Regional Emergency Medical Advisory Committee of New York City
Certified First Responder Basic Life Support Protocols
Copyright January 1996 (8/96)

300-A STANDARD APPROACH TO THE PATIENT

NOTE:UPON CONFIRMATION OF A PATIENT AT THE SCENE OF AN ASSIGNMENT, IMMEDIATELY NOTIFY TRANSPORTING AGENCY FOR ASSISTANCE.

Perform Initial Scene Survey.

NOTE:

REFRAIN FROM MAKING DIRECT CONTACT WITH PATIENTS EXPOSED TO HAZARDOUS MATERIALS UNTIL THEY HAVE BEEN DECONTAMINATED.


Initiate Basic Cardiac Life Support, if appropriate.

Perform Initial Assessment (Primary Survey). (See Appendix B.)

Administer oxygen, if appropriate.

Monitor breathing for adequacy.

Determine if Advanced Life Support assistance is required.

Obtain at least two sets of vital signs and monitor as necessary.

NOTE:

OBTAINING VITAL SIGNS SHOULD NOT INTERFERE WITH TREATMENT OR DELAY TRANSPORT OF THE CRITICALLY ILL OR INJURED PATIENT.


Obtain a focused medical history.

Complete the detailed physical examination as the patient's condition dictates.

Treat the patient according to the appropriate Regional Emergency Medical Advisory Committee of New York City protocol(s).

Provide continuous emotional support.

Maintain body temperature.

Transport the patient as soon as possible to the nearest appropriate facility.

Patients may be removed to the ambulance by stair chair, scoop stretcher, longboard, ambulance cot, or other appropriate means.

NOTE:

THE METHOD OF TRANSPORTATION SHOULD NOT AGGRAVATE THE PATIENT'S CONDITION OR INJURIES.

FOR TRAUMA PATIENTS, IMMEDIATE TRANSPORT IS A PRIORITY!

Monitor and continue patient care enroute to the hospital.

Document all findings and information, as they pertain to patient condition or care, on the Prehospital Care Report.

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