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The document defines pediatric considerations, establishes general approaches to EMS calls, patient management, safety restraining devices, and transportation, and then details specific emergency protocols across cardiac arrest, foreign body obstruction, obvious death, and respiratory arrest or failure. It also includes general medical protocols such as ALTE/BRUE, altered mental status, anaphylaxis, agitated behavior, carbon monoxide exposure, and a range of cardiac presentations through cardiogenic shock and obstetric 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.................................................................................................................................6  \nPEDIATRIC DEFINITION AND DISCUSSION......................................................................................................8  \nACKNOWLEDGEMENTS ............................................................................................................................9  \n(1.0) GENERAL APPROACH TO PREHOSPITAL CARE ............................................................................10  \nGENERAL APPROACH TO THE EMS CALL ....................................................................................................11  \nGENERAL APPROACH TO THE PATIENT .......................................................................................................13  \nGENERAL APPROACH TO SAFETY RESTRAINING DEVICES.................................................................................16  \nGENERAL APPROACH TO TRANSPORTATION ................................................................................................17  \n(2.0) EXTREMIS / CARDIAC ARREST PROTOCOLS................................................................................19  \nCARDIAC ARREST–ADULT: GENERAL APPROACH.........................................................................................20  \nCARDIAC ARREST– PEDIATRIC: GENERAL APPROACH ....................................................................................22  \nCARDIAC ARREST–ADULT: ASYSTOLE OR PULSELESS ELECTRICAL ACTIVITY (PEA) ...............................................24  \nCARDIAC ARREST– PEDIATRIC: ASYSTOLE / PULSELESS ELECTRICAL ACTIVITY (PEA) .............................................26  \nCARDIAC ARREST–ADULT: RETURN OF SPONTANEOUS CIRCULATION (ROSC)....................................................28  \nCARDIAC ARREST–ADULT: VENTRICULAR FIBRILLATION OR PULSELESS V TACHYCARDIA .......................................30  \nCARDIAC ARREST– PEDIATRIC: VENTRICULAR FIBRILLATION OR PULSELESS V TACHYCARDIA...................................32  \nFOREIGN BODY OBSTRUCTED AIRWAY–ADULT ..........................................................................................34  \nFOREIGN BODY OBSTRUCTED AIRWAY– PEDIATRIC ......................................................................................35  \nOBVIOUS DEATH ..................................................................................................................................36  \nRESPIRATORY ARREST / FAILURE–ADULT..................................................................................................37  \nRESPIRATORY ARREST / FAILURE– PEDIATRIC .............................................................................................38  \nTERMINATION OF RESUSCITATION ............................................................................................................39  \n(3.0) GENERAL ADULT AND PEDIATRIC MEDICAL PROTOCOLS............................................................40  \nALTE/BRUE– PEDIATRIC......................................................................................................................41  \nALTERED MENTAL STATUS......................................................................................................................42  \nANAPHYLAXIS–ADULT .........................................................................................................................44  \nANAPHYLAXIS– PEDIATRIC .....................................................................................................................46  \nBEHAVIORAL: AGITATED PATIENT–ADOLESCENT.........................................................................................48  \nBEHAVIORAL: AGITATED PATIENT–ADULT .......................................................","cbCaitQ6uoZhNI0F","https://ap.wps.com/l/cbCaitQ6uoZhNI0F","pdf",2149813,191,"English","# INTRODUCTION\n## PEDIATRIC DEFINITION AND DISCUSSION\n## ACKNOWLEDGEMENTS\n# (1.0) GENERAL APPROACH TO PREHOSPITAL CARE\n## GENERAL APPROACH TO THE EMS CALL\n## GENERAL APPROACH TO THE PATIENT\n## GENERAL APPROACH TO SAFETY RESTRAINING DEVICES\n## GENERAL APPROACH TO TRANSPORTATION\n# (2.0) EXTREMIS / CARDIAC ARREST PROTOCOLS\n## CARDIAC ARREST–ADULT: GENERAL APPROACH\n## CARDIAC ARREST–PEDIATRIC: GENERAL APPROACH\n## CARDIAC ARREST–ADULT: ASYSTOLE OR PEA\n## CARDIAC ARREST–PEDIATRIC: ASYSTOLE / PEA\n## CARDIAC ARREST–ADULT: ROSC\n## CARDIAC ARREST–ADULT: VENTRICULAR FIBRILLATION OR PULSELESS V TACHYCARDIA\n## CARDIAC ARREST–PEDIATRIC: VENTRICULAR FIBRILLATION OR PULSELESS V TACHYCARDIA\n## FOREIGN BODY OBSTRUCTED AIRWAY–ADULT\n## FOREIGN BODY OBSTRUCTED AIRWAY–PEDIATRIC\n## OBVIOUS DEATH\n## RESPIRATORY ARREST / FAILURE–ADULT\n## RESPIRATORY ARREST / FAILURE–PEDIATRIC\n## TERMINATION OF RESUSCITATION\n# (3.0) GENERAL ADULT AND PEDIATRIC MEDICAL PROTOCOLS\n## ALTE/BRUE–PEDIATRIC\n## ALTERED MENTAL STATUS\n## ANAPHYLAXIS–ADULT\n## ANAPHYLAXIS–PEDIATRIC\n## BEHAVIORAL: AGITATED PATIENT–ADOLESCENT","[{\"question\":\"What is covered by the document’s general approach to prehospital care?\",\"answer\":\"It includes guidance on the EMS call, the patient, safety restraining devices, and transportation, forming a framework for prehospital management.\"},{\"question\":\"Which cardiac arrest scenarios are addressed in the protocols?\",\"answer\":\"The document covers adult and pediatric cardiac arrest general approaches, asystole/PEA pathways, ROSC, and shockable rhythms such as ventricular fibrillation or pulseless ventricular tachycardia.\"},{\"question\":\"What medical protocol topics are included beyond cardiac and airway emergencies?\",\"answer\":\"It includes general adult and pediatric medical protocols such as ALTE/BRUE, altered mental status, anaphylaxis, behavioral agitation, carbon monoxide exposure, and multiple cardiac presentations including STEMI and cardiogenic shock.\"}]","Collaborative Advanced Life Support - Adult and Pediatric Patient Care Protocols - Version 23.1 | PDF",1790185605,481]