EMS Procedures. Colchester Fire Department. Who: All MRT's and EMT's sponsored by CHFD What: 2003 ECEMS Regional EMS Guidelines When: Two (2) Times a year with EPI & Defib Refreshers Eastern BLS Guidelines. EMS Procedures. Trauma Alert Activation
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In the event an EMS response is canceled while the EMS unit is en route to the call, the ambulance crew should complete an approved Patient Care Report (PCR) detailing the following information.
Date of Service
Identity of Caller (by Name or Agency)
Incident Type(MVA, Medical, Medical Alarm, Welfare Check, etc.)
Identity of ‘Cancelor’ (by Name or Agency)Canceled En Route
In the event an EMS response is initiated and after arrival of the ambulance it has been determined that there is no patient on-scene, the ambulance crew should complete an approved Patient Care Report (PCR) detailing the following information:No Patient On Scene
Identity of Caller (by Name or Agency)
Incident Type (MVA, Medical, Medical Alarm, Welfare Check, etc.)
Narrative of On-scene Conditions (What was found on-scene, who provided information, etc.)
Names and Service Numbers of Responding EMS Personnel
Support Services On-Scene
Police, Fire, Visiting Nurse, etc.
Signature of Person(s) Completing ReportNo Patient On Scene
The EMS provider must follow good medical judgment in these situations. A typical scenario would be the EMS response to an MVA and on arrival, they find a patient without medical complaint.
However, if there is a mechanism of injury, and in the judgment of the EMS provider the patient should be medically evaluated, every attempt should be made to convince the patient to allow ambulance transportation to a local medical facility. should the patient refuse this offer of transport, a refusal against medical advice should be obtained .
In either event, a full PCR should be completed following the format described in Procedure #1.Patient On Scene – No Complaint
One of the most challenging situations we face as EMS providers is when a patient who you believe needs to be taken to a medical facility for definitive care refuses ambulance transportation.
There may be numerous reasons a patient may refuse medical care, but by addressing the patient’s concerns and by presenting ourselves as medical professionals, we can usually convince the patient that allowing medical care is in the patient’s best interests.Patient Refusal - Adult
Contact Medical Control, if, in your opinion, the patient still needs medical care.
1) Offer transport at least three (3) Times
2) Fully Explain Medical Consequences
3) Ask Direct Questions of what to do
4) Advise the Pt of Alternate Treatment ResourcesPatient Refusal - Adult
If EMS personnel are delayed or precluded from making an appropriate physical examination by law or fire officials protecting the integrity of the scene, they shall so note on their patient care form.
If subsequent access to the patient is allowed, then EMS personnel shall proceed according to this protocol.
EMS personnel are required to provide documentation of the patient’s physical condition only to the extent of the physical examination they performed.Procedure – Crime Scene / Police
If it is OBVIOUS there is no Immediate threat or danger to life, KX will attempt a non-emergency transfer from AASI. (if available in timely manner)
Dispatch will make notification to an officer, or request a R1 Response.Psych Transports
If patients condition is questionable, KX will dispatch the call as normal. Arriving responders will make determination as to emergency or non-emergency transport.
A qualified Medical Responder SHALL remain on scene with the patient awaiting arrival of transport if necessaryPsych Transports