Policies

Question 1

Base Hospital Contact Criteria

MADCATTTQ

Answer 1

1. Minor suspected to be ill or injured
2. Abnormal Vital Signs / ALOC
3. Drug/ETOH Intoxication
4. Comprehension unable to comprehend
5. Age >65 with significant mechanism
6. Trauma Center Criteria
7. Transport of any ALS Patient or BLS Downgrade
8. Treatment any ALS treatment or skills except EKG
9. Questions regarding disposition of patient

Question 2

Base Hospital NOT Contact Criteria

PB DOR

Answer 2

1. Patient wishes to be released, not BHCC
2. BLS call where ALS is not needed
3. Discontinuation of CPR in presence of DNR
4. Obvious Death: decapitation, rigor, incineration, evisceration, decompisition
5. Release of a minor who is not ill or injured
   - Parent/Legal Guardian Requests, Responsible Adult, Document Circumstances and ID of Person

Question 3

AMA Documentation

RAW EMS PCC

Answer 3

1. Reason for AMA and alternate plan
2. Ability to comprehend situation
3. Who and why 911 activated
4. Explain risks and complications]
5. May reaccess 911
6. Signature
7. Presence of drugs/ETOH
8. Circumstances pertaining to consent issues
9. Consider having family restate over radio/phone

Question 4

Trauma Criteria: Physiological Criteria

Answer 4

Adult: GCS <14, BP <90, RR <10 or >=29
Pediatrics: Abnormal Appearance, Abnormal Work of Breathing, Abnormal Circulation