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signs.",{"name":70,"@type":61,"acceptedAnswer":71},"How should EMS documentation and transport be handled according to the policy?",{"text":72,"@type":64},"All treatment must be documented on the electronic patient care report (PCR) platform, and transport use of lights and sirens should be based on the patient’s clinical presentation and traffic conditions with safety prioritized.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},362367,1790193674,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & 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2020 Review Date: November 24, 2020 |  | Approved: | Bryan Cleaver, EMS Administrator Mark Luoto, EMS Medical Director |\n| Authority: California Health and Safety Code, Division 2.5 EMS, Sections 1797.220 & 1797.221 |  |  |  |\n| I. Definition |  |  |  |\n|  | A. All levels of provider will complete the following as part of providing general medical care for every patient: |  |  |\n|  | 1. Perform initial and focused assessment. |  |  |\n|  | 2. Use necessary and appropriate skills and procedures for which the provider has been trained and certified |  |  |\n|  | to perform in order to maintain patient’s airway, breathing, and circulation. |  |  |\n|  | B. This protocol applies to every patient contact and is the basis from which other treatment protocols build upon. |  |  |\n|  | 1. Scene size up: |  |  |\n|  | a. Assess scene safety. |  |  |\n|  | b. Use standard/universal precautions. |  |  |\n|  | c. Determine the number of patients, activate MCI if indicated per CVEMSA MCI Plan. |  |  |\n|  | d. Determine nature of illness/mechanism of injury. |  |  |\n|  | 2. Primary assessment: |  |  |\n|  | a. Identify and treat immediate life threats. |  |  |\n|  | b. If cardiac arrest suspected, begin cardiac arrest management per treatment guideline 7003 Cardiac |  |  |\n|  | Arrest Management. |  |  |\n|  | c. Systemic assessment of major body systems (medical) . |  |  |\n|  | d. Systemic assessment for injuries (trauma) . |  |  |\n|  | e. Obtain vital signs. |  |  |\n|  | 3. Obtain the following information from patient or historian if patient unable to provide: |  |  |\n|  | a. Chief complaint. |  |  |\n|  | b. History of current complaint. |  |  |\n|  | c. Past medical history. |  |  |\n|  | d. Medications. |  |  |\n|  | e. Allergies. |  |  |\n|  | 4. Initiate treatment based on assessment findings as indicated by appropriate protocols. |  |  |\n|  | 5. Base Hospital contact for patient care questions is highly encouraged for all level of providers. |  |  |\n|  | 5. Reassess. |  |  |\n|  | 6. Transport as indicated. |  |  |\n|  | a. Use of lights and sirens during transport shall be based on the patient’s clinical presentation and traffic |  |  |\n|  | conditions. Safety of the patient, crew members, and the public is paramount. |  |  |\n|  | 7. Document all treatment on appropriate electronic patient care report (PCR) platform. |  |  |\n| II. | \u003Cbr>Basic Life Support |  |  |\n| A. Primary assessment:\u003Cbr>1. Assess airway patency:\u003Cbr>a. If airway is not patent, utilize BLS maneuvers, adjuncts, and suctioning if indicated to clear the airway.\u003Cbr>2. Assess quality of breathing:\u003Cbr>a. Initiate SpO2 monitoring:\u003Cbr>(1) For readings under 94%, consider oxygen therapy.\u003Cbr>(a) Adjust oxygen device and flow to maintain a SpO2 between 94% -99% .\u003Cbr>(b) For patients with COPDa normal reading may be 88%-92% . |  |  |  |\n\n\n| B. | b. If in respiratory distress with signs of hypoxia, consider BVM and/or CPAP device as appropriate.\u003Cbr>c. Consider oxygen therapy as appropriate to the nature of illness/mechanism of injury.\u003Cbr>3. Assess quality of pulse:\u003Cbr>a. Weak and rapid or slow pulse:\u003Cbr>(1) Assess for and consider treating shock.\u003Cbr>b. Strength, rate, and rhythm normal:\u003Cbr>(1) No immediate intervention.\u003Cbr>4. Assess mental status:\u003Cbr>a. Check blood glucose if indicated.\u003Cbr>b. Administer Naloxone if indicated.\u003Cbr>Ensure ALS response as appropriate. |  |\n| --- | --- | --- |\n| III. | \u003Cbr>Advanced Life Support |  |\n| A. | Primary assessment:\u003Cbr>1. Airway/Breathing:\u003Cbr>a. Maintain airway using BLS maneuvers including supraglottic airway.\u003Cbr>(1) Place EtCO2 monitoring device.\u003Cbr>2. Circulation:\u003Cbr>a. Establish vascular access NS lock if indicated.\u003Cbr>(1) Fluid resuscitation with appropriate crystalloid as indicated by general impression and/or to maintain an age appropriate SBP.\u003Cbr>b. Cardiac monitor if indicated.\u003Cbr>(1) May consider 12-Lead EKG.\u003Cbr>(2) Treat dysrhythmia","cbCairlGtQsvyhKQ","https://ap.wps.com/l/cbCairlGtQsvyhKQ","pdf",2529501,128,"English","# General Medical Care\n## Definition\n## Basic Life Support\n## Advanced Life Support\n## Special Considerations\n## Base Orders\n## Contraindications\n## Cross Reference\n# Sedation\n## Definition\n## Basic Life Support\n## Advanced Life Support","[{\"question\":\"What is Policy 7001’s primary purpose for EMS providers?\",\"answer\":\"Policy 7001 establishes the required actions for providing general medical care for every patient contact and serves as the foundation for other treatment protocols.\"},{\"question\":\"What are the key steps in the initial assessment process under Policy 7001?\",\"answer\":\"The protocol requires scene size-up for safety and patient count, primary assessment to identify and treat immediate life threats, systemic assessment of major body systems and injuries as appropriate, and obtaining vital signs.\"},{\"question\":\"How should EMS documentation and transport be handled according to the policy?\",\"answer\":\"All treatment must be documented on the electronic patient care report (PCR) platform, and transport use of lights and sirens should be based on the patient’s clinical presentation and traffic conditions with safety prioritized.\"}]","General Medical Care - Policy 7001 | PDF",1790147384,323]