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===Section 1 - Administrative Policies===
===Section 1 - Administrative Policies===
[http://www.roaddoc.com/scems/index.php?title=Category:Administrative%20Policies&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Section !! Description !! Revision Date
|-
|-
| 1.01 || [[General Measures]] || March-09
| 1.01 || [[General Measures]] || February-18
|-
|-
| 1.02 || [[Radio Report Format]] || March-09
| 1.02 || [[Radio Report Format]] || March-16
|-
|-
| 1.03 || [[Refusal of Service]] || March-09
| 1.03 || [[Refusal of Service]] || October-17
|-
|-
| 1.04 || [[Physician or Nurse on Scene]] || March-09
| 1.04 || [[Physician or Nurse on Scene]] || March-09
|-
|-
| 1.05 || [[Initiation of CPR and Determination of Death]] || March-09
| 1.05 || [[Initiation of CPR and Determination of Death]] || July-16
|-
|-
| 1.06|| [[Determination of Death in Trauma]]|| March-09
| 1.06|| [[Determination of Death in Trauma]]|| March-09
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| 1.08|| [[Medical Evaluation of Person in Police Custody]]|| March-09
| 1.08|| [[Medical Evaluation of Person in Police Custody]]|| March-09
|-
|-
| 1.09|| [[Trauma Transport Protocol]]|| March-09
| 1.09|| [[Trauma Transport Protocol]]|| February-19
|-
|-
| 1.10|| [[Emergency Transport]]|| March-09
| 1.10|| [[Emergency Transport]]|| March-09
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| 1.11|| [[Criteria for Helicopter Transport]]|| March-09
| 1.11|| [[Criteria for Helicopter Transport]]|| March-09
|-
|-
| 1.12|| [[Medical Patient Transport Decision]]|| March-09
| 1.12|| [[Medical Patient Transport Decision]]|| April-14
|-
|-
| 1.13|| [[Obstetrical Patient Transport Decision]]|| March-09
| 1.13|| [[Obstetrical Patient Transport Decision]]|| October-20
|-
|-
| 1.14|| [[Emergency Inter Facility Transport]]|| March-09
| 1.14|| [[Emergency Inter Facility Transport]]|| March-09
|-
|-
| 1.15|| [[EMS Saturation Disaster Response Levels]]|| March-09
| 1.15|| [[EMS Saturation Disaster Response Levels]]|| April-16
|-
|-
| 1.16|| [[EMS Offload Policy]]|| March-09
| 1.16|| [[EMS Offload Policy]]|| March-09
|-
|-
| 1.17|| [[EMT and Paramedic County Certification Procedure]]|| Jan-10
| 1.17|| [[EMT and Paramedic County Certification Procedure]]|| August-14
|-
|-
| 1.18|| [[EMS Quality Improvement Program]]|| March-09
| 1.18|| [[EMS Quality Improvement Program]]|| March-09
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|-
|-
| 1.20|| [[Scope of Practice]]|| March-09
| 1.20|| [[Scope of Practice]]|| March-09
|-
| 1.21|| [[Freestanding ED Transport Criteria]]|| August-19
|-
| 1.22|| [[Hospital Capability Chart - DRAFT]]|| September-19
|-
| 1.23|| [[Documentation Guidance]]|| June-17
|-
| 1.24|| [[School Medication Authorization Forms]]|| June-18
|}
|}


===Section 2 - Primary Care===
===Section 2 - Primary Care===
[http://www.roaddoc.com/scems/index.php?title=Category:Primary%20Care&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
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| 2.01 ||[[Initial Medical Assessment and Care]]||March-09
| 2.01 ||[[Initial Medical Assessment and Care]]||March-09
|-
|-
|2.02 ||[[Initial Trauma Assessment and Care]]||March-09
|2.02 ||[[Initial Trauma Assessment and Care]]||September-17
|-
||2.03 ||[[Rapid Trauma Assessment, Focused History and Physical Exam]]||Sept-15
|-
|-
||2.03 ||[[Rapid Trauma Assessment, Focused History and Physical Exam]]||March-09
||2.04||[[Analgesia and Sedation]]||February-18
|-
|-
||2.04||[[Analgesia and Sedation]]||March-09
||2.05||[[Drug Assisted Intubation]]||December-16
|}
|}


===Section 3 - Respiratory===
===Section 3 - Respiratory===
[http://www.roaddoc.com/scems/index.php?title=Category:Respiratory&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Section !! Description !! Revision Date
|-
|-
| 3.01|| [[Acute Asthma or COPD with Wheezing]]|| March-09
| 3.01|| [[Acute Asthma or COPD with Wheezing]]|| February-19
|-
|-
| 3.02|| [[Carbon Monoxide Inhalation]]|| March-09
| 3.02|| [[Carbon Monoxide Inhalation]]|| June-19
|-
|-
| 3.03|| [[Foreign Body Airway Obstruction]]|| March-09
| 3.03|| [[Foreign Body Airway Obstruction]]|| March-09
|-
|-
| 3.04|| [[Infectious Upper Airway Obstruction - Croup or Epiglottitis]]|| March-09
| 3.04|| [[Infectious Upper Airway Obstruction - Croup or Epiglottitis]]|| April-16
|-
|-
| 3.05|| [[Severe Respiratory Pathogens]]|| November-10
| 3.05|| [[Severe Respiratory Pathogens]]|| November-10
|-
|-
| 3.06|| [[Anxiety / Hyperventilation]]|| February-11
| 3.06|| [[Anxiety or Hyperventilation]]|| February-11
|}
|}


===Section 4 - Cardiac===
===Section 4 - Cardiac===
[http://www.roaddoc.com/scems/index.php?title=Category:Cardiac&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Section !! Description !! Revision Date
|-
|-
|4.01 || [[Chest Pain Acute Coronary Syndrome]]||March-09
|4.01 || [[Chest Pain Acute Coronary Syndrome]]||Sept-17
|-
|-
|4.02 || [[Asystole]]||April-12
|4.02 || [[Asystole]]||April-16
|-
|-
|4.03 || [[Atrial Fibrillation Atrial Flutter]]||March-09
|4.03 || [[Atrial Fibrillation Atrial Flutter]]||June-17
|-
|-
|4.04||[[Pulseless Electrical Activity (PEA)]]||April-12
|4.04||[[Pulseless Electrical Activity (PEA)]]||January-16
|-
|-
|4.05||[[Premature Ventricular Contractions (PVC)]]||March-09
|4.05||[[Premature Ventricular Contractions (PVC)]]||May-12
|-
|-
|4.06||[[Supraventricular Bradycardia and AV Blocks]]||March-09
|4.06||[[Supraventricular Bradycardia and AV Blocks]]||March-09
|-
|-
|4.07||[[Supraventricular Tachycardia]]||April-12
|4.07||[[Supraventricular Tachycardia]]||January-20
|-
|-
|4.08||[[Ventricular Fibrillation Pulseless Ventricular Tachycardia]]||April-12
|4.08||[[Ventricular Fibrillation Pulseless Ventricular Tachycardia]]||December-16
|-
|-
|4.09||[[Ventricular Tachycardia with a Palpable Pulse]]||April-12
|4.09||[[Ventricular Tachycardia with a Palpable Pulse]]||July-12
|-
|-
|4.10||[[Wide Complex Tachycardia Uncertain Origin]]||April-12
|4.10||[[Wide Complex Tachycardia Uncertain Origin]]||January-20
|-
|-
|4.11||[[Acute Cardiogenic Pulmonary Edema Pneumonia]]||March-09
|4.11||[[Acute Cardiogenic Pulmonary Edema Pneumonia]]||March-09
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|-
|-
|4.13||[[Adult Immediate Post-Cardiac Arrest Care]]||April-12
|4.13||[[Adult Immediate Post-Cardiac Arrest Care]]||April-12
|-
|4.14||[[Ventricular Assist Devices]]||August-18
|}
|}


===Section 5- Medical===
===Section 5 - Medical===
[http://www.roaddoc.com/scems/index.php?title=Category:Medical&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Section !! Description !! Revision Date
|-
|-
|5.01||[[Acute Abdominal Pain]]||March-09
|5.01||[[Acute Abdominal Pain]]||April-16
|-
|-
|5.02||[[Allergic Reaction Anaphylactic Shock]]||March-09
|5.02||[[Allergic Reaction Anaphylactic Shock]]||March-19
|-
|-
|5.03||[[Altered Mental Status (AMS)]]||March-09
|5.03||[[Altered Mental Status (AMS)]]||April-17
|-
|-
|5.04||[[Suspected Stroke Transcient Ischemic Attack TIA]]||March-09
|5.04||[[Suspected Stroke Transcient Ischemic Attack TIA|Suspected Stroke or Transcient Ischemic Attack]]||June-19
|-
|-
|5.05||[[Drug Overdose Poisoning]]||March-09
|5.05||[[Drug Overdose Poisoning]]||March-09
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|5.06||[[Cold Emergencies]]||April-12
|5.06||[[Cold Emergencies]]||April-12
|-
|-
|5.07||[[Heat Emergencies]]||April-12
|5.07||[[Heat Emergencies]]||August-15
|-
|-
|5.08||[[Hazardous Materials]]||March-09
|5.08||[[Hazardous Materials]]||March-09
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|5.09||[[Severe Hypertension]]||March-09
|5.09||[[Severe Hypertension]]||March-09
|-
|-
|5.10||[[Hypo or Hyperglycemia]]||March-09
|5.10||[[Hypo or Hyperglycemia]]||April-16
|-
|-
|5.11||[[Psychological Behavioral Emergencies]]||March-09
|5.11||[[Psychological Behavioral Emergencies]]||March-09
|-
|-
|5.12||[[Seizure]]||March-09
|5.12||[[Seizure]]||April-16
|-
|-
|5.13||[[Shock]]||March-09
|5.13||[[Non-Hemorrhagic Shock]]||October-18
|-
|-
|5.14||[[Sickle Cell Anemia Crisis]]||March-09
|5.14||[[Sickle Cell Anemia Crisis]]||March-09
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|5.16||[[Vertigo]]||March-09
|5.16||[[Vertigo]]||March-09
|-
|-
|5.17||[[Sepsis Septic Shock]]||February-12
|5.17||[[Sepsis Septic Shock]]||May-19
|-
|-
|5.18||[[Suspected Kidney Stone]]||March-09
|5.18||[[Suspected Kidney Stone]]||April-16
|-
|-
|5.19||[[Cyanide Poisoning]]||April-09
|5.19||[[Cyanide Poisoning]]||April-16
|-
|-
|5.20||[[Excited Delirium or Drug Induced Agitation]]||November -10
|5.20||[[Excited Delirium or Drug Induced Agitation]]||November-17
|-
|5.21||[[Ebola Virus Disease Patient Management]]||October-14
|-
|5.22||[[Acute Adrenal Insufficiency]]||June-18
|}
|}


===Section 6 - Trauma===
===Section 6 - Trauma===
[http://www.roaddoc.com/scems/index.php?title=Category:Trauma&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Section !! Description !! Revision Date
|-
|-
|6.01||[[Animal Bites Stings]]||March-09
|6.01||[[Animal Bites Stings]]||August-18
|-
|-
|6.02||[[Burns - Thermal, Electrical, Chemical]]||March-09
|6.02||[[Burns - Thermal, Electrical, Chemical]]||March-09
|-
|-
|6.03||[[Selective Spinal Immobilization]]||March-09
|6.03||[[Selective Spinal Immobilization]]||August-14
|-
|-
|6.04||[[Chest Injuries]]||March-09
|6.04||[[Chest Injuries]]||March-09
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|6.05||[[Decompression Sickness or Dysbarism]]||March-09
|6.05||[[Decompression Sickness or Dysbarism]]||March-09
|-
|-
|6.06||[[Extremity Injuries]]||April-12
|6.06||[[Extremity Injuries]]||February-15
|-
|-
|6.07||[[Head Injuries]]||March-09
|6.07||[[Head Injuries]]||November-17
|-
|-
|6.08||[[Near Drowning]]||March-09
|6.08||[[Near Drowning]]||March-09
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|-
|-
|6.12||[[Trunk Penetrating Injuries]]||April-12
|6.12||[[Trunk Penetrating Injuries]]||April-12
|-
|6.13||[[Hemorrhagic Shock]]||October-18
|}
|}


===Section 7 - Pediatric and Obstetrical===
===Section 7 - Pediatric and Obstetrical===
[http://www.roaddoc.com/scems/index.php?title=Category:Pediatric%20and%20Obstetrical&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Section !! Description !! Revision Date
|-
|-
|7.01||[[Pediatric Asystole]]||March-09
|7.01||[[Pediatric Asystole]]||April-16
|-
|-
|7.02||[[Pediatric Pulseless Electrical Activity PEA]]||March-09
|7.02||[[Pediatric Pulseless Electrical Activity PEA]]||April-16
|-
|-
|7.03||[[Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia]]||March-09
|7.03||[[Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia]]||April-16
|-
|-
|7.04||[[Pregnancy Induced Hypertension (PIH)]]||March-09
|7.04||[[Pregnancy Induced Hypertension (PIH)]]||April-20
|-
|-
|7.05||[[Preterm Labor]]||March-09
|7.05||[[Preterm Labor]]||November-17
|-
|-
|7.06||[[Emergency Childbirth]]||March-09
|7.06||[[Emergency Childbirth]]||November-17
|-
|-
|7.07||[[Childbirth Complications]]||March-09
|7.07||[[Childbirth Complications]]||November-17
|-
|-
|7.08||[[Newborn Care]]||March-09
|7.08||[[Newborn Care]]||April-16
|-
|-
|7.09||[[Post Partum Care]]||March-09
|7.09||[[Post Partum Care]]||November-17
|-
|-
|7.10||[[Pediatric Febrile Emergency]]||March-09
|7.10||[[Pediatric Febrile Emergency]]||April-16
|-
|-
|7.11||[[Vaginal Bleeding]]||March-09
|7.11||[[Vaginal Bleeding]]||March-09
Line 220: Line 247:


===Section 8 - Medication Guidelines===
===Section 8 - Medication Guidelines===
[http://www.roaddoc.com/scems/index.php?title=Category:Medication%20Guidelines&action=pdfbook Printable Version]
INTRODUCTION
The following pages contain guidelines for the medications commonly encountered by the Paramedic. They identify the name and class of the drug, a short description, indications, contraindications, precautions, and dosages. This is only a guideline to medication administration and shall not circumvent the need to refer to the appropriate Standing Order or to contact Medical Control for orders and consultation. For detailed and extensive information on each drug, refer to the Physician's Desk Reference, the Advanced Cardiac Life Support text or an emergency pre-hospital pharmacology reference.
Certain medications listed have various dosages depending on the patient's condition. Refer to the appropriate Standing Order or contact Medical Control for specific dosage information. All IV piggyback medications must be placed on a micro-gtt. solution set for field administration and if available, an infusion pump or infusion regulator MUST BE UTILIZED.
The following medications are authorized to be administered by Seminole County EMS:
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Medication Name!! Revision Date
|-
|[[Acetaminophen]]||March-09
|-
|[[Adenosine]]||January-20
|-
|[[Albuterol]]||April-16
|-
|[[Amiodarone]]||July-17
|-
|[[Aspirin]]||March-09
|-
|[[Atropine]]||July-17
|-
|[[Atrovent]]||April-16
|-
|[[Calcium Chloride]]||April-16
|-
|[[Cardizem]]||July-17
|-
|[[Cyanokit]]||April-16
|-
|[[Dextrose 10%]]||April-16
|-
|[[Dextrose 50%]]||April-16
|-
|[[Diphenhydramine]]||April-16
|-
|[[Dopamine]]||April-16
|-
|[[Epinephrine]]||April-16
|-
|[[Flumazenil]]||April-16
|-
|[[Geodon]]||April-16
|-
|[[Glucagon]]||April-16
|-
|[[Ketamine]]||November-17
|-
|[[Lasix]]||April-16
|-
|[[Lidocaine]]||July-17
|-
|[[Magnesium Sulfate]]||April-16
|-
|[[Morphine Sulfate]]||November-16
|-
|[[Naloxone]]||April-16
|-
|-
|8.01||[[Adrenergics]]||March-09
|[[Nitro Drip]]||April-17
|-
|-
|8.02||[[Analgesics]]||March-09
|[[Nitro Spray]]||April-17
|-
|-
|8.03||[[Anesthetics]]||March-09
|[[Nitro Tablets]]||April-17
|-
|-
|8.04||[[Antagonists]]||March-09
|[[Nitrous Oxide]]||November-16
|-
|-
|8.05||[[Antianginals]]||March-09
|[[Oxygen]]||March-09
|-
|-
|8.06||[[Antiarrhythmics]]||March-09
|[[Pepcid]]||April-16
|-
|-
|8.07||[[Antidiabetics]]||March-09
|[[Pontocaine]]||November-17
|-
|-
|8.08||[[Antipyretic / Anti Inflammatory]]||March-09
|[[Promethazine]]||April-16
|-
|-
|8.09||[[Antiemetics]]||March-09
|[[Racemic Epinephrine]]||April-16
|-
|-
|8.10||[[Antihistamines]]||March-09
|[[Sodium Bicarbonate]]||April-16
|-
|-
|8.11||[[Bronchodilators]]||March-09
|[[Solu-Medrol]]||January-17
|-
|-
|8.12||[[Corticosteroids]]||March-09
|[[Toradol]]||March-09
|-
|-
|8.13||[[Diuretics]]||March-09
|[[TXA]]||October-20
|-
|-
|8.14||[[Electrolytes]]||March-09
|[[Xopenex]]||April-16
|-
|-
|8.15||[[Sedative Hypnotics]]||November-10
|[[Vasopressin]]||October-13
|-
|-
|8.16||[[Medical Gases]]||March-09
|[[Valium]]||April-16
|-
|-
|8.17||[[Hormones Vitamins]]||March-09
|[[Versed]]||April-16
|-
|-
|8.18||[[Salicylates]]||March-09
|[[Zofran]]||April-16
|-
|-
|||[[Medication Infusion Tables]]||March-09
|[[Medication Infusion Tables]]||March-09
|}
|}


===Section 9 - Procedure Guidelines===
===Section 9 - Procedure Guidelines===
[http://www.roaddoc.com/scems/index.php?title=Category:Procedure%20Guidelines&action=pdfbook Printable Version]
{| class="wikitable"
{| class="wikitable"
|-
|-
! Section !! Description !! Revision Date
! Section !! Description !! Revision Date
|-
|-
|9.00||[[Autopulse Resuscitation System]]||March-09
|9.00||[[Autopulse Resuscitation System]]||July-16
|-
|-
|9.01||[[Autovent]]||March-09
|9.01||[[Autovent]]||March-09
|-
|-
|9.02||[[Blood Alcohol Draw on Scene]]||March-09
|9.02||[[Blood Alcohol Draw on Scene]]||March-18
|-
|-
|9.03||[[Blood Draw using Vacutainer]]||March-09
|9.03||[[Blood Draw using Vacutainer|Blood Draw using Vacutainer Tubes]]||March-09
|-
|-
|9.04||[[Blood Glucose Test]]||March-09
|9.04||[[Blood Glucose Test]]||March-09
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|9.12||[[Defibrillation Pediatric]]||March-09
|9.12||[[Defibrillation Pediatric]]||March-09
|-
|-
|9.13||[[End Tidal CO2 Monitoring / Capnography]]||March-09
|9.13||[[End Tidal CO2 Monitoring and Capnography]]||March-09
|-
|9.14.1||[[Intraosseous Infusion - Femoral]]||February-15
|-
|-
|9.14||[[Intraosseous Infusion]]||March-09
|9.14.2||[[Intraosseous Infusion - Humeral Head]]||December-16
|-
|-
|9.15||[[Intubation Endotracheal]]||March-09
|9.15||[[Intubation Endotracheal]]||March-09
Line 334: Line 421:
|9.32||[[Emergency Escharotomy|Emergency Chest Wall Escharotomy]]||April-11
|9.32||[[Emergency Escharotomy|Emergency Chest Wall Escharotomy]]||April-11
|-
|-
|9.33||[[Venous Lactate Monitoring Procedure]]||February-12
|9.33||[[Venous Lactate Monitoring Procedure]]||May-12
|-
|9.34||[[Central Venous Access Devices]]||June-12
|-
|9.35||[[Medication Administration Cross Check]]||Jun-12
|-
|9.36||[[Combat Application Tourniquet]]||Jan-14
|-
|9.37||[http://lifevest.zoll.com/medical-professionals/first-responder-resources Zoll LifeVest Wearable Defibrillator]||Dec-14
|-
|9.38||[[iTClamp Hemorrhage Control System]]||Feb-15
|-
|9.39||[[I-gel Supraglottic Airway]]||May-16
|}
|}


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|10.09||[[Checking Range of Motion]]||March-09
|10.09||[[Checking Range of Motion]]||March-09
|-
|-
|10.10||[[Rules of Nine]]||March-09
|10.10||[https://www.health.state.mn.us/communities/ep/surge/burn/tbsa.html Rule of Nines]||March-09
|-
|-
|10.11||[[Florida Statutes]]||March-09
|10.11||[[Florida Statutes]]||March-09
Line 367: Line 466:
|-
|-
|10.13||[[Spinal Injury Assessment Critical Criteria]]||March-09
|10.13||[[Spinal Injury Assessment Critical Criteria]]||March-09
|-
|10.14||[[Celox Gauze Powerpoint]]||April-12
|-
|10.15||[[Sepsis and Venous Lactate Powerpoint]]||April-12
|-
|10.16||[[Media:MCSO_EMS_LVAD_Guide.pdf | LVAD EMS Guide]]||Sept-18
|-
|10.16.1||[[Media:LVAD_HeartmateIII_Green.pdf | HeartMate III LVAD - Green]]||Sept-18
|-
|10.16.2||[[Media:LVAD_HeartmateII_Red.pdf | HeartMate II LVAD - Red]]||Sept-18
|-
|10.16.3||[[Media:LVAD_HeartWare_DarkBlue.pdf | HeartWare LVAD - Dark Blue]]||Sept-18
|-
|10.16.4||[[Media:LVAD_Jarvik_Lavender.pdf | Jarvik 2000 LVAD - Lavendar]]||Sept-18
|-
|10.16.5||[[Media:LVAD_Thoratec_LightBlue.pdf | Thoratec LVAD - Light Blue]]||Sept-18
|-
|10.16.6||[[Media:LVAD_DuraHeart_Purple.pdf | DuraHeart LVAD - Purple]]||Sept-18
|-
|10.16.7||[[Media:LVAD_TotalArtificialHeart_Pink.pdf | Total Artificial Heart LVAD - Pink]]||Sept-18
|}
|}


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! Subject !! Effective Date
! Subject !! Effective Date
|-
|-
| [[Memo - OB Transports|OB Transports]] || 2011-01-31
| [[Memo - Additional EMS Skills]]|| 2020-09-01
|-
| [[Memo - Transport of SEPSIS Patients to Freestanding ED's]]|| 2020-07-15
|-
| [[Memo - Clarification on Destination Choices|Clarification on Destination Choices]]|| 2019-11-14
|-
| [[Memo - Transport to the OD Hospital – Advent Health Altamonte Clarification|Transport to the OD Hospital – Advent Health Altamonte Clarification]]|| 2019-11-07
|-
| [[Memo - Transport to the OD Hospital – Advent Health Altamonte|Transport to the OD Hospital – Advent Health Altamonte]]|| 2019-11-04
|-
| [[Memo - Further clarification on Advent Health OD Facility|Further clarification on Advent Health OD Facility]]|| 2019-08-26
|-
| [[Memo - Transporting of Overdose Patients to AdventHealth Altamonte|Transporting of Overdose Patients to AdventHealth Altamonte]]|| 2019-08-12
|-
| [[Memo - EMS Reports on Lift Assists|EMS Reports on Lift Assists]]|| 2019-03-01
|-
| [[Memo - Blood Draws - Nurses refusing tubes|Blood Draws - Nurses refusing tubes]]|| 2018-08-23
|-
| [[Memo - Clarification of Baker Act patients transported by EMS|Clarification of Baker Act patients transported by EMS]] || 2018-04-11
|-
| [[Memo - Opening of Oviedo Medical Center|Opening of Oviedo Medical Center]] || 2017-01-29
|-
| [[Memo - Blood Draws - Florida Hospital|Blood Draws - Florida Hospital]] || 2017-01-25
|-
| [[Memo - Medical Alerts|Medical Alerts]] || 2016-04-27
|-
| [[Memo - Florida Hospital East Pediatric ED|Florida Hospital East Pediatric ED]] || 2015-11-23
|-
| [[Memo - Discontinuation of Central Venous Access|Discontinuation of Central Venous Access]] || 2013-08-03
|-
| [[Memo - Shortage of Atropine|Shortage of Atropine]] || 2013-04-11
|-
| [[Memo - EMS Blood Draws for SSCH|EMS Blood Draws for SSCH]] || 2013-03-07
|-
| [[Memo - Respiratory Breathing Treatments|Respiratory/Breathing Treatments]] || 2012-12-19
|-
| [[Memo - OB Transports|OB Transports]] || 2011-01-14
|-
| [[Memo - Aspirin Administration Documentation|Aspirin Administration Documentation]] || 2010-12-01
|-
|-
| [[Memo - Transport of Psychiatric Patients|Transport of Psychiatric Patients]] || 2010-05-17
| [[Memo - Transport of Psychiatric Patients|Transport of Psychiatric Patients]] || 2010-05-17
|-
|-
| [[Memo - Alert Terminology|Alert Terminology]] || 2010-05-06
| [[Memo - Alert Terminology|Alert Terminology]] || 2010-05-06
|-
| [[Memo - Transport of STEMI Patients - Revised 20100219|Transport of STEMI Patients ]] || 2010-03-19
|-
| [[Memo - Aircare Update 20100319|Aircare Update ]] || 2010-03-19
|-
| [[Memo - Delayed Offloads with Critical or Unstable Patients|Delayed Offloads with Critical or Unstable Patients]] || 2010-02-25
|-
| [[Memo - Transport of STEMI Patients|Transport of STEMI Patients]] || 2010-02-19
|-
| [[Memo - Response to Physician's Offices|Response to Physicians Offices]] || 2009-10-14
|-
|-
| [[Memo - Patient Reports Being Given to Hospitals|Patient Reports Being Given to Hospitals]] || 2009-09-23
| [[Memo - Patient Reports Being Given to Hospitals|Patient Reports Being Given to Hospitals]] || 2009-09-23
|-
| [[Memo - Patient Medications - Revised 20090720|Patient Medications ]]|| 2009-07-20
|-
| [[Memo - H1N1 Update 20090624|H1N1 Update ]]|| 2009-06-24
|-
|-
| [[Memo - Multiple Patient Refusal - Wording|Multiple Patient Refusal - Wording]] || 2009-06-04
| [[Memo - Multiple Patient Refusal - Wording|Multiple Patient Refusal - Wording]] || 2009-06-04
|-
| [[Memo - Request for Call Reviews|Request for Call Reviews]]|| 2009-05-14
|-
| [[Memo - H1N1 Update 20090505|H1N1 Update ]] || 2009-05-05
|-
| [[Memo - Clarification on Selection for Spinal Immobilization|Clarification on Selection for Spinal Immobilization]] || 2009-04-30
|-
| [[Memo - EKG Strips|EKG Strips]]|| 2009-04-23
|-
|-
| [[Memo - Patient Medications|Patient Medications]]|| 2009-04-23
| [[Memo - Patient Medications|Patient Medications]]|| 2009-04-23
|-
|-
| [[Memo - Leaving run reports at the E.R.|Leaving run reports at the E.R.]] || 2009-02-03
| [[Memo - Leaving run reports at the E.R.|Leaving run reports at the E.R.]] || 2009-02-03
|-
| [[Memo - Hyperbaric Chamber at CFRH|Hyperbaric Chamber at CFRH]] || 2008-10-16
|-
|-
| [[Memo - Stemi Transport Destinations|Stemi Transport Destinations]] || 2008-07-22
| [[Memo - Stemi Transport Destinations|Stemi Transport Destinations]] || 2008-07-22
Line 392: Line 573:
| [[Memo - STEMI Alerts to Winter Park Hospital|STEMI Alerts to Winter Park Hospital]] || 2008-02-04
| [[Memo - STEMI Alerts to Winter Park Hospital|STEMI Alerts to Winter Park Hospital]] || 2008-02-04
|-
|-
| Example || Example
| [[Memo - Documentation of Medications|Documentation of Medications]]|| 2005-01-27
|}
 
===Section 12 - Paramedic Clinical Assessment Program===
{| class="wikitable"
|-
! Section !! Description !! Revision Date
|-
|12.01||[[:Media:PCAP_Guidelines_Document_Jan_2019.pdf|PCAP Guidelines]]||Jan-19
|-
|12.02||[[Media:ALS_Contact_Form_Rev_2010.pdf‎|ALS Contact Form]]||June-10
|-
|12.03||[[Media:Evaluation_Form_Equip.pdf|Evaluation Form - Equip]]||Jan-13
|-
|12.04||[[Media:Evaluation_Form_Protocols.pdf‎|Evaluation Form - Protocols]]||Jan-13
|-
|12.05||[[Media:Definition_of_an_ALS_contact.pdf|ALS Contact Definition]]||June-10
|-
|12.06||[[Media:Daily_Performance_Evaluation_Report_Form.pdf‎|Daily Performance Eval]]||Sept-17
|-
|12.07||[[Media:Medical_director_meetings_roster.pdf|MD Meetings Roster]]||May-13
|-
|12.08||[[Media:Mentor_evaluation.pdf‎|Mentor Evaluation]]||May-13
|-
|12.09||[[Media:Verification_of_EMT_Skills_edited_final.pdf‎|Verification of EMT Skills]]||May-13
|-
|12.10||[[Media:PCAP_Completion_Checklist.pdf‎|PCAP Completion Checklist]]||Sept-17
|-
|12.11||[[Media:Verification_of_PM_Skills.pdf‎|Verification of Paramedic Skills]]||May-13
|-
|12.12||[[Media:ALS_Contact_Form_Example_1.pdf‎|ALS Contact Form Example 1]]||Dec-14
|-
|12.13||[[Media:ALS_Contact_Form_Example_2.pdf‎|ALS Contact Form Example 2]]||Dec-14
|-
|12.14||[[Media:Incapacitated_Patient_Management.pdf‎|Incapacitated Patient Management]]||Dec-14
|}
 
===Section 13 - COVID-19===
{| class="wikitable"
|-
! Section !! Description !! Revision Date
|-
| 13.01|| [[MD Memo - Please use Common Sense]]|| 2020-03-13
|-
| 13.02|| [[Hospital Screening and Procedures]]|| 2020-03-26
|-
| 13.03|| [[Dispatch Screening and Procedures]]|| 2020-04-01
|-
| 13.04|| [[Media:SRP_Question_Card.pdf | Strict Respiratory Precautions Question Card]]|| 2020-04-01
|-
| 13.05|| [[American Red Cross Changed Response Procedures]]|| 2020-03-31
|-
| 13.06|| [[Clearance of COVID Positive, symptomatic and or exposed individuals from our previous advice]] || 2020-07-15
|-
|-
| Example || Example
| 13.07|| [[Updated COVID Transport to FSED]]|| 2020-07-20
|}
|}

Revision as of 13:48, 12 October 2020

TABLE OF CONTENTS

Medical Director Authorization

Section 1 - Administrative Policies

Printable Version

Section Description Revision Date
1.01 General Measures February-18
1.02 Radio Report Format March-16
1.03 Refusal of Service October-17
1.04 Physician or Nurse on Scene March-09
1.05 Initiation of CPR and Determination of Death July-16
1.06 Determination of Death in Trauma March-09
1.07 Crime or Unattended Death Scene March-09
1.08 Medical Evaluation of Person in Police Custody March-09
1.09 Trauma Transport Protocol February-19
1.10 Emergency Transport March-09
1.11 Criteria for Helicopter Transport March-09
1.12 Medical Patient Transport Decision April-14
1.13 Obstetrical Patient Transport Decision October-20
1.14 Emergency Inter Facility Transport March-09
1.15 EMS Saturation Disaster Response Levels April-16
1.16 EMS Offload Policy March-09
1.17 EMT and Paramedic County Certification Procedure August-14
1.18 EMS Quality Improvement Program March-09
1.19 HIV Post Exposure Prophylaxis (PEP) March-09
1.20 Scope of Practice March-09
1.21 Freestanding ED Transport Criteria August-19
1.22 Hospital Capability Chart - DRAFT September-19
1.23 Documentation Guidance June-17
1.24 School Medication Authorization Forms June-18

Section 2 - Primary Care

Printable Version

Section Description Revision Date
2.01 Initial Medical Assessment and Care March-09
2.02 Initial Trauma Assessment and Care September-17
2.03 Rapid Trauma Assessment, Focused History and Physical Exam Sept-15
2.04 Analgesia and Sedation February-18
2.05 Drug Assisted Intubation December-16

Section 3 - Respiratory

Printable Version

Section Description Revision Date
3.01 Acute Asthma or COPD with Wheezing February-19
3.02 Carbon Monoxide Inhalation June-19
3.03 Foreign Body Airway Obstruction March-09
3.04 Infectious Upper Airway Obstruction - Croup or Epiglottitis April-16
3.05 Severe Respiratory Pathogens November-10
3.06 Anxiety or Hyperventilation February-11

Section 4 - Cardiac

Printable Version

Section Description Revision Date
4.01 Chest Pain Acute Coronary Syndrome Sept-17
4.02 Asystole April-16
4.03 Atrial Fibrillation Atrial Flutter June-17
4.04 Pulseless Electrical Activity (PEA) January-16
4.05 Premature Ventricular Contractions (PVC) May-12
4.06 Supraventricular Bradycardia and AV Blocks March-09
4.07 Supraventricular Tachycardia January-20
4.08 Ventricular Fibrillation Pulseless Ventricular Tachycardia December-16
4.09 Ventricular Tachycardia with a Palpable Pulse July-12
4.10 Wide Complex Tachycardia Uncertain Origin January-20
4.11 Acute Cardiogenic Pulmonary Edema Pneumonia March-09
4.12 Code Cool Post ROSC Induced Hypothermia March-09
4.13 Adult Immediate Post-Cardiac Arrest Care April-12
4.14 Ventricular Assist Devices August-18

Section 5 - Medical

Printable Version

Section Description Revision Date
5.01 Acute Abdominal Pain April-16
5.02 Allergic Reaction Anaphylactic Shock March-19
5.03 Altered Mental Status (AMS) April-17
5.04 Suspected Stroke or Transcient Ischemic Attack June-19
5.05 Drug Overdose Poisoning March-09
5.06 Cold Emergencies April-12
5.07 Heat Emergencies August-15
5.08 Hazardous Materials March-09
5.09 Severe Hypertension March-09
5.10 Hypo or Hyperglycemia April-16
5.11 Psychological Behavioral Emergencies March-09
5.12 Seizure April-16
5.13 Non-Hemorrhagic Shock October-18
5.14 Sickle Cell Anemia Crisis March-09
5.15 Syncope March-09
5.16 Vertigo March-09
5.17 Sepsis Septic Shock May-19
5.18 Suspected Kidney Stone April-16
5.19 Cyanide Poisoning April-16
5.20 Excited Delirium or Drug Induced Agitation November-17
5.21 Ebola Virus Disease Patient Management October-14
5.22 Acute Adrenal Insufficiency June-18

Section 6 - Trauma

Printable Version

Section Description Revision Date
6.01 Animal Bites Stings August-18
6.02 Burns - Thermal, Electrical, Chemical March-09
6.03 Selective Spinal Immobilization August-14
6.04 Chest Injuries March-09
6.05 Decompression Sickness or Dysbarism March-09
6.06 Extremity Injuries February-15
6.07 Head Injuries November-17
6.08 Near Drowning March-09
6.09 Ophthalmic Injuries March-09
6.10 Suspected Abuse Neglect March-09
6.11 Suspected Sexual Assault March-09
6.12 Trunk Penetrating Injuries April-12
6.13 Hemorrhagic Shock October-18

Section 7 - Pediatric and Obstetrical

Printable Version

Section Description Revision Date
7.01 Pediatric Asystole April-16
7.02 Pediatric Pulseless Electrical Activity PEA April-16
7.03 Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia April-16
7.04 Pregnancy Induced Hypertension (PIH) April-20
7.05 Preterm Labor November-17
7.06 Emergency Childbirth November-17
7.07 Childbirth Complications November-17
7.08 Newborn Care April-16
7.09 Post Partum Care November-17
7.10 Pediatric Febrile Emergency April-16
7.11 Vaginal Bleeding March-09
7.12 Trauma In Pregnancy March-09

Section 8 - Medication Guidelines

Printable Version

INTRODUCTION The following pages contain guidelines for the medications commonly encountered by the Paramedic. They identify the name and class of the drug, a short description, indications, contraindications, precautions, and dosages. This is only a guideline to medication administration and shall not circumvent the need to refer to the appropriate Standing Order or to contact Medical Control for orders and consultation. For detailed and extensive information on each drug, refer to the Physician's Desk Reference, the Advanced Cardiac Life Support text or an emergency pre-hospital pharmacology reference.

Certain medications listed have various dosages depending on the patient's condition. Refer to the appropriate Standing Order or contact Medical Control for specific dosage information. All IV piggyback medications must be placed on a micro-gtt. solution set for field administration and if available, an infusion pump or infusion regulator MUST BE UTILIZED.

The following medications are authorized to be administered by Seminole County EMS:

Medication Name Revision Date
Acetaminophen March-09
Adenosine January-20
Albuterol April-16
Amiodarone July-17
Aspirin March-09
Atropine July-17
Atrovent April-16
Calcium Chloride April-16
Cardizem July-17
Cyanokit April-16
Dextrose 10% April-16
Dextrose 50% April-16
Diphenhydramine April-16
Dopamine April-16
Epinephrine April-16
Flumazenil April-16
Geodon April-16
Glucagon April-16
Ketamine November-17
Lasix April-16
Lidocaine July-17
Magnesium Sulfate April-16
Morphine Sulfate November-16
Naloxone April-16
Nitro Drip April-17
Nitro Spray April-17
Nitro Tablets April-17
Nitrous Oxide November-16
Oxygen March-09
Pepcid April-16
Pontocaine November-17
Promethazine April-16
Racemic Epinephrine April-16
Sodium Bicarbonate April-16
Solu-Medrol January-17
Toradol March-09
TXA October-20
Xopenex April-16
Vasopressin October-13
Valium April-16
Versed April-16
Zofran April-16
Medication Infusion Tables March-09

Section 9 - Procedure Guidelines

Printable Version

Section Description Revision Date
9.00 Autopulse Resuscitation System July-16
9.01 Autovent March-09
9.02 Blood Alcohol Draw on Scene March-18
9.03 Blood Draw using Vacutainer Tubes March-09
9.04 Blood Glucose Test March-09
9.05 Buretrol Usage March-09
9.06 Cardiac Monitor April-12
9.07 Cardioversion March-09
9.08 Continuous Positive Airway Pressure Device March-09
9.09 Cricothyrotomy Needle March-09
9.10 Cricothyrotomy Surgical March-09
9.11 Defibrillation March-09
9.12 Defibrillation Pediatric March-09
9.13 End Tidal CO2 Monitoring and Capnography March-09
9.14.1 Intraosseous Infusion - Femoral February-15
9.14.2 Intraosseous Infusion - Humeral Head December-16
9.15 Intubation Endotracheal March-09
9.16 Intubation Nasotracheal March-09
9.17 IVAC Medsystem III MultiChannel Infusion Pump March-09
9.18 King Tube March-09
9.19 Medication Administration Intramuscular March-09
9.20 Medication Administration Nasal Atomizer March-09
9.21 Medication Administration Nebulizer March-09
9.22 Medication Administration Subcutaneous March-09
9.23 Nasogastric/Orogastric Tube March-09
9.24 Oxygen Administration March-09
9.25 Peripheral IV Administration March-09
9.26 Pleural Decompression March-09
9.27 Removal of Taser Probes March-09
9.28 Reconstitution of Medications March-09
9.29 ResQPOD Impedance Threshold Device March-09
9.30 Transcutaneous Pacing Procedure March-09
9.31 ResQGuard Impedance Threshold Device April-11
9.32 Emergency Chest Wall Escharotomy April-11
9.33 Venous Lactate Monitoring Procedure May-12
9.34 Central Venous Access Devices June-12
9.35 Medication Administration Cross Check Jun-12
9.36 Combat Application Tourniquet Jan-14
9.37 Zoll LifeVest Wearable Defibrillator Dec-14
9.38 iTClamp Hemorrhage Control System Feb-15
9.39 I-gel Supraglottic Airway May-16

Section 10 - References

Section Description Revision Date
10.01 Abbreviations March-09
10.02 Apgar Score March-09
10.03 Glasgow Coma Score March-09
10.04 Pediatric Vital Signs March-09
10.05 Adult Trauma Alert Criteria March-09
10.06 Pediatric Trauma Alert Criteria March-09
10.07 Pediatric Trauma Score March-09
10.08 Nitroglycerin Drip March-09
10.09 Checking Range of Motion March-09
10.10 Rule of Nines March-09
10.11 Florida Statutes March-09
10.12 Evaluation and Treatment Flow Chart March-09
10.13 Spinal Injury Assessment Critical Criteria March-09
10.14 Celox Gauze Powerpoint April-12
10.15 Sepsis and Venous Lactate Powerpoint April-12
10.16 LVAD EMS Guide Sept-18
10.16.1 HeartMate III LVAD - Green Sept-18
10.16.2 HeartMate II LVAD - Red Sept-18
10.16.3 HeartWare LVAD - Dark Blue Sept-18
10.16.4 Jarvik 2000 LVAD - Lavendar Sept-18
10.16.5 Thoratec LVAD - Light Blue Sept-18
10.16.6 DuraHeart LVAD - Purple Sept-18
10.16.7 Total Artificial Heart LVAD - Pink Sept-18

Section 11 - Medical Director Memos

Subject Effective Date
Memo - Additional EMS Skills 2020-09-01
Memo - Transport of SEPSIS Patients to Freestanding ED's 2020-07-15
Clarification on Destination Choices 2019-11-14
Transport to the OD Hospital – Advent Health Altamonte Clarification 2019-11-07
Transport to the OD Hospital – Advent Health Altamonte 2019-11-04
Further clarification on Advent Health OD Facility 2019-08-26
Transporting of Overdose Patients to AdventHealth Altamonte 2019-08-12
EMS Reports on Lift Assists 2019-03-01
Blood Draws - Nurses refusing tubes 2018-08-23
Clarification of Baker Act patients transported by EMS 2018-04-11
Opening of Oviedo Medical Center 2017-01-29
Blood Draws - Florida Hospital 2017-01-25
Medical Alerts 2016-04-27
Florida Hospital East Pediatric ED 2015-11-23
Discontinuation of Central Venous Access 2013-08-03
Shortage of Atropine 2013-04-11
EMS Blood Draws for SSCH 2013-03-07
Respiratory/Breathing Treatments 2012-12-19
OB Transports 2011-01-14
Aspirin Administration Documentation 2010-12-01
Transport of Psychiatric Patients 2010-05-17
Alert Terminology 2010-05-06
Transport of STEMI Patients 2010-03-19
Aircare Update 2010-03-19
Delayed Offloads with Critical or Unstable Patients 2010-02-25
Transport of STEMI Patients 2010-02-19
Response to Physicians Offices 2009-10-14
Patient Reports Being Given to Hospitals 2009-09-23
Patient Medications 2009-07-20
H1N1 Update 2009-06-24
Multiple Patient Refusal - Wording 2009-06-04
Request for Call Reviews 2009-05-14
H1N1 Update 2009-05-05
Clarification on Selection for Spinal Immobilization 2009-04-30
EKG Strips 2009-04-23
Patient Medications 2009-04-23
Leaving run reports at the E.R. 2009-02-03
Hyperbaric Chamber at CFRH 2008-10-16
Stemi Transport Destinations 2008-07-22
STEMI Alerts to Winter Park Hospital 2008-02-04
Documentation of Medications 2005-01-27

Section 12 - Paramedic Clinical Assessment Program

Section Description Revision Date
12.01 PCAP Guidelines Jan-19
12.02 ALS Contact Form June-10
12.03 Evaluation Form - Equip Jan-13
12.04 Evaluation Form - Protocols Jan-13
12.05 ALS Contact Definition June-10
12.06 Daily Performance Eval Sept-17
12.07 MD Meetings Roster May-13
12.08 Mentor Evaluation May-13
12.09 Verification of EMT Skills May-13
12.10 PCAP Completion Checklist Sept-17
12.11 Verification of Paramedic Skills May-13
12.12 ALS Contact Form Example 1 Dec-14
12.13 ALS Contact Form Example 2 Dec-14
12.14 Incapacitated Patient Management Dec-14

Section 13 - COVID-19

Section Description Revision Date
13.01 MD Memo - Please use Common Sense 2020-03-13
13.02 Hospital Screening and Procedures 2020-03-26
13.03 Dispatch Screening and Procedures 2020-04-01
13.04 Strict Respiratory Precautions Question Card 2020-04-01
13.05 American Red Cross Changed Response Procedures 2020-03-31
13.06 Clearance of COVID Positive, symptomatic and or exposed individuals from our previous advice 2020-07-15
13.07 Updated COVID Transport to FSED 2020-07-20