2015 Trumbull Memorial Hospital Demo

Routine for all EMS Runs

Routine for all EMS Runs

EMR 1. Crews will use universal precautions as outlined in departmental policy on all patients. 2. It is the responsibility of the highest trained personnel on scene to determine if adequate personnel are on the scene, or on the way to the scene, to handle the emergency. 3. Perform skills as appropriate at the EMR level: Manual airway maneuvers, OPA/NPA, Manual removal of obstructed airway, oral suctioning, BVM ventilation, CPR/AED, Medical and Trauma Assessment, Oxygen administration, Hemorrhage control, and splinting. 4. Drug therapy shall be administered per your training as outlined in this protocol. 5. Any other items outlined in the Ohio EMS Scope of Practice. EMT 1. Per your training at this level, as well as all guidelines set forth for EMRs, perform the primary survey on your patient. Note level of consciousness, c-spine precautions as necessary, and airway, breathing, and circulation assessment. 2. Obtain a history of facts to determine the patient’s needs. 3. Treatment should begin as soon as the primary survey is completed and/or a problem is found. Treatment continues throughout the secondary survey. Vitals are to be obtained and all findings and treatment shall be noted on the report and passed on to the person(s) assuming care of the patient. 4. The airway shall be managed by the means that are approved under your EMT license. 5. Oxygen therapy shall be by appropriate device and percentage. 6. Heart monitors may be used by EMTs only if a Paramedic is coming to assist or the EMT plans on transmitting the 12-Lead ECG to the receiving facility. Pulse oximeter and glucometers may be used by the EMT and any abnormality should prompt calling for a Paramedic. Despite device readings, if a patient clinically appears to be critical, a Paramedic should be called. It is to be made clear to the patient or family that you are gathering information for the Paramedic. 7. All other EMT skills that are needed shall be performed according to this protocol and the Ohio EMS Scope of Practice. 8. Drug therapy shall be administered per your training as outlined in this protocol. AEMT 1. Per your training at this level, as well as all guidelines set forth for EMTs, you are to initiate patient treatment as required. Paramedic 1. Per your training at this level, as well as guidelines set forth for the EMT and AEMT, you are to initiate patient treatment as required. 2. In addition to EMT and AEMT guidelines you shall manage the airway with orotracheal intubation, needle cricothyrotomy, or Melker cricothyrotomy as outlined in this protocol. 3. Drug therapy shall be administered per your training as outlined in this protocol. Extended Paramedic 1. In addition to EMT, AEMT, and Paramedic guidelines you shall manage the airway with rapid sequence intubation or surgical cricothyrotomy. 2. Drug therapy shall be administered per your training as outlined in this protocol. All personnel according to your training level will follow these guidelines and will complete a report of treatment and findings. This report will be completed in full and a copy given to the person or persons accepting responsibility for the patient. Any deviation of this protocol will be documented in a written statement given by the entire crew. 2. In addition to EMT skills, you are to establish IV lines of appropriate size and number. 3. Drug therapy shall be administered per your training as outlined in this protocol.

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EMR

EMT

AEMT

Paramedic

Extended