EMT STANDING ORDERS:

• Routine Patient Care.
• Optimize ventilation and oxygenation:
  • Administer oxygen as appropriate with a target of achieving 92% - 98% saturation.
  • Consider advanced airway LMA when it is indicated.
• Maintain the patient's body temperature.
• Call for AEMT/Paramedic intercept. & Assisst AEMT/Paramedic in patient care.

AEMT / PARAMEDIC STANDING ORDER:

• Optimize ventilation and oxygenation:
  • Consider advanced airway when its indicated and use waveform capnography to confirm and monitor the correct placement of the ET tube.
  • Titrate ventilation rate to waveform capnography of 35 to 40 mmHg.
• Maintain systolic blood pressure of ≥ 90 mmHg (MAP > 65).
  • For Post-Resuscitation Hypotension:
    • Administer 0.9% NaCl or Lactate Ringer in 1000 - 2000 mL boluses. Total volume should not exceed 2,000 mL.
    • Norepinephrine infusion 0.1 to 0.5 mcg/kg/min IV/IO titrated to effect.
    • Epinephrine infusion 2 - 10 mcg/min IV/IO titrated to effect.
    • Dopamine infusion 5 -20 mcg/kg/min and titrated to effect.
• Acquire and transmit a 12-lead ECG.
• Check patient follows commands and maintains Targeted Temperature Management TTM from 32 - 36 for 24 hours as indicated.