Ohio Adult EMS Guidelines and Procedures Manual Overview
The State of Ohio Adult EMS Guidelines and Procedures Manual, led by Dr. Carol A. Cunningham, serves as a foundational resource for EMS medical directors in Ohio. It incorporates elements from the NASEMSO National Model EMS Clinical Guidelines, aligning with Ohio's EMS scope of practice. The manual undergoes regular review and updates to ensure currency and relevance. Amendments include changes in terminology and additions to the medications chapter, reflecting best practices in prehospital care.
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State of Ohio Adult EMS Guidelines and Procedures Manual 2018 Carol A. Cunningham, M.D., FAAEM, FAEMS State Medical Director Ohio Department of Public Safety, Division of EMS
Timeline 1998: Original guidelines and procedures manual created September 2014: Inaugural NASEMSO National Model EMS Clinical Guidelines released 2016: EMFTS Board approved the NASEMSO guideline document as the foundation for the State of Ohio guidelines September 2017: NASEMSO National Model EMS Clinical Guidelines Version 2.0 released
NASEMSO National Model EMS Clinical Guidelines: Overview Evidence-based and consensus-based Patient-centric Not all-inclusive Intentionally not EMS scope or provider level specific Designed as a resource for harvesting Harvested content must be aligned to desired EMS scope of practice / EMS provider level of certification
Purpose Not mandatory Resource for Ohio EMS medical directors Basic foundation for protocols generated by EMS medical directors
RPAB Process All guidelines reviewed for currency and alignment with the Ohio EMS scope of practice Appropriate elements of the NASEMSO National Model EMS Clinical Guidelines harvested and incorporated Appropriate sections of draft reviewed by the Medical Oversight and Trauma Committees Second review of assigned guidelines when second edition of the NASEMSO document was released
Additional Content Amendments Removal of text boxes Deletion of prehospital when used to refer to actions related to the Ohio EMS scope of practice Retained prehospital only in actions that are specific and limited to the prehospital setting Physical management replaces physical restraint Pharmacologic management replaces chemical restraint
Additions to the Medications Chapter Ketamine hydrochloride Tranexamic acid (TXA) 10% Dextrose (D10) 25% Dextrose (D25) Epinephrine concentrations 1 mg/ml (formerly 1:1,000) 0.1 mg/ml (formerly 1:10,000)
New Sections and Topics Sections Topics Abuse and Maltreatment Assessment of Ventilation and Perfusion with End Tidal CO2 Electrocution/Lightning Human Trafficking Waveform Capnography Digital Capnometry
New Specialty Care Chapter Overview Mobile Integrated Healthcare Tactical Emergency Casualty Care (TECC) Rescue Task Force
Algorithms All algorithms transitioned to Visio format New algorithms added Acute Stroke Tactical Emergency Casualty Care Direct Threat Care - Hot Zone Indirect Threat Care - Warm Zone Evacuation Care - Cold Zone
Introduction: Historical Record Recognition of Dr. Michael Dale Mackan Chairman of RPAB Region VIII 1947-2011 Recognition of the former RPAB Region VIII
Upcoming Document Updates State of Ohio Pediatric EMS Guidelines and Procedures Manual State of Ohio Weapons of Mass Destruction Guidelines and Procedures Manual State of Ohio Emergency Medical Responders Guidelines and Procedures Manual
State of Ohio EMS Guidelines and Procedures Manual Posted on the Ohio Department of Public Safety, Division of EMS website (www.ems.ohio.gov) https://www.publicsafety.ohio.gov/links/ems_Guidelines- Procedures-Manual.pdf