Change Log

General / Global Changes

  • All orders requiring Medical Control have been moved to Level One orders; where the provider is NOT required to contact medical control
  • Resuscitation algorithms have been modified to a "Visio" flowchart format
  • All redundant protocols have been removed
  • Modifications from the original documentation are highlighted with a yellow background

List of Changes

Section Title Heading Action Page Count
2.1.5 Pain Management ALS Level 1 Added information 0
2.2.2 Asthma/Bronchospasms ALS Level 1 Added information 0
2.2.2 Asthma/Bronchospasms ALS Level 2 Removed Information 0
2.2.2 Asthma/Bronchospasms Note Removed Information 0
2.2.3 Chronic Obstructive Pulmonary Disease ALS Level 1 Added information 0
2.2.4 Pulmonary Edema ALS Level 1 Added information 0
2.2.4 Pulmonary Edema ALS Level 2 Removed information 0
2.2.5 Suspected Pnuemonia ALL Section removed -1
2.3.1 Asystole/Pulseless Electrical Activity ALS Level 1 Added information -1
2.3.1 Adult Cardiac Arrest Diagram Diagram Changed -1
2.3.2 Bradycardia ALS Level 1 Changed information -1
2.3.2 Adult Bradycardia Diagram Diagram Changed -1
2.3.3 NarrowComplex Tachycardia ALS Level 1 Added information -1
2.3.3 NarrowComplex Tachycardia ALS Level 2 Removed Information -1
2.3.3 NarrowComplex Tachycardia ALS Level 1 Changed information -1
2.3.4 Premature Ventricular Ectopy All Section removed -2
2.3.5 Wide Complex Tachycardia with a Pulse Heading Section lowered -2
2.3.5 Wide Complex Tachycardia with a Pulse ALS Level 1 Added information -2
2.3.5 Wide Complex Tachycardia with a Pulse ALS Level 1 Changed information -2
2.3.6 Adult Cardiac Arrest Heading Section lowered -2
2.3.6 Adult Cardiac Arrest Diagram Diagram Changed -2
2.3.7 Return of Spontaneous Circulation Heading Section lowered -2
2.3.8 Therapeutic Hypothermia Heading Section lowered -2
2.3.8 Therapeutic Hypothermia General Guidelines Changed information -2
2.3.8 Therapeutic Hypothermia ALS Level 1 Changed information -2
2.4.3 Hypertensive Emergencies ALS Level 1 Changed information -2
2.5.1 Altered Mental Status Unknown Etiology ALS Level 1 Added information -2
2.5.2 Violent and/or Impaired Patient ALS Level 1 Changed information -2
2.5.2 Violent and/or Impaired Patient ALS Level 2 Removed Information -2
2.5.3 Excited Delirium Syndrome ALS Level 1 Changed information -2
2.5.3 Excited Delirium Syndrome ALS Level 2 Removed Information -2
2.5.4 Seizure Disorders ALS Level 1 Changed information -2
2.5.5 Suspected Stroke (CVA) ALS Level 2 Removed Information -2
2.5.5 Suspected Stroke (CVA) Note Added information -2
2.6.2 CNS Depressant Overdose ALS Level 1 Removed Information -2
2.6.2 CNS Depressant Overdose ALS Level 2 Removed Information -2
2.6.3 CNS Stimulant Overdose All Section removed -3
2.6.4 Digitalis Toxicity All Section removed -4
2.6.5 Hallucinogen Overdose ALS Level 1 Changed information -4
2.6.5 Hallucinogen Overdose ALS Level 2 Removed Information -4
2.6.6 Tricyclic Antidepressant Overdose ALS Level 1 Removed Information -4
2.6.7 Unknown Toxicity ALS Level 1 Removed Information -4
2.7.2 Normal Labor and Delivery Supportive Care Added information -4
2.7.2 Normal Labor and Delivery ALS Level 2 Removed Information -4
2.7.4 Toxemia of Pregnancy ALS Level 1 Removed Information -4
2.8.1 Allergic Reactions/Anaphylaxis [Moderate Reactions] ALS Level 1 Changed information -4
2.8.1 Allergic Reactions/Anaphylaxis [Moderate Reactions] ALS Level 2 Removed Information -4
2.8.1 Allergic Reactions/Anaphylaxis [Severe] ALS Level 1 Changed information -4
2.8.4 Non-Traumatic Abdomen Pain ALS Level 1 Added information -4
2.9.1 Barotrauma/Decompression Illness All Section removed -5
2.9.4 Drowning General Guidelines Reference Removed -5
2.11 Adults with Special Healthcare Neeeds All Section removed -6
3.1.5 Pain Management ALS Level 1 Added information 0
3.1.5 Pain Management ALS Level 2 Removed Information 0
3.2.2 Upper Airways (Stridor - Croup/Epiglottitis) ALS Level 1 Removed Information 0
3.2.3 Lower Airway (Wheezing-Asthma/Bronchiolitis) ALS Level 1 Added information 0
3.2.3 Lower Airway (Wheezing-Asthma/Bronchiolitis) ALS Level 2 Removed Information 0
3.3 Pediatric Cardiac Dysrhythmias General Guidelines Removed Reference 0
3.3.2 Bradycardia ALS Level 1 Removed Information 0
3.3.3 Narrow Complex Tachycardia (continued) ALS Level 1 Added information 0
3.3.3 Narrow Complex Tachycardia (continued) ALS Level 2 Removed Information 0
3.3.3 Narrow Complex Tachycardia (continued) ALS Level 1 Removed Information 0
3.3.4 Wide Complex Tachycardia with a Pulse (Ventricular Tachycardia) ALS Level 1 Changed Information 0
3.3.4 Wide Complex Tachycardia with a Pulse (Ventricular Tachycardia) ALS Level 2 Removed Information 0
3.4.1 Newborn Resusication (continued) ALS Level 1 Added information 0
3.4.1 Newborn Resusication (continued) ALS Level 2 Removed Information 0
3.5.2 Seizure Disorders ALS Level 1 Changed Information 0
3.5.2 Seizure Disorders ALS Level 2 Removed Information 0
3.5.3 Violent and/or Impaired Patient All Section Removed -1
3.5.4 Excited Delirium Syndrome (ExDS) All Section Removed -4
3.6 Pediatric Toxicology Emergencies General Guidelines Removed Reference
3.6.1 Pediatric Ingestion (Overdose) ALS Level 1 Changed Information -4
3.6.1 Pediatric Ingestion (Overdose) Note Added information -4
3.7.1 Allergic Reactions/Anaphylaxis ALS Level 1 Changed Information -4
3.7.1 Allergic Reactions/Anaphylaxis ALS Level 2 Removed Information -4
3.7.2 Hypoglycemia/Hyperglycemia ALS Level 1 Changed Information -4
3.7.3 Nausea and Vomiting ALS Level 1 Changed Information -4
3.7.4 Nontraumatic Abdominal Pain ALS Level 2 Removed Information -4
3.7.5 Nontraumatic Chest Pain - Undifferentiated All Section Removed -5
3.7.6 Suspected Child Abuse Heading Section Lowered -5
3.7.7 Sickle Cell Anemia Heading Section Lowered -5
3.7.7 Sickle Cell Anemia ALS Level 2 Removed Information -5
3.7.7 Sickle Cell Anemia Note Changed Information -5
3.8.1 Drowning General Guidelines Removed Reference -5
3.8.2 Heat-Related Emergencies All Section Removed -7
3.8.3 Cold-Related Emergencies All Section Removed -8
3.8.4 Trauma/Decompression Illness: Dive injuries All Section Removed -9
3.8.5 Electrical Emergencies All Section Removed -10
3.9 Pediatric Trauma Emergencies General Guidelines Flow-Chart Added -9
3.9.1 Head and Spine Injuries All Section Removed -10
3.9.2 Eye Injuries Heading Section Lowered -10
3.9.3 Chest Injuries Heading Section Lowered -10
3.9.4 Abdomino-Pelvic Injuries Heading Section Lowered -10
3.9.5 Extremity Injuries Heading Section Lowered -10
3.9.5 Extremity Injuries ALS Level 1 Added information -10
3.9.5 Extremity Injuries ALS Level 2 Removed Information -10
3.9.6 Traumatic Arrest Heading Section Lowered -10
3.9.6 Traumatic Arrest General Guidelines Changed Information -10
3.9.7 Burn Injuries Heading Section Lowered -10
3.9.7 Burn Injuries General Guidelines Removed Reference -10

More notations will be made over the next few days.