4.5 Multisystem Trauma—Adult & Pediatric

EMT STANDING ORDERS 

• 1.0 Routine Patient Care 

•      Control/stop any identified life threatening hemorrhage (direct pressure, wound packing, tourniquet

       etc.), suspected pelvic fractures with commercial device (preferred) or bed sheet. 

ADVANCED EMT STANDING ORDERS

• Initiate 1-2 large bore IV(s) Normal Saline (KVO) while en route to the hospital.

MEDICAL CONTROL MAY ORDER

• Additional fluid boluses.

PARAMEDIC STANDING ORDERS

• In patients who require emergent intubation who cannot be intubated by conventional means – Consult 5.2 Difficult Airway.

Red Flag: For patients under 12 years old, the airway is in most cases best managed with a BVM or SGA. In some cases, intubation may be preferred. This is at the discretion of the treating paramedic.