Symptom-Based Respiratory
SB202
- Maintain airway and administer Oxygen
- Allow patient to sit up in a position of comfort
- Apply cardiac monitor when available
- Monitor vital signs
- Consider CPAP
- If patient has chest pain suggestive of cardiac origin, dyspnea, no evidence of trauma, AND systolic BP <80, OR systolic BP 80-100 and HR>120, skin changes suggestive of shock, or altered mental status, GO TO CARDIOGENIC SHOCK – M401
- If the patient has a dysrhythmia, GO TO THE APPROPRIATE CARDIAC NON-ARREST PROTOCOL
- If the patient is unable to speak, airway obstruction, or possible foreign body aspiration, OR exhibits stridor lung sounds, GO TO OBSTRUCTION PROTOCOL – M402 or PEDIATRIC OBSTRUCTION – P606 or PEDIATRIC STRIDOR PROTOCOL – P605
- If the patient has a history of asthma, emphysema, or COPD AND complains of a worsening shortness of breath, GO TO ASTHMA-COPD – M403 or PEDIATRIC RESPIRATORY DISTRESS PROTOCOL – P605
- If the patient has a history of heart disease, a respiratory rate greater than 24 and a systolic blood pressure greater than 100 mm HG, GO TO CONGESTIVE HEART FAILURE – M404
- If the patient has hives, itching, or swelling, GO TO ALLERGIC REACTION/ANAPHYLAXIS – M409
- If pneumothorax is suspected be aware that this can develop into a tension pneumothorax and GO TO TENSION PNEUMOTHORAX DECOMPRESSION – T701
- If patient is in impending respiratory failure, apply any of the following that are within the provider’s scope of practice and appropriate for patient condition:
- Head-tilt, chin-lift
- Jaw thrust maneuver
- Basic airway adjuncts such as NPA or OPA
- Rescue airway device
- Tracheal intubation (including RSI when available)
- Surgical airway approved by EMS Medical Director