Page 181 - ATP-P 11th Ed

➤ Changed photos in the canine protocols and revised wording.
➤ Revised antibiotic recommendations and advised to remove contacts in the corneal
abrasion protocol.
➤ Added open globe injury protocol.
Changes in 2016/2017:
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➤ Removed acetaminophen for injection (Ofirmev ) to keep the overall drug list
shorter and because it was unwieldy.
➤ Added K9 Anaphylactic Reactions and Envenomation Protocols
➤ Added K9 Gastric Dilatation Volvulus (GDV)/Bloat Protocol
➤ Modified guidance for use of LR in the Crush Injury Protocol SECTION 2
➤ Added ketamine for chemical restraint of a combative patient to the Behavioral
Changes Protocol
➤ Removed diphenhydramine (Benadryl ) quick dissolve strips from clinical pearls
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list of medications due to discontinuation
➤ Updated Cold Injury Protocol to ensure adherence to the 2014 Alaska state guide-
lines and added more detailed guidance for hypothermia management.
➤ Added CBRN: Nerve Agent Poisoning Protocol
➤ Changed Smoke Inhalation Protocol to Smoke Inhalation/Choking Agent/TICs
Protocol
➤ Added CBRN treatments to the Asthma (Reactive Airway Disease) Protocol,
Smoke Inhalation/Choking Agent/TICs Protocol And Corneal Abrasions/Corneal
Ulcers/Conjunctivitis Protocols.
➤ Updated the Pain Management Protocol with Ketamine (Ketalar ) and other minor
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changes in order to reflect the Pain Management Guidelines in the USSOCM Tacti-
cal Trauma Protocol more closely
➤ Added a Disposition to all of the K9 Protocols
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➤ Removed doxycycline (Vibra-Tabs ) from the Testicular Torsion Protocol and
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Replaced with azithromycin (Zithromax ) for Presumptive Treatment of STD
➤ Removed warning in the Crush Syndrome and Rhabdomyolysis Protocols stating
“Ringer’s lactate is not recommended due to the potassium content, but may be
used if nothing else is available”.
➤ Removed “If crystalloids (normal saline or lactated Ringer’s) are recommended,
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but not available, substitute Hextend or Hespan if available” from Clinical Pearls.
➤ Adjusted the dosage and units of measure for fosphentoin (Cerebyx ) in the
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Seizures Protocol
➤ Modified Pain Management Protocol to match the USSOOCM Tactical Trauma
Protocols
➤ Corrected various misspellings and grammatical and formatting errors.
➤ Modified the Constipation/Fecal Impaction Protocol
170 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 171