SMOs- General Protocols

Question 1

Radio Report (2)

Answer 1

1. Name and vehicle number of provider
2. Requested destination, closest hospital and estimated time of arrival
3. Age, sex, and approximate weight of patient
4. Chief Complaint, to include symptoms and degree of distress
5. History of present illness/injury
6. Pertinent Medical History:
   - Allergies
   - Medications
   - Past History of current illness
   - Last Meal
   - Events surrounding incident
7. Clinical condition:
   - Focused and detailed patient assessment findings
8. Treatment initiated and response

Question 2

When must a full report be given rather than an abbreviated radio report?

Answer 2

1. When vital signs are unstable,
2. When any treatment has been initiated other than OXYGEN and/or IV, or
3. When requesting transport to destination other than the closest hospital (by time).

Question 3

Abbreviated Radio Report (2)

Answer 3

1. Name and vehicle number of provider
2. Requested destination, closest hospital, and estimated time of arrival
3. Age and sex
4. Chief Complaint, to include symptoms and degree of distress
5. Clinical condition:
   - Vital signs stable

Question 4

Adult Respiratory Distress (3)

Answer 4

Tx based on signs and SPO2
94-100%, Subjective Dyspnea
- NC 2-6LPM or supportive care

90-94%, Moderate dyspnea
- NC 2-6LPM

85-90%, severe dyspnea
- NRB 15LPM or CPAP

RR<8, SPO2 <85%, ALOC
ABLE to ventilate?
Yes= BVM 10-12 breaths per minute w/ 100% oxygen
No= ET tube or supraglotic airway (protocol 84 or 85)

*Titrate O2 to 94-98% on all

Question 5

Airway Obstruction (4)

Answer 5

Conscious:
5 abdominal thrusts
-repeat until relieved or unconscious

Unconscious:

1. If visible, remove object
2. Attempt to ventilate
3. If still obstructed and unconscious, CPR 30:2
   - Every time you open airway to give breaths, look for object and remove if possible
4. Still obstructed, try forced ventilation, or intubate and pass tube pushing the object into right mainstem, then pull back and ventilate left lung.
5. If unsuccessful, perform needle cricothyrotomy (86)

Question 6

Adult Pain Control (5) (Mild Pain)

Answer 6

Mild pain (0-6)

1. Consider IV
2. Monitor and reassess
3. Transport

Question 7

Adult Pain Control (5) (Moderate to Severe Pain)

Answer 7

Moderate to Severe Pain (>6)
IC FM
1. Establish IV
2. Cardiac monitor 
3. Fentanyl 
-50mcg IV/IO/IM/IN
-may repeat q5 as needed, max 200mcg
or
Morphine
-2mg IV/IO/IM
-may repeat q5 as needed, max 10mg