EMT STANDING ORDERS

• Routine Patient Care.
• Place patient in a comfortable Position.
• Connect to cardiac monitors, attach pulse oximetry and BP cuff.
• Obtain 3 lead ECG if available.
• Establish IV access KVO.
• Consider expert consultation.
• Call for AEMT/Paramedic intercept. & Assisst AEMT/Parmedic in patient care.

AEMT/PARAMEDIC STANDING ORDER

• Acquire and transmit 12-lead ECG.
• Establish IV/ IO access if not established yet.
• Direct treatment at the primary problem.
• All symptomatic patients with hypertension should be transported with their head elevated at 30 degrees.
• Consider nitroglycerin 0.4 mg SL every 5 minutes, Systolic BP should not drop below 100 mmHg or drop quickly.
• Consider Furosemide 40-80 mg IV/IO, especially if there are sign and symptoms of pulmonary edema.
• If chest pain is present, follow chest pain protocol.