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Emergency Medical Services SMOs

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REGION 1 GENERAL GUIDELINES

Use of Standard Medical Orders (SMOs)
Body Substance Isolation
Body Substance Exposure
CEU Requirements
Prehospital Emergency Medical Care of Acute Febrile Respiratory Syndrome including SARS
Latex Sensitivity Precaution
Patient Care Report
Rehabilitation Guidelines

Refusal:

Restraints
Physician/ RN on Scene
DNR
In-Field Termination
Notification of Coroner

Transport Guidelines

Transfer Responsibility of Patient Care
Interhospital/ Interfacility Transport


ADULT MEDICAL PROTOCOLS

Patient Assessment: Initial
Patient Assessment: Focused
Routine Medical Care (RMC)
Abuse: spousal / geriatric (suspected)
Abdominal Discomfort
Airway Management
Alcohol Related Emergencies
Allergic Reaction / Anaphylaxis
Altered Mental Status
Behavioral Emergencies
Bites and Stings
Bronchospasm
Carbon Monoxide Exposure / Poisoning
Diabetic Emergencies (BLS)
Diabetic Emergencies (ALS)
Drowning/Near-Drowning
Excited Delirium
Hypertensive Crisis

Hyperthermia
Hypothermia/Frostbite
Nausea & Vomiting
Pain Management
Poisoning and Overdose
Pulmonary Edema
Renal Emergencies
Seizure / Status Epilepticus
Severe Acute Respiratory Syndrome (SARS) (suspected)
Stroke
Syncope


CARDIAC PROTOCOLS

Automatic Implantable Cardiac Defibrillator (AICD)
Cardiac Arrest Overview
Asystole
Pulseless Electrical Activity (PEA)
Ventricular Fibrillation / Pulseless Ventricular Tachycardia
Cardiogenic Shock
Chest Pain of Suspected Cardiac Origin
Dysrhythmias Overview
Bradycardia (Symptomatic)
Premature Ventricular Complexes (PVC)
Narrow Complex Tachycardia
Wide Complex Tachycardia
ROSC-Induced Hypothermia


TRAUMA PROTOCOLS

Routine Trauma Care (RTC)
Triage Categorization (START Triage and BDLS Triage)
Load and Go
Amputated Parts
Burns
Chest and Abdominal Trauma
Extremity Trauma
Head/Facial Trauma
Neck and Spinal Cord
Ophthalmic Injuries
Pregnancy Trauma
Shock/Fluid Resuscitation
Traumatic Arrest


OB / GYNE PROTOCOLS

Childbirth/Normal/
Abnormal Deliveries/Post Partum Hemorrhage

Gynecological Hemorrhage
Pre-eclampsia/ Eclampsia
Rape/Sexual Assault

PEDIATRIC PROTOCOLS

General Pediatric Assessment
Allergic Reaction/Anaphylaxis
Altered Mental Status (ALS)
Altered Mental Status (BLS)
Burns (ALS)
Burns (BLS)

Resuscitation:

Child Abuse/Neglect
Drowning/Near-Drowning

Dysrhythmias

Head Trauma
Respiratory Distress/ Obstruction/ Arrest
Seizures/Status Epilepticus
Shock
Toxic Exposures and Ingestions
Trauma


DISASTER / TERRORISM PROTOCOLS

Hazardous Materials Overview
Isolation Guidelines Chart
BDLS Triage System (Terrorism Event)
Mark I Kit (Nerve Gas Auto Injectors)

Chemical Exposure

Biological Exposure


PROCEDURES

12-Lead
Arterio-Venous Fistula/ Graft Vascular Access
Cardioversion
Central Line/Port-A-Cath Access
Chest Decompression
CPAP
Defibrillation
EZ-IO
Hemorrhage Control Devices
In-line Nebulizer Administration
Intraosseous Access
Intubation (Adult)
Intubation (Pediatric)
King Airway
Moderate Sedation for Intubation
Mucosal Atomization Device
Nebulizer Inhalation Administration
Needle Cricothyrotomy
Nitronox Administration
Saline Lock
SMO-ATV
Surgical Cricothyrotomy
Transcutaneous Pacing (TCP)


APPENDIX

Acceptable Abbreviation/ Acronyms List
Burn Reference Guide (Adult/ Peds)
Drug Chart
Glasgow Coma Scale/Revised Trauma Score (Adult and Peds)
Nitrous Oxide
Paramedic Expanded Scope

Contact Us

DR. PATRICK GANNON, DO ( EMS System Medical Director )
P 815-754-4882 x 101
E-MAIL pgannon@kishhealth.org

JOE HERRMANN, BA, EMT-P ( EMS System Coord. )
P 815 756-1521 x 153613
C 815-970-1294
F 815-748-8397
E-MAIL #1 jherrmann@kishhealth.org
E-MAIL #2 herrmannfam2123@yahoo.com

STEVEN T. ERNEST, NREMT-P ( EMS Operations Coord. )
P 815-756-1521 x 153619
PG 877-414-8838
C 815-970-2449
F 815-748-8397
E-MAIL #1 sernest@kishhealth.org
E-MAIL #2 iteachems@gmail.com

CAROLYN ACOSTA, NREMT-B ( EMS Administrative Assistant )
P 815-756-1521 x 153614
F 815-748-8397
E-MAIL cacosta@kishhealth.org

LIBBY FAIVRE, EMT-B ( CTC Coord. )

P 815-756-1521 x 153626
F 815-748-8397
E-MAIL efaivre@kishhealth.org

Kristine Pruski, EMS Educator
P 815-756-1521 x 153629
C 630-330-3124
E-MAIL kpruski@kishhealth.org

RENE OLSEN, EMT-B ( CTC / EMS Assistant )

P 815-756-1521 x 153618
F 815-748-8397
E-MAIL molsen@kishhealth.org

DEB BAERT, EMT-P ( EMS Educator )
P 815-756-1521 x 153610
C 815- 762-3523
F 815-748-8397
E-MAIL dbaert@kishhealth.org

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