NYS EMT-B Protocols Latest Update Graded A

NYS EMT-B Protocols Latest Update Graded A Medical Control - MD that can give any order on the scope of their practice -May control assist with questions regarding patient care or if there are complex medical conditions -Can help determine the most appropriate receiving facility Cardiac Arrest--Adult - 30 compressions to 2 breaths via BVM (30:2) -Switch w/ partner every 2 minutes -Minimize interruptions of CPR -Use airway adjuncts as indicated -Apply AED, resume CPR after defibrillating Cardiac Arrest--Pediatric 30:2 for single rescuer 15:2 for two rescuer -Adult AED pads can be used if needed Foreign Body Airway Obstruction (FBAO)--Adults - Rapid transport If conscious and can breathe, cough, speak: -encourage pt. to cough -transport in position of comfort/sitting -O2 administration If conscious and cannot breathe, cough, speak: -Airway maneuver -Heimlich Unconscious: -Remove airway obstruction if visible -Perform CPR FBAO--PEDS -Rapid transport If conscious and can breathe, cough, speak: -encourage pt. to cough -transport in position of comfort/sitting -O2 administration -Consider letting parent hold face mask 6-8in. from the child's face If conscious and cannot breathe, cough, speak: -Airway maneuver -Perform 5 chest thrusts alternating with 5 back blows Unconscious: -Remove airway obstruction if visible -Perform CPR Signs of Ineffective Breathing -Cyanosis -Visible retractions -Use of Accessory Muscles -AMS - RR < 10 bpm -Signs of Poor Perfusion Respiratory Arrest/Failure--Adult -Open airway and remove any visible airway obstruction by hand; insert adjunct if necessary -Suction if necessary -PPV with BVM -Ventilate every 5-6 seconds; each breath given over 1 second -SPO2 goal: 94% > Respiratory Arrest/Failure--Pediatric Open airway and remove any visible airway obstruction by hand; insert adjunct if necessary -Suction if necessary -PPV with BVM -Ventilate every 3-5 seconds; each breath given over 1 second -SPO2 goal: 94% > Signs