Prehospital P Thrombolytic P Legend Screening EMT A EMT-A A Contact Medical Control M M P EMT-P P Stroke” “Code M MC M Consider other appropriate protocol as needed Notes: Meds: Onset of symptoms is defined as the last witnessed time the patient was symptom Dextrose 12.5-25 g IV PRN • free (i.e. awakening with stroke symptoms would be defined as an onset time of the Glucagon 1 mg IV/IM previous night when patient was symptom free) The differential listed on the Altered Mental Status Protocol should also be • considered. Be alert for airway problems (swallowing difficulty, vomiting) • Hypoglycemia can present as a localized neurologic deficit, especially in the elderly. • Hyperglycemia can be very dangerous in ischemia Eclampsia History: Signs / Symptoms: Differential: · Past Medical history ·Seizure · Hypertension · Prenatal care · Hypertension · Multiple fetuses · Medications/drugs · Tachycardia Gestational diabetes ∙ · Familial incidence Edema · Micro thrombi ∙ · Primigravida Headache · Embolic stroke ∙ Renal Disease · Visual disturbance · Improper placental implantation ∙ · Abdominal pain · Amnesia and/or change in mental status Universal Patient Care Protocol Place in left lateral recumbent position A A Obtain IV
Legend EMT A EMT-A A P EMT-P P M MC M Consider other appropriate protocol as needed Notes: • Onset of symptoms is defined as the last witnessed time the patient was symptom free (i.e. awakening with stroke symptoms would be defined as an onset time of the previous night when patient was symptom free) • The differential listed on the Altered Mental Status Protocol should also be considered. • Be alert for airway problems (swallowing difficulty, vomiting) • Hypoglycemia can present as a localized neurologic deficit, especially in the elderly. Meds: Dextrose 12.5-25 g IV PRN Glucagon 1 mg IV/IM Hyperglycemia can be very dangerous in ischemia P Prehospital Thrombolytic Screening P M Contact Medical Control “Code Stroke” M Eclampsia History: · Past Medical history · Prenatal care · Medications/drugs · Familial incidence · Primigravida ∙ Renal Disease Signs / Symptoms: ·Seizure · Hypertension · Tachycardia ∙ Edema ∙ Headache · Visual disturbance · Abdominal pain · Amnesia and/or change in mental status Differential: · Hypertension · Multiple fetuses ∙ Gestational diabetes · Micro thrombi · Embolic stroke · Improper placental implantation Universal Patient Care Protocol Place in left lateral recumbent position A Obtain IV A
2012_lc_ems_protocols.docx