
Maryland Medical Protocols Self-Study Guide 2015-2025 free printable template
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Music greetings I'm Dr Richard El Core the acting co-executive director and state EMS medical director for MEMO I'd like to welcome you to the 2018 Maryland medical protocols base station update MEMO EMS board and the citizens of Maryland thank you for taking the time to complete this EMS update as it advances the practice and delivery of EMS services across Maryland through this educational process an annual EMS update Maryland is able to stay current with the advances in ems care Music one of these advances involves the expansion of the acute endovascular intervention window for treatment of acute stroke the diffuse and dawn trials demonstrated that patients with large vessel occlusive stroke who also have a small core of infarct and large penumbra of salvageable brain and are outside the 45-hour febrile it in windows up to 24 hours will benefit from endovascular Claude extraction this change has an impact on both the EMS and emergency medical care of stroke patients MEMO has directed EMS providers to manage new onset stroke up to 24 hours as a priority one stroke patient and divert these patients to a Primary Stroke Center the Primary Stroke Center will then perform an evaluation determine if the patient has a large penumbra of salvageable brain it is then the responsibility of the primary stroke center to get the patient to an endovascular capable Center for clot extraction Music EMS providers will no longer require medical consultation to administer calcium chloride for suspected calcium channel blocker overdoses or hyperkalemia Music as the easy tube is no longer being manufactured Aims has replaced it with the King LT SD for the advanced life support provider alternative airway device in the arrested patient Music in an effort to reduce pain and reduce hemorrhage due to pelvic fractures the pelvic binder is now an optional supplemental protocol Music has been added as a new medication will be replacing the use of for excited delirium at a dose of 1 milligram per kilogram IV or IO up to a hundred milligram maximum single dose may be added for the persistently agitated patient can also be used for moderate to severe pain management at a 02 milligram per kilogram IV or IO dosing to a 20 milligram maximum single dose medical consultation is not required to administer Music there have been multiple changes to the cardiac arrest and termination of resuscitation protocol we are moving from 15 minutes of minimum care to 15 to minute cycles of high performance CPR and appropriate interventions before considering termination of resuscitation in the field EMS providers are working closely with their local law enforcement and the medical examiners' office to reduce the transported patients who died on the scene this will reduce the risk of providing false hope to the family reduce risk to the family EMS providers and the public from motor vehicle collisions from unnecessary transports and hopefully prevent generating additional costs for the family...
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