Lemhi County Medical Supervision Plan Emergency Medical Service Patient Care Protocols



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IMMOBILIZATION

Observed
Adult PED.

Training/Testing
Adult Ped.

Date

Initials

Cervical Stabilization-Cervical Collar













Spinal Immobilization - Long Board













Cervical Stabilization - Manual













Spinal Immobilization – Seated Patient (KED, ect)













Extremity Stabilization- Manual













Extremity Stabilization-













Extremity Stabilization- Traction













MAST/PASG for pelvic immobilization only













Pelvic immobilization devices




























Technique of Medication

Administration

Observed
Adult Ped

Training/Testing
Adult Ped.

Date

Initials

Auto-Injector













Buccal













Oral












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MISCELLANEOUS


Observed
Adult Ped .

Training/Testing
Adult Ped.

Date

Initials

Assist with prescribed medication













Assist with childbirth delivery -normal













Assist with childbirth delivery-complicated













Blood pressure Manual













Blood Pressure Automated













Emergency Move for Endangered Patient













Eye Irrigation













Mechanical patient restraints













Rapid extrication














































OPTIONAL SCOPE SKILLS


Observed
Adult Ped.

Training/Testing
Adult Ped.

Date

Initials

Blood Glucose Monitoring - automated













CO Oximetry













EKG- 12-lead data acquisition













Impedance Threshold Device

NA NA

NA NA







Glucagon Administration













Intramuscular (IM) Medication Administration













Subcutaneous - Medication Administration













Taser Barb Removal













Administration of Aspirin for Chest Pain










































I hereby affirm that the above individual is proficient with the above skills.

Signature Printed name Title Date

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Air Plane Crash at Lemhi County Municipal Airport

This protocol is developed for the safety of Emergency Responder.


Incident: Air Craft/Air plane / collision at Salmon/Lemhi Municipal Airport.
♦ Response: Initial call out per Lemhi County 911 Dispatch; by ALL-CALL or jurisdictional tones (i.e. Salmon S&R, Salmon EMTs etc.) NO jurisdiction will self- deploy.
Lemhi County Sheriff’s Office has the primary authority in all air craft incidents
♦ Incident Command System: As in all incidents the ICS system is to be activated.

Incident Commander: The Incident Commander for Air plane crash incident (First Arriving department,(i.e. Fire Fighter, EMT, S&R) should assume the responsibility of IC; as help arrive IC should be handed over to Lemhi County Sheriff Officer unless otherwise deferred to other responding jurisdiction. (ISP, Fire Chief, Lead EMT Commander of S&R etc.)

♦ Staging: As per safety of Incident scene the IC will inform all responding jurisdiction location of staging zone. Scene Safety always first! IC will notify responders what resources are needed.
♦ Scene Safety Size-up: Sheriff Office confirmation on air traffic,

*Incidents that require Airport Closure



  • An incident where air traffic incoming or outgoing flights could jeopardize the safety of Emergency Responders.

  • An incident that involves safety of incoming or outgoing flights.

Authorization of Air Port closure

Law enforcement officer or Incident Commander can contact the Boise Flight Service, ask for an advisory due to the incident, the Boise Flight Service will make the decision on advisory to incoming and outgoing aircrafts of the emergency incident.


1-800-992-7433


  • During any aircraft incident; Lemhi County Airports are mandated by law to turn off all fuel immediately.

When requesting additional resources i.e. air ambulance, fixed wing or rotor, there is no fuel at the airport, also depending on location of incident the access to airport may be unavailable. You need to identify secondary landing and fueling locations, along with resourced needed to transport patient to air ambulance location

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Incident off Airport Procedure



  • Locate the aircraft and determine safety of scene.

  • Examine the aircraft and area for occupants/survivors

  • Stability of aircraft.

  • Threat of fire

  • Location of aircraft

  • Number of Victims

Preservation of Scene and Documentation

  • Secure incident scene from bystanders

  • Minimize damage to aircraft

  • Record any switch position changes made.

  • Document all that was seen and done. (Paint a picture).

  • DO NOT remove objects unless necessary for patient removal or care.



Salmon /Cobalt hela-tac training center. Provide fuel, personnel, rotor landing area, and staging space



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