Treat per Bradycardia Protocol Consider Dopamine or P P Ephinephrine Midazolam or Lorazepam p P prn M Contact Medical Control M Notes: Meds: *Sedate as needed Lorazepam 1-2 mg IV/IN/IM May repeat PRN Midazolam 2.5-10mg IV/IO over 2 minutes Dopamine IV Start at 5-20mcg/kg/min and titrate to SBP of 90-100 mmHg Epinephrine mix 1mg 1:1000 in 250mL NS, titrate 2-10 mcg/min for SBP> 100mmHg Abdominal Pain History: Differential: Age Pain (location / migration) AAA Past Medical / Surgical history Tenderness Ectopic pregnancy Medications Nausea Bowel obstruction Onset Vomiting Cardiac Palliation / Provocation Diarrhea Pregnancy (ectopic?) Quality (crampy, constant, sharp, dull, etc.) Dysuria GI Bleed Region / Radiation / Referred Constipation Appendicitis Severity (1-10) Vaginal bleeding / discharge Cholecystitis Time (duration / repetition) Pregnancy Pancreatitis Fever Kidney stones Last meal eaten Last bowel movement / emesis Menstrual history (pregnancy) Universal Patient Care Protocol of shock Yes No Obtain IV Access A A Legend EMT
Treat per Bradycardia Protocol P Consider Dopamine or Ephinephrine P P Midazolam or Lorazepam prn p M Contact Medical Control M Notes: *Sedate as needed Meds: Lorazepam 1-2 mg IV/IN/IM May repeat PRN Midazolam 2.5-10mg IV/IO over 2 minutes Dopamine IV Start at 5-20mcg/kg/min and titrate to SBP of 90-100 mmHg Epinephrine mix 1mg 1:1000 in 250mL NS, titrate 2-10 mcg/min for SBP> 100mmHg Abdominal Pain History: Age Past Medical / Surgical history Medications Onset Palliation / Provocation Quality (crampy, constant, sharp, dull, etc.) Region / Radiation / Referred Severity (1-10) Time (duration / repetition) Fever Last meal eaten Last bowel movement / emesis Menstrual history (pregnancy) Pain (location / migration) Tenderness Nausea Vomiting Diarrhea Dysuria Constipation Vaginal bleeding / discharge Pregnancy Differential: AAA Ectopic pregnancy Bowel obstruction Cardiac Pregnancy (ectopic?) GI Bleed Appendicitis Cholecystitis Pancreatitis Kidney stones Universal Patient Care Protocol of shock Yes No A Obtain IV Access A Legend EMT
ems_protocols.3.21a.docx