San Luis Valley RETAC Protocols

Cover Page

Acknowledgements

Table of Contents

General Guidelines

• 0010. Introduction
• 0020. Confidentiality
• 0030. Consent
• 0040. Physician at the Scene / Medical Direction
• 0050. Field Pronouncement
• 0051. Termination of Resuscitation for Medical Pulseless Arrest
• 0060. Advanced Medical Directives
• 0070. Patient Determination: “Patient or No Patient”
• 0080. Patient Non-Transport or Refusal
• 0100. Mandatory Reporting of Abuse Patients
• 0120. Base Contact for Physician Consultation
• 0130. Transportation of the Pediatric Patient
• 0140. 911 Response to Healthcare Facility for Interfacility Transport
• 0990. Quick Reference for Procedures and Medications Allowed By Protocol

Procedures

• 1000. Orotracheal Intubation
• 1010. Nasotracheal Intubation
• 1030. Cricothyrotomy
• 1040. Pediatric Needle Cricothyrotomy
• 1050. Supraglottic Airway
• 1060. Continuous Positive Airway Pressure (CPAP)
• 1070. Capnography
• 1080. Needle Thoracostomy for Tension Pneumothorax Decompression
• 1090. Synchronized Cardioversion
• 1100. Transcutaneous Cardiac Pacing
• 1110. Intraosseous Catheter Placement
• 1120. Tourniquet Protocol
• 1130. Restraint Protocol
• 1140. Orogastric Tube Insertion with Advanced Airway
• 1150. Taser Probe Removal
• 1160. Pain Management

Respiratory Protocols

• 2000. Obstructed Airway
• 2010. Adult Universal Respiratory Distress
• 2020. Pediatric Universal Respiratory Distress
• 2030. Adult Wheezing
• 2040. Pediatric Wheezing
• 2050. Pediatric Stridor/Croup
• 2060. CHF / Pulmonary Edema
• 2070. COVID-19 Screening
• 2090. Tracheostomy Emergencies

Cardiac Protocols

• 3000. Medical Pulseless Arrest Algorithm
• 3010. Medical Pulseless Arrest Considerations
• 3020. Neonatal Resuscitation
• 3030. Post-Resuscitation Care with ROSC
• 3040. Tachyarrhythmia with Poor Perfusion
• 3050. Bradyarrhythmia with Poor Perfusion
• 3060. Chest Pain
• 3070. Cardiac Alert
• 3080. Hypertension
• 3090. Ventricular Assist Devices

General Medical Protocols

• 4000. Medical Shock Protocol
• 4010. Universal Altered Mental Status
• 4020. Syncope
• 4030. Stroke
• 4040. Seizure
• 4050. Hypoglycemia
• 4060. Pediatric Brief Resolved Unexplained Events (BRUE) (Formerly ALTE)
• 4070. Drug/Alcohol Intoxication
• 4080. Overdose and Acute Poisoning
• 4090. Allergy and Anaphylaxis
• 4100. Non-Traumatic Abdominal Pain / Vomiting
• 4110. Suspected Carbon Monoxide Exposure
• 4120. Adrenal Insufficiency
• 4130. Epistaxis Management
• 4140. Sepsis Protocol

Environmental Protocols

• 5000. Drowning
• 5010. Hypothermia
• 5020. Hyperthermia
• 5030. High Altitude Illness
• 5040. Insect / Arachnid Stings and Bites
• 5050. Snake Bite

Behavioral Protocols

• 6000. Psychiatric / Behavioral Patient
• 6010. Agitated / Combative Patient
• 6020. Transport of the Handcuffed Patient

Obstetric Protocols

• 7000. Childbirth
• 7010. Obstetrical Complications

Trauma Protocols

• 8000. General Trauma Care
• 8010. Special Trauma Scenarios Protocol
• 8020. Trauma in Pregnancy
• 8030. Traumatic Arrest
• 8040. Traumatic Shock
• 8050. Amputations
• 8060. Head Trauma
• 8070. Face and Neck Trauma
• 8080. Spinal Trauma
• 8090. Spinal Motion Restriction (SMR) Protocol
• 8100. Suspected Spinal Injury with Protective Athletic Equipment in Place
• 8110. Chest Trauma
• 8120. Abdominal Trauma
• 8130. Burns

Medication Protocols

• 9000. General Guidelines: Medication Administration
• 9005. Acetaminophen
• 9010. Adenosine
• 9020. Albuterol Sulfate
• 9030. Amiodarone
• 9040. Antiemetics
• 9050. Aspirin
• 9060. Atropine Sulfate
• 9070. Benzodiazepines
• 9080. Calcium
• 9090. Dextrose
• 9100. Diphenhydramine
• 9110. Droperidol
• 9115. DuoDote
• 9120. Epinephrine
• 9130. Glucagon
• 9140. Haloperidol
• 9150. Hemostatic Agents
• 9160. Hydroxocobalamin
• 9165. Ibuprofen
• 9170. Ipratropium Bromide
• 9180. Lidocaine 2%
• 9190. Magnesium Sulfate
• 9200. Methylprednisolone
• 9210. Naloxone
• 9220. Nitroglycerin
• 9225. Nonsteroidal Anti-Inflammatory Drugs: Ibuprofen, Ketorolac
• 9230. Opioids
• 9240. Oral Glucose
• 9250. Oxygen
• 9260. Phenylephrine
• 9270. Racemic Epinephrine
• 9280. Sodium Bicarbonate
• 9290. Topical Ophthalmic Anesthetic
• 9300. Vasopressor Continuous Infusion - Adult Patients Only

Department Addendums

Alamosa Ambulance

• Ketorolac (Toradol)
• Post-Resuscitation Care with ROSC
• Tranexamic Acid (TXA)
• Vasopressor Infusion - Adult Patients Only

South Fork Addendums

• Interfacility Transport

Last updated: 2021-07-02