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The document outlines EMT standard of care, telephone report guidelines, and general patient care for adult and pediatric cases, along with condition-specific protocols such as chest pain, acute respiratory distress, allergic reactions, altered mental status, suspected opioid overdose, sepsis, suspected stroke, and cardiac arrest. It further covers triage for mass casualty incidents, restraint and infection control guidance, and multiple appendices including diversion scripts, EMT pharmacology, reference charts, monitoring tools, and hospital contact resources.",{"@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/delaware-basic-life-support-protocols-guidelines-and-standing-orders-statewide-standard-treatment-protocols-effective-november-1-2024/365014/",{"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/delaware-basic-life-support-protocols-guidelines-and-standing-orders-statewide-standard-treatment-protocols-effective-november-1-2024/365014.png","ImageObject",300,407,{"name":92,"@type":93},"pixelkiddo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the effective date and scope of these protocols?","Question",{"text":113,"@type":114},"The statewide standard treatment protocols and basic life support standing orders are effective November 1, 2024, and apply to prehospital and interfacility patients.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Who is authorized to allow deviations from standing orders?",{"text":118,"@type":114},"Deviations may be undertaken only by direct order from an approved base station physician serving as Medical Control Physician within a Delaware Office of EMS approved facility, or by a state EMS medical director directly involved in the patient’s care.",{"name":120,"@type":111,"acceptedAnswer":121},"Which major clinical topics are covered in the basic life support protocols?",{"text":122,"@type":114},"The table of contents includes protocols for general adult and pediatric patient care, chest pain, acute respiratory distress, allergic reactions, altered mental status, suspected opioid overdose, sepsis, suspected stroke, initiation of resuscitative efforts, adult and pediatric cardiac arrest, trauma, burns, and mass casualty triage.","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},365014,1790207653,{"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":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658","Statewide Standard Treatment Protocol  \nDelaware Basic Life Support Protocols, Guidelines and Standing Orders  \nFor  \nPrehospital and Interfacility Patients  \nEffective: November 1, 2024  \nApproved by State EMS Medical Directors: March 20, 2024 Approved by ALS Standards Committee: May 31, 2024 Approved by the Delaware Board of Medical Licensure and Discipline: July 9, 2024 Adopted by the State Fire Prevention Commission: July 9, 2024  \nState of Delaware  \nDepartment of Health and Social Services Division of Public Health Office of Emergency Medical Services  \n2024 Statewide Standard Treatment Protocols  \nand  \nBasic Life Support Standing Orders  \nSteven Blessing, MA Director  \nDivision of Public Health  \n______________________________________  \nRobert A. Rosenbaum, MD, FACEP, FAEMS  \nState EMS Medical Director, Office of Emergency Medical Services Emergency Medical Services & Preparedness Section Medical Director Division of Public Health  \nThis treatment protocol for basic life support has been adopted and is enacted by the State Fire Prevention Commission pursuant to Delaware Code, Title 16, Chapter 98, Section 9802 (24 ) .  \nRonald Marvel  \nChairman  \nState Fire Prevention Commission  \nTABLE OF CONTENTS  \nINTRODUCTION AND EMT STANDARD OF CARE   7  \nEMT TELEPHONE REPORT GUIDELINES   13  \nGENERAL PATIENT CARE – ADULT   14  \nNAUSEA/VOMITING   16  \nGENERAL PATIENT CARE – PEDIATRIC   17  \nREFUSAL OF SERVICE   20  \nCHEST PAIN   21  \nACUTE RESPIRATORY DISTRESS – ADULT   22  \nACUTE RESPIRATORY DISTRESS – PEDIATRIC   23  \nALBUTEROL   25  \nCONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)   26  \nALLERGIC REACTION   27  \nALTERED MENTAL STATUS   29  \nSUSPECTED OPIATE OVERDOSE   31  \nSEPSIS   33  \nSUSPECTED STROKE   34  \nINITIATION OF RESUSCITATIVE EFFORTS   36  \nADULT CARDIAC ARREST   38  \nVENTRICULAR ASSIST DEVICE (VAD OR LVAD)   39  \nPEDIATRIC CARDIAC ARREST   40  \nDO NOT RESUSCITATE ORDERS   41  \nPEDIATRIC AND ADULT TRAUMA   43  \nPAIN MANAGEMENT – ADULT   46  \nSELECTIVE SPINAL MOTION RESTRICTION   47  \nBURNS   49  \nTRIAGE FOR MASS CASUALTY   50  \nTASER PROBE REMOVAL   52  \nWATER RELATED EMERGENCIES   53  \nEYE INJURIES   54  \nBITES AND ENVENOMATION   55  \nHEAT EMERGENCIES   56  \nCOLD EMERGENCIES   57  \nOBSTETRICS   58  \nPATIENT RESTRAINT   61  \nFIRE GROUND REHABILITATION   63  \nNON-EMERGENCY/INTERFACILITY/DEVICE DEPENDENT TRANSPORT   64  \nMEDICAL TREATMENT FOR CHEMICAL EXPOSURE   67  \nSUSPECTED EMERGING INFECTIOUS DISEASE (EID)   68  \nAPPENDIX A – DIVERSION SCRIPT   71  \nAPPENDIX B – EMT PHARMACOLOGY   72  \nAPPENDIX C – REFERENCE CHARTS   88  \nAPPENDIX D – INFECTION CONTROL   91  \nAPPENDIX E – NON-INVASIVE GAS MONITORING   95  \nAPPENDIX F – HOSPITAL CONTACT LIST   96  \nAPPENDIX G – VAN STROKE ASSESSMENT TOOL   97  \nAPPENDIX H – DMOST FORMS   98  \nAPPENDIX I – MASS CASUALTY TRIAGE CHART   101  \nAPPENDIX J – BEST PRACTICES FOR PEDIATRIC TRANSPORT   102  \nINTRODUCTION AND EMT STANDARD OF CARE  \nDelaware Emergency Medical Technician (EMT) Protocols  \nIssued by the State of Delaware EMS Medical Directors In cooperation with the Delaware State Fire Prevention Commission and the Office of Emergency Medical Services  \nThe Delaware Emergency Medical Technician protocols and the standing orders contained within have been developed as an adjunct to the standards of care as contained in the United States Department of Transportation Educational Standards and verified through the National Registry of Emergency Medical Technicians certification process.  \nAll Delaware certified EMS providers administering patient care are doing so under the provisions of the State EMS Medical Director's medical license in accordance with Delaware Code Title 16, Chapter 98 Section 9802.  \nThese protocols are not all-inclusive. They address in particular those patients for which EMTs may assist with previously prescribed medications such as nitroglycerin, invasive procedures such as automatic external defibrillation, and complex clinical situations such as refusal of treat","cbCain02kOQPqbrO","https://ap.wps.com/l/cbCain02kOQPqbrO","pdf",2276979,103,"English","# Introduction and EMT Standard of Care\n## EMT Telephone Report Guidelines\n## General Patient Care – Adult\n## Nausea/Vomiting\n## General Patient Care – Pediatric\n## Refusal of Service\n## Chest Pain\n## Acute Respiratory Distress – Adult\n## Acute Respiratory Distress – Pediatric\n## Albuterol\n## Continuous Positive Airway Pressure (CPAP)\n## Allergic Reaction\n## Altered Mental Status\n## Suspected Opiate Overdose\n## Sepsis\n## Suspected Stroke\n## Initiation of Resuscitative Efforts\n## Adult Cardiac Arrest\n## Ventricular Assist Device (VAD or LVAD)\n## Pediatric Cardiac Arrest\n## Do Not Resuscitate Orders\n## Pediatric and Adult Trauma\n## Pain Management – Adult\n## Selective Spinal Motion Restriction\n## Burns\n## Triage for Mass Casualty\n## Taser Probe Removal\n## Water Related Emergencies\n## Eye Injuries\n## Bites and Envenomation\n## Heat Emergencies\n## Cold Emergencies\n## Obstetrics\n## Patient Restraint\n## Fire Ground Rehabilitation\n## Non-Emergency/Interfacility/Device Dependent Transport\n## Medical Treatment for Chemical Exposure\n## Suspected Emerging Infectious Disease (EID)\n## Appendix A – Diversion Script\n## Appendix B – EMT Pharmacology\n## Appendix C – Reference Charts\n## Appendix D – Infection Control\n## Appendix E – Non-Invasive Gas Monitoring\n## Appendix F – Hospital Contact List\n## Appendix G – Van Stroke Assessment Tool\n## Appendix H – DMOST Forms\n## Appendix I – Mass Casualty Triage Chart\n## Appendix J – Best Practices for Pediatric Transport","[{\"question\":\"What is the effective date and scope of these protocols?\",\"answer\":\"The statewide standard treatment protocols and basic life support standing orders are effective November 1, 2024, and apply to prehospital and interfacility patients.\"},{\"question\":\"Who is authorized to allow deviations from standing orders?\",\"answer\":\"Deviations may be undertaken only by direct order from an approved base station physician serving as Medical Control Physician within a Delaware Office of EMS approved facility, or by a state EMS medical director directly involved in the patient’s care.\"},{\"question\":\"Which major clinical topics are covered in the basic life support protocols?\",\"answer\":\"The table of contents includes protocols for general adult and pediatric patient care, chest pain, acute respiratory distress, allergic reactions, altered mental status, suspected opioid overdose, sepsis, suspected stroke, initiation of resuscitative efforts, adult and pediatric cardiac arrest, trauma, burns, and mass casualty triage.\"}]","Delaware Basic Life Support Protocols - Guidelines and Standing Orders - Statewide Standard Treatment Protocols (Effective November 1, 2024) | PDF",1790159691,260]