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The manual sets administration rules, equipment and authorization limits, and guidance for when resuscitation should not be initiated, including specific lethal injury findings and valid DNR status. It also details DNR Comfort Care versus DNR Comfort Care Arrest treatment permissions, including permitted comfort measures and explicitly prohibited resuscitative actions, plus conditions for field termination when ALS is unavailable.",{"@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/gmvemsc-pre-hospital-first-responder-emt-basic-training-manual-adult-effective-january-1-2007/365657/",{"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/gmvemsc-pre-hospital-first-responder-emt-basic-training-manual-adult-effective-january-1-2007/365657.png","ImageObject",300,407,{"name":92,"@type":93},"Rizky","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the scope of these adult standing orders for GMVEMSC First Responder and EMT-Basic personnel?","Question",{"text":113,"@type":114},"The protocol applies to individuals operating under GMVEMSC Drug Bag Exchange Program authority and certified by the State of Ohio as First Responder or EMT-Basic. It is intended for field use and emphasizes timely communications when potentially unstable patients are being transferred.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"When should resuscitation not be initiated under the non-initiation of care section?",{"text":118,"@type":114},"Resuscitation is not initiated for conditions such as burned beyond recognition, decapitation, deep penetrating cranial injuries, massive truncal wounds, and a present and valid DNR order. It also includes specific triage demands and certain blunt or penetrating trauma time-delivery limitations.",{"name":120,"@type":111,"acceptedAnswer":121},"What treatments are permitted or prohibited under DNR-Comfort Care (CC)?",{"text":122,"@type":114},"DNR-Comfort Care permits treatments like suctioning, oxygen, splint/immobilization, control bleeding, and pain control. It prohibits chest compressions, airway adjuncts, resuscitative drugs, defibrillation/cardioversion/monitoring, and respiratory assistance beyond oxygen and suctioning.","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},365657,1790644066,{"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},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Greater Miami Valley Emergency Medical Services Council  \n2007  \nStanding Orders Training Manual  \nEffective January 1, 2007  \nGMVEMSC Pre-Hospital First Responder / EMT-Basic Training Manual -Adult  \nVersion: January 1, 2007  \nTABLE OF CONTENTS  \nAdult ....................................................................................... 3  \nPediatric................................................................................ 31  \nAbbreviations....................................................................... 51  \nCP & CVA SO Checklists................................................... 57  \n2007 First Responder / EMT-Basic Drug Information ...59 2007 First Responder / EMT-Basic Pretests..................... 66  \n2007 First Responder / EMT-Basic Skill Sheets .............. 80  \nDBEP Training .................................................................... 91  \nGDAHA Reroute Synopsis ............................................... 104  \nHospital Capabilities List ................................................. 108  \nExposure Matrix................................................................ 109  \nGMVEMSC Pre-Hospital First Responder / EMT-Basic Training Manual -Adult  \nVersion: January 1, 2007  \nGreater Miami Valley EMS Council  \nFirst Responder/ EMT-Basic Standing Orders  \nTraining Manual  \nAdult  \n2007  \n(Patients Age 16 and Over)  \nEffective January 1, 2007  \nGMVEMSC Pre-Hospital First Responder / EMT-Basic Training Manual -Adult  \nVersion: January 1, 2007  \nSTIPULATIONS  \n• This protocol is for use by those individuals operating in and under the authority of the Greater Miami Valley EMS Council (GMVEMSC) Drug Bag Exchange Program and certified by the State of Ohio as a(n):  \no First Responder  \no EMT-Basic  \n• This protocol is to be used in the field only. Communications must be attempted as soon as practical for potentially unstable patients or hospitals that request contact on all patients being transferred to their facility.  \n• Procedures that are marked with a diamond ( ♦) are never to be performed without a MCP order. The diamond provides rapid identification of procedures and medications that require on-line MCP authorization.  \n• No procedures, techniques, or drugs will be used without the proper equipment or beyond the training or capabilities of the prehospital personnel. Nothing in this protocol may be used without specific pre-approval of the Medical Director for the local department or agency.  \n• Procedures for EMT-Basics include those listed under the First Responder level.  \n• Items enclosed in braces ({ }) are at the option of the department and its medical director.  \n• EMS personnel of any level are not authorized to {intubate}, unless they have and can use appropriate confirmation devices (EtCO2 detectors or monitors, and/or Esophageal Detection Devices) .  \n• Infrequently, unusual patient situations and multiple complaints with competing priorities may prevent stepwise adherence to a specific section of this protocol. However, at no time should treatment options exceed those authorized here in without direct consultation with medical control. In all such cases, contact with medical control should be considered when logistically feasible.  \nADMINISTRATION  \nNon-Initiation of Care  \n• Resuscitation will not be initiated in the following circumstances:  \no Burned beyond recognition  \no Decapitation  \no Deep, penetrating, cranial injuries  \no Massive truncal wounds  \no DNR Order-present and valid  \no Frozen body  \no Hemicorporectomy (body cut in half)  \no Rigor mortis, tissue decomposition, or severe dependent post-mortem lividity  \no Triage demands  \no Blunt trauma found in cardiac arrest unless one of the following conditions are present:  \n􀀁 Patient can be delivered to an emergency department in 5 minutes.  \n􀀁 If the arrest is caused by a medical condition.  \n􀀁 Focused blunt trauma to the chest.  \no Penetrating trauma found in cardiac arrest when the patient cannot be delivered to an","cbCaicNVFMcjEYsu","https://ap.wps.com/l/cbCaicNVFMcjEYsu","pdf",758027,112,"English","# Standing Orders Training Manual\n## Adult (Patients Age 16 and Over)\n## Stipulations\n## Administration: Non-Initiation of Care\n## DNR: Comfort Care / Comfort Care Arrest\n## Field Termination of Resuscitation Efforts With No Available ALS (EMT-BASIC)","[{\"question\":\"What is the scope of these adult standing orders for GMVEMSC First Responder and EMT-Basic personnel?\",\"answer\":\"The protocol applies to individuals operating under GMVEMSC Drug Bag Exchange Program authority and certified by the State of Ohio as First Responder or EMT-Basic. It is intended for field use and emphasizes timely communications when potentially unstable patients are being transferred.\"},{\"question\":\"When should resuscitation not be initiated under the non-initiation of care section?\",\"answer\":\"Resuscitation is not initiated for conditions such as burned beyond recognition, decapitation, deep penetrating cranial injuries, massive truncal wounds, and a present and valid DNR order. It also includes specific triage demands and certain blunt or penetrating trauma time-delivery limitations.\"},{\"question\":\"What treatments are permitted or prohibited under DNR-Comfort Care (CC)?\",\"answer\":\"DNR-Comfort Care permits treatments like suctioning, oxygen, splint/immobilization, control bleeding, and pain control. It prohibits chest compressions, airway adjuncts, resuscitative drugs, defibrillation/cardioversion/monitoring, and respiratory assistance beyond oxygen and suctioning.\"}]","GMVEMSC Pre-Hospital First Responder / EMT-Basic Training Manual -Adult - Effective January 1, 2007 | PDF",1790161633,282]