Paramedic Algorithms

Asthma/Respiratory Infection/COPDw/ doses

Oxygen (consider CPAP)AlbuterolAtroventXopenex(if tachycardic)SolumedrolMagnesium SulfateEpinephrine (severely symptomatic)

Allergic Reaction

OxygenAnti-histamine:DiphenhydramineTagametPepcidBronchodilator/Anti-inflammatory:AlbuterolAtroventSolumedrolMagnesium SulfateEpinephrine (severely symptomatic)

CHF/Pulmonary Edema

CPAPNitroLasix (or Bumex)Morphine

Chest Pain

M.O.N.A.MorphineOxygenNitroAspirin

Hypoglycemia

OxygenD50Glucagon

Beta-blocker Overdose

OxygenCalcium ChlorideCalcium GluconateAtropine

Calcium Channel-blocker Overdose

OxygenCalcium ChlorideCalcium GluconateAtropine

Organophosphate poisoning

OxygenCyanokitAtropine

TCA Overdose

OxygenSodium Bicarbonate

Digoxin Overdose

OxygenDigibindAtropine

Opiate Overdose

OxygenNarcan

Sympathomimetic Overdose

OxygenFluidsHypothermia treatmentBenzos

Hypertension

OxygenNitroLabetalolMetoprolol

Seizure

LorazepamDiazepamMidazolam

Eclamptic Seizure

LorazepamMag Sulfate

Nausea/vomiting

ZofranPhenergan

Hypotension

FluidsDopamineNorepinephrine

Pain

FentanylKetorolacMorphine

Intracranial Pressure

Mannitol

Acute Psychosis

GeodonHaldol

Stable A-Fib w/ RVRStable A-Flutter

Cardizem

Unstable A-Fib w/ RVRUnstable A-Flutter

Cardioversion 200J

Stable SVT

Vagal maneuversAdenosineCardizem

Unstable SVT

Cardioversion 100J

Stable V-Tach

AmiodaroneProcainimide

Stable Sinus Bradycardia(or slow rates)

AtropineDopamineEpinephrine

Unstable Sinus Bradycardia (or slow rates)

Transcutaneous Pacing

Torsades de Pointes

Cardiac Arrest Algorithmw/ Mag Sulfate

Pulseless V-Tach

Cardiac Arrest Algorithm

V-Fib (SHOCK ADVISED)

Cardiac Arrest Algorithm

PEA

Cardiac Arrest AlgorithmWITHOUT Amiodarone

Asystole

Cardiac Arrest AlgorithmWITHOUT Amiodarone

Cardiac Arrest H's

HypoxiaHyperkalemiaHypotensionHydrogen Ion concentrationHypothermia(Hypoglycemia)

Cardiac Arrest T's

ToxinsTension PneumothoraxThrombus pulmonaryThrombus coronaryTamponade