Protocol 2-550 - Hyperthermia

CMH EMS & MIH Protocols

EMD:

• No specific protocol.

EMR:

• Remove from exposure.
• Open and maintain airway.
• Attempt to determine down-time and history.
• Consider Oxygen if SpO2 less than 88%.
• Passively cool patient.
• Obtain core body Temperature, if able. If unable, consider patient with at least HEAT EXHAUSTION if Heat Index above 103° F.
• Consider applying Cardiac Monitor limb leads.
• Altered mentation and/or Temperature greater than 104° F (HEAT STROKE): Active, rapid cooling is indicated using ice, evaporation, and/or cold packs. Attempt to cool to 102° F.
• Normal mentation and Temperature less than 104° F (HEAT EXHAUSTION): Passive cooling. Treat specific complaints per protocol.

EMT:

• Ensure completion of applicable items above.
• Assist ALS with Capnography.

AEMT:

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

• Adult:	Pediatric:
  125 ml/hr.	20 ml/kg (may repeat once). Click "calculate" to get dose.

RN:

• Ensure completion of all applicable items above.
• Consider IO cool NS/LR.
• Monitor closely for arrhythmias. Treat per protocol.

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.