| Document Date: 2015-03-29 15:51:09
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Company BP / / Facility Hospital Procedure Report EMS Agency______________________ EMS Run Number / / MedicalCondition ataxia / muscle myopathies Known hypersensitivity / bronchospasms / BPM Partial airway obstruction / laryngospasm / hypoventilation / Suspected head injury / headache / seizures / amnesia / Pneumothorax / heart block Bradycardia Sinus arrest Hypotension SIDE EFFECTS Bradycardia Hypotension Dizziness / ventilations PEDIATRIC DOSAGE NOTE Seizures / coughing / apnea / increased intracranial pressure CONTRAINDICATIONS Allergy / muscle tremor / pain / suspected head trauma / numbness Drowsiness / drowsiness / tachycardia / delirium / dizziness / benzodiazepines Narrow-angle glaucoma Shock Coma CNS / Partial airway obstruction / diplopia / paresthesia / wheezing / respiratory distress / hypotension / / MedicalTreatment relaxation / cardioversion / / Organization Skeletal / ICP Rapid Sequence Intubation Pre-Hospital Procedure Report EMS Agency / ADULT DOSAGE / / Person SUCCINYLCHOLINE CHLORIDE (Anectine) / / Position ACTION INDICATIONS CONTRAINDICATIONS SIDE EFFECTS Advanced Paramedic / King / high flow O2 Paramedic / airway Paramedic / 2mg/kg IV/IO NOTE Paramedic / Paramedic / / Product Amidate / Xylocaine / Lidocaine / Etomidate / Ativan / BP / Anectine / Versed / SUCCINYLCHOLINE CHLORIDE / / ProvinceOrState Indiana / / Technology Rapid Sequence Intubation protocol / airway UNIVERSAL PATIENT CARE PROTOCOL / using RSI protocol / /
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P MEDICAL EMERGENCIES DIFFICULT AIRWAY – RAPID SEQUENCE INTUBATION CRITERIA