2010 EMT Update 5th Edition

8/8/2019 2010 EMT Update 5th Edition

http://slidepdf.com/reader/full/2010-emt-update-5th-edition 1/40

THIS PRESENTATION IS FORTHIS PRESENTATION IS FOR

THE EMT LEVEL ONLY.THE EMT LEVEL ONLY.

THERE ARE SEPARATE PRESENTATIONS FOR BOTHTHERE ARE SEPARATE PRESENTATIONS FOR BOTH

THE INTERMEDIATE AND PARAMEDIC LEVELS.THE INTERMEDIATE AND PARAMEDIC LEVELS.

INSTRUCTIONS FOR SIGNING YOURINSTRUCTIONS FOR SIGNING YOUR

COMPLETION ROSTER AND RECEIVNGCOMPLETION ROSTER AND RECEIVNG A COMPLETION CERTIFICATE ARE AT A COMPLETION CERTIFICATE ARE AT

THE END OF THIS PRESENTATIONTHE END OF THIS PRESENTATION..



MANDATORY UPDATE COURSEMANDATORY UPDATE COURSE for the for the

ALABAMA PATIENT CARE PROTOCOLS ALABAMA PATIENT CARE PROTOCOLS

EMT Version, EDITION 5EMT Version, EDITION 5

UPDATED JUNE 2010UPDATED JUNE 2010



MM ANDATORY ANDATORY UUPDATEPDATE CCOURSEOURSE

for the for the

A ALABAMALABAMA PP ATIENT ATIENT CC ARE ARE PPROTOCOLSROTOCOLS

EMT VEMT VERSIONERSION, E, EDITIONDITION 55

UUPDATEDPDATED JJUNEUNE 20102010

PPROVIDEDROVIDED BYBY::

DDRR. J. JOHNOHN CC AMPBELL AMPBELL, ADPH OEMST M, ADPH OEMST MEDICALEDICAL DDIRECTORIRECTOR

PPLEASELEASE FORWARDFORWARD IDENTIFIEDIDENTIFIED MISTAKESMISTAKES OROR PP ATIENT ATIENT CC ARE ARE PPROTOCOLROTOCOL

CCHANGEHANGE SSUGGESTIONSUGGESTIONS DDIRECTLYIRECTLY TOTO DDRR. C. C AMPBELL AMPBELL::

[email protected]@adph.state.al.us



PURPOSE OF PATIENT CARE PROTOCOLSPURPOSE OF PATIENT CARE PROTOCOLS

IMPROVE PATIENT CAREIMPROVE PATIENT CARE

PROVIDE OFFPROVIDE OFF--LINE MEDICAL DIRECTIONLINE MEDICAL DIRECTION

REPRESENT STANDARD OF CAREREPRESENT STANDARD OF CARE

PROVIDE QI STANDARDSPROVIDE QI STANDARDS

PROVIDE EDUCATION STANDARDSPROVIDE EDUCATION STANDARDS



TITLE PAGE & TABLE OF CONTENTSTITLE PAGE & TABLE OF CONTENTS

ADDED ADDED--

New Cover Designated 5New Cover Designated 5THTH EDITION, UPDATED JUNE 25, 2010EDITION, UPDATED JUNE 25, 2010

Two protocols added:Two protocols added:

4.24 Respiratory Illness/Influenza4.24 Respiratory Illness/Influenza 4.25 Respiratory Illness4.25 Respiratory Illness ± ± Mass Casualty EmergencyMass Casualty Emergency

ReRe--alphabetized and renumbered after adding new protocols.alphabetized and renumbered after adding new protocols.

4.26 Seizures4.26 Seizures

4.27 Shock4.27 Shock

4.28 Stroke4.28 Stroke 4.39 Suspected Spinal Injury4.39 Suspected Spinal Injury

4.30 Syncope4.30 Syncope

4.31 Vaginal Bleeding4.31 Vaginal Bleeding

4.32 Vomiting and Nausea4.32 Vomiting and Nausea



SECTION 4: TREATMENT PROTOCOLS



PROTOCOL 4.8PROTOCOL 4.8-- CC ARDIAC ARDIAC A ARRESTRREST

CHANGED:CHANGED: Physical Assessment, Part BPhysical Assessment, Part B

The term ³closed chest massage´ wasThe term ³closed chest massage´ was

changed to ³chest compressions´ to reflectchanged to ³chest compressions´ to reflect

current terminology.current terminology.



PROTOCOL 4.9PROTOCOL 4.9-- CC ARDIAC ARDIAC SSYMPTOMSYMPTOMS/A/ACUTECUTE

CCORONARYORONARY SSYNDROMEYNDROME

Under ³SPECIFIC PRECAUTIONS´Under ³SPECIFIC PRECAUTIONS´

Added precaution to stress that women, diabetics, and all adult Added precaution to stress that women, diabetics, and all adult

medical patients over the age of 50 years have an increased danger medical patients over the age of 50 years have an increased danger

of coronary artery disease.of coronary artery disease.

Added precaution for doing an ECG on all adults with Added precaution for doing an ECG on all adults with epigastricepigastric

discomfort (if they have the capability).discomfort (if they have the capability).

Under ³NOTE´Under ³NOTE´

Added the note Added the note-- By June 2013 all ALS services must have the ability By June 2013 all ALS services must have the ability

to obtain 12 to obtain 12--lead ECGs. Though not required, BLS services arelead ECGs. Though not required, BLS services are

encouraged to obtain the equipment to perform ECGs.encouraged to obtain the equipment to perform ECGs.



PROTOCOL 4.24PROTOCOL 4.24-- RRESPIRATORYESPIRATORY IILLNESSLLNESS/I/INFLUENZANFLUENZA

NEW PROTOCOL: Review with EMTsNEW PROTOCOL: Review with EMTs

1. Follow General Patient Care Protocol 4.11. Follow General Patient Care Protocol 4.1

2. Signs and Symptoms of Influenza2. Signs and Symptoms of Influenza::

a.a. Rapid onset of symptomsRapid onset of symptoms

b.b. Difficulty breathing with exertionDifficulty breathing with exertionc.c. Doctor has already diagnosed influenzaDoctor has already diagnosed influenzad.d. CoughCoughe.e. FeverFeverf .f . Shaking ChillsShaking Chills

g.

g.

PleuriticPleuritic chest painchest painh.h. Sore throat (no difficulty breathing or swallowing)Sore throat (no difficulty breathing or swallowing)i.i. Nasal congestionNasal congestion

j. j. Runny noseRunny nosek.k. Muscle achesMuscle achesl.l. HeadacheHeadache




3.3. Be sure you are using appropriate standardBe sure you are using appropriate standard

precautionsprecautions

A. If Dispatch advises of the potential for acute A. If Dispatch advises of the potential for acute

febrile respiratory illness symptoms on scene, youfebrile respiratory illness symptoms on scene, you

should don PPE for suspected cases of influenzashould don PPE for suspected cases of influenza

prior to entering the scene. This includesprior to entering the scene. This includes

disposable Ndisposable N--95 mask, eye protection (shield or 95 mask, eye protection (shield or

goggles), and disposable nongoggles), and disposable non--sterile gloves.sterile gloves.




3. Be sure you are using appropriate standard3. Be sure you are using appropriate standard

precautionsprecautions

B. If Dispatch has not identified individuals withB. If Dispatch has not identified individuals with

symptoms of acute febrile respiratory illnesssymptoms of acute febrile respiratory illnesssymptoms on scene, you should stay more than 6symptoms on scene, you should stay more than 6

feet away from the patient and bystanders withfeet away from the patient and bystanders with

symptoms and exercise appropriate routinesymptoms and exercise appropriate routine

respiratory droplet precautions while assessing allrespiratory droplet precautions while assessing allpatients for suspected cases of influenza. If patients for suspected cases of influenza. If

patient has signs or symptoms of influenza, youpatient has signs or symptoms of influenza, you

should don the PPE described above beforeshould don the PPE described above before

coming in close contact with the patient.coming in close contact with the patient.




4. All EMS personnel engaged in aerosol generating

activities (e.g. bag-mask ventilation) should wear the

PPE described in 3.a.

5. All patients with acute febrile respiratory illness should

wear a surgical mask, if tolerated by the patient.

6. Encourage good patient compartment vehicle

airflow/ventilation (turn on exhaust fan) to reduce theconcentration of aerosol accumulation when

possible.




TRANSPORT OF PATIENTS TO HEALTHCARE FACILITIESTRANSPORT OF PATIENTS TO HEALTHCARE FACILITIES

When transporting a patient with symptoms of acute

febrile respiratory illness, you should notify the receiving

healthcare facility so that appropriate infection control

precautions may be taken prior to patient arrival. Patients

with febrile respiratory illness should wear a surgicalmask, if tolerated.




INTERFACILITY TRANSPORTINTERFACILITY TRANSPORT

EMS personnel involved in the transfer of patients with confirmedEMS personnel involved in the transfer of patients with confirmed

influenza or suspected infectious respiratory illness should useinfluenza or suspected infectious respiratory illness should use

standard droplet and contact precautions for all patient carestandard droplet and contact precautions for all patient careactivities. This should include wearing disposable Nactivities. This should include wearing disposable N--95 mask, eye95 mask, eye

protection [shield or goggles], disposable nonprotection [shield or goggles], disposable non--sterile gloves andsterile gloves and

gown. If the transported patient can tolerate a surgical mask, itsgown. If the transported patient can tolerate a surgical mask, its

use can help to minimize the spread of infectious droplets in theuse can help to minimize the spread of infectious droplets in the

patient care compartment. Encourage good patient compartmentpatient care compartment. Encourage good patient compartment

vehicle airflow/ventilation (turn on exhaust fan) to reduce thevehicle airflow/ventilation (turn on exhaust fan) to reduce theconcentration of aerosol accumulation when possible. Anyconcentration of aerosol accumulation when possible. Any

nonessential equipment that can be removed from the patientnonessential equipment that can be removed from the patient

compartment of the ambulance before transport will hasten thecompartment of the ambulance before transport will hasten the

time needed to disinfect and return to service.time needed to disinfect and return to service.




CLEANING VEHICLE AFTER INFLUENZA EVENTCLEANING VEHICLE AFTER INFLUENZA EVENT

After the patient has been removed and prior to cleaning, After the patient has been removed and prior to cleaning,

the air within the vehicle may be exhausted by openingthe air within the vehicle may be exhausted by openingthe doors and windows of the vehicle while the ventilationthe doors and windows of the vehicle while the ventilation

system is running. This should be done outdoors andsystem is running. This should be done outdoors and

away from pedestrian traffic. Routine cleaning methodsaway from pedestrian traffic. Routine cleaning methods

should be employed throughout the vehicle and on nonshould be employed throughout the vehicle and on nondisposable equipment.disposable equipment.





Routine cleaning with soap or detergent and water toRoutine cleaning with soap or detergent and water to

remove soil and organic matter, followed by the properremove soil and organic matter, followed by the properuse of disinfectants, are the basic components of use of disinfectants, are the basic components of effective environmental management of influenza. effective environmental management of influenza. Reducing the number of influenza virus particles on aReducing the number of influenza virus particles on asurface through these steps can reduce the chance of surface through these steps can reduce the chance of

hand transfer of virus particles. Influenza viruses arehand transfer of virus particles. Influenza viruses aresusceptible to inactivation by a number of chemicalsusceptible to inactivation by a number of chemicaldisinfectants readily available from consumer anddisinfectants readily available from consumer andcommercial sources.commercial sources.




MASSMASS CASUALTYCASUALTY EMERGENCYEMERGENCY


THIS PROTOCOL IS NOT FOR ROUTINE USETHIS PROTOCOL IS NOT FOR ROUTINE USE

This protocol is designed to be implemented only whenThis protocol is designed to be implemented only when

there is a significant respiratory disease that has impactedthere is a significant respiratory disease that has impacted

the health care system to the extent that hospital beds arethe health care system to the extent that hospital beds are

full, few or no ventilators are available for new patientsfull, few or no ventilators are available for new patientswith respiratory failure, the EMS/Dispatch work force iswith respiratory failure, the EMS/Dispatch work force is

significantly depleted due to absenteeism, and the calls forsignificantly depleted due to absenteeism, and the calls for

EMS support overwhelm resources to manage all calls.EMS support overwhelm resources to manage all calls.





THIS PROTOCOL IS NOT FOR ROUTINE USETHIS PROTOCOL IS NOT FOR ROUTINE USE

When the Governor proclaims a state of emergency, theWhen the Governor proclaims a state of emergency, the Alabama Public Health Department (ADPH) Office of EMS Alabama Public Health Department (ADPH) Office of EMS

& Trauma (OEMS&T) will activate this protocol to provide& Trauma (OEMS&T) will activate this protocol to provide

authorization for the adjustment in theauthorization for the adjustment in the prehospitalprehospital

standard of care. Depending upon the Governorsstandard of care. Depending upon the Governorsproclamation, ADPH OEMS&T may activate this protocolproclamation, ADPH OEMS&T may activate this protocol

statewide or on a regional or local basis.statewide or on a regional or local basis.




1.1. Follow General Patient Care Protocol 4.1Follow General Patient Care Protocol 4.1

2.2. Signs and Symptoms of Influenza:Signs and Symptoms of Influenza:

a. Rapid onset of symptomsb. Difficulty breathing with exertionc. Doctor has already diagnosed influenzad. Coughe. Feverf . Shaking Chills

g. Pleuritic chest painh. Sore throat (no difficulty breathing or swallowing)i. Nasal congestion

j. Runny nosek. Muscle achesl. Headache





3.3. Be sure you are using appropriate standard precautionsBe sure you are using appropriate standard precautions

A. If Dispatch advises of the potential for acute febrile

respiratory illness symptoms on scene, you should don PPE

for suspected cases of influenza prior to entering the scene.

This includes disposable N-95 mask, eye protection (shield

or goggles), and disposable non-sterile gloves.





3. Be sure you are using appropriate standard precautions3. Be sure you are using appropriate standard precautions

B. If Dispatch has not identified individuals with symptoms of B. If Dispatch has not identified individuals with symptoms of

acute febrile respiratory illness symptoms on scene, youacute febrile respiratory illness symptoms on scene, youshould stay more than 6 feet away from the patient andshould stay more than 6 feet away from the patient and

bystanders with symptoms and exercise appropriate routinebystanders with symptoms and exercise appropriate routine

respiratory droplet precautions while assessing all patientsrespiratory droplet precautions while assessing all patients

for suspected cases of influenza. If patient has signs or for suspected cases of influenza. If patient has signs or

symptoms of influenza, you should don the PPE describedsymptoms of influenza, you should don the PPE described

above before coming in close contact with the patient.above before coming in close contact with the patient.





4. If patient has critical vital signs, immediately transport to ED

a.a. Critical Vital Signs: AdultCritical Vital Signs: Adult

Pulse: equal or greater than 130 beats/minutePulse: equal or greater than 130 beats/minute Respiratory Rate: equal or greater than 30 breaths/minuteRespiratory Rate: equal or greater than 30 breaths/minute

Systolic Blood Pressure: Less than 90 mm/HgSystolic Blood Pressure: Less than 90 mm/Hg

PulsePulse Oximeter Oximeter: Less than 92% saturation on room air : Less than 92% saturation on room air

Temperature: FebrileTemperature: Febrile

Level of Consciousness: Responds only to Pain or isLevel of Consciousness: Responds only to Pain or isUnresponsiveUnresponsive

Lung sounds:Lung sounds: RalesRales or Wheezingor Wheezing





4. If patient has critical vital signs, immediately transport to ED

b.b. Critical Vital Signs: PediatricCritical Vital Signs: Pediatric



VITAL SIGN NEONATES INFANTS CHILDREN

Capillary refill: > 2 seconds > 2 seconds > 2 seconds

Resp. rate: <30 or >45

or increased work of

breathing

<20 or >45


breathing

<15 or >45


breathing

Systolic Blood pressure < 60 mmHg < 70 mmHg Under age 10

< 70 + (2 X age in years)

Pulse Oximeter < 92 on room air < 92 on room air < 92 on room air

Temperature Febrile Febrile Febrile

Level of Consciousness responds only to pain

or is unresponsive

responds only to pain

or is unresponsive

responds only to pain or

is unresponsive

Lung sounds Rales or Wheezing Rales or Wheezing Rales or Wheezing



5. If patient has normal vital signs, then evaluate for signs andIf patient has normal vital signs, then evaluate for signs and

symptoms of influenza.symptoms of influenza.

a. ³Normal´ Vital Signs: Adult with respiratory illnessa. ³Normal´ Vital Signs: Adult with respiratory illness

Pulse: Less than 130 beats per minutePulse: Less than 130 beats per minute Respiratory Rate: Less than 30 breaths per minuteRespiratory Rate: Less than 30 breaths per minute

Systolic Blood Pressure: equal or greater than 91 mmHgSystolic Blood Pressure: equal or greater than 91 mmHg

PulsePulse Oximeter Oximeter equal or greater than 92equal or greater than 92

Temperature:Temperature: Afebrile Afebrile

Level of Consciousness: Alert or responds to verbalLevel of Consciousness: Alert or responds to verbal

stimulistimuli

Lung sounds: Clear Lung sounds: Clear





5. If patient has normal vital signs, then evaluate for signs and

symptoms of influenza.

b.b. Normal Vital Signs: Pediatric with Respiratory IllnessNormal Vital Signs: Pediatric with Respiratory Illness



VITAL SIGN NEONATES INFANTS CHILDREN

Capillary refill: 2 seconds 2 seconds 2 seconds

Resp. rate:

(Unlabored)

30 - 45 20 - 45 15 - 45

Systolic Blood pressure 60 mmHg 70 mmHg Under age 10

70 + (2 X age in years)

Pulse Oximeter 92 on room air 92 on room air 92 on room air

Temperature Afebrile Afebrile Afebrile

Level of Consciousness Alert to Verbal Alert to verbal Alert to verbal

Lung sounds Clear Clear Clear



6.6. If patient has three (3) or more signs or symptoms of influenza,If patient has three (3) or more signs or symptoms of influenza,

transport patient to alternate care facility (if available).transport patient to alternate care facility (if available).

7.7. If patient has two (2) or fewer signs or symptoms of influenza,If patient has two (2) or fewer signs or symptoms of influenza,call Oncall On--line Medical Direction (OLMD) to determine if patientline Medical Direction (OLMD) to determine if patient

may be left onmay be left on--scene, self quarantine, and refer to nurse/publicscene, self quarantine, and refer to nurse/public

health hotline (insert phone number here) for further assistance.health hotline (insert phone number here) for further assistance.

8. Because of the danger of EMS personnel becoming infected,8. Because of the danger of EMS personnel becoming infected,

aerosolaerosol--generating procedures such as use of baggenerating procedures such as use of bag--mask shouldmask should

not be performed on patients with acute febrile respiratory illnessnot be performed on patients with acute febrile respiratory illness

except by direct order of the OLMD physician (Cat. B).except by direct order of the OLMD physician (Cat. B).





10. If OLMD orders use of bag10. If OLMD orders use of bag--mask on a patient with acute febrilemask on a patient with acute febrilerespiratory illness, EMS personnel must be in PPE as described inrespiratory illness, EMS personnel must be in PPE as described in2.a above. 2.a above.

11. All patients with acute febrile respiratory illness should wear a11. All patients with acute febrile respiratory illness should wear asurgical mask, if tolerated by the patient .surgical mask, if tolerated by the patient .

12. Encourage good patient compartment vehicle airflow/ventilation12. Encourage good patient compartment vehicle airflow/ventilation(turn on exhaust fan) to reduce the concentration of aerosol(turn on exhaust fan) to reduce the concentration of aerosolaccumulation when possible.accumulation when possible.





TRANSPORT OF PATIENTS TO HEALTHCARE FACILITIESTRANSPORT OF PATIENTS TO HEALTHCARE FACILITIES

When transporting a patient with symptoms of acute

febrile respiratory illness, you should notify the receiving

healthcare facility so that appropriate infection control

precautions may be taken prior to patient arrival. Patients

with febrile respiratory illness should wear a surgical

mask, if tolerated.





INTERFACILITY TRANSPORTINTERFACILITY TRANSPORT

EMS personnel involved in the transfer of patients with confirmedEMS personnel involved in the transfer of patients with confirmed

influenza or suspected infectious respiratory illness should useinfluenza or suspected infectious respiratory illness should use

standard droplet and contact precautions for all patient carestandard droplet and contact precautions for all patient careactivities. This should include wearing disposable Nactivities. This should include wearing disposable N--95 mask, eye95 mask, eye

protection [shield or goggles], disposable nonprotection [shield or goggles], disposable non--sterile gloves andsterile gloves and

gown. If the transported patient can tolerate a surgical mask, itsgown. If the transported patient can tolerate a surgical mask, its

use can help to minimize the spread of infectious droplets in theuse can help to minimize the spread of infectious droplets in the

patient care compartment. Encourage good patient compartmentpatient care compartment. Encourage good patient compartment

vehicle airflow/ventilation (turn on exhaust fan) to reduce thevehicle airflow/ventilation (turn on exhaust fan) to reduce theconcentration of aerosol accumulation when possible. Anyconcentration of aerosol accumulation when possible. Any

nonessential equipment that can be removed from the patientnonessential equipment that can be removed from the patient

compartment of the ambulance before transport will hasten thecompartment of the ambulance before transport will hasten the

time needed to disinfect and return to service.time needed to disinfect and return to service.






After the patient has been removed and prior to cleaning, After the patient has been removed and prior to cleaning,

the air within the vehicle may be exhausted by openingthe air within the vehicle may be exhausted by openingthe doors and windows of the vehicle while the ventilationthe doors and windows of the vehicle while the ventilation

system is running. This should be done outdoors andsystem is running. This should be done outdoors and

away from pedestrian traffic. Routine cleaning methodsaway from pedestrian traffic. Routine cleaning methods

should be employed throughout the vehicle and on nonshould be employed throughout the vehicle and on nondisposable equipment.disposable equipment.








Routine cleaning with soap or detergent and water toRoutine cleaning with soap or detergent and water to

remove soil and organic matter, followed by the properremove soil and organic matter, followed by the properuse of disinfectants, are the basic components of use of disinfectants, are the basic components of effective environmental management of influenza. effective environmental management of influenza. Reducing the number of influenza virus particles on aReducing the number of influenza virus particles on asurface through these steps can reduce the chance of surface through these steps can reduce the chance of

hand transfer of virus particles. Influenza viruses arehand transfer of virus particles. Influenza viruses aresusceptible to inactivation by a number of chemicalsusceptible to inactivation by a number of chemicaldisinfectants readily available from consumer anddisinfectants readily available from consumer andcommercial sources.commercial sources.



PROTOCOL 4.28PROTOCOL 4.28-- SSTROKETROKE

MODIFIED STROKE PROTOCOLMODIFIED STROKE PROTOCOL--

Deleted Treatment:Giving oral glucose to the hypoglycemic patient with

stroke symptoms.

Added Treatment:EMS personnel should attempt to bring a

knowledgeable friend or family member to the hospital

with the stroke patient.



PROTOCOL 4.32PROTOCOL 4.32-- VVOMITINGOMITING AND AND NN AUSEA AUSEA

MODIFIED VOMITING PROTOCOLMODIFIED VOMITING PROTOCOL--

Changed Name:From ³Vomiting´ to ³Vomiting and Nausea´

Added Specific Information Needed:

B. Is the patient nauseated?C. If vomiting, is the cause known?



RELEASE PROCEDURES

FOR

2010 EMT P ATIENT C ARE PROTOCOL UPDATE



NOTICE FOR SERVICESNOTICE FOR SERVICES

BEFORE USING NEW PROTOCOLS

BEFORE USING NEW PROTOCOLS

EACH SERVICE MUST NOTIFY AND PROVIDE A COPY OFEACH SERVICE MUST NOTIFY AND PROVIDE A COPY OF

THE 5THE 5THTH EDITION PROTOCOLS (INCLUDING THE NEWEDITION PROTOCOLS (INCLUDING THE NEW

PAGES CREATED FOR THE 2010 PROTOCOL UPDATE) AND APAGES CREATED FOR THE 2010 PROTOCOL UPDATE) AND A

COPY OF THIS UPDATE PRESENTATION TO THEIR OFFCOPY OF THIS UPDATE PRESENTATION TO THEIR OFF--LINELINE

MEDICAL DIRECTOR.MEDICAL DIRECTOR.

A Copy Of This Presentation Is Available From Your Region. A Copy Of This Presentation Is Available From Your Region.

A Presentation Is Available On the ADPH OEMST website. A Presentation Is Available On the ADPH OEMST website.

EACH SERVICE MUST BE SURE THE ONEACH SERVICE MUST BE SURE THE ON--LINE MEDICALLINE MEDICAL

DIRECTORS AT YOUR MEDICAL DIRECTION HOSPITALS AREDIRECTORS AT YOUR MEDICAL DIRECTION HOSPITALS ARE AWARE THAT THE PROTOCOLS HAVE BEEN UPDATED AND AWARE THAT THE PROTOCOLS HAVE BEEN UPDATED AND

WHERE TO GET THE MATERIALWHERE TO GET THE MATERIAL

33 Services are not responsible for furnishing copies of theServices are not responsible for furnishing copies of the

protocols or update slide presentation to the hospitals.protocols or update slide presentation to the hospitals.



EMS SEMS SERVICEERVICE TTURNEDURNED OONN WWITHITH 2010 P2010 PROTOCOLROTOCOL UUPDATEPDATE WWHENHEN::

Everyone In The EMS Service Has Received 2010 5Everyone In The EMS Service Has Received 2010 5thth Edition UpdateEdition Update

EMS Service Has Turned In a Complete Roster To Their Regional AgencyEMS Service Has Turned In a Complete Roster To Their Regional Agency

EMS Service Has Updated Their Offline Medical Director EMS Service Has Updated Their Offline Medical Director

EMS Service Provides Updated Protocols to Offline Medical Director EMS Service Provides Updated Protocols to Offline Medical Director

2010 52010 5THTH EDITION PATIENT CARE PROTOCOL UPDATESEDITION PATIENT CARE PROTOCOL UPDATES

AARERE TTURNEDURNED OONN SSERVICEERVICE BB Y Y SSERVICEERVICE

NOTNOT IINDIVIDUALNDIVIDUALBB

Y Y IINDIVIDUALNDIVIDUAL

IMPORTANT!IMPORTANT!EVERY SERVICE MUST BE UPDATED BYEVERY SERVICE MUST BE UPDATED BY

OCTOBER 1OCTOBER 1STST, 2010, 2010



2010 PROTOCOL UPDATE2010 PROTOCOL UPDATE

COMPLETION CERTIFICATECOMPLETION CERTIFICATE A completion certificate is created upon completion of this presentation. Go to CERTFICATES and print.

EMTs that volunteer or work for a BLS service should print:

BLS EMT Protocol Update Certificate 2010(training officer must sign and date)

EMTs that work for an ALS service should print: ALS EMT Protocol Update Certificate 2010(training officer and medical director must sign and date)

SELECT THE APPROPRIATE CERTIFICATEYOU SHOULD ONLY PRINT ONE CERTIFICATE

Note:If you are an active EMT but do not volunteer or work for a service, print

the BLS EMT certificate and then contact AERO for a signature.




COMPLETION ROSTERSCOMPLETION ROSTERS AERO provides the blank 2010 Protocol Updatecompletion rosters to the Services. Services must usethe AERO provided roster.

Blank rosters are available for download from the ALINK Library or from the AERO office. Please makesure that the cover sheet is complete and that allemployees/volunteers have signed.

N ote:Contact AERO If you are an active EMT but do not volunteer or work for a service. AERO will maintainan independent EMT completion roster.




COMPLETION ROSTERSCOMPLETION ROSTERSService Completion Rosters Should Be

Sent Only To Your Regional EMS

Agency and NOT To The ADPH Officeof EMS & Trauma.

Your Regional EMS Agency Will Acknowledge Receipt Of Your Roster And At That Time Your Service CanStart Using The Updated Protocols.



2010 ALABAMA PATIENT CARE PROTOCOL UPDATE COURSE

PROVIDED ON THE ALINKCOURTESY OF ALABAMA EMS REGION ONE

ALABAMA LEARNING & INFORMATION NETWORK (ALINK)DELIVERING EMS EDUCATION AND INFORMATION DIRECTLY TO YOUR OFFICE, SCHOOL, AND HOME

2010 PROTOCOL UPDATE

Documents

2010 EMT Update 5th Edition