NOT COMPLETE!
Section I – PRE-HOSPITAL PATIENT ASSESSMENT
PATIENT ASSESSMENT ALGORITHM
SCENE SIZE UP
INITIAL ASSESSMENT
FOCUSED ASSESSMENT -- MEDICAL & TRAUMA
RAPID ASSESSMENT -- MEDICAL(UNRESPONSIVE) & TRAUMA
SPECIAL ASSESSMENT NOTES
DETAILED ASSESSMENT
ONGOING ASSESSMENT
NEUROLOGIC ASSESSMENT
Section II – TREATMENT PROTOCOLS – MEDICAL
ABDOMINAL PAIN
ALLERGY/ANAPHYLAXIS
DYSRHYTHMIAS: GENERAL
PREMATURE VENTRICULAR CONTRACTIONS (PVCs)
VENTRICULAR FIBRILLATION/PULSELESS VENTRICULAR TACHYCARDIA
ASYSTOLE
PULSELESS ELECTRICAL ACTIVITY (PEA)
BRADYCARDIA WITH PULSE
WIDE COMPLEX TACHYCARDIA WITH PULSE
NARROW COMPLEX TACHYCARDIA WITH PULSE
CARDIAC ARREST
CHEST PAIN
COMA/ALTERED MENTAL STATUS/NEUROLOGIC DEFICIT
HYPERTENSION
OB/GYN
POISONS AND OVERDOSES
PSYCHIATRIC/BEHAVIORAL
RESPIRATORY DISTRESS
SEIZURES
SHOCK: MEDICAL
SYNCOPE
VOMITING
Section III – TREATMENT PROTOCOLS – TRAUMA
MULTIPLE TRAUMA OVERVIEW
COLORADO EMERGENCY MEDICAL & TRAUMA SERVICES SYSTEM PRE-HOSPITAL TRAUMA TRIAGE ALGORITHM GUIDELINE
ALGORITHM - TRAUMA
ABDOMINAL TRAUMA
AMPUTATIONS
BURNS
CHEST INJURY
EXTREMITY INJURIES
FACE AND NECK TRAUMA
HEAD TRAUMA
SPINAL TRAUMA
TRAUMA ARREST
Section IV – TREATMENT PROTOCOLS – ENVIRONMENTAL INJURIES
BITES AND STINGS
DROWNING/NEAR-DROWNING
HIGH ALTITUDE ILLNESS
HYPERTHERMIA
HYPOTHERMIA AND FROSTBITE
SNAKE BITES
Section V – TREATMENT PROTOCOLS – PEDIATRIC
GENERAL GUIDELINES FOR PEDIATRICS
PEDIATRIC PATIENT ASSESSMENT
APPARENT LIFE-THREATENING EVENT (ALTE)
COLORADO EMERGENCY MEDICAL & TRAUMA SERVICES SYSTEM PRE-HOSPITAL TRAUMA TRIAGE ALGORITHM GUIDELINE
INFANT AND CHILD RESUSCITATION
INFANT FOUND DOWN (POSSIBLE SUDDEN INFANT DEATH SYNDROME (SIDS))
PEDIATRIC DEHYDRATION
PEDIATRIC RESPIRATORY DISTRESS
PEDIATRIC SEIZURES
Section VI – DRUG PROTOCOLS
ADENOSINE (ADENOCARD)
ALBUTEROL SULFATE
AMIODARONE
ASPIRIN (ASA)
ATROPINE SULFATE
CALCIUM GLUCONATE
CYANOKIT
DEXTROSE 50%
DIAZEPAM (VALIUM)
DIPHENHYDRAMINE (BENADRYL)
DOPAMINE (INTROPIN)
EPINEPHRINE
FENTANYL CITRATE
GLUCAGON
IPRATROPIUM BROMIDE (ATROVENT)
IV SOLUTIONS
MAGNESIUM SULFATE
MARK I NERVE AGENT ANTIDOTE KIT
METHYLPREDNISOLONE (SOLU-MEDROL)
MIDAZOLAM (VERSED)
MORPHINE SULFATE
NALOXONE (NARCAN)
NITROGLYCERIN
ONDANSETRON (ZOFRAN)
OXYGEN
PHENYLEPHRINE
RACEMIC EPINEPHRINE (VAPONEPHRINE)
SODIUM BICARBONATE
TOPICAL OPHTHALMIC ANESTHETICS
Section VII – PROCEDURE PROTOCOLS
AIRWAY MANAGEMENT: GENERAL PRINCIPLES
AIRWAY MANAGEMENT: OPENING THE AIRWAY
AIRWAY MANAGEMENT: OBSTRUCTED AIRWAY
AIRWAY MANAGEMENT: CLEARING AND SUCTIONING THE AIRWAY
AIRWAY MANAGEMENT: ASSISTING VENTILATION
AIRWAY MANAGEMENT: CAPNOGRAPHY
AIRWAY MANAGEMENT: KING LTS-D
ADVANCED AIRWAY MANAGEMENT: CONTINUOUS POSITIVE PRESSURE (CPAP)
ADVANCED AIRWAY MANAGEMENT: NASOTRACHEAL INTUBATION
ADVANCED AIRWAY MANAGEMENT: OROTRACHEAL INTUBATION
ADVANCED AIRWAY MANAGEMENT: SURGICAL CRICOTHYROTOMY
BANDAGING
CARDIOVERSION ALGORITHM (Patient is not in cardiac arrest)
DEFIBRILLATION
FIELD DRAWN BLOOD SAMPLES
INTRAOSSEOUS INFUSION
MEDICATION ADMINISTRATION (PARENTERAL)
RESTRAINTS
SPLINTING: AXIAL
SPLINTING: EXTREMITY
TENSION PNEUMOTHORAX DECOMPRESSION
TOURNIQUET
TRANSCUTANEOUS CARDIAC PACING
TRANSPORT OF THE HANDCUFFED PATIENT
VASCULAR ACCESS DEVICES
VENOUS ACCESS TECHNIQUE
Section VIII – OPERATIONAL GUIDELINES
AUTOMATED EXTERNAL DEFIBRILLATOR (AED):COORDINATION OF ALS-TRAINED PROVIDER WITH PERSONNEL USING AEDs
AED/CARDIAC ARREST ALGORITHM
BLOOD DRAW FOR ALCOHOL DETERMINATION
COMMUNICATION
CONFIDENTIALITY
CONSENT
DESTINATION POLICY
DIVERT POLICY
HAZARDOUS MATERIALS (HAZMAT)
INFECTIOUS AND COMMUNICABLE DISEASES
MASS CASUALTY INCIDENT MANAGEMENT
MCI EMS COMMAND AND OPERATIONS STRUCTURE
MCI COMMUNICATIONS BED COUNT LOG
MCI TRANSPORT LOG
MENTAL HEALTH HOLDS (MHH)
NON-TRANSPORT OF PATIENTS
NON-TRANSPORT/REFUSAL OF CARE ALGORITHM
DENVER HEALTH PARAMEDIC DIVISION – REFUSAL FORM
PATIENT CARE REPORT REQUIREMENTS
PHYSICIAN AT THE SCENE/MEDICAL DIRECTION
PHYSICIAN AT THE SCENE/MEDICAL DIRECTION ALGORITHM
RESUSCITATION AND FIELD PRONOUNCEMENT GUIDELINES
Section IX – APPENDIX
A: COMMONLY ACCEPTED ABBREVIATIONS FOR FIELD USE
B: PROTOCOLS REQUIRING BASE CONTACT
MEDICATION PROTOCOLS – STANDING ORDERS AND BASE CONTACT REQUIREMENTS
ADVANCED PROCEDURES
REFUSALS
DESTINATION POLICY FOR PATIENTS WITH SPECIAL NEEDS
C: REQUIRED RECORDS ON TREATMENT AND TRANSPORTATION OF PATIENTS FOR PRE-HOSPITAL CARE EMS ORGANIZATIONS