La Co. Field Treatment Policies

Front 1

Nontraumatic Hypotension

Clear BS vs Rales

Back 1

Clear BS

Shock position, fluid challenge, dopamine 400mg/500ml, hemmorrhage not suspected start at 30mcgtts/min

Rales

Dopamine 400mg/500ml, start at 30 mcgtts/min, max 120mcgtts, titrate BP 90-100

Front 2

Traumatic Arrest

Back 2

Special Considerations

1. Treat injury or condition by appropriate guideline

2. DO NOT delay transport for treatment of penetrating trauma

3. Consider determ of death - Ref No. 814

Front 3

Multi-System Trauma

Back 3

Perfusing

Venous Access,reverse trendelenburg (head trauma), splints dressings prn, reasess

Poor Perfusion -

Shock position prn, venous access, fluid resuscitate, splints/dressings prn

Front 4

Extremity Trauma

Back 4

Field treatment -

1. Basic airway/C-spine/control major bleeding
2. O2 prn
3. Shock position

Poor Perfusion -
4. Cardiac monitor/rhythm EKG strip
5. Venous access
6. Fluid resuscitate
Traction splints/dressings prn

Front 5

Abdominal Trauma

Back 5

Field Treatment -

1. basic airway/c-spine/control bleeding
2. O2
3.Adv Airway
Shock position

Poor Perfusion -

5. Cardiac monitor / doc rhythm
6. Venous access
7. Fluid resuscitate

Front 6

Allergic Reaction

Field Treatment

Back 6

Field Treatment

1.Basic Airway
2.O2/Pulse OX
3. Adv. airway
4. Shock position
5.Cardiac monitor/doc rhythm EKG
6. Venous access

Front 7

Allergic Reaction

Mild Resp Distress

Back 7

Epi (1:1,000) 0.3 mg IM - repeat 20min
Wheez: Albuterol 5mg hand nebulizer
Diphenhydramine 50-100mg slow ivp
Reassess

Front 8

Allergic Reaction

Severe Respiratory Distress

Back 8

Shock position
Epi (1:10,000) 0.1 mg IVP,, repeat every 3min
If hypotensive - fluid challenge
Dopamine 400mg/500ml NS 30mcgtts/min
Wheez: albuterol 5mg, repeat prn