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Logs
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  • 18:35, 26 November 2025 Treloars talk contribs created page Ceftriaxone (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTIBIOTIC=== ====CEFTRIAXONE / ROCEPHIN==== '''DESCRIPTION / ACTION:''' * Ceftriaxone is a third generation cephalosporin antibiotic that is used to treat bacterial infections * Ceftriaxone is used as the treatment for bacterial infections and is often used pre-operatively to reduce the risk of surgical infections '''INDICATIONS:''' * Open extremity fracture * Penetrating trauma to the torso '''CONTRAINDICATIONS:''' * Allergy to...")
  • 14:17, 23 June 2025 Treloars talk contribs deleted page Geodon (content was: "==Section 8 - MEDICATION GUIDELINES== ===SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC=== ====Ziprasidone (GEODON) / Antipsychotic==== '''DESCRIPTION''' * An atypical antipsychotic acting as a dopamine antagonist that also affects other neurotransmitters to reduce psychosis and acute agitation. '''INDICATIONS''' * Used for the control of acute agitation in schizophrenic and/or sev...", and the only contributor was "Treloars" (talk))
  • 18:29, 14 May 2025 Treloars talk contribs created page Memo - Stroke Alerts (Created page with "May 12, 2025 '''Stroke Alerts''' Please be advised of a change in stroke alert policy. All stroke alerts should be taken to the nearest (by time of transport) comprehensive stroke center This new directive took into account multiple considerations. Although we have made great improvement in attempting to determine the severity of patients with stroke by examination in the field, we recognize that such a determination is still not exact. We also recognize that stroke...")
  • 21:58, 13 May 2025 Treloars talk contribs moved page Suspected Stroke Transcient Ischemic Attack TIA to Suspected Stroke Transient Ischemic Attack TIA (Misspelled word)
  • 15:25, 7 May 2025 Treloars talk contribs created page Tetracaine (Redirected page to Ponticaine) Tag: New redirect
  • 16:37, 30 April 2025 Treloars talk contribs deleted page CORE Opioid Addition Recovery (content was: "==Section 5 -MEDICAL== ===5.23 CORE Opioid Adiction Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL...", and the only contributor was "Treloars" (talk))
  • 18:18, 16 April 2025 Treloars talk contribs created page Memo - Medical Clearance (Created page with "March 31, 2025 '''Medical Clearance''' We are receiving more calls from law enforcement to check a patient prior to being transported by law enforcement under a Baker Act. We have had a couple of problems and there will be more if we are not more careful. First, there is no such thing as a "vitals check". You must touch that person to do vitals therefore that person is a patient. You will be writing a thorough run report. That includes history, observations, physic...") Tag: Visual edit
  • 18:15, 16 April 2025 Treloars talk contribs created page Memo - Patient Assists (Created page with "March 31, 2025 '''Patient Assists''' We need to clarify what we should be doing when called to "assist" a patient. "You observe people, you touch patients." This is the only way to delineate who's who. The old term "lift assist" found us trying to determine if that's all they needed, or more. How did this happen? How did they end up on the floor? How have they been feeling? What are the other medical issues?  OPQRST. Do they have any fractures/dislocations? Do...") Tag: Visual edit
  • 15:56, 16 April 2025 Treloars talk contribs created page Memo - Face to face Medical Director meetings (Created page with "MEMORANDUM March 31, 2025 The medical director team and I believe strongly in face-to-face medical director meetings in small groups. It is an important piece of a successful, high-quality EMS system. It has been proven over decades. I don't think everyone embraces it and has importance. It's just a chore or another requirement. It's not always convenient. Knowing your feelings we decided to change a few things. We are no longer going to have 630 p.m. meetings that in...")
  • 18:40, 4 March 2025 Treloars talk contribs created page Elegard - Pediatric (Created page with "==Procedure Guidelines== ===Elegard - Pediatric=== '''Therapeutic Goal''' To recognize the pediatric patient requiring cardiopulmonary resuscitation and to restore a stable cardiac rhythm with adequate cardiac output and perfusion leading to neurologically intact survival. '''Assessment / Pathophysiology''' * Most cardiac arrest in infants and children is secondary to other causes (respiratory insult, illness, congenital heart defect, drowning, etc.) rather than corona...")
  • 18:28, 4 March 2025 Treloars talk contribs created page Elegard - Adult (Created page with "Cardiac Arrest (Adult) Therapeutic Goal To recognize the patient requiring cardiopulmonary resuscitation and to restore a stable cardiac rhythm with adequate cardiac output and perfusion leading to neurologically intact survival. 1. This protocol is for medical cardiac arrest and does not apply to hemorrhagic cardiac arrest. 2. The first few minutes are critical and must be focused on establishing optimal perfusion (BLS). Utilize the “carry less do more” strategy t...")
  • 19:51, 28 January 2025 Treloars talk contribs moved page Lift Assist to Patient Assist (Better description)
  • 15:38, 27 January 2025 Treloars talk contribs created page Lift Assist (Created page with "For all falls or lift assist calls the following protocol guidelines are to be followed and docuemented: {| class="wikitable" |+ !Manual Vitals !Assess AVPU/GCS and compare to normal baseline if possible. Tachycardia (HR>100) or relative hypotension (SBP<110) is concerning for sepsis. Assess skin color, condition, and temp. Assess blood sugar level. |- !Events leading to fall or list assist !Any new symptoms? Generalized weakness? Poor appetite? Shortness of breath? Syn...") Tag: Visual edit
  • 19:02, 3 December 2024 Treloars talk contribs created page Buprenorphine (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTICONVULSANT=== ====Buprenorphine ==== '''DESCRIPTION / ACTION:''' * Medication to treat opioid use disorder (OUD) '''INDICATIONS:''' * Patients precipitated opioid withdrawal who agree to start recovery and agree to transport to a designated CORE transport facility '''CONTRAINDICATIONS:''' * Severe hypersensitivity, including anaphylaxis and angioedema '''DOSE:''' * 8mg Sublingual Tablet as per Protocol Category:Medication...")
  • 19:45, 22 October 2024 Treloars talk contribs created page File:LifeVac.jpg (Picture of LifeVac device)
  • 19:45, 22 October 2024 Treloars talk contribs uploaded File:LifeVac.jpg (Picture of LifeVac device)
  • 19:41, 22 October 2024 Treloars talk contribs created page LifeVac (Created page with "==Procedure Guidelines== ===9.42 LifeVac=== INDICATIONS *The Lifevac is a non-powered single patient portable suction apparatus used to remove a foreign body airway obstruction. *If the victim is unable to ventilate any air, then perform Abdominal Thrusts. If Abdominal Thrusts fail after three attempts or the victim becomes unconscious then it is recommended to attempt use of the LifeVac. (Modifications of Chest thrusts for pregnancy or obese and 5 back slaps/5 chest co...")
  • 16:03, 18 October 2024 Treloars talk contribs created page CORE Opioid Addiction Recovery (Created page with "==Section 5 -MEDICAL== ===5.23 CORE Opioid Addiction Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL CARE : PRECIPTIATED OPIOID WITHDRAWAL: Once the patient has received naloxone (Narcan/Kloxxado)...")
  • 15:38, 18 October 2024 Treloars talk contribs created page CORE Opioid Addition Recovery (Created page with "==Section 5 -MEDICAL== ===5.23 CORE Opioid Addition Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL CARE : PRECIPTIATED OPIOID WITHDRAWAL: Once the patient has received naloxone (Narcan/Kloxxado) a...")
  • 13:26, 19 March 2024 Treloars talk contribs created page Controlled Substance Disposal Procedures (Created page with "==Procedure Guidelines== ===9.41 Controlled substances disposal procedure=== *This procedure applies to DEA controlled substances that have expired, have a broken seal, or otherwise need to be disposed of. It does not apply to the wasting of remaining medications after partial administration to a patient. *Each agency will designate who in their agency will be responsible for disposal of controlled substances, this should not be a street paramedic responsibility. *The...")
  • 20:58, 22 January 2024 Treloars talk contribs created page Hypertonic Saline (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ELECTROLYTE=== ====Hypertonic Saline / 3% Saline==== '''DESCRIPTION''' Strong saline solution used to shift fluid out of the cells and decrease intercranial pressure '''INDICATIONS''' Traumatic Brain Injury '''CONTRAINDICATIONS''' None found '''PRECAUTIONS''' None found '''DOSAGE''' * Pediatrics - 5 ml/kg IV/IO utilizing 10 gtts drip set. * Max dose 250 ml Hypertonic Saline")
  • 20:43, 22 January 2024 Treloars talk contribs created page Keppra (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTICONVULSANT=== ====Keppra / Levetiracetam==== '''DESCRIPTION / ACTION:''' * Anticonvulsant for Traumatic Brain Injury patients. '''INDICATIONS:''' * TBI in the Pediatric Patient '''CONTRAINDICATIONS:''' * Hypersensitivity or allergy '''DOSE:''' * For pediatrics, 20 mg/kg IV or IO push. May repeat at 40 mg/kg * Max dose of 1 gram. Keppra")
  • 16:31, 22 January 2024 Treloars talk contribs created page Ancef (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTIBIOTIC=== ====CEFAZOLIN / ANCEF==== '''DESCRIPTION / ACTION:''' * Cefazolin is a first generation cephalosporin antibiotic that is used to treat bacterial infections * Cefazolin is often used pre-operatively to reduce the risk of surgical infections '''INDICATIONS:''' * Open extremity fracture * Penetrating trauma to the torso '''CONTRAINDICATIONS:''' * Allergy to penicillin or cephalosporins '''POSSIBLE ADVERSE REACTIONS'''...")
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