from on scene law enforcement, only if it does not interfere with patient care. 2. TASER® REMOVAL Taser® barbed darts may be removed from the patient upon Law – Enforcement request only when the eye, face, neck, breast or are not involved. If in custody the individual must be adequately restrain by law enforcement for the protection of EMS Personnel. The patient must be thoroughly assessd for other injuries or medical emergencies. If the patient does not have any other presenting injuries/illness, they may be left in the custody/care of law enforcement. Document in detail on MIR. Law Enforcement must sign refusal of transport. Ten Critical Steps for Handling Possible Bioterrorism Events In an otherwise healthy population, some associations are very suggestive, especially when seen in clusters, high numbers, or unusual presentations Symptoms Potential Bioagents 1 Maintain an “Clustered” – Hemoptysis Plague of suspicion Flaccid Paralysis Botulism Purpura Viral Hemorrhagic Fevers (VHF) Wide mediastinum Anthrax Centripetal rash Smallpox 2 Protect – Use appropriate personal protection equipment (PPE). yourself and your Prophylaxis; vaccines, if available; or antibiotics, if risks are known patients. Review and assess the patient’s history. Also, ask: Are others ill? • Were there any unusual events? • Was there an uncontrolled food source or other • environmental factor? 3 Adequately – Was there vector exposure? • assess the patient. Has the patient been traveling? • What is the patient’s immunization record? • Perform a physical examination with special attention to the respiratory system, nervous system skin condition and hematologic and vascular status. Do not use bleach on exposed people. Soap, and shampoo are perfectly adequate for all biological and most chemical agents. Chemically contaminated clothes should be removed and 4 Decontaminate – discarded safely. as appropriate. Biologically contaminated clothes can be laundered with soap, water and perhaps, bleach .
from on scene law enforcement, only if it does not interfere with patient care. 2. TASER® REMOVAL – Taser® barbed darts may be removed from the patient upon Law Enforcement request only when the eye, face, neck, breast or are not involved. If in custody the individual must be adequately restrain by law enforcement for the protection of EMS Personnel. The patient must be thoroughly assessd for other injuries or medical emergencies. If the patient does not have any other presenting injuries/illness, they may be left in the custody/care of law enforcement. Document in detail on MIR. Law Enforcement must sign refusal of transport. Ten Critical Steps for Handling Possible Bioterrorism Events 1 – Maintain an of suspicion In an otherwise healthy population, some associations are very suggestive, especially when seen in clusters, high numbers, or unusual presentations “Clustered” Symptoms Potential Bioagents Hemoptysis Plague Flaccid Paralysis Botulism Purpura Viral Hemorrhagic Fevers (VHF) Wide mediastinum Anthrax Centripetal rash Smallpox 2 – Protect yourself and your patients. Use appropriate personal protection equipment (PPE). Prophylaxis; vaccines, if available; or antibiotics, if risks are known 3 – Adequately assess the patient. Review and assess the patient’s history. Also, ask: • Are others ill? • Were there any unusual events? • Was there an uncontrolled food source or other environmental factor? • Was there vector exposure? • Has the patient been traveling? • What is the patient’s immunization record? Perform a physical examination with special attention to the respiratory system, nervous system skin condition and hematologic and vascular status. 4 – Decontaminate as appropriate. Do not use bleach on exposed people. Soap, and shampoo are perfectly adequate for all biological and most chemical agents. Chemically contaminated clothes should be removed and discarded safely. Biologically contaminated clothes can be laundered with soap, water and perhaps, bleach .
ems_protocols.3.21a.docx