Protocol 2-638 - Overdose / Toxic Ingestion

Polk, Hickory, Cedar, & St Clair EMS Protocols







Patient weight (lbs): (kg):

NEMSIS Protocol: 9914135 - Medical-Overdose/Poisoning/Toxic Ingestion


Change Log:

DateLink to
Description of change
01/09/14pdfCorrected poison control number.
01/29/14Added consider hazmat decon. Added Hydrofluoric acid treatment. Coordinated with CMH policies.
12/12/14pdfRemoved Blood Draw. Added Dr. Merk comment about mandatory IV access if intentional. Made Intubation a DELIBERATE ACTION. Added comment to see Behavioral protocol for excited delirium.
03/02/15Removed DELIBERATE ACTION.
04/03/15Moved Gastric Tube to Protocol 6-110 - Rapid/Delayed Sequence Intubation (RSI).
11/17/15pdfModified adult Narcan administration to 0.2-0.4 mg with a max of 2 mg.
07/20/16pdfAdded option for IN Narcan to EMT section if unable to ventilate with respiratory depression.
07/22/16Added option for IV/IM/SQ Narcan to AEMT section if unable to ventilate with respiratory depression.
02/02/17pdfRemoved max dose of Narcan.
09/22/17Lowered glucose treatment threshold from 70 to 60. Significant additions to ALS sections including dosages for several medical control medications. Added trycyclic antidepressant overdose, added caustic substance ingestion, added MAOI overdose, added SSRI overdose.
11/13/17pdfMade this protocol two pages for easier reading.
08/24/18pdfPer Dr. Kramer, added bolded DECON to every step and every level. Moved Glucagon word to each dosage under beta-blocker for reader clarity.
04/17/20pdfAdded content (without substantive modification) from old Protocol 4-140 - PoisoningOverdose.
02/19/21pdfNarcan administration has been added to the EMR scope of practice after some lengthy discussion several months ago between some fire chiefs and medical director. Some statements to pay attention to include pt must have respiratory depression, must have inability to ventilate, and must conduct risk benefit assessment regarding potential patient violence after administration.
06/06/21pdfMoved to
11/30/21Changed link to Activated Charcoal.
12/01/21Updated link to Versed.
02/28/22Updated link for Sodium Bicarb.

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