2018 ODEMSA Protocols

ADULT CARDIOVASCULAR EMERGENCIES

2.1 CV - Chest Pain - Cardiac Suspected

2.2 CV - ST Elevation Myocardial Infarction (STEMI)

2.3 CV - Pulmonary Edema/CHF

2.4 CV - Hypotension/Shock (Non-trauma)
(Cardiogenic Shock)

2.5 CV - Abdominal Aortic Aneurysm/Dissection
(Aortic Dissection & AAA)

2.6 Cardiac Arrest - Unknown Rhythm (i.e. BLS)

2.7 General - Cardiac Arrest

2.8 CV - Supraventricular Tachycardia
(including atrial fibrillation)
Medical - Tachycardia
Medical - Ventricular Tachycardia with a Pulse

2.9 Medical - Bradycardia

ADULT MEDICAL EMERGENCIES

3.1 General – Universal Patient Care
/Initial Patient Contact
(Medical Patient Assessment)

3.2 Medical - Abdominal Pain

3.3 Medical - Allergic Reaction/Anaphylaxis

3.4 General - Behavioral/Patient Restraint

3.5 Medical - Stroke/TIA

3.6 Medical – Dystonic/Extrapyramidal Reaction

3.7 Medical - Diabetic - Hyperglycemia

3.8 Medical - Diabetic - Hypoglycemia

3.9 Medical - Nausea/Vomiting

3.10 General - Pain Control

3.11 Medical - Respiratory Distress/Asthma/COPD/
Croup/Reactive Airway
(Respiratory Distress - Asthma/COPD)

3.12 Medical - Seizure

3.13 Medical - Hypotension/Shock (Non-trauma)

3.14 Medical – Sickle Cell Crisis
(Sickle Cell Anemia Crisis)

3.15 Medical - Altered Mental Status

3.16 Airway - Failed

3.17 Medical - Sepsis

ADULT TRAUMA EMERGENCIES

4.1 Injury - General Trauma Management

4.2 Injury - Abdominal Trauma (Abdominal Trauma)

4.3 Injury - Burns - Thermal

4.4 Injury - Crush Syndrome

4.5 Injury - Electrical Injuries

4.6 Injury - Head

4.7 Exposure - Airway/Inhalation Irritants

4.8 Injury - Sexual Assault

4.9 General - Neglect or Abuse Suspected

4.10 Injury - Conducted Electrical Weapons (i.e. Taser)

4.11 Injury - Thoracic

4.12 Injury - General Trauma Management
(Field Trauma Triage Scheme)

4.13 Injury - Spinal Motion Restriction

ENVIRONMENTAL EMERGENCIES

5.1 Environmental - Hypothermia

5.2 Environmental - Heat Exposure/Exhaustion
Environmental - Heat Stroke/Hyperthermia

5.3 Environmental - Bites and Envenomations - Land

5.4 Environmental - Diving Emergencies
Environmental - Drownings/Near Drownings

OB / GYN EMERGENCIES

6.1 Physiolgical Changes with Pregnancy

6.2 OB/GYN - Childbirth/Labor/Delivery

6.3 OB/GYN - Newborn/Neonatal Resuscitation

6.4 OB/GYN - Pregnany Related Emergency - Should Dystocia

6.5 OB/GYN - Pregnany Related Emergency - Breech Presentation

6.6 OB/GYN - Pregnany Related Emergency - Ectopic Pregnancy

6.7 OB/GYN - Pregnany Related Emergency - Abruptio Placenta

6.8 OB/GYN - Pregnany Related Emergency - Placenta Previa

6.9 OB/GYN - Pregnany Related Emergency - Umbilical Cord Prolapse

6.10 OB/GYN - Eclampsia

6.11 OB/GYN - Pregnany Related Emergency - Premature Repture of Membranes

6.12 OB/GYN - Pregnany Related Emergency - Pre-term Labor

6.13 OB/GYN - Post-partum Hemorrhage

TOXICOLOGICAL EMERGENCIES

7.1 Medical - Overdose/Poisoning - Opioid

7.2 Medical - Overdose/Poisoning - Stimulants

7.3 Medical - Overdose/Poisoning - Tricyclic Anti-Depressants

7.4 Exposure - Organophosphate

7.5 Medical - Overdose/Poisoning - Calcium Channel Blocker

7.6 Medical - Overdose/Poisoning - Beta Blocker

PEDIATRIC CARDIAC EMERGENCIES

8.1 Cardiac Arrest - Unknown Rhythm (i.e. BLS)

8.2 General - Cardiac Arrest

8.3 Medical - Newborn/Neonata Resuscitation

8.4 Medical - Supraventricular Tachycardia (including atrial fibrillation)
Medical - Tachycardia
Medical - Ventricular Tachycardia with a pulse

8.5 Medical - Bradycardia

PEDIATRIC MEDICAL EMERGENCIES

9.1 General - Universal Patient Care/Initial Patient Contact
(Pediatric Medical Patient Assessment)

9.2 Medical - Allergic Reaction/Anaphylaxis

9.3 General - Fever

9.4 Airway - Obstruction/Foreign Body

9.5 Medical - Diabetic - Hyperglycemia

9.6 Medical - Diabetic - Hypoglycemia

9.7 Medical - Nausea/Vomiting

9.8 General - Pain Control

9.9 Medical - Overdose/Poisoning/Toxic Ingestion

9.10 Medical - Respiratory Distress/Asthma/COPD/Croup/Reactive Airway

9.11 Medical - Respiratory Distress - Croup

9.12 Medical - Seizure

9.13 Medical - Hypotension/Shock (Non-trauma)

9.14 Medical - Altered Mental Status

PEDIATRIC TRAUMA EMERGENCIES

10.1 Injury - Abdomen

10.2 Injury - Burns - Thermal

10.3 Injury - Burns - Electrical Injuries

10.4 Injury - Head

10.5 Child Abuse

CLINICAL PROCEDURES

11.1 12-Lead ECG Acquisition

11.2 Capnography

11.3 Pulse Oximetry

11.4 Needle Thoracentesis

11.5 Oral Intubation

11.6 Nasal Intubation

11.7 Supraglottic Airway

11.8 Surgical Cricothyrotomy

11.9 Orogastric (OG) Tube

11.10 Tourniquet

11.11 IO Access

11.12 Continuous Positive Airway Pressure (CPAP)

11.13 Synchronized Cardioversion

11.14 External (Transcutaneous) Cardiac Pacing

11.15 Mechanical CPR Devices

11.15 Patient Retraint

11.17 Medication Administration Cross Check