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

TABLE OF CONTENTS

Acknowledgments

General Operating Procedures

Cardiopulmonary Emergencies

Medical Emergencies

Traumatic Emergencies

Obstetric and Newborn Emergencies

Pediatric Emergencies

Appendicies

General Operating Procedures

300.......General Operating Procedures

• PURPOSE
  
• SCOPE
  
• RESPONSIBILITIES
  
• MEDICAL CONTROL AT THE SCENE
  
• SCENE SAFETY
  
• CARDIOPULMONARY RESUSCITATION
  
• AIRWAY MANAGEMENT
  
• OXYGEN ADMINISTRATION
  
• DEFINITION OF COMPENSATED SHOCK
  
• DEINITION OF DECOMPENSATED SHOCK
  
• CONTROL OF EXTERNAL BLEEDING
  
• MEDICATION ADMINISTRATION
  
• REQUESTING ADDITIONAL ASSISTANCE
  
• INITIATING TRANSPORT
  
• SUSPECTED CHILD/SPOUSE/ELDER ABUSE
  
• PEDIATRIC PATIENTS
  
• MINORS
  
  

300-A........Standard Approach to the Patient

300-B........Coordination of Prehospital Resources

• Introduction
  
• Participation Guidelines
  
• Responsibility For Patient Care
  
• Coordination of Prehospital Resources
  
• Multiple Casualty Incidents (MCIs)
  
• Patient Transportation
  
• Implementation/Evaluation
  
  

Cardiopulmonary Emergencies

301.......Respiratory Distress/Failure

302.......Obstructed Airway

303.......Non-Traumatic Cardiac Arrest

304.......Chest Pain

Medical Emergencies

310........Anaphylactic Reaction

311........Altered Mental Status

312........Stroke (Cerebrovascular Accident)

313........Seizures

314........Poisoning or Drug Overdose

• Ingested Substances
  
• Inhaled Substances
  

315........Shock

Traumatic Emergencies

320........Traumatic Cardiac Arrest

321........Head and Spine Injuries

322........Neck Injuries

323........Chest Injuries

• Open Chest Wound
  
• Closed Chest Wound
  
• Flail Chest
  
• Impaled Objects
  

324........Abdominal Injuries

• Evisceration
  
• Impaled Objects
  

325........Bone and Joint Injuries

326........Soft Tissue Injuries

• Impaled Object
• Amputated or Completely Avulsed Tissue

328........Burns

• Thermal Burns
  
• Chemical Burns
  
• Electrical Burns
  

Obstetric and Newborn Emergencies

340........Obstertric Emergencies

• Severe Hypertension
  
• Seizures
  
• Post Partum Hemorrhage
  

341........Emergency Childbirth

• Abnormal Presentation
  
• Complications During Birth
  
• Multiple Births
  

342........Care of the Newborn

343........Newborn Resuscitation

Pediatric Emergencies

350........Pediatric Respiratory Distress/Failure

351........Pediatric Obstructed Airway

353........Pediatric Non Traumatic Cardiac Arrest and Severe Bradycardia

358........Pediatric Shock

APPENDICES


A..........Telephone Directory and Referrals

B..........Expanded Initial Assessment (Primary Survey): Adult and Pediatric

C..........Do Not Resucitate Order

D..........Semi-Automatic Defibrillation

E..........Glasgow Coma Scores/Trauma Scores

F..........Trauma Patient Criteria

G..........Burn Patient Criteria

H..........Specialty Referral Centers

I...........Receiving Hospitals

J..........Pediatric Values

K..........Apgar Scoring System

L..........Triage/S.T.A.R.T.

M..........Agency Addresses

N..........Landmarks and Procedures for Needle Cricothyroidotomy (ALS only)

O..........Landmarks and Procedures for Decompression of a Tension Pneumothorax (ALS Only)