1.                     Appendices to the ALS Protocols

Appendices provide additional resources for users of this ALS protocol book.

Appendix A - ALS Procedures and Medications

ALS Procedures        

Required ALS Procedures

·        All BLS procedures (including oral and nasal airway insertion and MAST application)

·        ECG monitoring/interpretation

·        Defibrillation

·        Synchronized cardioversion

·        Deactivation of implantable cardiac defibrillators (ICD)

·        Airway adjunct insertion (EOA LMA or Combitube )

·        Direct laryngoscopy for foreign body removal using Magill forceps

·        Endotracheal suctioning

·        Peripheral IV insertion (including external jugular)

·        Blood drawing

·        Administration of specified drugs by:     IV push technique

                                                                  IM and SC injection

                                                                  sublingual injection

                                                                  oral and sublingual administration

                                                                  inhalation (includes nebulization)

·        Needle thoracostomy for tension pneumothorax

·        Direction of patient in Valsalva maneuver

·        Blood glucose measurement

·        Uterine massage

Permitted ALS Procedures

·        Transcutaneous pacing    

·        Endotracheal intubation

·        Administration of specified drugs via endotracheal tube

·        Intraosseous infusion of IV fluids and drugs (adult and pediatric)

·        Measurement of end tidal CO₂

·        Measurement of O₂ saturation by pulse oximetry

·        12-lead EKG

·        Administration of Nitroglycerin by IV drip technique

ALS Medications

Required Medications Generic (Brand)

·        Adenosine (Adenocard)

·        Albuterol (Proventil, Ventolin) - premixed for nebulization - 2.5 mg

·        Aspirin (ASA)

·        Atropine

·        Calcium chloride 10%

·        Compazine

·        Dextrose 50%

·        Diazepam (Valium)

·        Diphenhydramine HCL (Benadryl )

·        Epinephrine 1:1000 and 1:10,000

·        Furosemide (Lasix )

·        Glucagon

·        Ipratropiumbromide (Atrovent )

·        Lidocainehydrochloride

·        Magnesiumsulfate

·        MidazolamHCL (Versed )

·        Morphine Sulfate

·        Naloxone(Narcan )

·        Nitroglycerintablets or spray - 0.4 mg (grains 1/150)

·        Oxygen

·        Romazicon

·        Sodium bicarbonate

·        Terbutalinesulfate (Brethine)

Permitted Medications

·        Dilaudid

·        Lorazepam (Ativan)

·        Oral Glucose(Reactose, others)

·        Mark 1kit

Unapproved Medications

·        Ammonia ampules

·        Plasmanate

·        Synthetic blood products