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Willmar Ambulance Service Advanced Life Support Protocols
Approved and Effective.....……. June 1, 2005 Table of Contents
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1. ALS Protocols for Adult Patients PART I. GENERAL GUIDELINES Medical Control Medical Control Communications Failure Physician Presence at the Emergency Scene Patient Consent and Refusal Equipment Limiting Resuscitation Patient Disposition Infectious Disease Precautions Hazardous Materials Response Multiple Casualty Incidents CISD/Peer Counseling PART Ia. GENERAL PROTOCOLS Airway Management Oxygen Therapy IV Therapy Medication Administration via the Endotracheal Tube (ETT) Sedation of Intubated Patients Pain Management PART II. CARDIAC EMERGENCIES Standing Orders for All Cardiac Problems Specific Cardiac Conditions Chest Pain - Suggestive of Ischemia Suspected Pulmonary Edema Cardiogenic Shock/Pump Failure Cardiac Arrhythmias Bradycardia (Patient Not in Cardiac Arrest) Stable Tachycardias Unstable Tachycardias Cardiac Arrest States Ventricular Fibrillation and Pulseless Ventricular Tachycardia Asystole Pulseless Electrical Activity (PEA) Special Situations/Considerations in Cardiac Arrest PART III. MEDICAL EMERGENCIES Shock, Non-Traumatic Anaphylaxis/Allergic Reaction Asthma Attack Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbation All Other Respiratory Distress Status Seizures Unconscious - Unknown Etiology Hypoglycemia Drug Overdose Suspected CVA Suspected Carbon Monoxide Poisoning Nerve Agent - Organophosphate Exposure Symptomatic Renal Patient PART IV. TRAUMATIC EMERGENCIES Standing Orders for All Traumatic Emergencies General Trauma/Traumatic Shock Isolated Head and Spine Injuries Amputations Crush Injuries New Protocol PART V. OTHER EMERGENCIES Hypothermia Hyperthermia Chemical Eye Injuries Burns Behavioral Emergencies Severe Nausea or Vomiting PART VI. OBSTETRICS Normal Labor and Delivery Obstetric Complications |
2. ALS Protocols for Pediatric Patients PART I. GENERAL GUIDELINES Pediatric Reference Chart PART Ia. GENERAL PROTOCOLS Pediatric Airway Management Pediatric Oxygen Therapy Pediatric IV Therapy Pediatric Medication Administration via the Endotracheal Tube (ETT) Pediatric Pain Management PART II. NEWBORN EMERGENCIES Newborn Emergencies PART III. AIRWAY EMERGENCIES Pediatric Asthma Attack Foreign Body Airway Obstruction Croup and Epiglottitis PART IV. OTHER PEDIATRIC EMERGENCIES Pediatric Status Seizures Pediatric Anaphylaxis/Allergic Reaction Pediatric Drug Ingestion or Overdose Pediatric Unconscious - Unknown Etiology Pediatric Hypoglycemia PART V. PEDIATRIC SHOCK Standing Orders for All Pediatric Shock PART VI. CARDIAC EMERGENCIES Pediatric Bradycardia Pediatric Tachycardia with Adequate Perfusion Pediatric Tachycardia with Poor Perfusion (Pulse Present) Pediatric Ventricular Fibrillation and Pulseless Ventricular Tachycardia Pediatric Non-VF/VT Arrest (includes Asystole and PEA) 3. Appendices to the ALS Protocols Appendix A - ALS Procedures and Medications ALS Procedures ALS Medications Appendix B - "Do Not Resuscitate" (DNR) Guidelines Background Information Authorized Definition - Do Not Resuscitate Establishment of a System for Communicating DNR Implementation of DNR Orders During Emergency Medical Care Intent with Regard to DNR Orders Appendix C - Implantable Cardiac Defibrillator (ICD) Appendix D – Multiple Casualty Incidents (MCI) Bradycardia - Patient Not in Cardiac Arrest. Tachycardias Ventricular Fibrillation/Pulseless Ventricular Asystole Pulseless Electrical Activity (PEA) Pediatric Pulseless Arrest Pediatric Bradycardia - Patient Not in Cardiac Arrest Pediatric Tachycardia - Adequate Perfusion Pediatric Tachycardia - Poor Perfusion |
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