2014 Protocols AEMT

Airway Management Needle decompression of tension PTX Not just for trauma

Airway Management Comparison

Asthma/COPD May administer up to three doses of albuterol via nebulizer

Asthma Comparison

Suspected Smoke Inhalation Changes: – Up to three doses of nebulized albuterol may be given as needed

Suspected Smoke Inhalation Comparison

Allergic Reaction/Anaphylaxis Changes: – May administer albuterol if patient is wheezing

Allergic Reaction Comparison

Diabetic Emergencies IV Dextrose (D50) 25g can be given (D25 for peds) If no IV access, consider IM glucagon 1mg (0.5mg in peds < 20kg) Magic number is BG < 80

Diabetic Emergencies Comparison

Overdose or Toxic Exposure Naloxone (Narcan) may be given IV, SQ, IM, IO or IN for opioid overdose Dose is 0.4mg for IV, 2mg for other routes Max is always 2mg

Overdose

Chest Pain Nitroglycerin may be given if SBP > 100 Give 0.4mg SL every five minutes up to three doses total

Cardiac Arrest - Adult IV/IO epi 1:10,000 1mg every 3-5 minutes

Chest Trauma Needle decompression if s/s of tension ptx Patient does NOT need to be in cardiac arrest Fluids if needed

Head Trauma D50 or glucagon if BG < 60 Different BG threshold than for diabetic emergencies