Epi-do
I see dead people
- 1,947
- 9
- 38
So, when does your area typically roll out new protocols? Do they do it as they approve new ones, or once or twice a year? Around here we get the new protocols at the beginning of the year. I went to A&R last night, and got to see what the changes are. I am sure at least some, if not alot of the stuff is things other areas already have/do, but I am still pretty excited to see what some of the changes were.
We are finally getting Versed on the trucks and getting rid of the Valium. With the Versed comes a chemical restraint protocol as well - something we haven't had in the past.
They are adding tourniquets to the protocols for uncontrolled bleeding. We are going to be able to give Narcan, Versed, and Phentanyl intranasally. Lasix is on it's way out of the protocols. This year it is written as "may be given" because some of the docs didn't want to remove it completely, but we were told it will be gone in 2009.
We will no longer have to confirm traumatic arrests with asytole in at least 2 leads. If they present pulseless and apneic, we will be able to leave them dead. No more working corpses because they are showing PEA on the monitor!
We are getting a protocol to induce hypothermia in patients that are resuscitated but remain comatose after being in cardiac arrest. We are also going to start using hydroxocobalamin (Vit B12 derivative) to treat smoke inhalation patients.
And, on a completely unrelated note, I got a $2 + raise on my check this week!
So, anyone else getting some new protocols that they are excited about?
We are finally getting Versed on the trucks and getting rid of the Valium. With the Versed comes a chemical restraint protocol as well - something we haven't had in the past.
They are adding tourniquets to the protocols for uncontrolled bleeding. We are going to be able to give Narcan, Versed, and Phentanyl intranasally. Lasix is on it's way out of the protocols. This year it is written as "may be given" because some of the docs didn't want to remove it completely, but we were told it will be gone in 2009.
We will no longer have to confirm traumatic arrests with asytole in at least 2 leads. If they present pulseless and apneic, we will be able to leave them dead. No more working corpses because they are showing PEA on the monitor!
We are getting a protocol to induce hypothermia in patients that are resuscitated but remain comatose after being in cardiac arrest. We are also going to start using hydroxocobalamin (Vit B12 derivative) to treat smoke inhalation patients.
And, on a completely unrelated note, I got a $2 + raise on my check this week!
So, anyone else getting some new protocols that they are excited about?
Last edited by a moderator:
