Page 180 - ATP-P 11th Ed

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➤ HIV PEP Protocol updated with new medications added: Atripla , Truvada ,
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Viread , Kaletra ®
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➤ Behavioral Changes Protocol changed and midazolam (Versed ) added
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➤ Seizure Protocol changed and midazolam (Versed ) added
Changes in 2010:
➤ K9 Protocols added
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➤ Drugs added: tadalafi (Cialis ), sildenafil (Viagra ) ®
➤ Altitude Illness changed to add tadalafi (Cialis ) and sildenafil (Viagra )
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SECTION 2 Changes in 2011:
➤ Trauma Protocols added
➤ TMEP Seizure Protocol updated to match Trauma Seizure Protocol
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➤ Drugs added: fosphenytoin (Cerebyx ), tranexamic acid (TXA) (Cyklokapron )
➤ Blast TMEP deleted and recommendations incorporated into the Tactical Trauma
Protocols
➤ Crush Syndrome TMEP moved to Tactical Trauma Protocols
➤ Rewrite of majority of Tactical Medical Emergency Protocols
➤ Expansion of Envenomation Protocols
➤ Revision of Cold Injury Protocol
➤ Revision of Heat Illness Protocol
➤ Revision of K9 Protocol
➤ Administration of Blood Products Protocol added to Tactical Trauma Protocols
➤ Neurogenic/Spinal Shock Protocol added to Tactical Trauma Protocols
➤ IV push dose epinephrine authorized for Neurogenic/Spinal Shock Protocol and
Septic Shock Protocol
Changes in 2013:
➤ Added e-mail address for suggested changes.
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➤ Added Abdominal Aortic & Junctional Tourniquet – AAJT and SAM Junctional
Tourniquet
➤ Added additional characteristic recommendation for supraglottic airways.
➤ Revised the administration of blood and blood components protocol to allow for
routine transfusion of low titer type O whole blood as a functional “universal do-
nor” and untitered type O fresh whole blood in extremis.
➤ Removed recommendation for premedication with Epinephrine and/or Diphen-
hydramine from the administration of blood and blood components protocol.
➤ Added Albuterol to the crush syndrome protocol and changed order of preference
for drugs to increase calcium.
➤ Added example crush syndrome treatment kit.

170 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 171