# Protocol or Appendix Change Reason 2.2A, 2.2P, 2.12, 2.16A, 3.3A, Epinephrine and norepinephrine infusion mix instructions Allows for various mixing 1. 3.3P, 3.4P, 3.8 and the removed. options. Medication Reference. 2.2A, 2.16 A, 2.17, 3.3A, 3.6, Added 0.5 to the dosing of norepinephrine. Now reads: Range added for titrating 2. 3.8, 4.8, 6.3 and the norepinephrine infusion: 0.1 0.5” mcg/kg/min IV/IO. administration. “- Medication Reference. 2.10, 2.14, 3.3A, 3.4A and the Calcium chloride dose amended to read: calcium chloride Amended dose. 3. Adult Medication Reference. 10% 20 mg/kg IV/IO administer slowly over 5 minutes to a maximum dose of 1 gram. 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, packing” added to Control/stop any identified Adding another “wound 4. 4.11 and SOP. life threatening hemorrhage statements. option/suggestion to control hemorrhage. Adult Medication Reference Maximum Dose Adding maximum daily dose 5. Acetaminophen. 4000mg/24 hours for a patient with a healthy liver or for consideration: Patient may 2000mg/24 hours for a patient with a compromised liver. have had medication prior to EMS arrival. Adult Medication Reference Maximum Dose Adding maximum daily dose 6. Ibuprofen. 2400 mg/24 hour. for consideration: Patient may have had medication prior to EMS arrival. SOP A4 3rd page. Changed Induced Therapeutic Hypothermia to Reflects Protocol 3.7. 7. Targeted Temperature Management.
# Protocol or Appendix Change Reason 1. 2.2A, 2.2P, 2.12, 2.16A, 3.3A, 3.3P, 3.4P, 3.8 and the Medication Reference. Epinephrine and norepinephrine infusion mix instructions removed. Allows for various mixing options. 2. 2.2A, 2.16 A, 2.17, 3.3A, 3.6, 3.8, 4.8, 6.3 and the Medication Reference. Added 0.5 to the dosing of norepinephrine. Now reads: norepinephrine infusion: 0.1 “- 0.5” mcg/kg/min IV/IO. Range added for titrating administration. 3. 2.10, 2.14, 3.3A, 3.4A and the Adult Medication Reference. Calcium chloride dose amended to read: calcium chloride 10% 20 mg/kg IV/IO administer slowly over 5 minutes to a maximum dose of 1 gram. Amended dose. 4. 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11 and SOP. “wound packing” added to Control/stop any identified life threatening hemorrhage statements. Adding another option/suggestion to control hemorrhage. 5. Adult Medication Reference Acetaminophen. Maximum Dose 4000mg/24 hours for a patient with a healthy liver or 2000mg/24 hours for a patient with a compromised liver. Adding maximum daily dose for consideration: Patient may have had medication prior to EMS arrival. 6. Adult Medication Reference Ibuprofen. Maximum Dose 2400 mg/24 hour. Adding maximum daily dose for consideration: Patient may have had medication prior to EMS arrival. 7. SOP A4 3rd page. Changed Induced Therapeutic Hypothermia to Targeted Temperature Management. Reflects Protocol 3.7.
treatment-protocols-change-chart-2018.docx