The Living Memorial - A repository of information about 9/11 for educators, historians and others. A virtual memorial honoring the Victims of September 11th, that provides information to help children understand terrorism.

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Paramedic Resources and Protocols

Paramedic reference guide in pre-hospital care. Educational tools on assessment and stabilization, as well as treatment algorithms and protocols.

A

• Abdominal pain
• Abdominal Trauma - ALS Protocols
• Adolescents - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Adult Trauma Triage Criteria & Methodology - Criteria to determine the transport desttination and whether to transport as a trauma (Florida Administrative Code)
• Advanced Airway Management Circulatory - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Advanced Care Paramedic Medical Directives - York Region Base Hospital Program, March 2002
• Advanced Life Support (A.L.S.) Paramedic Protocols - Regional Emergency Medical Advisory Committee (REMAC) of New York City
• Airway Management - ALS Protocols
• Airway Management And Rapid Sequence Intubation
• Airway Obstruction - ALS Protocols
• Allergic reactions/Anaphylaxis
• Algorithms - Adult Advanced Life Support
• Algorithm Approach to ACLS Emergencies - Emergency Cardiovascular Care (ECC) Guidelines 2000 American Heart Association, Inc.
• Algorithms - Pediatric Advanced Life Support
• Algorithms - Peri-arrest: Atrial fibrillation
• Algorithms - Peri-arrest: Bradycardia
• Algorithms - Peri-arrest: Broad complex tachycardia
• Algorithms - Peri-arrest: Narrow complex tachycardia
• Allergic Reaction/Anaphylaxis - ALS Protocols
• Altered Mental Status - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Amiodarone (Cordarone) Handout, Southeastern Michigan EMS
• Amiodarone (Cordarone) Presentation, Southeastern Michigan EMS
• Arrhythmias - Peri-arrest
• Aspirin for Chest Pain - Dr. Gregory Jacobson talks about the benefits of a therapeutic treatment for chest pain. Department of Emergency Medicine, Vanderbilt University Medical Center (Video)
• Asystole - Spurious

B

• Basic Dysrhythmia Pocket Reference - American Assoc. Critical Care Nurses & GE Medical [PDF - 6.32Mb]
• Behavioral Emergencies - ALS Protocols
• Behavioral Emergencies - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Beta Blockers
• Bioterrorism - NY City Department of Health Sources
• Bronchospasm - ALS Protocols
• Burns
• Burns - Chemical - ALS Protocols
• Burns - Electrical/Lightning - ALS Protocols
• Burns - Thermal - ALS Protocols
• Burns - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Bypass and Diversion Policy and Procedure - University of Medicine and Dentistry of New Jersey

C

• Carbon monoxide exposure/Toxic inhalations
• Cardiac and Mediastinal Trauma
• Cardiac Arrest - Asystole - ALS Protocols
• Cardiac Arrest - Pulseless Electrical Activity (PEA) - ALS Protocols
• Cardiac Arrest - V-Fib/Pulseless V-Tach - ALS Protocols
• Cardiac dysrhythmias
• Cardiac Dysrhythmias - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Cardiac Monitoring Pocket Reference - Philips Medical Systems [PDF - 178Kb]
• Cardiogenic Shock
• Cardiopulmonary Failure and Arrest - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• CAT - Cardiac Arrest Treatment - ALS Protocols
• Cerebrovascular accident (stroke)
• Change:  - in the Ventricular Fibrillation/Pulseless Ventricular Tachycardia Protocol (May 24, 2001)
• Chemical Terrorism Preparedness and Response Card - Pocket-size card (New York State Department of Health)
• Chemical Terrorism Preparedness and Response Card - Large format version of pocket-size card (New York State Department of Health)
• Chemical Terrorism Preparedness and Response Card - Text of pocket-size card (New York State Department of Health)
• Chemical Warfare Agents - Awareness Information (New York City Poison Control Center)
• Chest pain
• Chest Pain - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Chest Pain/Discomfort - Acute Coronary Syndrome (ACS) - ALS Protocols
• Chest Trauma ALS Protocols
• Children with Special Health Care Needs - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Child Abuse and Neglect Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Circulatory Emergencies: Shock (Hypoperfusion) - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Cold Exposure - ALS Protocols
• Cold illness
• Coma/Unconscious (Non-traumatic)
• Cricoid Pressure
• Critical Incident Stress Management for Paramedics - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.

D

• Decreased level of consciousness/Altered mental status
• Defibrillation - Emergency Cardiovascular Care (ECC) Guidelines 2000 American Heart Association, Inc.
• Dental Emergencies - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Developmental Considerations - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Devices to Assist Circulation - Emergency Cardiovascular Care (ECC) Guidelines 2000 American Heart Association, Inc.
• Diabetic emergencies
• Diabetic Emergencies ALS Protocols
• Diabetic Emergencies - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Digitalis
• Disasters and Multi-Casualty Incidents - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Dysrhythmia with a Pulse - SVT (Narrow Complex) - ALS Protocols
• Dysrhythmia with a Pulse - Symptomatic Sinus Bradycardia - ALS Protocols
• Dysrhythmia with a Pulse - Ventricular Ectopy - ALS Protocols
• Dysrhythmia with a Pulse - Ventricular Tach (Wide Complex) - ALS Protocols
• Drug Dosages in Medical Emergencies
• Dysbarism/Decompression sickness

E

• EKG Interpretation Algorithms
• Emergency childbirth
• Emergency Medical Services Protocol for Therapy - The University Texas Southwestern Medical Center at Dallas/BiOTEL EMS SYSTEM
• Emergency Medical Treatment of Anaphylactic Reactions - A Project Team Report for the Resuscitation Council. July 1999  - to be read in conjunction with: Update on the Emergency Medical Treatment of Anaphylactic Reactions for First Medical Responders and for Community Nurses March 2001
• EMS Alerts - NYS Department of Health
• EMS Education Agenda for the Future - This draft is the result of the deliberations of the Core Content Task Force during face to face meetings and electronic discussions.  National Association of State EMS Directors
• EMS Protocols 2002 - A review of the additions and changes to EMS protocols. Department of Emergency Medicine, Vanderbilt University Medical Center (Video)
• Endotracheal Intubation - Santa Barbara County
• Endotracheal Intubation: Adult - Treatment Guidelines - Procedures
• Esophageal Detector Device (Bulb Type)
• Esophageal-Tracheal Combitube
• Esophageal-Tracheal Combitube inserted in the Esophagus
• Eye emergencies

F-L

• Family Reaction to Pediatric Emergencies - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Fever and Infections - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• First Responder Policy and Procedure for Staff and Visitor Accidents or Medical Emergencies (University of Medicine and Dentistry of New Jersey)
• General Illness - ALS Protocols
• General Op Procedures - Regional Emergency Medical Advisory Committee of New York City
• General Operating Procedures (GOPs) REMAC Protocol Update 2002 - Regional Emergency Medical Advisory Committee of New York City
• Head Trauma ALS Protocols
• Heat Exposure - ALS Protocols
• Heat illness
• Hypertension
• Hypoperfusion (Shock) ALS Protocols
• Ingestion Poisoning/Overdose - ALS Protocols
• Inhalation Injury - ALS Protocols
• Inter Facility Protocols, Transport - The Regional Emergency Medical Services Council of New York City (REMAC). [PDF]
• Jugular Vein Cannulation-External - Treatment Guidelines - Procedures
• Life Flight Utilization - Dr. Corey Slovis discusses life flight protocols. Flight nurse Kevin High is on hand to talk about safety and assisting the life flight crews. Department of Emergency Medicine, Vanderbilt University Medical Center (Video)
• Life Threatening Electrolyte Abnormalities - Emergency Cardiovascular Care (ECC) Guidelines 2000 American Heart Association, Inc.

M

• MAMP - Medical Assessment and Management Procedures - ALS Protocols
• Marine envenomation
• Medication Administration and Vascular Access - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Medicolegal Issues in Pediatric Care - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Musculoskeletal Trauma - ALS Protocols

N-O

• Near drowning
• Near Drowning/Drowning - ALS Protocols
• Near-Drowning - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Needle Cricothyrotomy - Santa Barbara County
• Needle Thoracostomy - Santa Barbara County
• Needle Thoracostomy - Treatment Guidelines - Procedures
• Neonatal resuscitation
• Newborn Infant Care - ALS Protocols
• Newborn Resuscitation Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Obstetrical and Gynecologic Emergencies - ALS Protocols
• Overdose and poisonings

P

• Pain Management - ALS Protocols
• Pain Management and Sedation - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Paramedic Level II: Patient Assessment Model, Protocols, Treatments, and Procedures
• Paramedic Level III (ALS): Protocols
• Paramedic Study Helper Version 2.0 (Demo) New Curriculum - ALS (Knightlite Software)
• Paramedic Tools: BigDogEars.com - Assessment and treatment algorithms, drugs, EKG rhythms and more.
• Patient Assessment - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Pediatric Emergencies - Cardiac Arrest - ALS Protocols
• Pediatric Emergencies - Cardiac Dysrhythmias - ALS Protocols
• Pediatric Emergencies - Fever - ALS Protocols
• Pediatric Emergencies - Hypoperfusion (Shock) - ALS Protocols
• Pediatric Emergencies - Seizures - ALS Protocols
• Pediatric Emergencies - Sudden Infant Death Syndrome (SIDS) - ALS Protocols
• Pediatric Emergencies - Suspected Child Abuse / Neglect - ALS Protocols
• Pediatric Equipment List - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Pediatric Injury Prevention - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Pediatric Intubation
• Pediatric Trauma Scorecard Methodology - Criteria to determine the transport destination and whether to transport as a trauma (Florida Administrative Code)
• Peds-MAMP - Medical Assessment and Management Procedures - ALS Protocols
• Peds-TAMP - Pediatric Trauma Assessment and Management Procedures - ALS Protocols
• Peri-arrest arrhythmias - Extract from the ALS Course Provider Manual, 4th edition, 2000 (Extract updated July 2001)
• Pharmacology Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Pharmacology I: Agents for Arrhythmias - Emergency Cardiovascular Care (ECC) Guidelines 2000 American Heart Association, Inc.
• Pharmacology II: Agents to Optimize Cardiac Output and Blood Pressure Emergency Cardiovascular Care (ECC) Guidelines 2000 American Heart Association, Inc.
• Poisonings - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Postresuscitation Care - Emergency Cardiovascular Care (ECC) Guidelines 2000 American Heart Association, Inc.
• Post Traumatic Stress in Children - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Potassium Iodide (KI) and Radiological Emergencies - Fact Sheet - NYSDOH EMS
• Pre-hospital Advanced Life Support Protocols
• Pre-Hospital Care Provider Student Reference Guide - New York State Emergency medical Services System. This manual is intended to assist you in the certification process as a Pre-Hospital care Provider in New York State. This manual is designed in modular form to serve all levels of providers and as a constant reference guide to use throughout your career as a Pre-Hospital Care provider in New York State.
• Prehospital Care Reference Card - New York State Pediatric Prehospital Care Reference Card. The card is designed to be used by both BLS and ALS prehospital providers as both an educational tool on pediatric assessment/ stabilization and as a reference guide for pediatric vital signs and treatment algorithms.
• Pre-hospital Stoke Protocols - A discussion of the huge problem that stokes create for all involved and the vital roll that EMS play in helping the stroke victim. Department of Emergency Medicine, Vanderbilt University Medical Center (Video)
• Primary Care Paramedic Medical Directives - York Region Base Hospital Program, September 2002
• Prophylactic Use of Potassium Iodide (KI) in Radiological Emergencies - Information for the Physicians, NYSDOH EMS
• Psychiatric and Behavioral Disturbances
• Pulmonary Edema ALS Protocols
• Pulmonary Edema Review

Q-R

• Qualitative End-Tidal CO2 Detector
• Radiological Terrorism Rapid Response Card  [PDF  30Kb] - NYSDOH, EMS
• Rapid Sequence Induction: Induction and Pretreatment Medications - eMedicine free online medical reference textbooks for doctors, medical professionals and consumers.
• Rapid Sequence Induction for Prehospital Providers - The Internet Journal of Emergency and Intensive Care Medicine
• REMAC of NYC ALS Protocols (2002) - The Regional Emergency Medical Advisory Committee of NYC has completed revision of the NYC Prehospital Treatment Protocols. The revised protocols are to be used by all prehospital agencies and providers operating within the five boroughs of NYC.
• Respiratory distress
• Respiratory Emergencies - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.

S

• Safe Transport of Children - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Scenarios - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Seizures
• Seizures - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Seizures ALS Protocols
• Severe Hypertension ALS Protocols
• Shock
• Sickle Cell crisis
• Snakebite
• Snakebite Envenomation ALS Protocols
• Spinal Trauma ALS Protocols
• Stroke ALS Protocols
• Sudden Infant Death Syndrome/Death of a Child - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Syncope
• Syncope - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.

T

• TAMP - Trauma Assessment and Management Procedures - ALS Protocols
• Task Analyses - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Teaching Pediatric Skills - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Traumatic Arrest ALS Protocols
• Thermal Emergencies - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• Transcutaneous Pacing Pocket Card - Outlines the emergency indications, key points, patient preparation, and care of the patient. Philips Medical Systems [PDF - 223Kb]
• Transfer of Patient Care (ALS) - Santa Barbara County
• Trauma
• Trauma Transport Manual July 2002 - Florida law requires emergency medical services (EMS) providers to develop, obtain department approval of and implement protocols governing assessment and transportation of trauma victims. This manual outlines the requirements for all aspects of the Trauma Transport Protocols (TTPs). (Florida Administrative Code)
• Trauma Triage Criteria and Patient Destination - Santa Barbara County
• Traumatic Emergencies - Teaching Resource for Instructors in Prehospital Pediatrics for Paramedics.
• TRIPP ALS - A work-in-progress that will upgrade the basic TRIPP with paramedic information.

U-W

• Unconscious Patient - Unknown Cause (Non-Trauma) - ALS Protocols
• Vaginal bleeding
• Wilderness Field Protocols - These protocols have been developed for use by appropriately trained individuals that regularly work in remote environments. They are based on the principles taught by Wilderness Medical Associates in Wilderness Advanced Life Support, Wilderness EMT, Wilderness First Responder, Wilderness Advances First Aid and Wilderness First Aid Courses. [PDF]