Consider patient's clothing or uniform in relation to ambient temperature. Withholding Tax Only provider safety issues should prompt patient movement. Learn about Delaware's transition to 988 for suicide and crisis services . At what weight is a patient considered a pediatric for epinephrine via auto-injector? Click here for the list of classes. Published on 28 June 2022 By David Coulling 437 downloads. Signs and symptoms of severe allergic reactions include: - airway obstruction (partial or complete). What is an important vital sign to obtain for a suspected stroke patient that could rule out other possibilities of how the patient is presenting? . According to the Water Related Emergency protocol, what specific type of facility should you consider for a patient who experienced a drowning or near drowning incident? PROTOCOLS Effective January 1, 2022 . . The device pumps blood from the lower chamber of the heart to the body and vital organs. - If breathing spontaneously, go on to the next step, assessing respiratory rate. According to the Cardiac Arrest (Pediatric) protocol, what is the general rule for depth of compressions for infants and children? What are indications described in the Triage For Mass Casualty protocol? (specifically blood pressure), What are indications described under the Acute Respiratory Distress (Adult). E-mail / Text Alerts If a victim appears to be a child, use Jump START, According to the Triage For Mass Casualty protocol, if a victim appears to be a young adult, use _______. According to the Triage For Mass Casualty protocol, what is Step 2 in the Jump START process? Get Help Now! Elected Officials Current Suspected Overdose Deaths in Delaware for 2022: According to the Triage For Mass Casualty protocol, if a patient is able to obey commands, tag as ______, According to the Triage For Mass Casualty protocol, if a patient is unable to obey commands, tag as ______, According to the Triage For Mass Casualty protocol, when assessing mental status, if a person is ______ ______ ______ ______, tag as Yellow, According to the Triage For Mass Casualty protocol, when assessing mental status, if a person is unable to ______ ______ ______ ______, tag as Red. This may be acute or over a period of time. If any of the conditions in abnormal vital signs, obvious injury are present or mechanism of injury / evidence of high energy impact, transport to Trauma Center. According to the Selective Spinal Motion Restriction protocol, what should be done if the patient is non-ambulatory and requires spinal motion restriction? It may be characterized by signs of distress or inadequate respiratory effort. What is a useful tool to use with an MDI to help assisting medication to a pediatric patient? What are the indications described in the Cold Emergencies protocol? Download (pdf, 3.03 MB) 2022 Regional Medical Protocols.pdf. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe's Accessibility Tools page. About the Department According to the Cold Emergencies protocol, what should you NOT do when treating a patient with frostbite? Corporations What are the five "Rights" in regards to medication? Delaware Courts Updated: October 5, 2022. For more information, please contact the program office. Personal Income Tax Franchise Tax If patient _______ _______, tag as Red. According to the Pediatric and Adult Trauma protocol, what are some extenuating circumstances that could potentially lead to trauma on scene time exceeding 10 minutes? Gross Receipts Tax What is the maximum doses of nitroglycerin an EMS provider can give a patient? Division of Developmental Disabilities Services Announces Data Breach; Call Center: 1-833-875-0644 (9 am - 9 pm Mon-Fri) For a suspected stroke patient, aphasia is usually only seen in the ______ side of the body, For a suspected stroke patient, agnosia is usually only seen in the ______ side of the body, difficulty understanding spoken or written words, difficulty following commands OR difficulty talking (do not count slurring of words for stroke patients), inability to recognize familiar objects, inability to recognize arm and/or unaware of impairment. Secretary Bio According to the Eye Injuries protocol, what are the considerations for treating a patient with sudden loss of vision? According to the Triage For Mass Casualty protocol, what does START stand for? Help Center Toll Free: 1-888--747-8367: OEMS Phone: (304) 558-3956: OEMS Fax: (304) 558-8379: Trauma Phone: (304) 290-9307: Trauma Fax: (304) 558-8379 Delaware Marketplace For an acute respiratory distress patient, consider obtaining a carbon monoxide reading, if greater than ___, apply oxygen. Version 22.0 Effective 02 -25-2022 4 Background These protocols are intended to guide and direct patient care by EMS providers across New York State. Training will be available. According to the Triage For Mass Casualty protocol, what is Step 1 in the START process? Delaware Courts Weather & Travel, Contact Us Medications that are listed as required must be carried on the specified level of EMS vehicle and must be carried in a quantity sufficient to treat at least one adult using the Statewide EMS protocols. According to the Pediatric and Adult Trauma protocol, what should you do if the patient does not meet the criteria described in Mechanism? According to the Pediatric and Adult Trauma protocol, if a patient presents with an evisceration, cover with ______ ______ moistened with ______ or ______; cover the area with an ______ ______. - optional protocols According to the Pediatric and Adult Trauma protocol, what are the pediatric vital sign parameters that indicate significant trauma? Mental Health What is an assessment tool used with pediatric patient? An example of . For a suspected stroke, the onset of symptoms is also known as: Contact __________ _________ ___________ for all suspected stroke patients, Stroke alert is normally activated if onset of symptoms or Last Known Well is less than ____ hours, Stroke ________ is normally activated if onset of symptoms or Last Known Well is less than 4.5 hours, Rapid Arterial oCclusion Evaluation Scale. At what age and above is a patient considered an adult for Albuterol treatment? What is the pediatric dose for epinephrine via auto-injector? What are some indications that an EpiPen has expired? Do not give nitroglycerin if the patient's systolic blood pressure is below 90mm Hg. What are the contraindications for removing a taser probe from a patient? What is the common drug name for diphenhydramine? assessing for breathing rate, rhythm, and quality with an open airway (spontaneous breathing, respiration rate, irregular breathing, apnea). The link below contains the Facility Names and Codes as shown in eMEDS. According to the Pediatric and Adult Trauma protocol, what are extenuating circumstances described in this protocol? According to the Pediatric and Adult Trauma protocol, what are some potential on scene activities for a penetrating trauma patient? Councils and Committees Delaware Topics Locations Directory Inform the patient about the needed treatment and possible outcomes including verbalizing the possibility of disability and death. Cities & Towns Buchanan County EMS (6/02/2022) Callaway County Ambulance District (7/13/2022) Chillicothe Fire Department (10/21/2022) Cole County (7/18/2022) Garden City Fire Protection District (3/15/2021) Grand River Regional Ambulance District (3/14/2021) Joachim-Plattin Ambulance PCG (8/09/2022) Lee's Summit Fire Department (11/01/2022) Annual Fire Company Officer List Update Due January 1st, 2023 More Info, Obtaining a Certified Delaware Criminal History. Observe the eyes and head deviation to one side, eyes deviated or unable to track to one side. According to the Do Not Resuscitate Orders protocol, what are the four different ranges of treatment listed under Section C: Medical Interventions? YouTube. The protocols will be reviewed annually. For a pediatric patient experiencing acute respiratory distress/failure, the inhaler may be used again in ____ minutes for a total of ____ puffs, If the pediatric patient's pulse rate is over _____ beats per minute, contact __________ __________ prior to a second dose of bronchodilator, If the pediatric patient's heart rate is less than _____ beats per minute, and if appropriate, assist the patient with their own nebulizer. The patient and family are trained on this device. Confirmation that a patient is without vital signs should be done by looking, listening, and feeling for breathing, along with checking for a carotid pulse and one additional pulse point (i.e. The OEMS will accomplish this by: For more information, please contact the program office. Patient with uncomplicated probes from a conducted electrical weapon (Taser) embedded into non-sensitive areas of the skin. What are the indications described in the Ventricular Assist Device (VAD or LVAD) protocol? Locations Directory According to the Heat Emergencies protocol, how should you treat a patient experiencing heat cramps? What should you do in a patient with altered mental status if the patient continues to be symptomatic after 10 minutes, Re-determine blood glucose level and administer a second dose of oral glucose 15-24 grams if glucose is still below 60 mg/dl and patient is alert and able to protect their own airway, If a patient continues to present with altered mental status ___ minutes after administering oral glucose, re-determine blood glucose level and administer a second dose if glucose is still below ___ mg/dl, AEIOU-TIPS is a tool that can be used for patients presenting with ___________ ___________ ___________. Office of the Secretary - Administration Help Center State of Delaware EMS Medical Direction. According to the Pediatric and Adult Trauma protocol, in cases of severe hemorrhage: - Apply direct pressure to the hemorrhaging wound. Delaware Topics Agencies are listed alphabetically. True or False: with a suspected opiate overdose, naxolone (Narcan) should be delayed until a pulse is obtained. MMXVIII Delaware.gov, Aging and Adults with Physical Disabilities, Medical Control Physician Information Form is available in PDF format, Paramedic Standing Orders Pharmacology Manual, Edition: 2019 PDF Format, Paramedic Standing Orders and Policies For Chemical Terrorism, Bioterrorism, Radiation Injury and Pandemic Illness, Effective September 25, 2018 PDF Format, Paramedic Standing Orders and Policies For Tactical Emergency Medical Support Program, Effective November 1, 2022 PDF Format, Paramedic Standing Orders and Policies For Toxmedic Program, Effective September 25, 2018 PDF Format, Basic Life Support and Fire Service Standing Orders for Nerve Agent Antidote Program, Approved by Board of Medical Practice September 18, 2018 PDF Format, Public Safety Personnel Naloxone (Narcan) Standing Order, Effective November 1, 2022 PDF Format, Public Safety Agency Standing Orders for Self Administered Nerve Agent Antidote Program, Approved by Board of Medical Practice September 18, 2018 PDF Format, Delaware Emergency Medical Services Free Standing Emergency Department Destination Policy, Effective March 11, 2013 PDF format, Delaware Emergency Medical Services Hospital Diversion Policy 2013 Addition of Free Standing Emergency Departments, Effective March 11, 2013 PDF format, Human Trafficking Interagency Coordinating Council. According to the Cardiac Arrest (Adult) protocol, what are the two components of pit crew high performance CPR? Building partnerships with pre-hospital providers and healthcare systems. Enlist the assistance of the parent/caregiver or family member to determine what is "normal" for this patient, According to the Altered Mental Status protocol, Contact Medical Control if the patient is less than the age of ____ years of age for guidance with appropriate blood sugar level and mediation dosages. Contact the Tidewater EMS Staff. - Expose and continue with trauma assessment. AMERICAN HEALTH NETWORK DALEVILLE 14745 W COMMERCE RD Daleville. What are the indications described in the Cardiac Arrest (Pediatric) protocol? Final 2020 AEMT Protocol (PDF) The department is committed to providing Pennsylvania's EMS personnel with the most up-to-date protocols. Apply this guideline to all patients involved in known or suspected blunt trauma. General Assembly So that the medication can absorb into the tissue inside the nose. Manual blood pressure may not be obtainable. What other protocols are recommended to be considered in the Allergic Reaction protocol? Signs and symptoms of acute exacerbations of: What are 2 important vital signs when assessing an Acute Respiratory Distress patient according to the protocol? Your safety comes before the patient's. Delaware basic life support protocols, guidelines and standing orders for prehospital and lnterfacility patients. Aspirin is associated with a risk of Reye's syndrome in children. According to the Burns protocol, what are the five types of burns that a patient can sustain? SMYRNA, Del. Ask the patient to follow two simple commands: According to the RACE Scale, how can you test agnosia? EMS Refresher Courses; American Heart Association Courses . What are indications described in the Albuterol (Optional) protocol? What Delaware EMS protocols are optional? - If no breathing after airway opening, check for peripheral pulse. It can be associated with changes in airway sounds, skin color, and mental status, a clinical state of inadequate oxygenation, ventilation, or both. - Evaluate using the Jump START algorithm. Elected Officials To view current protocols, click on your desired agency link below. ______ dressing if worsened shortness of breath. List all the optional Delaware EMS Protocols. Aging and Physical Disabilities Current AHA guidelines reflect the importance of compressions for survival from cardiac arrest. According to the Pediatric and Adult Trauma protocol, how should you transport a patient presenting with an evisceration? If a victim appears to be a young adult, use START. Patient exposed to cold environmental conditions. Between what ages is a patient considered a pediatric for Albuterol treatment? Delaware Marketplace What protocol is used on every single call with a patient? What are the contraindications described in the Taser Probe Removal protocol? Public Meetings According to the Triage For Mass Casualty protocol, what are the two main assessments occurring in Step 7 of the Jump START process? According to the Bites and Envenomation protocol, what is additional information you should try to obtain from the patient or bystanders on scene? What are the indications described in the Burns protocol? Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. According to the Do Not Resuscitate Orders protocol, what is described in the Treatment Guidelines? It has become discolored and contains particulates or sediments, Medical Control should be contacted before an additional dose of epinephrine via auto-injected if symptoms continue after ____ minutes. Federal COVID Funding Dashboard, Publications & Reports The Protocol Resource Kit is your guide to transitioning to the new statewide protocols. Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader. Examples of commonly used bronchodilators include: ___________ (Nasal or Oral) airways are contraindicated in infants and small children experiencing respiratory failure/arrest. EMS Education. Visually Impaired Delaware Topics Consider Albuterol protocol, What medication can be given for moderate allergic reactions (optional). What is important to determine when assessing a patient presenting with altered mental status? DO NOT PUSH VISCERA BACK INTO ABDOMEN. pdf. Click Here to Download just the 07-01-2022 Regional Patient Care Protocols Change Packet or the 07-01-2022 version of the Patient Care Protocols, Policies, and Procedures. According to the Triage For Mass Casualty protocol, what is step 4 in the Jump START process? pulse oximeter reading and cardiac rhythm (regular or irregular). Pulse, manual blood pressure, and pulse oximetry. At least one third the anterior posterior diameter of the chest. These are the Protocols for EMS, effective July 1, 2022. Information for Emergency Medical Services (EMS) including EMT Certification, Emergency Medical Responders and EMS Protocols. Human Trafficking Interagency Coordinating Council, Developmental Disabilities Services According to the Taser Probe Removal protocol, if there is suspicion that the probe is imbedded into ________, ________ ________, or other sensitive areas, the patient should be transported for ________ and ________ ________ at the ________ ________ ________, if there is suspicion that the probe is imbedded into, True or False: According to the Taser Probe Removal protocol, ensure that all the wires are still connected from the weapon, False, ensure wires are disconnected from weapon, According to the Taser Probe Removal protocol, you should stabilize skin around probe using ________ hand (dominant or non-dominant), According to the Taser Probe Removal protocol, you should grasp the probe by mental body using you ________ hand (dominant or non-dominant), True or False: According to the Taser Probe Removal protocol, you should remove the probe from the patient slowly, False, remove probe in a single and quick motion, According to the Taser Probe Removal protocol, dispose of taser probe in the ________ container. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe's Accessibility Tools page. Check the expiration date to make sure the oral glucose has not expired. View or Download the 2022 Fall Schedule. - Irrigate eye with normal saline or water (as appropriate for the chemical involved) for 20 minutes (can use the PENIS). For a suspected opiate overdose, what vital sign is very important to obtain before administering the first dose of Narcan? UH Online Continuing Education; Fire Rescue 1 Academy; Protocols COVID-19 Transport Protocol. Have you taken any erectile dysfunction medications within the past 24 hours? Ensure the patient that they will not get in trouble for admitting to drug use to you because it will enable you to correctly treat them, True or False: It is okay to give aspirin to children, False. According to the Heat Emergencies protocol, how should you treat a patient experiencing heat exhaustion? Learn More. According to the Triage For Mass Casualty protocol, what is the main assessment occurring in Step 4 of the Jump START process? The Pennsylvania Department of Health Bureau of EMS publishes EMS protocols. If a victim appears to be a child, use _______ _______. Elected Officials This Trauma Protocol applies to patients with any of the following field triage criteria. What is defined as an adult for the General Patient Care (Adult) protocol? Mobile Apps What are the vital signs and assessment criteria described in the CPAP (Optional) protocol? According to the Heat Emergencies protocol, how should you begin to cool down a patient? Current Suspected Overdose Deaths in Delaware for 2022: Get Help Now! While the TEMS protocols serve as the basis for the care we provide to our patients, the individual departmental Operational Medical Directors (OMDs) may, at their discretion, make changes to the protocols for their providers.
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