Protocols
Lexington Fire & Rescue
Field Treatment and Transport Protocols
MEDICAL EMERGENCY PROTOCOLS
1102 Rapid Sequence Intubation (RSI)
1103 Cardiac Arrest Management
1105 Incident Rehabilitation Procedures
1200 Medical Patient Universal Care
1201 Allergic Reaction / Anaphylaxis
1203 Acute Headache – Severe Headache
1205 Severe Alcohol Intoxication
1207 Heat Emergencies – Hyperthermia
1208 Cold Emergencies – Hypothermia
1209 Behavioral / Psychiatric Disorders
1210 Venomous Exposures: Snake, Insect, and Spider Bites
1211 Hazardous Materials Exposure
* Protocols for Pediatric Patient - SEE PEDIATRIC PROTOCOLS
RESPIRATORY EMERGENCY PROTOCOLS
1300 Respiratory Patient Universal Care
1301 Airway Management Protocol
1302 Respiratory Failure and Respiratory Arrest
1303 Airway Infections and Pneumonia
CARDIOVASCULAR PROTOCOLS
1400 Cardiac Patient Universal Care
1401 Congestive Heart Failure (CHF) & Pulmonary Edema
1403 Acute Hypertensive Crisis
1406 Premature Beats and Ventricular Ectopy
1407 Cardiac Arrest of Pregnant Patient
1408 Cardiac Arrest of the Hypothermic Patient
1409 Post Cardiac Arrest – Return of Spontaneous Pulse
1410 Cardiogenic Shock Management
1411 Automatic Implantable Cardioverter Defibrillator (AICD).
* Cardiac Arrest of the Pediatric Patient SEE PEDIATRIC PROTOCOLS
TRAUMA PROTOCOLS
1500 Trauma Patient Universal Care
1501 Fracture and Injuries to Extremities
1504 Prehospital Care of the Injured Athlete
* Protocols for Pediatric Patient - SEE PEDIATRIC PROTOCOLS
OBSTETRICAL PROTOCOLS
1600 Obstetrical Emergencies Universal Care
1601 Pre-hospital Labor & Delivery Management
● Postpartum Hemorrhage
● Uterine Inversion
1603 Spontaneous Abortion - Miscarriage
1604 Non-Pregnancy Vaginal Bleeding
1605 Sexual Assault of Female Patient
PEDIATRIC PROTOCOLS
1700 Pediatric Patients Universal Care
1702 Pediatric Respiratory Emergencies
1703 Pediatric Allergic Reactions
1704 Pediatric Poisoning and Toxic Exposures
1711 Pediatric Near Drowning - Drowning
1712 Sudden Infant Death Syndrome (SIDS)
1713 Suspected Child Maltreatment
1714 Pediatric Behavioral Condition Management
TRANSFER PROTOCOLS
1800 Interfacility Transfer Universal Care
1801 Transfer of Ventilator Patients
1802 Transfers of Pregnant Patients
1803 Transfer of Pediatric Patients
1804 Transfer of Psychiatric Patients
1805 Transfers with Medication Infusions
1806 Transfusing Blood and Blood Products
1807 Patients with Thoracic / Chest Tubes
1808 Managing Patient Lines and Catheters
1809 Patients with Pacemakers with Internally Placed Electrodes
DETERMINATION GUIDELINES
Pediatric Patient Determination
Psychiatric Facility Determination
ALGORITHMS
BLS PROCEDURES
Basic Airway and Ventilation Management
2000 Manual Airway ManeuversHead Tilt with Chin Lift / Modified Jaw Thrust
2001 Basic Airway AdjunctsOropharyngeal Airway / Nasopharyngeal Airway
2002 Esophageal Placement AirwaysKing Airway Device / Combi-Tube
2003 BLS Manual Ventilation DevicesBag-valve-mask / Pocket face mask
2004 Oral & Pharyngeal Suction
BLS Care Basic Life Support
2010 Basic Life Support – Cardiopulmonary Resuscitation• Adult – Child – Infant CPR
2011 Rescue Breathing / Ventilations
2012 Foreign Body Airway Obstruction Removal
2013 Automated External Defibrillation (AED)
BLS Assessment Equipment
Spinal Stabilization
2030 Cervical Collar Placement
Basic Trauma Care Procedures
2041 Bleeding Control Procedure
2044 Occlusive Dressing for Sucking Wounds
2045 Scoop Stretcher Utilization
Other BLS Procedures
ALS PROCEDURES
Advanced Airway Management
3002 Foreign Body Remove with Magill Forceps
• Quicktrach II Procedure
• Surgical Cricothyrotomy
• Needle Cricothyrotomy
Ventilation
3010 Continuous Positive Airway Pressure (CPAP)
3011 Portable Transport Ventilator
Cardiac Monitoring and Management
3023 Transcutaneous Cardiac Pacing
3024 Cardiac Defibrillation – Manual
3025 Synchronized Cardioversion
IV and IO Procedures
3030 IV Administration Line Set-up
3032 External Jugular IV Insertion
3033 IV Insertion in Scalp Veins of Infants
3034 Intraosseous Needle Placement in Infants
3036 Access Indwelling catheters and implanted central IV ports
Medication Administration
3040 Intravenous Injection and IV administration of Medication
3041 Intramuscular & Subcutaneous Injection of Medication
3042 Nebulized Inhalation Drug Administration
3043 Sublingual Administration of Medications
3044 Oral and Swallowed Medications (PO Administration)
3045 Intranasal Administration of Medications
3046 Rectal Administration of Medications
Other ALS Procedures
3051 Thoracic Needle Decompression