[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-369975-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-369975-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","pennsylvania-statewide-advanced-life-support-protocols-2023-v12","Pennsylvania Statewide Advanced Life Support Protocols - 2023 v1.2","","Pennsylvania Statewide Advanced Life Support Protocols provides updated statewide guidance for ALS providers under the Pennsylvania Department of Health Bureau of Emergency Medical Services. The 2023 v1.2 update highlights new optional protocols for tranexamic acid administration and blood administration, plus a replacement for agitated behavior protocols. It clarifies terminology for NIPPV and the conditions under which BiPAP may be used. The document outlines requirements for training, protocol adherence, and documented deviations, and directs providers to online resources for current versions.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/pennsylvania-statewide-advanced-life-support-protocols-2023-v12/369975/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/pennsylvania-statewide-advanced-life-support-protocols-2023-v12/369975.png","ImageObject",300,407,{"name":42,"@type":43},"8796093062539","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-24","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What are the key updates included in the 2023 v1.2 Pennsylvania statewide ALS protocols?","Question",{"text":63,"@type":64},"The update includes two new protocols for tranexamic acid administration (optional) and blood administration (optional). It also states that “Agitated Behavior” replaces protocols 8001 and 8002, and it clarifies that CPAP/BiPAP listings now identify NIPPV, with medical director permission conditions for BiPAP at the ALS level.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How should ALS providers and agencies implement the 2023 version?",{"text":68,"@type":64},"Agencies may use the 2023 version before the March 31 deadline after their personnel complete statewide protocol updates for their level of training and the medical director approves early implementation. Personnel must complete training and begin functioning under the new protocols no later than March 31.",{"name":70,"@type":61,"acceptedAnswer":71},"When is it acceptable for an EMS provider to deviate from a protocol?",{"text":72,"@type":64},"Deviation is rare. If following a protocol would be harmful to the patient, the provider should contact a medical command physician if possible. The reason for any deviation must be documented, and deviations are subject to investigation.","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},369975,1790350817,{"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 & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":11,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145},8796093062539,"Pennsylvania Statewide  \nAdvanced Life Support Protocols  \nPennsylvania Department of Health Bureau of Emergency Medical Services  \n2023 v1.2  \n(717) 787-8740  \nDecember 29, 2023  \nDear EMS Provider:  \nThe Bureau of EMS, Department of Health, is pleased to provide these updated “Statewide ALS Protocols” to the ALS providers of Pennsylvania.  \nThis 2023 update contains many important changes, but some of the highlights include 2 new protocols:  \n• 6094 – Tranexamic Acid Administration (Optional)  \n• 6095 – Blood Administration (Optional)  \n• 8003-Agitated Behavior now REPLACES protocol 8001 and 8002  \n• Where CPAP/BiPAP was listed is now identified as NIPPV (Non Invasive Positive Pressure Ventilation) . Agency Medical Director may permit the use of BiPAP in addition to CPAP at the ALS Level only.  \nPennsylvania has used Statewide ALS Protocols since July 1, 2007, and this edition is an update to the version that was effective on November 1, 2021. To assist ALS providers when reviewing the changes, new sections of the protocols that correspond to this 2023 version are identified with yellow highlighting, and sections that have been removed are struck through and highlighted. If an agency wishes to utilize this 2023 version of the statewide BLS protocols before the March 31 deadline, that agency may do so when its personnel have completed the statewide protocol updates for their level of training and its medical director approves early implementation. All personnel must have completed the training and begin functioning under the new protocols no later than the March 31 deadline.  \nEMS providers are permitted to perform patient care, within their PA defined scope of practice, when following the appropriate protocol(s) or when following the order of a medical command physician. Each EMS provider is responsible for being knowledgeable regarding current state-approved protocols so that they may provide the safest, highest quality and most effective care to patients.  \nTo assist providers in becoming familiar with the changes to the protocols, a continuing education presentation is available to regions and agencies. This update is available for inperson presentations or the course can be completed on TRAIN PA, the on-line Learning Management System (LMS) . The 2023 ALS Protocol Update (BEMS course \\#1000058613) is considered a core requirement for all EMS providers above the level  \nof AEMT that register their certification during the current time period. Furthermore, the completion of this course should be used by EMS agencies when ensuring that the agency’s providers have been educated to the current protocols.  \nWhen providing patient care under the EMS Act, EMS providers of all levels must follow applicable protocols. Since written protocols cannot feasibly address all patient care situations that may develop, the Department expects EMS providers to use their training and judgment regarding any protocol-driven care that would be harmful to a patient. When the provider believes that following a protocol is not in the best interest of the patient, the EMS provider should contact a medical command physician if possible. Cases where deviation from the protocol is justified are rare. The reason for any deviation should be documented. All deviations are subject to investigation to determine whether they were appropriate. In all cases, EMS providers are expected to deliver care within the scope of practice for their level of certification.  \nThe Department of Health’s Bureau of EMS website will always contain the most current version of the EMS protocols, the scope of practice for each level of provider, important EMS Information Bulletins, and many other helpful resources. This information can be accessed online [at](at www.health.pa.gov. The)[ ](at www.health.pa.gov. The)[www.health.pa.gov.](at www.health.pa.gov. The)[ The](at www.health.pa.gov. The) Statewide ALS Protocols may be directly printed or downloaded into a mobile device for","cbCaiuJO3xAwE4D0","https://ap.wps.com/l/cbCaiuJO3xAwE4D0","pdf",3031930,194,"English","# SECTION 1000: Operations\n## 1000 - General Protocol Principles\n## 1101 - ALS Release to BLS/IALS\n# SECTION 2000: Assessments & Procedures\n## 2032 - Confirmation of Airway Placement","[{\"question\":\"What are the key updates included in the 2023 v1.2 Pennsylvania statewide ALS protocols?\",\"answer\":\"The update includes two new protocols for tranexamic acid administration (optional) and blood administration (optional). It also states that “Agitated Behavior” replaces protocols 8001 and 8002, and it clarifies that CPAP/BiPAP listings now identify NIPPV, with medical director permission conditions for BiPAP at the ALS level.\"},{\"question\":\"How should ALS providers and agencies implement the 2023 version?\",\"answer\":\"Agencies may use the 2023 version before the March 31 deadline after their personnel complete statewide protocol updates for their level of training and the medical director approves early implementation. Personnel must complete training and begin functioning under the new protocols no later than March 31.\"},{\"question\":\"When is it acceptable for an EMS provider to deviate from a protocol?\",\"answer\":\"Deviation is rare. If following a protocol would be harmful to the patient, the provider should contact a medical command physician if possible. The reason for any deviation must be documented, and deviations are subject to investigation.\"}]","Pennsylvania Statewide Advanced Life Support Protocols - 2023 v1.2 | PDF",1790185940,489]