Clinical Guidelines

QUICK REFERENCE & DESTINATION

DESTINATIONS

Q-01 Regional Hospital Capabilities

Q-02 Stroke Destination

Q-03 Trauma Destination

CHECKLISTS

Q-C1 Death-on-Arrival (DOA) Checklist

Q-C2 Pit-Crew CPR Checklist

Q-C3 Rapidly-Deteriorating/Post-Resuscitation Checklist

Q-C4 Termination in Medical Arrest Checklist

Q-C5 Termination in Traumatic Arrest Checklist

REFERENCE

Q-R1 Pit-Crew CPR Roles/Responsibilities

Q-R2 START Triage

Q-R3 Stroke Scale (C-STAT)

Q-R4 Vasopressor (Medical Shock) Drip Calculations

UNIVERSAL CARE

GUIDELINES

1-01 Universal Care

1-02 Initial Assessment & Exam

1-03 IV Protocol

1-04 Glucose Check/Management

1-05 Continuous/12-Lead ECG

1-06 Spinal Immobilization

1-07 Deviation From Standing Orders

PROCEDURES

1-P1 EZ-IO Placement

1-P2 Helmet/Equipment Removal

1-P3 Indwelling Port Access [Training Required]

1-P4 OG Tube Insertion [Training Required]

CARDIAC

GUIDELINES

CARDIAC ARREST

C-01 Initial Cardiac Arrest

C-02 Asystole/Pulseless Electrical Activity (PEA)

C-03 Ventricular Fibrillation/Pulseless Ventricular Tachycardia (VF/pVT)

C-04 Rapidly-Deteriorating Patient/Post-Resuscitation

OTHER CARDIAC

C-05 Bradycardia

C-06 Chest Pain/STEMI

C-07 Narrow-Complex Tachycardia

C-08 Wide-Complex Tachycardia

PROCEDURES

C-P1 Pit-Crew CPR

C-P2 AED/Manual Defibrillation

C-P3 Mechanical CPR Device

C-P4 Synchronized Cardioversion

C-P5 Transcutaneous Pacing

ENVIRONMENTAL

GUIDELINES

E-01 Heat Injury (Hyperthermia)

E-02 Hypothermia/Cold Injury

E-03 Near-Drowning

E-04 Snake Bite

HAZMAT/TOXICOLOGY

GUIDELINES

H-01 Initial HazMat/Toxicology

H-02 Initial Treatment of Isolated Overdose/Exposure

H-03 Carbon Monoxide

H-04 Closed Space Fire

H-05 Corrosive Agents

H-06 Cyanide/Hydrogen Sulfide

H-07 Hydrofluoric Acid

H-08 Methemoglobin Formers

H-09 Opiates/Sedatives

H-10 Organophosphates

REFERENCE

H-R1 Cardiovascular Drugs

H-R3 Neurologic/Psychiatric Drugs

H-R4 Other Common Substances

H-R5 Poisonous Plants

H-R6 Vitamins/Herbal Supplements

MEDICAL

GUIDELINES

M-01 Abdominal Pain/Vomiting

M-02 Allergic Reaction

M-03 Altered Mental Status/Unresponsive/Syncope

M-04 Hypertensive Crisis

M-05 Fever/Sepsis

M-06 Medical Shock

M-08 Stroke (Cerebrovascular Accident)

REFERENCE

M-R1 C-STAT Stroke Scale

M-R2 Cincinnati Stroke Screen

M-R3 Terminally Ill Patients

OB/GYN

GUIDELINES

OBSTETRIC/MATERNAL COMPLAINTS

OB-01 Initial OB/GYN Complaint

OB-02 Childbirth/Delivery

OB-03 Obstetrical Emergencies

OB-04 Vaginal Bleeding

NEONATAL RESUSCITATION

OB-05 Newborn Resuscitation

OB-06 Fetal Demise/Non-Viable Fetus

PSYCH/BEHAVIORAL

GUIDELINES

Acute Agitation/Psychosis

P-01 Acute Agitation/Excited Delirium

P-02 Determination of Capacity

P-03 Physical Restraint

Abuse/Neglect

P-04 Child Abuse

P-05 Domestic Violence (Adult)/Neglect

P-06 Sexual Assault

PROCEDURES

P-P1 Taser Removal On-Scene

MEDICATIONS

GUIDELINES

RX-01 Off-Formulary Medications

RX-02 Pain Management

RX-03 Sedation/Excited Delirium

PROCEDURES

RX-P1 Aerosol/Inhaler Treatments

RX-P2 Intranasal Medication

RX-P3 Medication Administration

REFERENCE

RX-R1 Medication Information

TRAUMA

GUIDELINES

T-01 Multi-System/Initial Trauma Assessment & Care

T-02 Traumatic Cardiac Arrest

T-03 Care During Extrication

T-04 Hemorrhagic Shock (Traumatic & Non-Traumatic)

T-05 Thermal Burns

T-06 Electrocution/Lightning Injury

Note: For Chemical Burns, please see Corrosive Agents [H-05]

REGIONAL TRAUMA

T-07 Head Trauma (Includes Eye & Tooth Injury)

T-08 Spinal Cord Injury/Neurogenic Shock

T-09 Chest/Abdominal Trauma (Includes Tension Pneumothorax)

T-10 Extremity/Soft Tissue Trauma

PROCEDURES

T-P1 Needle Decompression

T-P2 Pelvic Binder

T-P3 Tourniquet

T-P4 TXA Administration

DEATH

GUIDELINES

X-01 Presumed Death on Arrival (DOA)

X-02 Discontinuation in Medical Arrest

X-03 Discontinuation in Traumatic Arrest

TRANSPORT & GENERAL CARE

GUIDELINES

PATIENT

Z-01 Patient or No-Patient

Z-02 Non-Transport/Refusal of Care

Z-03 Medical Clearance

PERSONNEL/TRANSPORT

Z-04 Physician/Bystander On-Scene

Z-05 BLS Attending/ALS Intercept

Z-06 Air Ambulance Transport

SAFETY

Z-07 Infection Control/PPE

Z-08 Scene/Transport Safety

PROCEDURES

Z-P1 ED Offloading

REFERENCE

Z-R1 Common Abbreviations

Z-R2 Definitions

Z-R3 Med Channels

Disclaimer: These Clinical Guidelines (a.k.a. protocols) are provided as an adjunct to the published clinical guidelines for agencies represented by Infinity Emergency Medical Solutions and Dr. Heffern. They will be maintained as up to date as possible. If using these for direct patient care, please verify any of the referenced documents with those published directly by/for the agency you are working for, or contact online medical control for questions.