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Navy Medicine has the responsibility for the medical oversight and clinical scope of practice for Navy personnel involved with Emergency Medical Services (EMS) systems aboard Navy installations per references (a) and (b) .  \n2. Commander Navy Installations Command (CNIC) has overall responsibility for the Navy EMS Program as the single responsible office, advocate, and point of contact for the program. CNIC administers the Navy EMS Program for the Chief of Naval Operations N4 and has authority and responsibility to develop and implement detailed policy for Navy wide functions per reference (a) .  \n3. Enclosure (1) includes the Navy EMS Medical Treatment Protocols applicable to all Navy personnel assigned to deliver EMS pre-hospital emergency medical treatment, care and transport on Navy Installations and during the provision of mutual-aid.  \n4. The Medical Directors assigned to support and provide clinical oversight to the Navy EMS Program have reviewed and officially approved the use of the Navy EMS Treatment Protocols as prescribed in Enclosure (1) for use by Navy EMS Providers.  \n5. The 2021 Navy EMS Treatment Protocols are implemented under authority granted per references  \n(a) and (b) and replaces all previous editions and versions.  \n6. Effective Date: 1 January 2022  \nDigitally signed by  \n//S// ROSZKO.PAUL.JAMES ROSZKO. PAUL.JAMES DIGGINS.1258470482 DDaIGtGe:2IN0S2.11.25128.417702408:427:15-05'00'  \nPaul J D Roszko, MD FAEMS FACEP  \nLCDR MC USN  \nDirector for Emergency Medical Services, Naval Medical Forces Atlantic  \n//S// MOORE.LEWIS.JACKSON.1295867961  \nLewis J Moore  \nCNIC EMS Program Manager  \nDigitally signed by  \nMOORE.LEWIS.JACKSON.129586 7961  \nDate: 2021.12.16 14:00:27-05'00'  \nGENERAL INFORMATION  \nA. Protocol Provisions  \nThe goal of prehospital EMS is to deliver a viable patient to appropriate definitive care as soon as possible (e.g., Right Patient, Right Place, in the Right Time) . The protocols contained in this document are a form of standing orders for emergency patient care. Navy EMS personnel shall operate within their CNIC scope of practice and protocols when responding to incidents on and off the Installation.  \nIt remains the responsibility of Navy EMS personnel to obtain online medical control when appropriate. If it is genuinely impossible or inappropriate (e.g., when rendering emergency care to a patient who has alife-threatening injury or medical condition) to obtain online medical control, Navy EMS personnel shall deliver emergency patient care in accordance with these protocols. Whenever emergent, life-saving patient care is rendered outside the scope of standing orders, the treatment provided and the reason online medical control could not be obtained must be documented on the patient care report (PCR) .  \nThe Universal Patient Care (UPC) protocol within the document should be followed in the specific sequence presented for each EMS response. The individual (adult and pediatric) treatment protocols are categorized based on the type of emergency and are further divided based on the individual level of care provider. To assist Navy EMS personnel in referencing patient care protocols, the outline format is broken down by the National Registry of Emergency Medical Technicians scope of practice (Emergency Medical Technician (EMT), Advanced-EMT (AEMT) and Paramedic) . It is not intended to direct a mandatory sequence fo","cbCaiqPUr6jJT4Bf","https://ap.wps.com/l/cbCaiqPUr6jJT4Bf","pdf",2894544,178,"English","# General Information\n## Protocol Provisions\n## Important Contact Information\n## Table of Contents\n## Section 1: Universal Patient Care\n## Section 2: Triage\n## Section 3: Treatment Protocols Altered Mental Status\n## Pain Management\n## Seizures","[{\"question\":\"What is the purpose of the Navy EMS Treatment Protocols?\",\"answer\":\"They provide standing orders for emergency patient care, guiding Navy EMS personnel in delivering appropriate pre-hospital treatment and transport within their scope of practice.\"},{\"question\":\"When must Navy EMS personnel obtain online medical control?\",\"answer\":\"They should obtain online medical control when appropriate. If it is impossible or inappropriate to obtain it, emergency patient care must follow the protocols, and the care and reason must be documented on the PCR.\"},{\"question\":\"How are the treatment protocols organized and referenced?\",\"answer\":\"Universal Patient Care should be followed in the sequence presented for each response. Protocols are categorized by emergency type and provider level, and page numbers are replaced with protocol abbreviations defined in an appendix.\"}]","Navy Emergency Medical Services Treatment Protocols - Version 1.2 - Authorization and General Information | PDF",1790152316,449]