Contact Medical Control to request orders for additional doses of nitroglycerine in excess of three. Note: the maximum dosage of Nitroglycerine is three. The total dosage includes the patient has taken on their own combined with your subsequent dosages. AEMT STOP Perform serial EKGs in to document progression of EKG changes. Treat arrhythmia appropriately. Patients with probable AMI should be transported to an appropriate cardiac facility as soon as possible. Treat arrhythmia appropriately. Obtain and transmit EKG to PCI capable hospital within the first 10 minutes of patient contact. If systolic BP < 100 mmHg, give 250 ml NS bolus (assess for signs of pulmonary congestion) If PVCs > 15/min Lidocaine 1 1.5 mg/kg over 2 min, repeat to a of 3 mg/kg – – If chest pain/discomfort continues: Continue Nitrate therapy Complete thrombolytic screening If chest pain greater than 7 on a scale of 1 10, treat per chart below until pain is tolerated – by patient Contact Medical Control Transport
Contact Medical Control to request orders for additional doses of nitroglycerine in excess of three. Note: the maximum dosage of Nitroglycerine is three. The total dosage includes the patient has taken on their own combined with your subsequent dosages. AEMT STOP Perform serial EKGs in to document progression of EKG changes. Treat arrhythmia appropriately. Patients with probable AMI should be transported to an appropriate cardiac facility as soon as possible. Treat arrhythmia appropriately. Obtain and transmit EKG to PCI capable hospital within the first 10 minutes of patient contact. If systolic BP < 100 mmHg, give 250 ml NS bolus (assess for signs of pulmonary congestion) If PVCs > 15/min – Lidocaine 1 – 1.5 mg/kg over 2 min, repeat to a of 3 mg/kg If chest pain/discomfort continues: Continue Nitrate therapy Complete thrombolytic screening If chest pain greater than 7 on a scale of 1 – 10, treat per chart below until pain is tolerated by patient Contact Medical Control Transport
TN-Protocol-07282016.docx