If blood pressure <90mmHg, or evidence of distributive shock, blood loss, or dehydration: IV 0.9% NS in 250mL boluses; may be repeated to one liter total if hypotension is persistent. The NYS EMS Collaborative protocol app allows users to make clinical decisions with ease. Gentle nasal suctioning is the primary treatment along with oxygen, particularly in infants. This general approach guidance document is intended to provide a standardized framework for patient transport. This is a general resource document on the use of automatic transport ventilators, not a protocol. Patient exhibiting signs of obvious death as defined by ANY of the following: Injury not compatible with life (e.g. The patient may be covered and may be moved back onto a bed or sofa, if appropriate and approved by law enforcement, Whenever possible, termination of resuscitation should be done when the patient is not in a public place, If the family is present, appropriate emotional support by other family, neighbors, clergy, or police should be available when considering termination of resuscitation, Skin color change: cyanosis, erythema (redness), pallor, plethora (fluid overload), Choking or gagging not associated with feeding or a witnessed foreign body aspiration, Check pupils and, if constricted, consider “General: Opioid (Narcotic) Overdose” protocol, Refer to “General: Altered Mental Status” protocol, if necessary, Ongoing assessment of the effectiveness of breathing, Refer to “Extremis: Respiratory Arrest / Failure - Pediatric” protocol, if necessary, For the undifferentiated patient with altered mental status, Including, but not limited to, BLS management of hypoglycemia. Ability to adjust rate in the minimum range of 10-30 breaths/min INITIATING MECHANICAL VOLUME VENTILATION The provision of patient care is a responsibility given to certified individuals who have completed a medical training and evaluation program specified by the NYS Public Health or Education Laws and subject to regional and State regulations or policy. Evaluate the patient for adequate chest rise, EtCO2 and SpO2 JAMB Innovations published the NYS EMS Collaborative Protocol App for Android operating system mobile devices, but it is possible to download and install NYS EMS Collaborative Protocol for PC or Computer with operating systems such as Windows 7, 8, 8.1, 10 and Mac. If patient has a history of true anaphylaxis* and has an exposure to an allergen developing respiratory distress and/or hypoperfusion and/or rash: If the patient does not improve within 5 minutes, you MAY repeat epinephrine once, This protocol is intended to be used with agitated patients requiring sedation, This may include any patient who demonstrates potentially violent behavior, regardless of underlying etiology, Pharmacologic management of behavioral emergencies is only to be utilized for situations in which environmental modification and verbal de-escalation (utilizing interpersonal communication skills) is not successful or not possible, For patients who are extremely combative and are at are risk of causing physical harm to emergency responders, the public, and/or themselves refer to the “General: Behavioral Emergencies - Excited Delirium” protocol, Airway management, vital signs, and appropriate oxygen therapy, if tolerated, Verbal de-escalation (utilizing interpersonal communication skills), If verbal de-escalation is not successful or not possible, apply soft restraints, such as towels, triangular bandages, or commercially available soft medical restraints, only if necessary to protect the patient and others from harm, Check blood glucose level, if equipped, as soon as you are able to safely do so. Children with special health care needs requiring technological assistance for life support: Central venous catheters (tunneled catheter, Broviac catheter, Mediport, PICC), Catheters that enter a large (central) vein, CSF shunt (e.g. Re: 2019 BLS Protocol Update and ALS Collaborative Protocols The Statewide Basic Life Support Adult and Pediatric Treatment Protocols 2019 Version 1.0 and ALS Collaborative Protocols are posted on the New York State Department of Health Bureau of Emergency Medical Services and Trauma System (NYS DOH BEMS) website. Suspension of … Regional Emergency medical Services obstruction, pulmonary edema requires evaluation and transport of a with... Regional policy practice guidelines provided through agency education ( EMTs ),,... Also posted the roll out 2017 reference materials and schedule of Midstate REMAC protocol roll out 2017 materials. Not use foil alone, Keep the infant warm and free from drafts will determine which levels will be to... 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