2-13) General: Chest Trauma .................................................................................... 39 (2-14) General: Childbirth .......................................................................................... 40 (2-15) General: COPD Exacerbation/Bronchospasm ................................................. 42 (2-16) General: Crush Injuries .................................................................................. 433 (2-17) General: Eye Injuries and Exposures ............................................................... 44 (2-18) General: Excited Delirium ............................................................................... 45 (2-19) General: Heat Emergencies .............................................................................. 47 (2-20) General: Hemorrhage Control .......................................................................... 48 (2-21) General: Hyperglycemia .................................................................................. 49 (2-22) General: Hyperkalemia .................................................................................... 50 (2-23) General: Hypoglycemia ................................................................................... 52 (2-24) General: Hypothermia / Cold Emergencies ..................................................... 53 (2-25) General: Interfacility Transport ....................................................................... 54 (2-26) General: Musculoskeletal Trauma ................................................................... 55 (2-27) General: Nausea and/or Vomiting ................................................................... 56 (2-28) General: Nerve Agent– Suspected ................................................................... 57 (2-29) General: Opioid (Narcotic) Overdose .............................................................. 59 (2-30) General: Organophosphate Exposure .............................................................. 60 (2-31) General: Overdose / Toxic Exposure ............................................................... 61 (2-32) General: Pain Management .............................................................................. 63 (2-33) General: Patella Dislocation ............................................................................ 65 (2-34) General: Post Intubation Management ............................................................. 66 (2-35) General: Prescribed Medication Assistance ..................................................... 67 (2-36) General: Preterm Labor (24 – 37 weeks) ......................................................... 68 (2-37) General: Procedural Sedation .......................................................................... 69 (2-38) General: Pulmonary Edema – Acute Cardiogenic ........................................... 70
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2017 - 3 (2-39) General: Rapid Sequence Intubation (RSI) ...................................................... 71 (2-40) General: Seizures ............................................................................................. 73 (2-41) General: Septic Shock – Suspected .................................................................. 74 (2-42) General: Shock / Hypoperfusion ...................................................................... 76 (2-43) General: Smoke Inhalation – Symptomatic ..................................................... 77 (2-44) General: ST Elevation MI (STEMI) – CONFIRMED ..................................... 79 (2-45) General: Stroke ................................................................................................ 81 (2-46) General: Tachycardia – Narrow Complex ....................................................... 82 (2-47) General: Tachycardia – Wide Complex with a Pulse ...................................... 84 (2-48) General: Trauma .............................................................................................. 85 (2-49) General: Trauma Associated Hypoperfusion / Hypovolemia .......................... 86 (2-50) General: Vascular Access ................................................................................ 87 (2-51) General: Vascular Devices – Pre-Existing ....................................................... 88 (2-52) General: Ventricular Assist Device ................................................................. 89 (3-1) Pediatric: General Pediatric Emergencies .......................................................... 91 (3-2) Pediatric: Acute Asthma .................................................................................... 92 (3-3) Pediatric: Allergic Reaction and Anaphylaxis ................................................... 94 (3-4) Pediatric: Bradycardia ........................................................................................ 95 (3-5) Pediatric: Hyperglycemia ................................................................................... 96 (3-6) Pediatric: Hypoglycemia .................................................................................... 97
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  • Cardiac arrest, Ventricular fibrillation

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