Lisbon Fire Department Standard Operating Guidelines and Policies
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Glossary of Common AbbreviationsABCs Airway Breathing & Circulation AED Automated External Defibrillator or Defibrillation AHA American Heart Association ALS Advanced Life Support ARC American Red Cross ASA Aspirin AVPU Alert, Verbal, Painful, Unresponsive BLS Basic Life Support BP Blood Pressure BSA Body Surface Area BSI Body Substance Isolation BVM Bag-valve Mask CC Chief Complaint cc Cubic Centimeter CO2 Carbon Dioxide C-spine Cervical Spine CID/HID Cervical Immobilization Device/Head Immobilization Device CMS Circulation, Movement & Sensation CNS Central Nervous System CPR Cardiopulmonary Resuscitation CSF Cerebral Spinal Fluid DCAP/BTLS Deformities, Contusions, Abrasions, Penetrations, Burns, Tenderness, Lacerations, Swelling dL Deciliter EMS Emergency Medical Services EMT Emergency Medical Technician ET Endotracheal ETC Esophageal Tracheal Combitube IM Intramuscular IV Intravenous IVP Intravenous push KED Kendrick Extrication Device kg kilogram KTD Kendrick Traction Device lbs Pounds LOC Level of Consciousness lpm Liters per Minute MAST Medical (or Military) Anti-Shock Trousers mg Milligram mL Milliliter mmHg Millimeters of Mercury MOI Mechanism of Injury NOI Nature of Illness NPO Nothing by Mouth NTG Nitroglycerine O2 Oxygen OB Obstetrics OPQRST Onset, Provocation, Quality, Radiation, Severity, Time PASG Pneumatic Anti-Shock Garment PO By mouth prn as needed, as desired, as necessary PSI Pounds per square inch pt patient SAMPLE Signs & Symptoms, Allergies, Medications, Past pertinent medical history, Last oral Intake, Events preceding incident SC Subcutaneous SIDS Sudden Infant Death Syndrome SL Sublingual SQ Subcutaneous SOB Shortness of Breath SpO2 Saturation percentage of oxygen S/S Signs & Symptoms USP United States Pharmacopia VS Vital Signs > Greater than < Less than WISCONSIN EMSC EMERGENCY MEDICAL SERVICES FOR CHILDREN BLS PREHOSPITAL CARE GUIDELINE 
WISCONSIN EMSC EMERGENCY MEDICAL SERVICES FOR CHILDREN ALS PREHOSPITAL CARE GUIDELINE 
1 12 Lead ECG 25 A Abdominal pain, problems 1 Abdominal thrusts 1 Abuse/assault 1 Activated charcoal 51 Activated Charcoal 16 Adenosine 15, 16 AED 5
Airway Nasopharyngeal 20 Oral 18 Airway obstruction 1, 7 Magill forceps 15 Airways
Oral/nasal 24 Albuterol 3, 4, 5, 17 Alcohol, isopropyl 27 Allergen 2 Allergic reaction 2 Altered level of consciousness 3 Ambulance cleaning 93 Amiodarone 16, 18 Ammonia Inhalants 39 Amputation, traumatic 9, 11 Analgesia 44 Anaphylaxis 3, 6 Aneurysm, ruptured abdominal aortic 11 Antibody testing 95 Apgar 6 Apgar score 7 Aspirin 10, 16, 20 Assessment BLS (EMSC) 14 Assessment parameters 1 Cardiovascular system 3 History and physical examination 12 Respiratory system 1 Associated symptoms (HPI) 13 Atropine 16, 21, 22, 34, 60, 68 Atrovent 3, 4, 8, 16, 40 Aut-pulse CPR device 46 Automatic External Defibrillator 41 B Back blows 1 Bag-Valve device 24 Bag-Valve-Mask ventilation 12 Behavioral/psychiatric problems 5 Benadryl 2, 7, 50 Bites and stings 6 Bleach 27 Blood 87 Blood glucose level, monitoring 3 Blood glucose measurement 19, 21, 23 Blood pressure 3 Blood pressure measurement Auscultation 6 Blood sugar 9 Blood, exposure to 27 Bloodborne exposure evaluation and follow-up 95 Bloodborne pathogen 87 Body substance isolation 87 Bolus medication 8 Bracelet, DNR 12 Bradycardia, symptomatic 31 Breath sounds 13 Breech delivery 3 Bronchial asthma 3 Bulb syringe 4, 6 Burns 3 Butorphanol 16, 52 Bypass 49 C Calcium 16 Calcium chloride 42 Cannula, nasal 1 Capillary Refill Time (CRT) 3 Capped IV line 6 Carbon monoxide poisoning 5 Cardiac arrest, trauma induced 5 Cardiac dysrhythmia 1 Cardiopulmonary arrest 3, 7 Cardiovascular system, assessment 3 Cardioversion, synchronized 22 Cavicide( 93 CCR 7
Central line access 34 Cervical Immobilizer 18 Charting abbreviations 7 Chest injuries, penetrating 36 Chest pain 8, 24 Chest thrusts 1 Chief complaint (HPI) 12 Child abuse 1 Chronic obstructive pulmonary disease 4 Chronic obstructive pulmonary disease (COPD) 24 Chronic Obstructive Pulmonary Disease (COPD) 3 Cincinnati Prehospital Stroke Scale 21 Circulation, peripheral 5 Cleaning schedule 93 Clothing, protective 27 Combi-tube airway 22 Complaints, generalized 13 Congestive heart failure 11 Contaminated 87 Contaminated waste 91 Continuous Positive Airway Pressure (CPAP) 57 Coral snakes 6 CPAP 11 Cricothyroidotomy 54 D Decontamination 27, 87 Defibrillation 18 Defibrillation, manual 5 DeLee mucous trap 4, 6 DeLee mucous traps 91 Dependent lividity 12 Deviation from Guideline for Care 7 Dextrose 3, 16, 23 Diabetes mellitus 9 Diazepam 22, 24, 47 Diltiazem 17, 53 Diphenhydramine 2, 7, 18, 26, 50 Disinfection 27 Do Not Resuscitate 12 Documentation 7 Deviations from Guidelines 7 Domestic violence 1 Dopamine 7, 18, 45 Drowning 5 Drowning (EMSC) ALS Drowning (ALS) 40 DuoDote 68 Dyspnea
Moderate 1 E Eating or drinking 90 ECG Monitoring 28 Edema 4
Elder abuse 1 Electrocardiogram 3, 13 Electrocution 6 Employee responsibility, exposure control plan 88 EMSC Altered Level of Consciousness (ALS) 35 Altered Level of Consciousness (BLS) 15 Anaphylaxis, Allergy (ALS) 36 Anaphylaxis, Allergy (BLS) 16 Bradycardia (ALS) 37 Bradycardia (BLS) 17 Burn (ALS) 38 Burns (BLS) 18 Cardiac Arrest (ALS) 46 Cardiac arrest (BLS) 25 Child Abuse (ALS) 39 Child Abuse (BLS) 19 Drowning (BLS) 20 Hyperthermia (ALS) 41 Hyperthermia (BLS) 21 Hypothermia (ALS) 42 Hypothermia (BLS) 22 Initial Assessment (ALS) 34 Initial assessment BLS XE 14 Neonatal Resuscitation (ALS) 43 Neonatal Resuscitation (BLS) 23 Poison (BLS) 26 Poisoning (ALS) 45 Respiratory Arrest (ALS) 47 Respiratory arrest (BLS) 27 Respiratory Distress (ALS) 48 Respiratory Distress (BLS) 28 Save haven for infants (BLS) 29 Save Haven for Newborns (ALS) 49 Seizure (ALS) 50 Seizure (BLS) 30 Shock (ALS) 51 Shock (BLS) 31 Tachycardia, stable (ALS) 52 Tachycardia, unstable (ALS) 53 Tracheostomy care (BLS) 24 Trauma (ALS) 54 Trauma (BLS) 32 Enalapril 82 Endotracheal administration of medication 19 Endotracheal intubation, Guideline for practical skill 28, 65 Endotracheal tube, suctioning of 4 Engineering controls 87, 89 Envenomation 6 Epinephrine 3, 7, 18, 21, 27 Etomidate 18, 55 Excited delirium 32 Exhalation diverter cap 37 Exposure Control Plan Purpose 88 Exposure Control Plan review, update 99 Exposure determination 89 Exposure incident 87 Exposure Packet 95 External jugular intravenous line 9 Extracatheter 4, 6, 9 Extubation, Guideline for practical skill 40 Eye irrigation, chemical substance 5 Eye protection 92 EZ-IO placement 37 F Face masks, oxygen 1 Face shields 92 Fentanyl 56 Fentanyl Citrate 18 Flail chest 36 Foreign body, airway 1 Furosemide 18, 29 G Germicidal agent 27 Glasgow Coma Scale 9, 17 Gloves 27 Gloves, disposable 91 Glucagon 18, 30 Glutose 23 Goggles 92 Gowns, protective 92 Guideline for Care Assessment parameters 1 History and Physical examination 12 Medication administration 15 Oxygen administration 24 Routine medical care 26 Universal precautions 27 Guideline for practical skill Airway assessment 1 Bag-valve-mask ventilation 12 Bandaging 1 Blood glucose measurement 1 Blood pressure measurement 6 Blood sample 1 Board splint 21 Defibrillation 18 Endotracheal administration of medication 19 Endotracheal intubation 28, 65 Extubation 40 EZ Intraosseous placement 37 Foreign body removal from eye 4 Intramuscular injection 22 Intraosseous line placement 12 IV bolus medication administration 8 IV drip medication administration 11 Magill forceps, removal of airway obstruction 15 Nasotracheal intubation 33 Nebulized medication 14 Obstetrical delivery 1 Oral airway insertion 18 Pericardiocentesis 15 Pneumatic anti-shock garment (PASG) 10 Pocket mask ventilation 9, 45, 49 Preparation of medication for administration 3 Rectal administration of medication 28 Seated patient extrication device 7 Spinal immobilization 14, 20 Thoracentesis 51 Tracheostomy care 46 Traction splint 33 Ventilation, bag-valve-mask 12 Ventilation, pocket mask 9, 49 H Handwashing 90 HBV 87 HCV 87
Helmet removal 39 Hematemesis 1 Hemorrhage 7 Hemostatic Dressing 45 HEPA masks 92 Hepatitis B Vaccination 94 Hepatitis B virus 87 Hepatitis C virus 87 Hickman catheter 34 High efficiency particulate air (HEPA) respirator 29 History of the present illness Guideline for practical skill 3 History of the present illness (HPI) 12 HIV 87
Hospital Diversion 51 Housekeeping 93 Human immunodeficiency virus 87 Hydration 3 Hydromorphone 18, 57 Hydroxocobalamin 84 Hymenoptera (bees) 6 Hyperbaric chamber 5 Hypertension 12 Hyperthermia 13 Hypoglycemia 19 Hypotension 7 Hypotensive trauma victims 7 Hypothermia 5, 14 Hypothermia, cardiac arrest in 5 I Ice 2 Impedance Threshold Device 62 Implanted IV ports 36 Ingestions 17 Inhalation injury 5 Intoxication 16 Intranasal 37 Intraosseous line placement, Guideline for practical skill 12 Intravenous bolus medication, Guideline for practical skill 8 Intravenous catheters 89 Intravenous drip medication administration 11 Intravenous line placement Peripheral 4 Umbilical vein 6 Intubation Endotracheal 28, 65 Nasotracheal 33 Through a stoma 48 IO 12
Ipratropium 8 Ischemic cardiac disease 8 IV 4 IV line, discontinue 8 J Jamshidi intraosseous needle 12 Job classifications, potential for exposure 89 Joint splint 24 Jugular vein distention (JVD) 3 Jugular, extermal Intravenous line placement 9 K KED 7 Kendrick Extrication Device 7 Ketalar 80 Ketamine 18, 80 Ketorolac 18, 58 L Labeling 97 Labor 1 Lancets 89 Laryngoscope blades, decontamination 93 Laryngoscopy 1 Lasix 18 Laundry 94 Levalbuterol 18, 74 Level of consciousness 5 Lidocaine 12, 19, 21, 32, 38 LMA 65
Log roll 18 Lorazepam 20, 59 M Magill forceps 1, 28, 43 Magill forceps, removal of obstruction 15 Magnesium sulfate 20, 47 Mark 1 autoinjector skill 34 Masks 27, 92 MAST 11 Meconium aspirator 6 Medical Control 39 Medical Examiner 10 Medication administration 15 Medication preparation Glass vial 3 Intravenous drip 7 Multidose vial 4 Preloaded syringe 5 Medication preparation, Guideline for practical skill 3 Medications 89 Melena 1 Mental status 13 Meperidine 20, 60 Methods of compliance 89 Methylprednisolone 20, 48 Metoclopramide 20, 50 Metoprolol 78 Metricide 28( sterilizing solution 93 Midazolam 47 Morphine 7, 20, 33, 46 Movement, peripheral 5 Musculoskeletal system assessment 5 N Nalbuphine 20, 61 Naloxone 3, 20, 34 Narcan 17, 20, 21 Nasal cannula 24 Nasogastric tube, Guideline for practical skill 43 Nasopharyngeal airway 12 Nasotracheal intubation, Guideline for practical skill 33 Nebulized medication via endotracheal tube 16 via non-rebreather mask 14 Nebulized medication, Guideline for practical skill 14 Nebulizer 1 Needle recapping 29 Nervous system assessment 5 Newborn assessment 6 Nitroglycerin 20, 35 Nitroglycerin drip 11, 20, 71 Nitroglycerine 9, 11 Nitrous oxide 20, 62 Non-rebreather mask 24 O Obstetrical delivery Arm or leg presentation 3 Prolapsed cord 4 Vertex 1 Obstetrical emergencies 1 Occupational exposure 87 Ondansetron 21, 69 Oral airway 12, 30 Oral medication 31, 37 Orthostatic hypotension 23 Orthostatic vital signs 23 Other Potentially Infectious Materials 87 Oxygen administration, Guideline for care 24 Oxygen equipment 1 Oxygen therapy 24 P Parenteral 87 Past medical history Guideline for practical skill 3 Past medical history (PMH) 13 Patient compartment restrictions 90 Pediatric DNR 14 PEEP 37
Pericardial tamponade 16 Personal protective equipment 27 Personal Protective Equipment 87, 91 Personal protective equipment guidelies 92 Phenolic compound 27 Physical assessment 1, 3, 13 Physician, attending 97 Piggyback administration technique 11 Pit vipers 6 Pneumatic anti-shock garment 7 Pneumothorax, spontaneous 8 Pocket mask ventilation, Guideline for practical skill 9, 45, 49 Positive End Expiratory Pressure 5 PPE 87
Pralidoxime 68 Pralidoxime chloride 34 Pregnancy 1 Pregnancy categories of drugs 22 Pro splint 27 Procainamide 21, 36 Production Facilities 94 Prolapsed cord 4 Promethazine 22, 63 Propofol 22, 47, 77 Protocol, medical Trauma, multiple 10 Public Access AED 20 Pulse 3
Pupils 5, 13 Q Quaternary ammonium compound 27 R Range of motion 5 Rapid sequence intubation 59 Recapping needles 29 Reconstitution of medication 5 Records 98 Rectal administration of medication, Guideline for practical skill 28 Rectal bleeding 1 Refusal of Care 34 Reproductive system assessment 5 Research Laboratories 94 Respiratory arrest 7 Respiratory assessment 1 Respiratory distress 8 Respiratory distress, moderate 1 Respiratory distress, severe 1 Responsibility, Director EMS 88 Restraint 30 Restraints 5 Revocation, DNR order 12 Rigor mortis 12 Romazicon 17, 22, 46 Routine medical care 26 Rule of 9’s 3 S Seated patient extrication device 7 Secondary assessment, Guideline for practical skill 1 Sellick’s Maneuver 61 Sensation, peripheral 5 Sexual assault/abuse 1 Sharps containers 89 Skin 3, 13 Sling and swathe 30 Snake bites 2 Sodium Bicarbonate 22, 38 Source individual 88 Source individual, testing of 96 Special Operations 54 Specimen 88, 91 Spills, clean-up and decontamination 91 Spinal immobilization Log roll 16 Spinal injury assessment 14 Stridor 2 Stroke 21 Subcutaneous medication administration 25 Succinylcholine 22, 59, 65 Suicide 5, 17 Synchronized cardioversion 22 Syncope 23 T Tension headache 10 Tension pneumothorax 51 Termination of resuscitation 5 Thiamine 16, 22, 43 Thoracentesis 51 Thoracic injuries 36 Tissue decomposition 12 tourniquet 42 Toxic inhalation 3 Toxin inhalation 10 Tracheostomy Care (EMSC) ALS 44 Tracheostomy care, Guideline for practical skill 46 Tracheostomy, temporary 46 Training 97 Training records 98 Transcutaneous pacing 31 Transfer of Care 41 Transport 56 Trauma 9
Trauma incompatible with life 12 Tuberculosis 29 Twins 5 U
Universal precautions 6, 88, 89 Utility gloves 92 V Vaginal bleeding 1 Valium 19, 22 Vasopressin 22, 41 Vasotec 22 Vecuronium 22, 59, 67 Ventolin 16 Ventricular fibrillation 3, 18 Ventricular fibrillation, hypothermia in 14 Ventricular tachycardia 18 Versed 22, 44 Vital signs 3, 13, 14 Vital signs, orthostatic 23 W Wheezing 2 WITRAC 51 Work practices 90 Working assessment 13 Y Yankauer suction tip 4 Z Ziprasidone 22, 75 |