About
Section 1: General Patient Care
Section 2: Medical Protocols
2.01 - Adrenal Insufficiency / Crisis (Adult & Pediatric)2.02A - Allergic Reaction / Anaphylaxis2.02P - Allergic Reaction / Anaphylaxis2.03A - Altered Mental / Neurological Status / Diabetic Emergencies / Coma - Adult2.03P - Altered Mental / Neurological Status / Diabetic Emergencies / Coma - Pediatric2.04 - Behaviorial Emergencies (Adult & Pediatric)2.05 - Behaviorial Emergencies - Restraints (Adult & Pediatric)2.06A - Bronchospasm / Respiratory Distress (Adult)2.06P - Bronchospasm / Respiratory Distress (Pediatric)2.07 - Hyperthermia (Environmental - Adult & Pediatric)2.08 - Hypothermia (Environmental - Adult & Pediatric)2.09 - Nerve Agent / Organophosphate Poisoning2.10 - Obstetrical Emergencies2.11 - Newly Born Care2.12 - Resuscitation of the Newly born2.13 - Pain and Nausea Management2.14 - Poisoning / Substance Abuse / Overdose2.15A - Seizures2.15P - Seizures2.16A - Shock2.16P - Shock2.17A - Sepsis2.17P - Sepsis2.18 - Stroke2.19 - Hyperkalemia2.20 - Home Hemodialysis Emergency Disconnect
Section 3: Cardiac Emergencies
Section 4: Trauma Protocols
Section 5: Airway Protocols & Procedures
Section 6: Medical Director Options
Section 7: Medical Policies & Procedures
Section 8: Special Operations Principles
Appendices
2.03P - Altered Mental / Neurological Status / Diabetic Emergencies / Coma - Pediatric
EMT-Basic (Standing Orders)
- 1.0 Routine Patient Care
- If patient is unconscious or seizing, transport on left side (recovery position).
- Glucose is indicated only for documented hypoglycemia. If authorized and trained to do so, obtain a blood sugar reading.
- If glucose is known to be less than 70 mg/dL and the patient is conscious and can speak and swallow, administer oral glucose or other sugar source as tolerated.
- Oral glucose:
- ½ tube for a patient under 20 kg.
- 1 tube for a patient 20kg or over.
- Other sugar sources are acceptable.
- A second dose may be necessary after 10 minutes if patient remains symptomatic
EMT-Advanced (Standing Orders)
- Treatment for specific etiologies, or coma of unknown etiology:
- Known HYPOglycemia (glucose < 70 mg/dL):
- Dextrose 10% 0.5 gm/kg IV/IO.
- Glucagon 0.1 mg/kg IV/IO/IM up to max. of 1 mg.
- Known HYPERglycemia:
- Administer 10mL/kg fluid bolus.
EMT-Paramedic (Standing Orders)
EMT-Paramedic (Medical Control)
- Additional doses of above medications.