SouthSTLEMS

MEHLVILLE FIRE PROTECTION DISTRICT GUIDELINES FOR PREHOSPITAL EMERGENCY MEDICAL CARE

VERSION 5-17

Section 100  Operations

100.01       General Statement

100.02       Medical Direction Authority

100.03       Ambulance Transport Policy

100.04       Diversion

100.05       Air Ambulance Utilization

100.06       Mass Casualty Incidents

100.07       Patient Movement

Section 200  Quality Improvement

200.01       Quality Improvement & Quality Assurance

Section 300  Infection Control

300.01       Infection Control

Section 400  Support

400.01       Medications

400.02       Narcotics and Controlled Substances

         

400.03       EMT-B Relicensure Requirements

400.04       EMT / Paramedic Relicensure Requirements

     

400.05       Paramedic / R.N.

     

400.06       Paramedic Education Requirements

Section 500  Documentation/Communication

500.01       Radio Communication

500.02       ARF Documentation

500.03       Trauma Documentation

     

500.04       Refusal Documentation

Section 600 Airway Management

600.01       Oxygen Therapy

     

600.02       Oropharyngeal & Nasopharyngeal Airways

600.03       Supraglottic Airway Devices



600.04       Endotracheal Intubation

600.05       Cricothyrotomy

600.06       Mechanical Ventilation 

600.07       Adjuncts for Ventilatory Assessment

600.08       Foreign Body Airway Obstruction / Choking

Section  700  Cardiac Emergencies

700.01       Universal Cardiac Care

700.02       Chest Pain

700.03       Pre-Hospital 12-Lead EKG Policy


700.04       Cardiogenic Shock

700.05       Hypertension

700.06       Pulmonary Edema / CPAP

700.07       Bradydysrhythmias

700.08       Tachycardia With Pulse

700.09       Pulseless Arrest

700.10       AED

     

700.11       Pacing



700.12       Termination of Code

700.13       Post Resuscitation

700.14       Therapeutic Hypothermia

700.15       Pit Crew CPR

Section  800  Trauma

800.01       Trauma Classification Criteria & Trauma Service Activation

800.02       Trauma Documentation

800.03       Trauma Treatment

800.04       Spine Injury

800.05       Head Injury

800.06       Chest Decompression

800.07       Amputations

800.08       Burns

800.09       Crush Injuries

800.10       Chemical Eye Injuries

800.11       Splinting

Section  900  Medical Emergencies

900.01       Allergic Reaction / Anaphylaxis

900.02       Asthma / COPD

900.03       Coma of Unknown Origin

900.04       Diabetes- Insulin Shock and Hypoglycemia

900.05       Overdose and Poisoning

900.06       Seizures

900.07       Stroke

900.08       Nausea and Vomiting

900.09       Hypothermia

900.10       Hyperthermia

900.11       Nerve Agent / Organophosphate Exposure

900.12       Carbon Monoxide Poisoning

900.13       Abdominal Pain

900.14       Cyanide Poisoning

900.15       Sepsis

Section  1000   Pediatrics

1000.01      General Guidelines

1000.02      Intraosseous Infusion

1000.03      Newborn Emergencies

1000.04      Trauma Classification Criteria

1000.05      Shock / Trauma

1000.06     Asthma

1000.07     Foreign Body Airway Obstruction

1000.08     Croup / Epiglottitis

1000.09     Seizures

1000.10     Allergic Reaction / Anaphylaxis

1000.11     Drug Overdose : Ingestion

1000.12     Unconscious- Unknown Etiology

1000.13     Hypoglycemia

1000.14     Bradycardia

1000.15     Tachycardia

1000.16     Cardiac Arrest

1000.17     Pediatric Respiratory Distress in Patients with a Tracheostomy

1000.18     Pediatric Respiratory Distress in Patients on Ventilatory Support

Section  1100   Miscellaneous

1100.01     Pain Management            

1100.02     Obstetrics - Normal Delivery

1100.03     Obstetrics - Complications

1100.04     Medication Administration

1100.05     Saline Locks

1100.06     Restraints

1100.07     Portacath Access

1100.08     Consent

1100.09     Determination of Death

1100.10     Do Not Resuscitate Orders (DNR)

1100.11     Sedation

1100.12     EZ-IO Insertion

1100.13     TASER Barb Removal

1100.14     Lab Draws

1100.15     CAT Tourniquet

Appendices

Appendix A    Formulary

Appendix B   Paramedic Education Record

Appendix C   Physician in Field

Appendix D   List of Approved Medical Abbreviations

 

COMPLETE PROTOCOL FILE CAN BE DOWNLOADED HERE: Mehlville Protocols (5-17)