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The table of contents organizes protocols by sections covering general care, medical conditions, cardiac emergencies, trauma assessments, and airway management procedures, including specific interventions and pediatric or adult variations. It also includes medical procedure protocols such as high-consequence pathogen considerations, intraosseous access, ECG transmission, and restraints. It further specifies administrative notes, review and approval workflow, and distribution and disclaimer terms.",{"@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/vermont-statewide-ems-protocols-2025-table-of-contents-adult-pediatric/363776/",{"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/vermont-statewide-ems-protocols-2025-table-of-contents-adult-pediatric/363776.png","ImageObject",300,407,{"name":92,"@type":93},"Grenda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",44,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What sections are included in the 2025 Vermont statewide EMS protocols table of contents?","Question",{"text":113,"@type":114},"The table of contents includes a preface and sections for general patient care, medical protocols, cardiac protocols, trauma protocols, airway protocols and procedures, and medical procedures.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does the document structure medical protocols for different patient groups?",{"text":118,"@type":114},"Medical protocols are organized by condition and specify adult and/or pediatric variations, often using separate entries such as Adult vs. Pediatric or Adult & Pediatric.",{"name":120,"@type":111,"acceptedAnswer":121},"Which airway management procedures are listed in Section 5?",{"text":122,"@type":114},"Section 5 includes airway management procedures such as BiPAP and CPAP, endotracheal tube introduction (“Bougie”), foreign-body obstruction management, various intubation methods, cricothyrotomy options, supraglottic airway options, and tracheostomy care.","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},363776,1790207617,{"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},7971474921005,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| Vermont Department of Health\u003Cbr>Office of Public Health Preparedness and Emergency Medical Services Vermont Statewide EMS Protocols – 2025 (replaces 2023 version)\u003Cbr>Legend Definition |  |\n| --- | --- |\n| | Vermont Emergency First Responder (VEFR) Emergency Medical Responder (EMR)\u003Cbr>Emergency Medical Technician (EMT) Advanced Emergency Medical Technician (AEMT) Paramedic\u003Cbr>Extended Care Protocol\u003Cbr>CAUTION – Red Flag topic |\n|  Contact Medical Direction Blue underline – text formatted as a hyperlink\u003Cbr>These protocols are a living document developed and drafted by the EMS Protocol Technical Advisory Group, which is comprised of EMS professionals and stakeholders of the Vermont Emergency Medical Services system.\u003Cbr>These 2025 Vermont Statewide EMS Protocols were reviewed, edited, and approved of by all of Vermont's District Medical Advisors and other stakeholders. Any deviation from these protocols must be approved in writing by the Vermont EMS Office.\u003Cbr>Please note, for visual clarity, trademark and registered symbols have not been included with drug, product, or equipment names.\u003Cbr>Questions and comments should be directed to: Office of Emergency Medical Services\u003Cbr>Vermont Department of Health\u003Cbr>280 State Drive\u003Cbr>Waterbury, VT 05671-8330\u003Cbr>(802) 863-7310\u003Cbr>(800) 244-0911 (in VT)\u003Cbr>vtems@vermont.gov\u003Cbr>This document may not be amended or altered; however, it may be reproduced and distributed.\u003Cbr>DISCLAIMER: Although the authors of this document have made great efforts to ensure that all the information is accurate, there may be errors. The authors cannot be held responsible for any such errors. For the latest corrections to these protocols, see the Vermont EMS website at:\u003Cbr>http://www.vermontems.org |  |\n\nVermont Statewide EMS Protocols 2025 – Table of Contents  \nPage (Alphabetical order by section)  \nvi Preface  \nSECTION 1 – General Patient Care  \n1.0 Routine Patient Care (VEFR)  \n1.1 Routine Patient Care (EMR)  \n1.2 Routine Patient Care  \n1.3 Extended Care Guidelines  \nSECTION 2 – Medical Protocols  \n2.0 Abdominal Pain (Non Traumatic)– Adult & Pediatric  \n2.1 Adrenal Insufficiency – Adult/Pediatric 2.2A Allergic Reaction/Anaphylaxis – Adult 2.2P Allergic Reaction/Anaphylaxis – Pediatric 2.3A Altered Mental Status – Adult  \n2.3P Altered Mental Status – Pediatric  \n2.4A Asthma/COPD/RAD – Adult  \n2.4P Asthma/Bronchiolitis/RAD/Croup – Pediatric  \n2.5 Behavioral Emergencies Including Suicide Attempts & Threats – Adult/Pediatric 2.6P Brief Resolved Unexplained Event (BRUE)– Pediatric  \n2.7 Diabetic Emergencies (Hyperglycemia)– Adult & Pediatric 2.8A Diabetic Emergencies (Hypoglycemia)– Adult  \n2.8P Diabetic Emergencies (Hypoglycemia)– Pediatric  \n2.9 Epistaxis / Nosebleed  \n2.10 Exertional Heat Stroke  \n2.11 Hyperkalemia & Renal Failure  \n2.12 Hyperthermia (Environmental)– Adult & Pediatric  \n2.13 Hypothermia (Environmental)– Adult & Pediatric  \n2.14 Nausea/Vomiting – Adult & Pediatric  \n2.15A Nerve Agent/Organophosphate Poisoning – Adult  \n2.15P Nerve Agent/Organophosphate Poisoning – Pediatric  \n2.16 Newborn Care  \n2.17 Newborn Resuscitation  \n2.18 Normal Labor and Delivery  \n2.19 Obstetrical Emergencies  \n2.20A Pain Management – Adult  \n2.20P Pain Management – Pediatric  \n2.21A Poisoning/Substance Abuse/Overdose – Adult  \n2.21P Poisoning/Substance Abuse/Overdose – Pediatric  \n2.22A Seizures – Adult  \n2.22P Seizures – Pediatric  \n2.23A Sepsis – Adult  \n2.23P Sepsis – Pediatric  \n2.24A Shock – Adult  \n2.24P Shock – Pediatric  \n2.25 Smoke Inhalation/Carbon Monoxide Poisoning  \n2.26A Stroke – Adult  \n2.27 Syncope – Adult & Pediatric  \n\n| Vermont Statewide EMS Protocols 2025 – Table of Contents\u003Cbr>Page (Alphabetical order by section)\u003Cbr>SECTION 3 – Cardiac Protocols\u003Cbr>3.0A Acute Coronary Syndrome – Adult\u003Cbr>3.1A Bradycardia – Adult\u003Cbr>3.1P Bradycardia – Pediatric\u003Cbr>3.2A Cardiac Arrest – Adult\u003Cbr>3.2P Cardiac Arrest – Pediatric\u003Cbr>3.3A Congestive Heart Failure (Pulmonary Edema)– Adult 3.4A Post Resuscitative Care – Adul","cbCaitS0KakDEDSq","https://ap.wps.com/l/cbCaitS0KakDEDSq","pdf",16770370,283,"English","# Preface\n# SECTION 1 – General Patient Care\n## 1.0 Routine Patient Care (VEFR)\n## 1.1 Routine Patient Care (EMR)\n## 1.2 Routine Patient Care\n## 1.3 Extended Care Guidelines\n# SECTION 2 – Medical Protocols\n## Abdominal Pain (Non Traumatic) – Adult & Pediatric\n## Altered Mental Status – Adult/Pediatric\n## Asthma/COPD/RAD – Adult; Asthma/Bronchiolitis/RAD/Croup – Pediatric\n## Diabetic Emergencies – Adult & Pediatric\n## Diabetic Emergencies (Hypoglycemia) – Adult; Hypoglycemia – Pediatric\n## Epistaxis / Nosebleed\n## Exertional Heat Stroke\n## Hyperkalemia & Renal Failure\n## Hyperthermia (Environmental) – Adult & Pediatric\n## Hypothermia (Environmental) – Adult & Pediatric\n## Nausea/Vomiting – Adult & Pediatric\n## Nerve Agent/Organophosphate Poisoning – Adult/Pediatric\n## Newborn Care; Newborn Resuscitation\n## Normal Labor and Delivery; Obstetrical Emergencies\n## Pain Management – Adult/Pediatric\n## Poisoning/Substance Abuse/Overdose – Adult/Pediatric\n## Seizures – Adult/Pediatric\n## Sepsis – Adult/Pediatric\n## Shock – Adult/Pediatric\n## Smoke Inhalation/Carbon Monoxide Poisoning\n## Stroke – Adult; Syncope – Adult & Pediatric\n# SECTION 3 – Cardiac Protocols\n## Acute Coronary Syndrome – Adult\n## Bradycardia – Adult/Pediatric\n## Cardiac Arrest – Adult/Pediatric\n## Congestive Heart Failure (Pulmonary Edema) – Adult\n## Post Resuscitative Care – Adult/Pediatric\n## Tachycardia – Adult/Pediatric\n## Team Focused CPR – Adult & Pediatric\n# SECTION 4 – Trauma Protocols\n## Burns/Electrocution/Lightning – Adult & Pediatric\n## Crush/Suspension Injury – Adult & Pediatric\n## Drowning/Submersion Injuries – Adult & Pediatric\n## Eye & Dental Injuries – Adult & Pediatric\n## Hemorrhage Control – Adult & Pediatric\n## Musculoskeletal Injuries – Adult & Pediatric\n## Spinal Trauma and Assessment\n## Strangulation\n## Thoracic and Abdominal Injuries – Adult & Pediatric\n## Trauma Triage and Transport Decision\n## Traumatic Brain Injury – Adult & Pediatric\n## Traumatic Cardiac Arrest\n## Traumatic Emergencies\n# SECTION 5 – Airway Protocols & Procedures\n## Airway Management Procedure\n## Airway Management – Adult; Airway Management – Pediatric\n## Automated Transport Ventilator; BiPAP; CPAP\n## Endotracheal Tube Introducer (“Bougie”)\n## Foreign-Body Obstruction; High Flow Nasal Canula\n## Nasotracheal Intubation; Orotracheal Intubation\n## Percutaneous Cricothyrotomy; Suctioning of Inserted Airway\n## Supraglottic Airway – Adult & Pediatric\n## Surgical Cricothyrotomy; Tracheostomy Care – Adult & Pediatric\n# SECTION 6 – Medical Procedures\n## Children With Special Health Needs (CSHN)\n## Double Sequential Defibrillation\n## ECG Acquisition, Transmission and Interpretation\n## High Consequence Pathogen – Maintenance & Considerations\n## Intraosseous Access\n## Needle Decompression Thoracostomy (NDT)\n## Restraints","[{\"question\":\"What sections are included in the 2025 Vermont statewide EMS protocols table of contents?\",\"answer\":\"The table of contents includes a preface and sections for general patient care, medical protocols, cardiac protocols, trauma protocols, airway protocols and procedures, and medical procedures.\"},{\"question\":\"How does the document structure medical protocols for different patient groups?\",\"answer\":\"Medical protocols are organized by condition and specify adult and/or pediatric variations, often using separate entries such as Adult vs. Pediatric or Adult \\u0026 Pediatric.\"},{\"question\":\"Which airway management procedures are listed in Section 5?\",\"answer\":\"Section 5 includes airway management procedures such as BiPAP and CPAP, endotracheal tube introduction (“Bougie”), foreign-body obstruction management, various intubation methods, cricothyrotomy options, supraglottic airway options, and tracheostomy care.\"}]","Vermont Statewide EMS Protocols 2025 - Table of Contents - Adult & Pediatric | PDF",1790153062,713]