Nevada EMS protocols,
in your pocket.

Abdominal/Flank Pain: 12-Lead ECG indication

12-Lead ECG if age ≥35 yrs.

Bradycardia: treatment decision point

Persistent HR < 50 causing altered mental status, hypotension, chest pain, or signs of shock. If NO: observe and monitor.

Stable tachycardia: narrow vs wide complex QRS width

Narrow Complex ≤ 0.11 sec; Wide Complex ≥ 0.12 sec.

A stable bradycardic patient with no high grade AV block or wide complex has persistent HR < 50 with hypotension. What is the initial Paramedic medication?

• ✓ ATROPINE 1 mg IV/IO
• ATROPINE 0.5 mg IV/IO
• PUSH DOSE EPINEPHRINE 100 mcg IV/IO
• ADENOSINE 6 mg rapid IVP

On the 'Stable with no high grade AV block or wide complex' branch, the P box reads ATROPINE 1 mg IV/IO.

A patient in refractory VF remains shockable after epinephrine. What amiodarone dosing does the Paramedic box list?

• ✓ 300 mg IV/IO; may repeat one dose of 150 mg if refractory
• 150 mg IV/IO; may repeat one dose of 300 mg
• 300 mg IV/IO; may repeat 300 mg twice
• 5 mg/kg IV/IO; may repeat once

The P box reads AMIODARONE 300 mg IV/IO; may repeat one dose of 150 mg if refractory OR LIDOCAINE 1.0 mg/kg; may repeat one dose at 0.5 mg/kg if refractory.