Administrative Policy
Procedures in italics that are within their scope of practice are provided by these certified personnel
What are EMT-IV, AEMT, and Paramedic
Adult medical patients are considered this age
What is ≥18 years old
These are the four Level 1 Cardiac Centers in Pierce County
What is Good Samaritan, Madigan, SJMC, TG?
Vital signs are obtained in these increments for non-critical patients
What is every 15 minutes?
What is 500-1000mg orally?
A fetus is considered a still birth if it is born after this gestation age with no signs of life
What is >20 weeks?
Adult Injured/Trauma patients are considered this age
What is ≥15 years old
These are the four Level 2 Stroke Centers in Pierce County
What is Allenmore, Good Samaritan, Madigan, St. Anthony?
Blood pressure in the suspected hemorrhagic shock patient should be titrated to this range
What is Systolic BP of 80-90 mmHg?
This is the duration of action for Amiodarone
What is up to 40 days?
Consider transporting the medical patient with CPR in progress if at least one of these 7 situations are present
What is Drug Overdose, Drowning, Hypothermia, Refractory Shockable Rhythm, ≤30 years old, Lightning Strike, Pt Requires Transport?
These are the primary and secondary DMCC's
What is Good Samaritan and SJMC?
The Neonatal Intensive Care Unit designated as a Level 3 can handle these patients
What is 26 weeks and up?
These five are indications for Spinal Motion Restriction
What is acute ALOC, Midline Neck/Back pain, Focal neuro symptoms, Anatomical deformity of spine, Distracting injuries/circumstances?
This is the onset of action time for IV Dexamethasone
What is 1 hour?
These are the 2 stipulations that a physician at scene can give orders
What are if the base station concurs and the physician accompanies the patient to the hospital?
Medical Direction / Base Station will need to be contacted if this symbol is next to the protocol
What is an asterisk?
These are the three Level 4 Trauma Centers in Pierce County
CPAP is contraindicated in patients that present with one of these five conditions/symptoms
What is Apnea or RR<8BPM, Chest Trauma/Pneumothorax, Tracheostomy, Vomiting, Upper GI Bleed?
This is the duration of action for push dose IV Epinephrine
What is 2-5 minutes?
These are the 7 signs of irreversible death in which resuscitation can be withheld
What is Rigor Mortis, Incineration, Decomposition, Decapitation, Lividity, Evisceration of the Heart, External Brain Matter?
At Gig Harbor Fire, this hospital will be contacted for guidance regarding all Trauma Red / Yellow patients ≥15 years of age
What is St. Anthony Hospital?
Aggressive and violent behavior should be considered a symptom of one of these 4 conditions until proven otherwise
What is Head Trauma, Alcohol/Drugs, Metabolic Disorders, Psychiatric?
A patient is required to exhibit two or more of these symptoms to qualify for CPAP
What is RR >25BPM, SPO2 <90% or ETCO2 >50, Accessory Muscle Usage, Unable to Speak in Full Sentences
This is the maximum single IM/IN dose of Midazolam for a seizure patient
What is 10mg/dose?