Protocol 2-440 - Fever / Sepsis

Polk, Hickory, Cedar, & St Clair EMS Protocols







Patient weight (lbs): (kg):

NEMSIS Protocol: 9914061 - General-Fever


Change Log:

DateLink to
Description of change
11/11/13pdfAdded adult doses of Acetaminophen and Ibuprofen.
12/12/14pdfRemoved Blood Draw.
04/14/15Added consider to limb leads.
12/04/15Created Protocol 4-175 - Sepsis.
06/06/16pdfAdded requirement for at least 18 ga IV in AC space.
08/24/17pdfAdded comment to weigh patient on arrival at ER. Added sepsis definition of EtCO2 less than 25. Added sepsis alert terminology to ER.
09/22/17Lowered glucose treatment threshold from 70 to 60. Added target scene time of 10 minutes.
08/24/18pdfFixed typo to indicate AcetaminophenIbuprofen treatment is only if fever is greater than 102.
08/24/18pdfChanged SEPSIS definition from SIRS to QSOFA. Changed typo for MAP greater to MAP less.
08/27/19pdfSignificant revisions to accommodate hospital-wide sepsis competency education. Added capnography as indicator of sepsis. Added pediatric dose of LR fluid bolus. Added Epi push-dose.
04/13/20pdfAdded content (without substantive modification) from old Protocol 4-175 - Sepsis.
04/13/20pdfAdded content (without substantive modification) from old Protocol 4-100 - Fever.
06/06/21pdfMoved to
10/15/21pdfRenamed protocol from Fever to Fever/Sepsis. Added pediatric sepsis criteria per Dr. Nicholes on 6/8/21.Moved LR fluid bolus details to new hypotension protocol (2-583). Levofed will also be added to hypotension protocol per Dr. Nicholes request on 6/8/21. Protocol committee approved creation and movement of hypotension stuff on 5/26/21 and Dr. Nicholes approved on 6/8/21.
10/15/21Moved push-dose Epi to newly created Hypotension protocol (2-583).
11/30/21Updated link to Acetaminophen.

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