ICEMA Emergency Medical Services
Protocol Reference
- correct answers ✔️✔️Physician on Scene
What they can and cannot do, what you can and cannot do
-adult patient for whom it appears death is imminent; a reasonable search of the
patient's belonging should be made to determine if the individual carries information
indicating status as an organ donor
- EMS field personnel shall notify the receiving hospital if organ donor information is
discovered
- Any organ donor document discovered should be transported to the receiving hospital
with the patient unless the investigating law enforcement officer requests the
document
- EMS field personnel should briefly note the results of the search, notification of
hospital
and witness name(s) on the patient care report
- No search is to be made by EMS field personnel after the patient has expired - correct
answers ✔️ ✔️ Organ Donor Information
What do you do with this information?
only, when necessary, in situations where the patient is potentially violent and is
exhibiting behavior that is dangerous to self or others
aggressive or violent behavior may be a symptom of medical conditions such as head
trauma, alcohol, drug-related problems, metabolic disorders, stress and psychiatric
disorders
method of restraint used shall allow for adequate monitoring of vital signs and shall not
restrict the ability to protect the patient's airway, breathing, or compromise
neurological or vascular status
Restraints should be applied by law enforcement whenever possible. If applied, an
,officer is required to remain available at the scene or during transport to remove or
adjust the restraints for patient safety
This policy is not intended to negate the need for law enforcement personnel to use
appropriate restraint equipment that is approved by its respective agency to establish
scene-management control - correct answers ✔️ ✔️ Patient Restraints
Requirements for applying restraints?
- A/O x 4
- Notified up to death
- Fully informed of situation
- Base hospital contact
- Signature - correct answers ✔️
✔️Patient Refusal of Care- Adult
What is needed for a refusal?
- Treatment for a symptomatic individual who is a confirmed case, or a suspected case
of
infectious disease is supportive based upon assessment findings
- IV fluids and appropriate medications are to be initiated per established protocols -
correct answers ✔️ ✔️ Treatment and Transportation Recommendations for patients with
Emerging
Infectious Diseases
Treatment for the patient?
EMT-Ps may not transport a patient with IV drips that are not in the EMT-P scope of
practice
- EMT-Ps may not transport patients with blood or blood products.
EMT-Ps may initiate prior to contact protocols if the patient's condition deteriorates,
then must contact the base hospital - correct answers ✔️ ✔️ Interfacility Transfer
Guidelines
ALS Do's and Don'ts
Definition
rapid advanced surgical care at the scene, in which a higher level of on scene surgical
expertise,
physician field response
Purpose
, utilized in a situation where a life-saving procedure, such as an amputation, is required
due to
the inability to extricate a patient. Life before limb concept is utilized as a life-saving
measure,
not as a time saving measure
- should be assembled and ready to respond within 20 minutes of a request - correct
answers ✔️ ✔️Hospital Emergency Response Team (HERT)
Definition and purpose
StART Triage
Simple Triage and Rapid Treatment. * START includes rapidly assessing (in less than 1
minute) every patient, determining which of 4 clinical categories the patient belongs,
and visibly identifying the category for rescuers who will treat the patient.
Definition of MCI
An MCI is any incident where personnel on scene have requested additional responses
to care
for all victims:
▫ Incident requires five (5) or more ambulances; and/or
▫ Incident involves ten (10) or more patients; and/or
▫ Requires utilization of triage tags; and/or
▫ May require patient distribution to more than one (1) hospital
Care priorities
Adults shall be triaged according to START as outlined in Firescope. Pediatric patients
shall be
triaged according to JumpSTART
Airship transportation guidelines
The CCC (County Communications Center) shall dispatch all air resources for the MCI -
correct answers ✔️ ✔️ Medical Response to a Multi-Casualty Incident
START Triage
Definition of MCI
Care priorities
Airship transportation guidelines
Special considerations not related to the injury
A patient shall be transported to the closest Trauma Center if any one (1) physiologic
criteria is
present following a traumatic event. Trauma base hospital contact shall be made:
Protocol Reference
- correct answers ✔️✔️Physician on Scene
What they can and cannot do, what you can and cannot do
-adult patient for whom it appears death is imminent; a reasonable search of the
patient's belonging should be made to determine if the individual carries information
indicating status as an organ donor
- EMS field personnel shall notify the receiving hospital if organ donor information is
discovered
- Any organ donor document discovered should be transported to the receiving hospital
with the patient unless the investigating law enforcement officer requests the
document
- EMS field personnel should briefly note the results of the search, notification of
hospital
and witness name(s) on the patient care report
- No search is to be made by EMS field personnel after the patient has expired - correct
answers ✔️ ✔️ Organ Donor Information
What do you do with this information?
only, when necessary, in situations where the patient is potentially violent and is
exhibiting behavior that is dangerous to self or others
aggressive or violent behavior may be a symptom of medical conditions such as head
trauma, alcohol, drug-related problems, metabolic disorders, stress and psychiatric
disorders
method of restraint used shall allow for adequate monitoring of vital signs and shall not
restrict the ability to protect the patient's airway, breathing, or compromise
neurological or vascular status
Restraints should be applied by law enforcement whenever possible. If applied, an
,officer is required to remain available at the scene or during transport to remove or
adjust the restraints for patient safety
This policy is not intended to negate the need for law enforcement personnel to use
appropriate restraint equipment that is approved by its respective agency to establish
scene-management control - correct answers ✔️ ✔️ Patient Restraints
Requirements for applying restraints?
- A/O x 4
- Notified up to death
- Fully informed of situation
- Base hospital contact
- Signature - correct answers ✔️
✔️Patient Refusal of Care- Adult
What is needed for a refusal?
- Treatment for a symptomatic individual who is a confirmed case, or a suspected case
of
infectious disease is supportive based upon assessment findings
- IV fluids and appropriate medications are to be initiated per established protocols -
correct answers ✔️ ✔️ Treatment and Transportation Recommendations for patients with
Emerging
Infectious Diseases
Treatment for the patient?
EMT-Ps may not transport a patient with IV drips that are not in the EMT-P scope of
practice
- EMT-Ps may not transport patients with blood or blood products.
EMT-Ps may initiate prior to contact protocols if the patient's condition deteriorates,
then must contact the base hospital - correct answers ✔️ ✔️ Interfacility Transfer
Guidelines
ALS Do's and Don'ts
Definition
rapid advanced surgical care at the scene, in which a higher level of on scene surgical
expertise,
physician field response
Purpose
, utilized in a situation where a life-saving procedure, such as an amputation, is required
due to
the inability to extricate a patient. Life before limb concept is utilized as a life-saving
measure,
not as a time saving measure
- should be assembled and ready to respond within 20 minutes of a request - correct
answers ✔️ ✔️Hospital Emergency Response Team (HERT)
Definition and purpose
StART Triage
Simple Triage and Rapid Treatment. * START includes rapidly assessing (in less than 1
minute) every patient, determining which of 4 clinical categories the patient belongs,
and visibly identifying the category for rescuers who will treat the patient.
Definition of MCI
An MCI is any incident where personnel on scene have requested additional responses
to care
for all victims:
▫ Incident requires five (5) or more ambulances; and/or
▫ Incident involves ten (10) or more patients; and/or
▫ Requires utilization of triage tags; and/or
▫ May require patient distribution to more than one (1) hospital
Care priorities
Adults shall be triaged according to START as outlined in Firescope. Pediatric patients
shall be
triaged according to JumpSTART
Airship transportation guidelines
The CCC (County Communications Center) shall dispatch all air resources for the MCI -
correct answers ✔️ ✔️ Medical Response to a Multi-Casualty Incident
START Triage
Definition of MCI
Care priorities
Airship transportation guidelines
Special considerations not related to the injury
A patient shall be transported to the closest Trauma Center if any one (1) physiologic
criteria is
present following a traumatic event. Trauma base hospital contact shall be made:
