Miami Valley EMS Protocol Flashcards

General Protocol Guidelines

• Procedures marked with a black diamond require Medical Control Physician (MCP) authorization before execution.
• Items in braces ({ }) denote options available to the department and its Medical Director, allowing for flexibility in directives.

Patient Categories

• Pink color codes identify pediatric patients.
• Sections labeled with an "A" pertain to adult patients.
• Sections marked with a bold "G" indicate geriatric patients.

Communication with Hospitals

• Call the hospital to prepare for a patient in serious situations (e.g., trauma, stroke, cardiac arrest).
• Provide MIVT (Mechanism of Injury, Injuries, Vital Signs, Treatment) details for trauma patients when notifying ahead.
• Include components of the Glasgow Coma Scale (GCS) and findings from patient assessments during communication.

Trauma and Stroke Alerts

• Alerts for Trauma or Stroke should be communicated as "We recommend a __________ alert."

Non-Initiation of Care Circumstances

• Do not initiate care in cases of severe cranial injuries, massive truncal wounds, DNR orders, rigor mortis, or prolonged arrest scenarios.
• Triage demands and specific trauma circumstances (e.g., blunt trauma) can also justify non-initiation.

Exclusionary Conditions for Care

• Rapid transport is necessary for pregnant females with traumatic arrest after 24 weeks if a pulse is present.
• Conditions like witnessed arrest by EMS, hypothermia, or commotio cordis warrant initiating care despite other challenges.

DNR Definitions

• DNR-Comfort Care (DNR-CC): Treatment to alleviate pain without delaying death.
• DNR-Comfort Care Arrest (DNR-CCA): All protocol-based treatments until cardiac or respiratory arrest occurs.

SAMPLE Assessment Acronym

• Stands for: Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events leading to injury.

Oral Glucose Indication

• Administer for conscious but disoriented patients with blood sugar below specific thresholds.

Spinal Motion Restriction

• Full spinal motion restriction is applicable in cases when patients are classified from V3 to V6 or V5.

ECG Lead Placement

• V1: 4th intercostal space, right of the sternum bump.
• V2: 4th intercostal space, left of the sternum.
• V3: Midway between V2 and V4.
• V4: 5th intercostal space, midclavicular line from V2.
• V5: Lateral to V4, along the arm-chest line.
• V6: Midaxillary line, level with V5.

12-Lead Preparation and Communication

• Prepare skin by shaving excess hair and ensuring dryness.
• Instruct the patient to remain still, minimizing movement to ensure accurate readings.
• Steps for transmitting a 12-Lead include skin preparation, lead placement, noting patient’s age/gender, sending to selected hospital, and informing them of MIVT and ETA upon arrival.