All,
It was decided at the last RPAB meeting to update the following sections of the protocol books IMMEDIATELY!! The Adult and Pediatric Trauma Arrest page and also the Non-Initiation of Care page. I have attached the updates to this email and will update each protocol book online sometime in the next few days. The pages affected for each book are listed below:
Paramedic Protocol Book - Non-Initiation of Care will be reinserted as page 4 as attached
Paramedic Protocol Book - Adult and Pediatric Trauma Arrest page 27 will be updated as attached
Advance Protocol Book - Non-Initiation of Care will be reinserted as page 4 as attached
Advanced Protocol Book - Adult and Pediatric Trauma Arrest page 25 will be updated as attached
EMT Protocol Book - Non-Initiation of Care will be reinserted as page 4 as attached
EMT Protocol Book - Adult and Pediatric Trauma Arrest page 18 will be updated as attached
EMR Protocol Book - Non-Initiation of Care will be reinserted as page 3 as attached
I am aware there will be some subtle differences for these pages across each provider level and will make those changes to the online documents. Until that time please use the attached documents as your guide to the updates per this JITSO. If you have any questions please feel free to contact me at the email provided below. I have included the rational for these changes below as outlined inthe latest RPAB meeting.
***Removing the blunt and penetrating time frames and condensing the trauma arrest protocol to “Considerations & Care” and “Termination of Resuscitation” I believe accomplishes the following:
· Keeps the changes to a minimum from previous years (ie. removed time frames from non-initiation and added “prolonged arrest” also added “Exclusionary conditions”
· Has providers focusing on “reversible causes” and the possibility of “mixed mechanisms” and the treatment of.
· Removes confusion over PEA < / > 40 and initiation of care. Unless the patients meet the non-initiation of care circumstances, resuscitation is begun, and the monitor is applied to the patient. Emphasis on organized rhythms >40 is maintained within both termination and care sections.
| John Russell |
| Chair, Standing Orders Committee |
| Greater Miami Valley EMS Council |
| 241 Taylor Street, Suite 130, Dayton, OH |
| (937) 424-2374 |