REVISIONS:
10-25-05 Revised: Bradycardia - NTG usage
02-11-02 Revised: Diabetic Emergencies (Hypoglycemia) - to include treatment/transport by EMT-IV D50
09-26-02 Revised: Spinal Immobilization (including selective C-Spine) added
12-12-03 Revised: Pediatric AHA-AED, Dyspnea, Bradycardia, RSI, Cricothyroidotomy
02-03-04 Revised: Chest Pain (added Levitra and Cialis to precautions)
07-28-04 Revised: Hyperglycemia and Hypoglycemia (transport guidelines and D50 after Glucagon)
11-29-04 Revised: Hypoglycemia, Albuterol and Morphine
SUMNER COUNTY
EMERGENCY MEDICAL
SERVICES
PROTOCOL MANUAL
(Updated 12/00)
CONTENTS
PREFACE – Page 06
PROTOCOL GUIDELINES– Page 07
CHEST PAIN – Page 09
CHEST TRAUMA – Page 10
DYSRHYTHMIA GUIDELINES – Page 11
ASYSTOLE – Page 12
BRADYCARDIA (SYMPTOMATIC) – Page 13 Revised 10/25/2005
PVC’S – Page 14
PULSELESS ELECTRICAL ACTIVITY (PEA) – Page 15
TACHYCARDIA (NARROW COMPLEX) – Page 16
TACHYCARDIA (WIDE COMPLEX) – Page 17
VENTRICULAR FIBRILLATION AND PULSLESS VENTRICULAR TACHYCARDIA– Page 18
"HOW TO" EXTERNAL PACE – Page(s) 20 – 27
AHA-AED PROTOCOLS – Page(s) 28, 29 revised 12-12-03
GENERAL PEDIATRIC CARE GUIDELINES – Page 31
ASYSTOLE – Page 32
BRADYCARDIA – Page 33
PULSELESS ELECTRICAL ACTIVITY (PEA) – Page 34
VENTRICULAR FIBRILLATION – Page 35
CRICOTHYROIDOTOMY – Page(s) 37, 38 revised 12-12-03
PHARYNGEAL TRACHEAL LUMEN AIRWAY (PTL) – Page 39
RAPID SEQUENCE INDUCTION AND INTUBATION (R.S.I.I.) – Page(s) 40, 41 revised 12-12-03
ABDOMINAL PAIN – Page 43
ALCOHOL EMERGENCIES – Page 44
ALTERED MENTAL STATUS/COMA – Page 45
AMPUTATED PARTS – Page 46
ANAPHYLAXIS/ALLERGIC REACTION – Page 47
BURNS – Page 48
CHILD BIRTH – Page(s) 49, 50
CVA/STROKE – Page 51
DEHYDRATION – Page 52
DIABETIC EMERGENCY (HYPERGLYCEMIA) – Page 53 revised 07-28-04 (transport guidelines)
DIABETIC EMERGENCY (HYPOGLYCEMIA) – Page 54 revised 07-28-04 (transport guidelines and D50 after Glucagon), revised 12-11-02
DYSPNEA – Page 55 revised 12-12-03
EYE INJURIES – Page 56
FRACTURES (GENERAL CARE) – Page 57
FRACTURE OF THE FEMUR – Page 58
FRACTURE OF THE PELVIS – Page 59
HEAD INJURY/INTERCRANIAL PRESSURE – Page 60
HYPERTENSIVE CRISIS – Page 61
HYPERTHERMIA – Page 62
HYPOTENSION (SEE SHOCK PROTOCOL) – Page 71
HYPOTHERMIA – Page 63
NAUSEA/VOMITING – Page 64
NEAR-DROWNING – Page 65
POISONING/OVERDOSE – Page(s)66, 67
PSYCHIATRIC EMERGENCIES – Page 68
SEIZURES – Page 69
SEXUAL ASSAULT – Page 70
SHOCK – Page 71
SNAKEBITE – Page 72
SPINAL IMMOBILIZATION (including selective c-spine) added 9-26-02
SPINAL INJURY – Page 73
SYNCOPE – Page 74
ACTIVATED CHARCOAL – Page 76
ADENOSINE (ADENOCARD) – Page 77
ALBUTEROL – Page 78
AMIODARONE – Page 79
ASPIRIN – Page 80
ATROPINE – Page 81
CALCIUM CHLORIDE – Page 82
DEXTROSE 50% - Page 83
DIAZEPAM (VALIUM) – Page 84
DIPHENHYDRAMINE (BENADRYL) – Page 85
DOPAMINE – Page 86
EPINEPHRINE 1:1,000 – Page 87
EPINEPHRINE 1:10,000 – Page 88
FUROSEMIDE (LASIX) – Page 89
GLUCAGON – Page 90
LIDOCAINE – Page 91
MAGNESIUM SULFATE – Page 92
MORPHINE – Page 93
NALOXONE (NARCAN) – Page 94
NITROGLYCERIN – Page 95
OXYGEN – Page 96
PROMETHAZINE (PHENERGAN) – Page 97
SODIUM BICARBONATE – Page 98
SUCCINYLCHOLINE (ANECTINE) – Page 99
TERBUTALINE (BRETHINE) – Page 100
THIAMINE (VITAMIN B1) – Page 101
VECURONIUM (NORCURON) – PAGE 102
HENDERSONVILLE
DOPAMINE DRIP CHART – Page 104
NITROGLYCERIN DRIP CHART – Page 105
SUMNER REGIONAL
DOPAMINE DRIP CHART – Not currently available
NITROGLYCERIN DRIP CHART – Page 107
TCMC-PORTLAND
DOPAMINE DRIP CHART – Page 108
NITROGLYCERIN DRIP CHART – Page 109
A COPY OF A "DNR FORM"
INFECTION CONTROL GUIDELINES
ENCODE NUMBERS AND ER PHONE NUMBERS TO INCOUNTY AND ADJOINING COUNTY FACILITIES