ICEMA Protocols for Paramedic and
EMT Practice
-BLS
-LALS
-CPAP
-IF SBP GREATER THAN 90MMHG, CONSIDER MIDAZOLAM FOR ANXIETY RELIEF FROM CPAP MASK
-CONSIDER ADVANCES AIRWAY - correct answers ✔️✔️14010 RESPIRATORY EMERGENCIES ADULT -
ACUTE ASTHMA/ BRONCHOSPASM/ALLERGIC REACTION/ ANAPHYLAXIS - ALS TX
-HR LESS THAN 60BPM
-SIGNS OF INADEQUATE TISSUE PERFUSION - correct answers ✔️✔️14030 BRADYCARDIA TREATMENT
INDICATORS -STABLE
-REDUCE ANXIETY
-POC
-ADMINISTER O2 - correct answers ✔️✔️14030 BRADYCARDIA BLS TREATMENT
-IV IF INDICATED
-IF LUNG SOUNDS CLEAR, 300NS BOLUS, MAY REPEAT
-MONITOR (12 LEAD) - correct answers ✔️✔️14030 BRADYCARDIA ALS TREATMENT- STABLE
-SIGNS OF INADEQUATE TISSUE PERFUSION/SHOCK, ALOC, OR ISCHEMIC CHEST DISCOMFORT - correct
answers ✔️✔️14030 BRADY TREATMENT INDICATORS- UNSTABLE
,-IV IF INDICATED
-300NS BOLUS TKO. MAY REPEAT 1 TIME
-MONITOR FOR CHANGES
-CARDIAC MONITOR (12 LEAD)
-ATROPINE
-IF ATROPINE INEFFECTIVE, MI, HIGH DEGREE HEART BLOCK , THEN PACE
-IF TREATMENT INEFFECTIVE CONTACT BASE - correct answers ✔️✔️14030 BRADY CARDIA TREATMENT
ALS- UNSTABLE
-S/S OF POOR TISSUE PERFUSION
-HR GREATER THAN 150BPM - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT INDICATORS
-REDUCE ANXIETY
-POC
-CONSIDER O2 - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT BLS
-AED PADS(PRECAUTIONARY)
-IV
-300NS BOLUS IF INADEQUATE PERFUSION
-BGL
-DEXTROSE/ GLUCAGON
-REPEAT BGL
-REPEAT DEXTROSE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT LIMITED ALS
-300NS BOLUS
-VAGAL
-ADENOSINE
-SYNC CARDIOVERT
-CONTACT BASE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT ALS NARROW COMPLEX SVT
, -CONSIDER ADENOSINE(CONTRA IF UNSTABLE/IRREGULAR RHYTMS, TDP)
-IF ADENOSINE FAILS, LIDOCAINE
-TDP, DEFIB (CONSIDER MAG)
-PRECORDIAL THUMP IF WITNESSED VT
-SYNC CARDIOVERT
-CONTACT BASE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT ALS VT/WIDE COMPLEX
TACH (INTERMITTENT OR SUSTAINED)
-TRANPORT
-IF HEMODYNAMICALLY UNSTABLE, SYNC CARDIOVERT
-CONTACT BASE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT ALS AFIB/FLUTTER
-CHEST PAIN (TYPICAL OR ATYPICAL)
-SYNCOPAL EPISODE
-HX OR PREVIOUS AMI, ANGINA, HEART DISEASE, OR OTHER RISK FACTORS - correct answers
✔️✔️14240 SUSPECTED ACUTE MYOCARDIAL INFARCTION (AMI) TREATMENT INDICATORS
-RECOGNIZE S/S
-REDUCE ANXIETY/POC
-OXYGEN IF INDICATED
-OBTAIN O2 SAT
-ASSIST W/ SELF ADMIN NITRO/ASPRIN - correct answers ✔️✔️14240 SUSPECTED ACUTE MYOCARDIAL
INFARCTION (AMI) TREATMENT -BLS
-ASPRIN
-IV
-12 LEAD- IF INADEQUATE PERFUSION OR INFERIOR, V4R.
-IF RIGHT VENTRICULAR INFACT SUSPECTED, W/ INADEQUATE PERFUSION, CONSIDER 300CC, MAY
REPEAT. (NITRATES CONTRAINDICATED CONTACT BASE)
EMT Practice
-BLS
-LALS
-CPAP
-IF SBP GREATER THAN 90MMHG, CONSIDER MIDAZOLAM FOR ANXIETY RELIEF FROM CPAP MASK
-CONSIDER ADVANCES AIRWAY - correct answers ✔️✔️14010 RESPIRATORY EMERGENCIES ADULT -
ACUTE ASTHMA/ BRONCHOSPASM/ALLERGIC REACTION/ ANAPHYLAXIS - ALS TX
-HR LESS THAN 60BPM
-SIGNS OF INADEQUATE TISSUE PERFUSION - correct answers ✔️✔️14030 BRADYCARDIA TREATMENT
INDICATORS -STABLE
-REDUCE ANXIETY
-POC
-ADMINISTER O2 - correct answers ✔️✔️14030 BRADYCARDIA BLS TREATMENT
-IV IF INDICATED
-IF LUNG SOUNDS CLEAR, 300NS BOLUS, MAY REPEAT
-MONITOR (12 LEAD) - correct answers ✔️✔️14030 BRADYCARDIA ALS TREATMENT- STABLE
-SIGNS OF INADEQUATE TISSUE PERFUSION/SHOCK, ALOC, OR ISCHEMIC CHEST DISCOMFORT - correct
answers ✔️✔️14030 BRADY TREATMENT INDICATORS- UNSTABLE
,-IV IF INDICATED
-300NS BOLUS TKO. MAY REPEAT 1 TIME
-MONITOR FOR CHANGES
-CARDIAC MONITOR (12 LEAD)
-ATROPINE
-IF ATROPINE INEFFECTIVE, MI, HIGH DEGREE HEART BLOCK , THEN PACE
-IF TREATMENT INEFFECTIVE CONTACT BASE - correct answers ✔️✔️14030 BRADY CARDIA TREATMENT
ALS- UNSTABLE
-S/S OF POOR TISSUE PERFUSION
-HR GREATER THAN 150BPM - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT INDICATORS
-REDUCE ANXIETY
-POC
-CONSIDER O2 - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT BLS
-AED PADS(PRECAUTIONARY)
-IV
-300NS BOLUS IF INADEQUATE PERFUSION
-BGL
-DEXTROSE/ GLUCAGON
-REPEAT BGL
-REPEAT DEXTROSE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT LIMITED ALS
-300NS BOLUS
-VAGAL
-ADENOSINE
-SYNC CARDIOVERT
-CONTACT BASE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT ALS NARROW COMPLEX SVT
, -CONSIDER ADENOSINE(CONTRA IF UNSTABLE/IRREGULAR RHYTMS, TDP)
-IF ADENOSINE FAILS, LIDOCAINE
-TDP, DEFIB (CONSIDER MAG)
-PRECORDIAL THUMP IF WITNESSED VT
-SYNC CARDIOVERT
-CONTACT BASE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT ALS VT/WIDE COMPLEX
TACH (INTERMITTENT OR SUSTAINED)
-TRANPORT
-IF HEMODYNAMICALLY UNSTABLE, SYNC CARDIOVERT
-CONTACT BASE - correct answers ✔️✔️14040 TACHYCARDIA TREATMENT ALS AFIB/FLUTTER
-CHEST PAIN (TYPICAL OR ATYPICAL)
-SYNCOPAL EPISODE
-HX OR PREVIOUS AMI, ANGINA, HEART DISEASE, OR OTHER RISK FACTORS - correct answers
✔️✔️14240 SUSPECTED ACUTE MYOCARDIAL INFARCTION (AMI) TREATMENT INDICATORS
-RECOGNIZE S/S
-REDUCE ANXIETY/POC
-OXYGEN IF INDICATED
-OBTAIN O2 SAT
-ASSIST W/ SELF ADMIN NITRO/ASPRIN - correct answers ✔️✔️14240 SUSPECTED ACUTE MYOCARDIAL
INFARCTION (AMI) TREATMENT -BLS
-ASPRIN
-IV
-12 LEAD- IF INADEQUATE PERFUSION OR INFERIOR, V4R.
-IF RIGHT VENTRICULAR INFACT SUSPECTED, W/ INADEQUATE PERFUSION, CONSIDER 300CC, MAY
REPEAT. (NITRATES CONTRAINDICATED CONTACT BASE)
