Protocol 2-770 - Respiratory Distress

Polk, Hickory, Cedar, & St Clair EMS Protocols


EMD:

EMR:

EMT:

AEMT:


RN

Medic:

Age:
Patient weight (lbs): (kg):


NEMSIS Protocol: 9914139 - Medical-Respiratory Distress/Asthma/COPD/Croup/Reactive Airway

Citations:


Change Log:

DateLink to
previous
version
Description of change
10/04/13pdfAdded (max 1 dose) to Racemic.
11/11/13Added IV/IM/PO for Decadron and added Solu-Medrol.
12/13/13pdfRemoved CPAP as BLS skill, now is assist ALS.
12/12/14pdfMade Intubation a DELIBERATE ACTION.
12/12/14pdfMade Intubation a DELIBERATE ACTION.
12/12/14pdfRemoved IV/IM from Decadron. Added comment to be cautious administering any medication IV/IM/IO.
03/02/15Removed DELIBERATE ACTION.
03/02/15Removed DELIBERATE ACTION.
04/14/15Added consider to limb leads.
11/17/15pdfIncreased Xopanex indication from heart rate of 100 to 110.
06/27/16pdfAdded note that IV access must be in an AC space (left is preferred).
06/27/16pdfAdded note that IV access must be in an AC space (left is preferred).
07/22/16Moved Epi IM and bronchodialators Neb to AEMT section.
08/24/17pdfRemoved Ipratropium and clarified doses of Duoneb. Removed Decadron.
08/24/17pdfRemoved Ipratropium and clarified doses of Duoneb.
08/24/17pdfRemoved Decadron.
08/24/18Created this section at the request of multiple staff with references to other protocols.
10/15/18pdfAdded option for Decadron.
10/15/18pdfAdded option for Decadron.
07/23/19pdfAdded IM option for Solu-Medrol.
04/03/20pdfAdded content (without substantive modification) from old Protocol 4-030 - Asthma.
04/03/20pdfAdded content (without substantive modification) from old Protocol 4-060 - Chronic Obstructive Pulmonary Disease (COPD).
04/03/20Added content (without substantive modification) from old Protocol 4-165 - Respiratory Distress.
04/13/20pdfAdded content (without substantive modification) from old Protocol 4-080 - Croup.
08/07/20pdfAdded Epi1:1,000 dosing instructions in the absence of Racemic Epi.
06/06/21pdfMoved to emsprotocols.online
10/15/21pdfChanged mag sulfate to be mixed with D5W to be mixed with NS per protocol committee on 5/26/21 and Dr. Nicholes on 12/8/20. Also fixed broken link to pulmonary edema protocol.
11/30/21Updated link to Albuterol.
12/01/21Updated link to Xopenex.
02/28/22Updated link for SoluMedrol.

Return to Protocols Table of Contents.

Search protocols:


CMH PHS Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff."
Creative Commons License Polk, Hickory, Cedar, & St Clair County EMS Protocols by Theron Becker is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.