GMVEMSC 2022 Standing Orders

1 GMVEMSC . 2022 Standing Orders Training Manual for ALL providers ABBREVIATIONS. Some abbreviations are case sensitive while others are content sensitive. Any words that can be readily abbreviated using a period have been left out of this list. abdomen abd capillary refill time CRT. abdominal aortic aneurysm AAA carbon dioxide CO2. abortion AB carbon monoxide CO. acute coronary syndrome ACS centimeter cm. acute myocardial infarction AMI cerebral palsy CP. acute pulmonary edema APE cerebrospinal fluid CSF. acute renal failure ARF cerebrovascular accident CVA. acute respiratory cervical immobilization device CID. ARD/ARDS. distress/syndrome cervical spine C-spine administer rectally change . advanced cardiac life support ACLS chest pain CP. advanced directive AD chief complaint CC.

2 Advanced life support ALS chronic obstructive COPD. after p pulmonary disease against medical advice AMA chronic renal failure CRF. alcohol ETOH circulatory/sensory/motor CSM. alert & oriented A&O clear to auscultation bilaterally CTAB. alert/verbal/pain/unresponsive AVPU complaining of c/o antecubital fossa AC congestive heart failure CHF. arteriosclerotic heart disease ASHD coronary artery bypass graft CABG. as necessary or needed prn coronary artery disease CAD. as soon as possible ASAP cubic centimeter cc. aspirin ASA date of birth DOB. at @ dead on arrival DOA. at bedtime decreasing . atrial fibrillation a-fib degree(s) . atrial flutter/ tachycardia AF/AT delirium tremens DTs atrioventricular AV Dextrose in water 50% D50. automatic external defibrillator AED Dextrose in water - 10% D10.

3 Automatic transport ventilator ATV diabetes mellitus DM. backboard BB diagnosis Dx bag-valve mask BVM dilation & curettage D&C. basic life support BLS discontinue d/c before a disease DZ. below the knee amputation BKA do not resuscitate dnr . births, number of para drop (s) gtt (s). black B dyspnea on exertion DOE. blood pressure BP electrocardiogram ECG / EKG. blood sugar BS emergency department ED / ER. body substance isolation BSI endotracheal tube ETT. body surface area BSA epinephrine EPI. bowel movement BM Equal to or greater than >. bradycardia brady Equal to or less than <. breaths per minute bpm esophageal detection device EDD. by mouth po esophageal obturator airway EOA. by or through per estimated Est. cancer CA estimated time of arrival ETA.

4 Every q microgram mcg. external jugular vein EJV milliequivalent mEq fever of unknown origin FUO milligram mg. for example milliliter (same as cc.) ml. foreign body FB motor vehicle collision MVC. four times a day qid multiple casualty incident MCI. fracture fx multiple sclerosis MS. French Fr. myocardial infarction MI. gallbladder GB nasal cannula NC. gastrointestinal GI nasopharyngeal airway NPA. gauge Ga nausea & vomiting N&V. Glasgow Coma Scale GCS newborn NB. gram g or gm nitroglycerine NTG. greater than > no known drug allergies NKDA/NKA. gunshot wound GSW non-rebreather mask NRM. hazardous materials HazMat nonsteroidal anti-inflammatory NSAID. head, ears, eyes, nose, throat HEENT normal saline NS. Headache H/a normal saline lock NSL. heart block HB normal sinus rhythm NSR.

5 Heart rate HR not applicable / available n/a history Hx nothing by mouth NPO. hypertension HTN O2 % of arterial blood SpO2. Incident Command IC obstetrics OB. increasing oropharyngeal airway OPA. inferior inf. over the counter OTC. insulin dependent diabetes IDDM overdose OD. intercostal space ICS packs per day p/d intracranial pressure ICP parts per million ppm intramuscular IM past medical history PMH. intranasal IN patient pt. intraosseous IO pelvic inflammatory disease PID. intravenous IV penicillin PCN. intravenous push IVP peptic ulcer disease PUD. joule J peripheral inserted central cath PICC. jugular venous distension JVD pharyngo tracheal lumen airway PtL. Kendrick Extrication Device KED pregnancies, number of Gravida kilogram kg premature ventricular complex PVC.

6 Labor & delivery L&D prior to my arrival PTA. last normal menstrual period LNMP pulmonary embolism PE. left (L) pulse P. Left lower/upper extremity LLE/LUE pulse, motor, sensation PMS. Left lower/upper lobe LLL/ LUL pulseless electrical activity PEA. left lower/upper quadrant LLQ/LUQ pupils (=), round, reactive PERRLA. left bundle branch block LBBB to light & accommodation less than < right bundle branch block RBBB. lights and siren L&S right lower/upper extremity RLE/RUE. liters per minute lpm right lower/upper lobe RLL/RUL. liter L. right middle lobe RML. loss or level of consciousness LOC rapid sequence induction RSI. mass casualty event MCE respiratory rate RR. mechanism of injury MOI returned to service RTS. medial med. rheumatic heart disease RHD.

7 Medical control physician MCP right R. metered dose inhaler MDI right lower/upper quadrant RLQ/ RUQ. secondary / second degree 2 . sedate to intubate StI RUN DOCUMENTATION REQUIREMENTS. sexually transmitted disease STD. shortness of breath SOB Every crew transporting a patient is expected to signs/symptoms S/S provide a full run sheet to the hospital. sino-atrial SA An abbreviated version of a run report, sometimes sinus bradycardia SB called a quick sheet may be left at the time of sinus tachycardia ST transport, but the hospital MUST receive a full, final standard operating procedure SOP copy of the run sheet within three hours (with rare Standing Orders SO exceptions, , major incidents). When a quick ST elevation MI STEMI sheet is used, it MUST include (at a minimum).

8 Subcutaneous SQ all the following: sublingual SL Patient's full name sudden infant death syndrome SIDS Age supraventricular tachycardia SVT Chief complaint symptoms Sxs History of the Present Illness or MOI. systolic blood pressure SBP PMH. tachycardia tach(y). Medications temperature T. Allergies temporomandibular joint TMJ. Vital signs with times that is Prehospital assessment and interventions three times a day tid tibia Tib along with the timing of any medication or times intervention and patient response to such to keep open TKO interventions tourniquet TQ. tracheal deviation TD Use of abbreviations has to be limited to the transport Tx abbreviations in this document. transcutaneous pacing TCP. transfer x-fer transient ischemic attack TIA.

9 Treatment/medication Rx tuberculosis TB. twice a day bid unconscious unc. unequal / not equal . Unified command UC. unknown unk. upper/lower U/L. upper respiratory infection URI. urinary tract infection UTI. ventricular fibrillation VF/ VFib ventricular tachycardia VT/ VTach vital signs VS. warm & dry w/d week wk. weight wt. white W. with c . within normal limits WNL. without s or w/o Wolff Parkinson-White WPW. year yr. years old y/o or yo GREATER MIAMI VALLEY EMS COUNCIL YEAR 2021 SKILL SHEETS. SKILLS TESTERS: Record Pass/Fail on Individual's Test Summary Sheet. Use these and additional adult/pediatric mega code sheets as guidelines for grading. It is only necessary to make enough copies of this packet for testers (those who have gone through Skills Evaluator sessions).

10 Use these skill sheets and protocol to study for Skills Testing. OXYGEN ADMINISTRATION 6. CPAP Assessment and Application 7. OROTRACHEAL INTUBATION OF THE NON-TRAUMA PATIENT 9. IN-LINE OROTRACHEAL INTUBATION OF THE TRAUMA PATIENT 10. NASOTRACHEAL INTUBATION 14. PEDIATRIC OROTRACHEAL INTUBATION 17. NEEDLE CRICOTHYROTOMY 18. CHEST DECOMPRESSION 20. AUTOMATED EXTERNAL DEFIBRILLATORS 22. INTRAOSSEOUS INFUSION 23. USE OF NEBULIZER WITH BAG-VALVE DEVICE 27. SPECIAL VENOUS ACCESS - CENTRAL VENOUS CATHETER. DIALYSIS CATHETER, OR PICC LINE 28. SPECIAL VENOUS ACCESS - DIALYSIS FISTULA 29. RIGHTS OF MEDICATION ADMINISTRATION 30. Intranasal Medication Administration 31. ASSISTING WITH EPIPEN ADMINISTRATION 32. COMPLEX MEDICATION ADMINISTRATIONS 33. 12-Lead EKG Acquisition 35.