1. 2014 Protocols AEMT

2. Airway Management Needle decompression of tension PTX Not just for trauma

3. Airway Management Comparison

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

5. Asthma Comparison

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

7. Suspected Smoke Inhalation Comparison

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

9. Allergic Reaction Comparison

10. 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

11. Diabetic Emergencies Comparison

12. 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

13. Overdose

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

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

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

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