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
2.15P - Seizures
EMT-Basic (Standing Orders)
- 1.0 Routine Patient Care
- Prevent patient from accidental self-harm. DO NOT use a bite block.
- CAUTION: Do NOT administer anything orally if the patient does not have a reasonable level of consciousness and normal gag reflex.
EMT-Advanced (Standing Orders)
- If Diazepam rectal gel (Diastat) has been prescribed by the patient’s physician, assist the patient or caregiver with administration in accordance with physician’s instructions.
- If the patient has an implanted vagus nerve stimulator (VNS), suggest that the family use the VNS magnet to activate the VNS and assist if required.
- To use the VNS magnet, pass the magnet closely over the VNS device; if unsuccessful, repeat every 3-5 minutes for a total of 3 times.
Note: do not delay medication administration.
EMT-Paramedic (Standing Orders)
- If Glucose is less than 70mg/dL, treat per2.3P Altered Mental/Neurological Status/Diabetic Emergencies/Coma- Pediatric.
- Midazolam 0.1 mg/kg IV/IO/IM to a maximum single dose of 8 mg. OR
- Midazolam 0.2 mg/kg IN to a maximum dose of 10 mg.
EMT-Paramedic (Medical Control)
- Additional doses of above medications
Caution:
For patients under 12 years old, the airway is in most cases best managed with a BVM or SGA.
In some cases, intubation may be preferred. This is at the discretion of the treating paramedic.
In some cases, intubation may be preferred. This is at the discretion of the treating paramedic.