Protocol 2-132 - Bites and Envenomations

CMH EMS & MIH Protocols

EMD:

• No specific protocol.

EMR:

• Open and maintain the airway.
• Systemic Anaphylactic Reaction: Refer to Protocol 2-066 - Allergic Reaction.
• Remove clothin and jewelry from affected area.
• Consider applying Cardiac Monitor limb leads and/or combo pads.
• Mark leading edge of swelling and tenderness every 15 minutes.
• Immobilize (splint and compression wrap) and elevate extremity. Encourage patient not to move the extremity.
• DO NOT attempt to capture the animal or insect. If possible to do from a safe distance, take a photograph.

EMT:

• Ensure completion of applicable items above.
• Consider assisting ALS with Capnography .
• Snakebite with systemic signs or symptoms (i.e. hypotension, GI problems, bleeding disorder, neurological problems): Transport to Level I Trauma Center. Refer to Protocol 2-451 - TRAUMA destination matrix.

AEMT:

• Ensure completion of applicable items above.
• Consider IV NS/LR.

RN:

• Ensure completion of all applicable items above.
• Consider contacting MEDICAL CONTROL and/or POISON CONTROL at 888-268-4195.
• Pain: Refer to Protocol 2-660 - Pain Control.
• Nausea: Refer to Protocol 2-990 - Vomiting.

Medic:

• Ensure completion of all applicable items above.

CP:

• Ensure completion of all applicable items above.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.