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2014 Protocols

2014 Protocols. AEMT. Airway Management. Needle decompression of tension PTX Not just for trauma. Airway Management Comparison. Asthma/COPD. May administer up to three doses of albuterol via nebulizer. Asthma Comparison. Suspected Smoke Inhalation. Changes:

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2014 Protocols

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  1. 2014 Protocols AEMT

  2. Airway Management • Needle decompression of tension PTX • Not just for trauma

  3. Airway Management Comparison

  4. Asthma/COPD • May administer up to three doses of albuterol via nebulizer

  5. Asthma Comparison

  6. Suspected Smoke Inhalation • Changes: • Up to three doses of nebulized albuterol may be given as needed

  7. Suspected Smoke Inhalation Comparison

  8. Allergic Reaction/Anaphylaxis • Changes: • May administer albuterol if patient is wheezing

  9. Allergic Reaction Comparison

  10. Diabetic Emergencies • IV Dextrose (D50) 25g can be given (D25 for peds) • If no IV access, consider IM glucagon 1mg (0.5mg in peds < 20kg) • Magic number is BG < 80

  11. Diabetic Emergencies Comparison

  12. Overdose or Toxic Exposure • Naloxone (Narcan) may be given IV, SQ, IM, IO or IN for opioid overdose • Dose is 0.4mg for IV, 2mg for other routes • Max is always 2mg

  13. Overdose

  14. Chest Pain • Nitroglycerin may be given if SBP > 100 • Give 0.4mg SL every five minutes up to three doses total

  15. Cardiac Arrest - Adult • IV/IO epi 1:10,000 1mg every 3-5 minutes

  16. Chest Trauma • Needle decompression if s/s of tension ptx • Patient does NOT need to be in cardiac arrest • Fluids if needed

  17. Head Trauma • D50 or glucagon if BG < 60 • Different BG threshold than for diabetic emergencies

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