INTRODUCTION

The following protocol should be considered your standard operating procedure with every patient on every call.

1. Routine monitoring
   1. Vital Signs
      1. Heart rate
      2. Blood pressure
      3. Respiratory rate
      4. Level of consciousness
      5. Temperature
      6. Glasgow Coma Scale

   2. Interval for measuring vitals/monitoring
      1. Initial set and q 15 min. in non-emergent patients.
      2. Initial set and q 5 min. in the emergent patient (with adequate resources).
      3. Patient condition may require changes in elements of set and/or interval.

   3. Special studies
      1. Blood Glucose Level (when appropriate)
      2. Revised Trauma Score (when appropriate)
      3. Pulse Oximetry (when appropriate)

2. IV sites/administration (INTERMEDIATE LIFE SUPPORT)
   1. Attempts
      1. Number of attempts should be governed by patient's condition and the potential value of the IV for fluid or medication delivery.

3. Invasive Airways (ALL LEVELS)
   1. Attempts
      1. Dictated by patient need. In general an EMT who has been unsuccessful in inserting the airway adjunct after two attempts, should pass the adjunct to another EMT of equal or higher licensure for placement.

1. Definitions:
   1. Neonate: Less than one month old
   2. Infant: One month to one year old
   3. Child: Any patient less than 12 years of age or less than 88 lb.
   4. Adult: Any patient that does not meet parameters above.