Pennsylvania New ALS/BLS Protocol Revision

[stcommodore]

Just a highlight of some pretty big additions and changes to the PA Protocols....

-Lido prior to med admin via an IO

-Post ROSC, orders for "cold nss bolus"

Ativan dosage reduced to max dosage of 4mg

Benadryl dosage back up to 50mg

CPAP for BLS, CPAP required for ALS by July 09

CHF...lasix with medical command only

Captopril/Enalopril with medical command

Nitro via Infusion

Fentanyl can be "IN" for extremity trauma

Glucagon can be "IN" for diabetic patients

"Crush Syndrome" Protocol

Benzo included in the Nausea/Vomiting Protocol under "Dizziness" for Adults

Ocular Tetracaine for Absorbed toxin

Revision of the Level II Trauma Criteria

Air Medical Use for Non-Trauama/Medical Patients...CVA/STEMI

http://www.dsf.health.state.pa.us/health/c...70&Q=231878 -pa doh website for more info

thoughts? comments?

[Chief1C]

I would have liked to see epi pens mandatory... I've been trying to get my company to buy them, but they still believe it's okay put a price limit on saving lives.

Aside from that, as usual, I think there needs to be a set of protocols that are written by people who are familiar with rural areas. Not Lancaster rural, or Lehigh Valley rural; North West, Central and Eastern PA rural. Counties that don't have hospitals, much less able to reach a Level 1 or a good level 2, with in an hour.

Charcoal is now Optional.

Added Hemostatic Gauze/Powders/Agents are optional

Emphasis on field tourniquet use, they cite is as an underused tool. Suggests commercially produced or military type devices.