Update June 6, 2010 - clarification of adult and pediatric epi-auto injector doses (see REMAC Advisory 2010-04)
OLD INFORMATION:
January 1, 2009 BLS protocols revised as follows:
400-WEAPONS OF MASS DESTRUCTION NERVE AGENT EXPOSURE PROTOCOL:
-Change: Table 1-Initial Treatment, 2-Pam dose changed
404-NON-TRAUMATIC CHEST PAIN:
-Add: Note stating NTG be with-held from patients using ED medications within 72 hours
-Change age from 35 to 33 to be consistent with AHA guidelines
407-ASTHMA:
-Title changed to ¡§Wheezing¡¨
-Clarification
414-POISONING OR DRUG OVERDOSE:
-Delete: Activated Charcoal
421-HEAD AND SPINE INJURIES:
-Changed to be consistent with new NYS DOH protocol
432-COLD-RELATED EMERGENCIES:
-Changed time for vital signs to be consistent with NYS DOH protocol
Clarifications approved by REMAC 01-15-08
The following were corrected to have consistent language stating the AED can be applied to all pediatric patients under the age of 9 years. For Neonatal Resuscitation refer to protocols appropriate to your level of care.
BLS Protocols
403 ¡V NON-TRAUMATIC CARDIAC ARREST
453 ¡V PEDIATRIC NON-TRAUMATIC CARDIAC ARREST AND SEVERE BRADYCARDIA
EMT-BASIC PROTOCOLS FOR IMPLEMENTATION JANUARY 2008
Overview of JANUARY 2008 revisions:
400 ¡V WMD: (1) Reference to brand name (MARK I) removed; (2) Atropine dosages for extended treatment clarified.
404 ¡V Non-Traumatic Chest Pain: Nitro in spray form added.
407 ¡V Asthma: (2) Age restriction deleted; (2) BORG deleted; (3) Requirement to contact medical control prior to administering Albuterol to cardiac patients deleted; (4) Albuterol may be administered a total of 3 times (originally 2).
414 ¡V Poisoning or Drug Overdose: Reference to shock deleted.
420 ¡V Traumatic Cardiac Arrest: AED application and defibrillation added.
430 ¡V Emotionally Disturbed Patient: Add direction to contact ALS for chemical restraint if needed.
442 ¡V Care of the Newly Born: Minor language change
443 ¡V Newly Born Resuscitation: AHA revisions
450 ¡V Pediatric Respiratory Distress/Failure: Minor language change
453 ¡V Pediatric Non-Traumatic Cardiac Arrest and Severe Bradycardia: Minor language change
455 ¡V Pediatric Anaphylactic Reaction: Minor language change
458 ¡V Pediatric Shock: Minor language change
Click to download NYS DOH Basic Life Support Protocols (2003)
Old - BLS protocols July 1, 2009 - March 31st, 2010
Revised as follows:
BLS Protocol 404 Non-Traumatic Chest Pain
„X Title changed to Suspected MI to be more inclusive of all ACS patients
„X New NOTE gives a broad definition of Acute Coronary Syndrome (ACS).
„X Step 4 clarified ¡V ALS should always be requested for these types of patients, however, transport can not be delayed. If time for arrival of ALS exceeds time to hospital, patient is to be transported.
„X Administration of NTG is moved from standing order #7 to standing order # 9.
„X Administration of aspirin is clarified: no contraindications except known aspirin allergy or hypersensitivity.
version 'b' - Typo correction - July 15, 2009: Protocols 410 & 455, Adult & Pediatric Anaphylactic Reaction, repectively, were replaced with the versions approved and distributed in REMAC Advisory 2009-04.
Updated June 6, 2010