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CCT Protocols
Location for all CCT Protocols
Arlington EMS System Protocols
Pharmacology
503 - Medical Protocols
Medical
Adult Trauma
Procedures
ACD / (N)-STEMI
This policy applies to: Adults actively experiencing ACS, STEMI, or N-STEMI
Allergic Reaction - REACTION Format
This policy applies to: Patients whose chief complaint is itching, rash or allergic reaction. Exclusion Criteria: None Recognize Itching, hives, flushing, angioedema Coughing, wheezing, stridor, or respiratory distress Chest or throat constriction Di...
Hypoglycemia - Maryland Format
Applies to: Blood glucose less than 70 mg/dL or greater than 300 mg/dL Patient-reported low or high blood glucose Diabetic patients with other medical symptoms (e.g., vomiting) Altered mental status Alcohol intoxication, suspected Seizure Stroke sympto...
Authorization Level
THIS REFERENCE APPLIES TO: The procedures and medications each EMT, AEMT/Advanced EMT or Paramedic in the AEMSS is authorized to initiate by the AEMSS Medical Director Procedure / Medication Paramedic Advanced EMT EMT Bag-Valve Mask X X X...
Automatic Implantable Cardiac Defibrillator
Applies to: The treatment of patients with an implantable cardiac defibrillator (AICD). Exclusion Criteria: None Authorization: All Levels Guidelines: When caring for a patient with an implantable cardiac defibrillator (ICD), rescuers should know: If ...
Bag-Valve Mask
THIS PROCEDURE APPLIES TO: Any patient unable to adequately ventilate him/herself who needs supplemental oxygen delivered via a bag-valve mask. EXCLUSION CRITERIA: None AUTHORIZATION: All Levels PROCEDURE Observe body substance isolation precautions. Re...
Positive End-Expiratory Pressure (PEEP)
THIS PROCEDURE APPLIES TO: Patients for whom adequate oxygenation cannot be achieved by ventilations with a bag-valve mask alone due to alveolar collapse, decreased lung compliance, pulmonary edema, near drowning, cardiac arrest or other condition causing poor...
Pulse Oximetry
THIS PROCEDURE APPLIES TO: Using a pulse oximeter to determine: Blood oxygen saturation. Carboxyhemoglobin concentrations for patients who may have inhaled smoke from a fire in a closed space and/or carbon monoxide. Methemoglobin concentration. EXCLUSI...
Capnography
THIS PROCEDURE APPLIES TO: All patients who have undergone advanced airway management, including endotracheal intubation or placement of a supraglottic airway, those receiving supplemental oxygen, or who have received sedation, antipsychotic medication, or nar...
RAD-57
THIS POLICY APPLIES TO: Patients suspected of having carbon monoxide and cyanide poisoning. EXCLUSION CRITERIA: Patients without a finger on which either the adult or pediatric sensor can be securely placed. Generally, the pediatric sensor will not fit patien...
Acetylsalicylic Acid
GENERIC NAME Aspirin TRADE NAME Acetylsalicylic Acid DESCRIPTION Aspirin works by inhibiting platelet aggregation, which reduces the formation of blood clots. It makes platelets less sticky, helping to prevent clots that can lead to myocardial infarction ...
Acetaminophen (APAP)
GENERIC NAME Acetaminophen (APAP) TRADE NAME Tylenol DESCRIPTION Non-opioid analgesic and antipyretic. HOW SUPPLIED Oral Suspension: 160 mg / 5 mL strength INDICATIONS Pain management – mild pain levels Fever CONTRAINDICATIONS Active and seve...
Adenosine
GENERIC NAME Adenosine TRADE NAME Adenocard DESCRIPTION Adenosine is a naturally occurring substance present in all cells that slows conduction through the AV node of the heart. Due to its rapid onset of action and short half-life, the administration of A...
Albuterol
GENERIC NAME Albuterol TRADE NAME Proventil, Ventolin CLASS Sympathetic Agonist HOW SUPPLIED Pre-mixed vial: 2.5 mg in 3 mL saline INDICATIONS Based on patient condition, paramedics may consider any of the dosing regimens listed below. Wheezing or ...
Amiodarone
GENERIC NAME Amiodarone TRADE NAME Cordarone DESCRIPTION An antiarrhythmic medication indicated for the treatment of documented, recurrent, life-threatening ventricular arrhythmias. HOW SUPPLIED 150 mg/3 mL pre-filled syringe INDICATIONS Ventricular...
Atropine Sulfate
GENERIC NAME Atropine Sulfate TRADE NAME None DESCRIPTION Atropine is used to increase slow heart rates and to treat organophosphate and nerve agent poisoning. HOW SUPPLIED Prefilled syringe: 1.0 mg / 10 mL DuoDote: One auto-injector containing both ...
Calcium Chloride
GENERIC NAME Calcium Chloride TRADE NAME None DESCRIPTION Calcium chloride provides elemental calcium in the form of the cation (Ca++). Calcium is essential for many physiological activities, including muscle contraction and neurotransmitter release. HOW...
Hydroxycobalamin (Cyanokit)
GENERIC NAME Hydroxycobalamin TRADE NAME Cyanokit DESCRIPTION Cyanokit is an antidote for cyanide poisoning. HOW SUPPLIED 5 gram single-dose vial of dark red crystalline powder PREPARATION Without removing the vial from the box, transfer 200 ml of Nor...
Dextrose
GENERIC NAME Dextrose TRADE NAME Dextrose 10 DESCRIPTION Dextrose is a simple sugar that is rapidly metabolized by the body, providing quick restoration of blood glucose levels. HOW SUPPLIED Prefilled bag: 25 grams/250 ml (10% solution) INDICATIONS ...
Diphenhydramine
GENERIC NAME Diphenhydramine TRADE NAME Benadryl DESCRIPTION Diphenhydramine is a potent antihistamine with both antihistamine and mild sedative properties. HOW SUPPLIED Ampule and pre-filled syringe: 50 mg/mL INDICATIONS Anaphylaxis Allergic react...