P EMT-P P M MC Order M Position patient on side to prevent aspiration Blood Glucose A A Dextrose P P Glucagon Obtain IV Active Seizure Yes A A Access Yes Consider IM P P Medications No Lorazepam P Assess for of seizure P Or A A Midazolam Obtain IV access Treat per appropriate protocol Repeat seizures? ≤60 Stroke History: Differential: M Contact Medical Control M · Previous CVA, TIA’s · See Altered Mental Status · Previous cardiac / vascular surgery · TIA (Transient Ischemic Attack) Signs / Symptoms: · Associated diseases: Diabetes, Hypertension, ·Altered Mental Status Hypoglycemia ∙ CAD · Thrombotic stroke · Weakness / Paralysis · Atrial fibrillation · Embolic stroke · Blindness or other sensory loss · Medications thinners) Aphasia / Dysarthria · Hemorrhagic stroke ∙ · ∙ Notes: Meds: History Be prepared to assist ventilations especially if a Benzodiazepine is used Dextrose 12.5-25 g • of If Evidence or suspicion of trauma, spine should be immobilized. Glucagon 1 mg IV/IM • In Status Epilepticus , If IV access not obtainable consider IO/IM Lorazepam 1-2mg IV/IM ● Midazolam 2.5-5 mg IV/IM Syncope Trauma Tumor ∙ · Vertigo / Dizziness · Trauma · Vomiting · Headache · Seizures · Respiratory pattern change · Hypertension / hypotension Universal Patient Care Protocol A A Obtain IV or IO access A A Dextrose prn Glucose If no IV access Glucagon Cincinnati Stroke Test
P EMT-P P M MC Order M Position patient on side to prevent aspiration Blood Glucose A Dextrose A P Glucagon P A Obtain IV Access A Active Seizure Yes Yes P Consider IM Medications P P Lorazepam Or Midazolam P Assess for of seizure A Obtain IV access A Treat per appropriate protocol M Contact Medical Control M No Notes: • Be prepared to assist ventilations especially if a Benzodiazepine is used • If Evidence or suspicion of trauma, spine should be immobilized. ● In Status Epilepticus , If IV access not obtainable consider IO/IM Meds: Dextrose 12.5-25 g Glucagon 1 mg IV/IM Lorazepam 1-2mg IV/IM Midazolam 2.5-5 mg IV/IM Repeat seizures? Stroke History: · Previous CVA, TIA’s · Previous cardiac / vascular surgery · Associated diseases: Diabetes, Hypertension, CAD · Atrial fibrillation · Medications thinners) ∙ History of Trauma Signs / Symptoms: ·Altered Mental Status · Weakness / Paralysis · Blindness or other sensory loss ∙ Aphasia / Dysarthria ∙ Syncope · Vertigo / Dizziness · Vomiting · Headache · Seizures · Respiratory pattern change · Hypertension / hypotension Differential: · See Altered Mental Status · TIA (Transient Ischemic Attack) ∙ Hypoglycemia · Thrombotic stroke · Embolic stroke · Hemorrhagic stroke · Tumor · Trauma Universal Patient Care Protocol A Obtain IV or IO access A Glucose A Dextrose prn A If no IV access Glucagon ≤60 Cincinnati Stroke Test
ems_protocols.3.21a.docx