Critical Care Treatment Guidelines - EMS

Sep 23, 2026

Uploaded by Kurz

Critical Care Treatment Guidelines define the Regions Hospital Emergency Medical Services approach for transporting and managing critically ill or injured patients. The CCP (Critical Care Emergency Medical Technician-Paramedic) provides advanced monitoring, procedures, and medication management beyond routine ALS, coordinating with additional critical care personnel when manual ventilation, specialized ventilator settings, or multiple titratable infusions are required. The document outlines interfacility transfer responsibilities, medical resource control (MRCC) access, and safe infusion practices, including pump use and proper authorization of rates.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages128

Reading Time5 h 23 min

AccessFree to download

Introduction

Scope of Practice

Emergency Medical Services (EMS) Program Overview

Treatment Guidelines

Universal Critical Care Considerations

Anaphylaxis

Aortic Emergencies

Blood Product Transfusions

Cardiac Arrhythmias

Cardiac Emergencies

Cardiogenic Shock

CVA (Stroke)

Diabetic Ketoacidosis (DKA)

Electrolyte Abnormalities

Gastrointestinal Bleeding

Head Trauma

Hypovolemic Shock

OB/Gyn Emergencies

Overdoses and Toxicologic Emergencies

Pain Management and Sedation

Respiratory Emergencies

Seizure Emergencies

Sepsis

Shock Undifferentiated

Spinal Cord Injuries

Device Management

Medications

Critical Care Treatment Guidelines REGIONS HOSPITAL EMERGENCY MEDICAL SERVICES INTRODUCTION: The Emergency Medical Services (EMS) Program at Regions Hospital has developed these policies and guidelines. All statements contained in this manual are informative only and represent that which is believed to be the highest standard of care relating to any particular set of circumstances. It is the intention of the Regions Hospital EMS medical director(s) that this manual be used as consultative material in striving for optimal patient care. It is recognized that any specific procedure is always subject to modification depending upon the circumstances of a particular case. Further, the medical control physician may deviate from these guidelines based on medical judgment. This edition replaces all previous editions and becomes effective on March 1 , 2016. REGIONS HOSPITAL EMERGENCY MEDICAL SERVICES: Regions Hospital Emergency Medical Services is a program of Regions Hospital. Our services encompass the full spectrum of out-of-hospital emergency care oversight including: · Medical direction and consultation · Quality management · Education · Research · Legislative advocacy *Regions Hospital EMS is located at: The mailing address is: 680 Hale Ave. N. , Suite 230 Regions Hospital EMSOakdale, MN 55128 Mail stop: 13801B Main line: 651-254-7780 640 Jackson Street Fax: 651-778-3778 St. Paul, Minnesota 55101-2595 * Do NOT send mail to this address. For courier and classroom location purposes only. Visit us at www.regionsems.com or on Facebook at Regions EMS These guidelines and policies have been approved by: March 1 , 2016 R. J. Frascone, MD, FACEP, Medical Director March 1 , 2016 Aaron Burnett, MD, Assistant Medical Director __________________________________________ March 1 , 2016 Bjorn Peterson, MD, Assistant Medical Director No part of this document may be reproduced in any way, or by any means, without written permission from Regions Hospital. Regions Hospital EMS 3 Introduction Regions Hospital EMS SCOPE OF PRACTICE The Critical Care Emergency Medical Technician-Paramedic (CCP) will render care to critically ill or injured patients who are being transported to a facility that provides an equal or higher level of care, for continued treatment. In addition to standard ALS equipment utilized routinely by paramedics, the CCP may be required to manage special equipment and/or medications being used on a patient provided by the transferring hospital. The CCP may need to perform advanced procedures, as well as monitor and administer medications not routinely used by ALS Paramedics. When called for (should be considered when manual ventilations are being performed, non-standard ventilator settings are necessary, or more than 2 titratable drips are inuse) , additional critical care personnel such as a respiratory therapist, ICU nurse, physician, or another paramedic may accompany patient to assist in providing care. The CCP will be the team member in charge but will recognize and respect the expertise of the other care givers on board. The decision to transfer a patient rests with the transferring physician. This physician bears responsibility for the transfer decisions, and must: 1) Determine whether the benefits of transfer outweigh the risks. 2) Ensure that the patient is properly stabilized prior to departure. 3) Be responsible for complying with currently accepted community standards of practice regarding interfacility transfer. For the purposes of these guidelines, MRCC stands for Medical Resource Control Center, which refers to on-line medical control. This can be obtained by hailing East Metro MRCC on the 800mhz Minnesota ARMER radio system using talkgroup“MRCC-E”, by phone at (651)-254-2990 , or by contacting the hospital designated as medical control for either the transporting agency or for the specific patient encounter. Any medication given via intravenou

FAQs

What responsibilities does the transferring physician have for interfacility transfer?

The transferring physician must ensure transfer benefits outweigh risks, confirm the patient is properly stabilized before departure, and comply with currently accepted community standards for interfacility transfer.

What does MRCC mean in these guidelines, and how can it be accessed?

MRCC stands for Medical Resource Control Center (online medical control). It can be obtained via East Metro MRCC on the 800 MHz Minnesota ARMER radio system, by phone, or by contacting the designated medical control hospital.

How must medications requiring defined infusion rates or titration be administered?

Medications that must be infused at a defined rate or tititrated by specific parameters must be delivered via an infusion pump; estimating drip rates is not authorized.

Sep 23, 2026

Uploaded by Kurz