New Protocols

kassit21

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My department is in the process of updating our protocols. Other than ACLS and BLS changes, what is everyone adding in for 2011?
 
Not alot of changes here this year. They added atrovent to our difficulty breathing/reactive airway protocol. Our post cardiac arrest protocol has always included iced saline for unresponsive patients, but now we are to give versed if they begin shivering. Other than that, no real changes. They just "cleaned up" the language on a couple other protocols.
 
Guinea Pigs?

In our area they've been testing out some new protocols in our area, and have been focusing on refining some of those "grey areas."
Nothing major, though.
 
There's talk of some blind-insertion airway devices with some of the companies up here (not mine) being BLS protocols. I think it's called a king tube or something like that? Very unfamiliar with advanced airway things...haven't began medic school yet and my service doesn't really get serious emergencies where I get to work with ALS anyway.
 
Our manual was written in 2009. It has a major revision every two years. Our latest additions were fentanyl for ACS and pain management on SO. We already have things like permissive hypotension, Kings for BLS, a crush syndrome protocol, doubling up of ntg until therapeutic endpoint is reached in cardiac APE, induced post arrest hypothermia, EZ-IO stuff, standing order epi for anaphylaxis or asthma, VAD protocols, racemic epi for croup/epiglottitis, various poisining/OD therapies, ETCO2 capnography with nasal prongs which helps guide tx, and so on. Our arrest protocols will change with the new guidelines.
 
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We are adding Fentynal and Ativan, as well as IM Epi for pediatric Asthma/Bronchospasm.

Trying to add IN Narcan and Versed as options as well.
 
catching up...

My department is in the process of updating our protocols. Other than ACLS and BLS changes, what is everyone adding in for 2011?

On my 911 job we are finally adding CPAP, amioderone, and Duonebs.
 
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