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Alternative Destination: - ANS-A regionally-approved 911 system receiving facility that
may have limited
and/or specialized capabilities but is NOT a 911 system ambulance destination
emergency
department
Continuous Quantitative Waveform Capnography: - ANS-Continuous quantitative
measurement of the
partial pressure of carbon dioxide during respiration. This monitoring is required for all
patients who
have received advanced airway management (i.e. endotracheal intubation or use of a
supraglottic
airway) EXCEPT for the use of a supraglottic airway device in cases of insufficient
resources (GOP:
Airway Monitoring)
Discretionary Orders: - ANS-Medications, treatments, or procedures that are within the
scope of practice
of a provider's certification level that differ from its use in a specific protocol. This
includes
medications that are within the REMAC formulary at doses other than what is delineated
in the
protocols or used for purposes other than that described in the protocols
Excited Delirium: - ANS-Behavioral syndrome comprised of a combination of delirium,
psychomotor
agitation, anxiety, hallucinations, speech disturbances, disorientation, violent or bizarre
behavior,
, insensitivity to pain, elevated body temperature and abnormal strength that is often
associated with
stimulant use
High Index of Suspicion: - ANS-The concern that a patient may have an acute medical,
traumatic,
psychiatric, behavioral, or other condition that could result in a life-threatening or life-
altering
outcome.
High Index of Suspicion (Indications): - ANS-• Mechanism of injury (i.e. the manner in
which traumatic injuries likely occurred)
• Injury/illness severity
• Abnormal vital signs
• Concerns regarding the patient's health based on a change in the patient's condition
from a
patient's acquaintances or family members who have frequent contact with the patient
• Concerns from a caller to 911 who reports expressed or actual suicidal or homicidal
behavior
by the patient (regardless of whether the caller is with the patient)
• Requests for assistance originating from a health care provider (regardless of whether
the
health care provider is with the patient) who indicates that there has been a significant
change
in the patient's medical condition
Low Index of Suspicion: - ANS-Any condition that does not meet the criteria for a high
index of suspicion
Medication Administration: - ANS-Administration of ANY medication to a patient by
prehospital providers,
other healthcare providers, bystanders, or the patient themselves during or just
preceding the event