Protocol Question

[firemedic214]

My county is in the process of writeing a new protocol for fire and special operations team treatment. If anyone has a copy of there protocol if you would please let me know and i will get you my email address.

[RyanEMVFD]

Special operations team? such as SWAT or what? If you want some pretty good tactical protocols try Maryland state health department or whatever it is. Though they are set up for tactical medics.

[firemedic214]

this protocol is more for structure fires and hot weather conditions. the protocol will be used also for our special operations team... which responds to hazmat incidents and rescue operations. but if you have anything either post it in the forum or post your email address.

[croaker260]

So Rehab protocols???

Hows this

SECTION: M-10

PROTOCOL TITLE: Dehydration and Rehab

REVISED: 15 April 2006


GENERAL COMMENTS: The treat and release portion of this protocol is intended for recreational events, fire line support, sport/athletic calls and similar scenarios. In general the EMT/Paramedic should not apply it to other patients without careful consideration.
If a patient has an altered mental status, marked hyperthermia, or other priority symptoms, then follow other more appropriate protocols.

BLS SPECIFIC CARE: See adult General Medical Care Protocol M-1
Oral Re-hydration:
- Obtain orthostatic V/S and assessments.
- Obtain a temperature, if possible. Cool as needed.
- Initiate oral re-hydration if feasible (water, ½ strength Gatorade or similar drink, no caffeine) until minimum 1000 cc (1 liter, approx 32 ounces) and signs and symptoms resolve for a minimum of 15-20 minutes.
- Encourage rest, and cooling of body temperature to a normothermic level.
Criteria for release without medical control contact (need all 3)
- BP and HR
 Systolic: < 160 and > 90
 Diastolic: < 100
 HR: <100 per minute
- Subjective and Objective findings:
 All initial complaints are resolved for 15-20 minutes.
 All complaints on initial contact have been completely assessed.
 No priority S/S (chest discomfort, SOB, altered mental status).
 No ALS care required.
- Documentation
 Further transport offered and declined, refusal is signed.

ILS SPECIFIC CARE: See adult General Medical Care Protocol M-1
- Consider feasibility of oral hydration (if patient is stable) instead of IV access.
- Treat hypotension aggressively with IV crystalloid up to 1000 cc. Hold for s/s of CHF/pulmonary edema or CHF History.

ALS SPECIFIC CARE: See adult General Medical Care Protocol M-1
- Assess and treat any underlying disorders.


PHYSICIAN PEARLS:
If the patient presents in a rehab/support scenario (meth lab breakdown, wildland fire support, HAZMAT Operations support, etc) inform the patient’s immediate superior, as well as Incident Commander (IC), of patient is status and ability to return from rehab sector.

[jbrescue]

Are you looking for antidote specific protocols? Or, protocols of entry exams? If you are more specific I think I can help.

[firemedic214]

looks good i appericate that....