Regional Patient Care Protocols Update

Regional Patient Care Protocols Update

REVISED PROTOCOLS

VIEW ORIGINAL MEMO |Outline of October 2017 Protocol Revisions

MEMORANDUM

TO: REMS Area EMS Agencies
FROM: Wayne Perry, Executive Director
DATE: January 17, 2018
SUBJECT: Updates to the REMS Protocols

A number of updates to the Regional Patient Care Protocols were recently approved by the Regional Guidelines and Training Committee and the Rappahannock EMS Council’s Board of Directors. The complete set of protocols with updated sections may be found here. Please feel free to contact the Council at rems@vaems.org or 540-373-0249 with any questions you may have.

The sections to which changes have been made are listed below. For a detailed list of revisions, please see the detailed Outline of 2017 Protocol Revisions.

SECTION 1: ADMINISTRATIVE

1.0 Introduction
2.0 Acknowledgements
3.18 Sexual Assault & Abuse
3.21 Sepsis Pearls

SECTION 2: MEDICAL

1.0 Stroke Triage Decision Scheme
2.0 Cardiac Arrest—Unknown Rhythm
3.0 General—Behavioral / Patient Restraint
5.0 General—Pain Control
6.0 Medical—Allergic Reaction / Anaphylaxis
7.0 Medical—Altered Mental Status
9.0 Medical—Hypotension / Shock Non-Trauma
10.0 Medical—Nausea / Vomiting
11.0 Medical—Overdose / Poisoning / Toxic Ingestion
12.0 Medical—Respiratory Distress / Asthma / COPD/ Croup / Reactive Airway
13.0 Medical—Seizure

SECTION 3: TRAUMA

1.0 Field Trauma Triage Decision Scheme (MOVED)
5.0 Injury—Head (Traumatic Brain Injury)
6.0 Injury—Multisystem

SECTION 4: CLINICAL PROCEDURES

1.0 Scope of Practice
2.0 Authorized Medication Table
3.0 Clinical Procedures
3.2 Airway—Sedation Assisted (non-paralytic)
3.8 Ventilators & Continuous Positive Airway Pressure

SECTION 5: REFERENCE

4.0 EMS Stroke Alert Checklist (MOVED)
12.0 Newborn Resuscitation Algorithm / APGAR Scoring
20.0 Mass Gathering Protocol (ADDED)

SECTION 6: MEDICATION REFERENCE

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