Protocol 2-726 - Pulmonary Edema

Polk, Hickory, Cedar, & St Clair EMS Protocols

Patient weight (lbs): (kg):








NEMSIS Protocol: 9914137 - Medical-Pulmonary Edema/CHF


Change Log:

DateLink to
Description of change
12/13/13pdfRemoved CPAP as BLS skill, now is assist ALS.
12/12/14pdfAdded Capnography. Made Intubation a DELIBERATE ACTION. Increased nitro dose.
03/02/15Removed DELIBERATE ACTION.
06/27/16pdfAdded note that IV access must be in an AC space (left is preferred).
07/22/16Moved bronchodialators to AEMT section.
08/24/17pdfAdded Captopril. Removed Lasix. Removed Ipratropium and clarified doses of Duoneb.
09/22/17Added comment for Nitro contraindication if phosphodiesterase inhibitor within 48 hours.
08/24/18pdfPer Dr. Kramer, adjusted Nitro drip dose (from 50+ to 60+)target SBP (from 100 to 90).
04/13/20pdfAdded content from old Protocol 4-070 - Congestive Heart Failure (CHF). Changed Dopamine dose from 5-15 to 5-10 mcg/kg/min due to wanting to concentrate on Beta effects instead of Alpha.
06/06/21pdfMoved to
11/30/21Updated link to Albuterol.
03/16/23pdfClarified RN and medic roles. Added CP.
03/19/23Changed link for Nitro.
03/20/23Changed link for Epi.
03/20/23Changed link for Dopamine.
03/20/23Changed link to Captopril.

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