[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-363506-105":59,"doc-detail-363506-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","ammonia-inhalants-mdhhs-position-on-use-in-the-pre-hospital-setting","Ammonia Inhalants - MDHHS Position on Use in the Pre-Hospital Setting","","MDHHS, Division of EMS and Trauma leadership and the Quality Assurance Task Force issue an opinion prohibiting the use of ammonia inhalants in the pre-hospital setting. The memo cites punitive or harmful use, absence of any approved medical indication, potential worsening of pre-existing respiratory conditions, risks from violent reactions including possible spinal canal compromise, and increased risk of aspiration from coughing, nausea, and vomiting. It concludes ammonia inhalants should not be carried or used by EMS agencies or personnel. Supporting references include JEMS articles and national EMS guideline materials.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ammonia-inhalants-mdhhs-position-on-use-in-the-pre-hospital-setting/363506/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ammonia-inhalants-mdhhs-position-on-use-in-the-pre-hospital-setting/363506.png","ImageObject",300,407,{"name":92,"@type":93},"Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is MDHHS’s position on ammonia inhalants in pre-hospital care?","Question",{"text":113,"@type":114},"MDHHS’s leadership and the Quality Assurance Task Force state that the use of ammonia inhalants is prohibited in the pre-hospital setting.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Why does the memo prohibit ammonia inhalants?",{"text":118,"@type":114},"The memo cites punitive or harmful use, lack of approved indications, risk of worsening respiratory conditions, and hazards from violent physical responses that may compromise patient safety and increase aspiration risk.",{"name":120,"@type":111,"acceptedAnswer":121},"Should EMS agencies carry or use ammonia inhalants?",{"text":122,"@type":114},"No. The memo states ammonia inhalants are not included in approved EMS supplies or protocols and therefore should not be carried or used by EMS agencies or personnel.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},363506,1790442112,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},687207412472,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","ALL SVMCA PROVIDERS:  \nPlease see the attached memo regarding the use of ammonia inhalants in the pre-hospital setting. The SVMCA concurs with this position as there is no evidence that the inhalants can contribute to a positive impact on patient care.  \nI will also attach two of the three citations from the MDHHS memo to this document for your review. All may be viewed as well by following these links:  \nMemo  \n[https://content.govdelivery.com/attachments/MIDHHS/2016/09/26/file_attachments/627508/Am](https://content.govdelivery.com/attachments/MIDHHS/2016/09/26/file_attachments/627508/Am)[monia%2BInhalants%2BMemo.pdf](monia%2BInhalants%2BMemo.pdf)  \nBledsoe JEMS Article  \n[http://www.jems.com/articles/print/volume-33/issue-3/administration-and-leadership/clinical](http://www.jems.com/articles/print/volume-33/issue-3/administration-and-leadership/clinical)alert-my-patient-faki.html  \nJEMS Ammonia Article  \n[http://www.jems.com/articles/2004/04/ammonia-inhalants.html](http://www.jems.com/articles/2004/04/ammonia-inhalants.html)  \nEric Snidersich, BS EMT-PEMS Manager, SVMCA  \nAttachments:  \n1. MDHHS Ammonia Inhalant Memo – 09/22/16  \n2. Bledsoe JEMS Article  \n3. JEMS Ammonia Article  \nAttachment 1  \nSTATE OF MICHIGAN  \nRICK SNYDER GOVERNOR  \nDEPARTMENT OF HEALTH AND HUMAN SERVICES  \nLANSING  \nNICK LYON DIRECTOR  \nSeptember 22, 2016  \nTO: Medical Control Authorities  \nEMS Agencies  \nEMS Personnel  \nFROM: Kathy Wahl, Director Division of EMS and Trauma  \nSUBJECT: Ammonia Inhalants  \nThis memo is in response to a question requesting an opinion of the QA Task Force on the use of ammonia inhalants. For several reasons which will be outlined below, it is the opinion of MDHHS, Division of EMS and Trauma leadership and the Quality Assurance Task Force, that the use of ammonia inhalants is prohibited.  \nx The use of ammonia inhalants has been considered punitive and/or harmful in many instances.  \nx There is no approved use for ammonia inhalants to treat a medical condition. Patients suffering from head injuries, shock or strokes may also withdraw from the noxious stimulus.  \nx Ammonia can worsen pre-existing respiratory conditions.  \nx “There are other hazards associated…The violent physical response to ammonia may compromise the integrity of the spinal canal in patients with potential cord injury. The wild and forceful motions ofthe extremities may also pose challenges to patient and caregiver safety…Ammonia use may also produce coughing, nausea and vomiting which can increase the risk of aspiration in patients with an impaired gag reflex.”(JEMS, 2004)  \nx Regardless of the reason a patient may be “pretending” to be unconscious, there is generally a medical or behavioral health reason, and all patients deserve to be treated with dignity and respect. (Bledsoe, 2008)  \nx Ammonia can be harmful and in some cases fatal. It is not an innocuous agent. (Bledsoe, 2008)  \nx There is no indication for the use of ammonia inhalants in either the State of Michigan protocols or the National Model EMS Clinical Guidelines. (National Association of State EMS Officials, 2014)  \nIn summary, as care providers, it is the role of (06 SURYLGHUV to treat all patients in a non-judgmental manner and to follow the rule of,“first do no harm.” Ammonia inhalants are not included in the list of approved supplies or protocols for EMS and therefore should not be carried by EMS agencies or personnel.  \nReferences  \nBledsoe, B. (2008) . Clinical alert: Is my patient faking? Journal of Emergency Medical Services.  \n[http://www.jems.com/articles/print/volume-33/issue-3/administration-and-leadership/clinical-alert-my](http://www.jems.com/articles/print/volume-33/issue-3/administration-and-leadership/clinical-alert-my)patient-faki.html  \nJournal of Emergency Medical Services. (2004). Ammonia inhalants. Journal of Emergency Medical Services.  \n[http://www.jems.com/articles/2004/04/ammonia-inhalants.html](http://www.jems.com/articles/2004/04/ammonia-inhalants.html)  \nNational","cbCaisGjkvjMhYbN","https://ap.wps.com/l/cbCaisGjkvjMhYbN","pdf",327974,"English","# Ammonia Inhalants - MDHHS Position\n## Prohibition and Rationale\n## Summary and EMS Guidance\n## References","[{\"question\":\"What is MDHHS’s position on ammonia inhalants in pre-hospital care?\",\"answer\":\"MDHHS’s leadership and the Quality Assurance Task Force state that the use of ammonia inhalants is prohibited in the pre-hospital setting.\"},{\"question\":\"Why does the memo prohibit ammonia inhalants?\",\"answer\":\"The memo cites punitive or harmful use, lack of approved indications, risk of worsening respiratory conditions, and hazards from violent physical responses that may compromise patient safety and increase aspiration risk.\"},{\"question\":\"Should EMS agencies carry or use ammonia inhalants?\",\"answer\":\"No. The memo states ammonia inhalants are not included in approved EMS supplies or protocols and therefore should not be carried or used by EMS agencies or personnel.\"}]","Ammonia Inhalants - MDHHS Position on Use in the Pre-Hospital Setting | PDF",1790151539,25]