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UNIVERSAL PATIENT CARE

Scene Safety
(Remain aware and prepared to employ personal weapons in patient and crew self-defense)
Bring all necessary equipment to patient’s side
Demonstrate professionalism and courtesy
Ensure utilizing appropriate PPE
(Including: barrier, aerosol, and IBA - as appropriate)
Initial assessment
BLS Guideline as necessary Cardiac Arrest
Consider Spinal immobilization
Length based resuscitation tape for pediatric Cardiac Arrest
patients Guideline
Vital signs q15min (sooner if unstable)
Hypothermia prevention and (BP, Pulse, Resp, SpO 2 )
management should be provided at Core temp: assess for hypothermia / heat injury, if appropriate
all times during movement
Blood glucose measurement, if appropriate
Consider Supplemental O 2 2
O
Airway Guideline as indicated
p
Continuous Cardiac Monitoring / SpO 2 2
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Unless minor / ambulatory patients
Saline Lock*
If not giving fluids, maintain a IV/IO Guideline
slow “to-keep-open” (TKO) drip
12 Lead EKG as indicated
Patient does not fit guideline?
Appropriate Guideline? • Contact and Consult Medical Control
• General Supportive Care
Limit On-Scene Time
Transport to appropriate MTF
Pearls:
• *Blood/Fluid boluses given in trauma victims should be done in accordance with
hypotensive resuscitation guidelines – see multiple trauma protocol.
• General supportive measures include: Airway / Respiratory support, continuous hemodynamic
monitoring with SpO 2 and EtCO 2 as appropriate, Supplemental O 2 prn, IV Fluid boluses, Pain
control prn.
• All patients should have complete vital signs recorded.
• All patient encounters should be recorded on appropriate care documentation sheets per theater
policies, unit SOPs and/or in accordance with JTS Documentation CPG at end of a patient
encounter.
• Any mishaps/errors should be brought to attention of the medical control ASAP.
• Contact medical control for any necessary assistance when feasible.

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