CoSD EMS Treatment Protocol S-101 PDF 2023
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Uploaded by SaintlyElf
2023
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Summary
This document is a treatment protocol glossary of terms for the County of San Diego Emergency Medical Services. It outlines terms for prehospital stroke assessment, BRUE (brief, resolved, unexplained events), definitive therapies, and opioid overdose management. The protocol relates to medical terminology for healthcare professionals.
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TREATMENT PROTOCOL S-101 GLOSSARY OF TERMS Date: 7/1/2023 Page 1 of 2 BE-FAST - Prehospital Stroke Screening Scal...
TREATMENT PROTOCOL S-101 GLOSSARY OF TERMS Date: 7/1/2023 Page 1 of 2 BE-FAST - Prehospital Stroke Screening Scale in assessment of possible TIA or stroke patients and FAST-ED, Prehospital Stroke Severity Scale, for patients with a positive BE-FAST. B = Balance: Unsteadiness, ataxia E = Eyes: Blurred/double or loss of vision F = Face: Unilateral face droop A = Arms and/or legs: Unilateral weakness exhibited by a drift or drop S = Speech: Slurred, inability to find words, absent T = Time: Accurate Last Known Well time F = Facial Palsy A = Arm Weakness S = Speech Changes T = Time E = Eye Deviation D = Denial/Neglect Brief, Resolved, Unexplained Event (BRUE): An episode involving an infant younger than 12 months where an observer reports a sudden, brief, yet resolved episode of one or more of the following: 1) Absent, decreased, or irregular breathing 2) Color change (cyanosis or pallor) 3) Marked change in muscle tone (hypertonia or hypotonia) 4) Altered level of responsiveness Definitive Therapy: Immediate or anticipated immediate need for administration of a fluid bolus or medications. End-Tidal CO2 (EtCO2) (quantitative capnography): Quantitative capnometer to continuously monitor end-tidal CO2 is mandatory for use in the intubated patient. See Skills List (S-104) for exceptions. LEADSD: Acronym for the steps to be performed in the assessment and documentation of endotracheal intubation attempts: 1. Lung Sounds 2. End-Tidal CO2 Detection Device 3. Absence of Abdominal Sounds 4. Depth 5. Size 6. Documentation Nebulizer: O2-powered delivery system for administration of normal saline or medications. Opioid: Any derivative, natural or synthetic, of opium, morphine or any substance that has effects on opioid receptors (e.g., analgesia, somnolence, respiratory depression). DISCLAIMER: PRINTED COPIES ARE FOR REFERENCE ONLY. PLEASE REFER TO THE ELECTRONIC COPY FOR THE LATEST VERSION. San Diego County Emergency Medical Services Office Policy / Procedure / Protocol Opioid-Dependent Pain Management Patient: An individual who is taking prescribed opioids for chronic pain management, particularly those with opioid infusion devices. Opioid Overdose (Symptomatic): Decreased level of consciousness and/or respiratory depression (e.g., respiratory rate of
