• About
    • Overview
    • Leadership
      • Past Presidents
    • Member Companies
      • Department Credentials
    • News
      • Dept. Announcements
      • Submit Announcement
      • Join Email List
    • Contact MSFA
    • Partnerships
    • New Website Info
  • Committees
    • Overview
    • Board of Trustees
    • Cancer Support
    • Convention
    • EMS
    • Executive
    • Fire Prevention
    • Recruit & Retention
    • Training
    • Transportation
    • Vol. Co. Assistance Fund
    • Comm. Interest Form
    • More Committees
  • Resources
    • Overview
    • Bereavement Uniforms
    • Chaplains
    • Miss Fire Prevention
    • Recruit & Retain
      • MarylandVolunteer.org
    • Vol. Co. Assistance Fund
  • Awards
    • Overview
    • Certs. of Recognition
    • MSFA Scholarships
    • LAMSFA Scholarship
    • Awards Committee
  • Events
    • Events Calendar
    • Submit MSFA Event
    • Convention Website
  • Ladies Auxiliary
    • Overview
    • Committees
    • Members
    • History
    • Past Presidents
    • Resources
  • Documents
    • Overview
    • Volunteer Trumpet
    • Members Area Docs
  • Safety Corner
  • Memorials
  • Links
  • Members Area
  • Contact Us
logo

Maryland State

Firemen's Association

  • About
    • Overview
    • Leadership
      • Past Presidents
    • Member Companies
      • Department Credentials
    • News
      • Dept. Announcements
      • Submit Announcement
      • Join Email List
    • Contact MSFA
    • Partnerships
    • New Website Info
  • Committees
    • Overview
    • Board of Trustees
    • Cancer Support
    • Convention
    • EMS
    • Executive
    • Fire Prevention
    • Recruit & Retention
    • Training
    • Transportation
    • Vol. Co. Assistance Fund
    • Comm. Interest Form
    • More Committees
  • Resources
    • Overview
    • Bereavement Uniforms
    • Chaplains
    • Miss Fire Prevention
    • Recruit & Retain
      • MarylandVolunteer.org
    • Vol. Co. Assistance Fund
  • Awards
    • Overview
    • Certs. of Recognition
    • MSFA Scholarships
    • LAMSFA Scholarship
    • Awards Committee
  • Events
    • Events Calendar
    • Submit MSFA Event
    • Convention Website
  • Ladies Auxiliary
    • Overview
    • Committees
    • Members
    • History
    • Past Presidents
    • Resources
  • Documents
    • Overview
    • Volunteer Trumpet
    • Members Area Docs
Share
Jul 14 2021

2021 Clarifications – Maryland Medical Protocols for Emergency Medical Services – From: Timothy Chizmar, MD, FACEP, State EMS Medical Director

EMS Clinicians
Highest Jurisdictional Officials
Commercial Services
Base Stations

From: Timothy Chizmar, MD, FACEP
State EMS Medical Director

Download or view PDF

Date: July 8, 2021

RE: Maryland Medical Protocols for Emergency Medical Services – 2021 Clarifications
Please note the following clarifications for the 2021 release of the Maryland Medical Protocols for Emergency Medical Services:

  • Pain Management (4.10-A and 4.10-P): The following text was unintentionally
    omitted:

    • Chest pain due to suspected acute coronary syndrome should be managed with nitroglycerin, absent any contraindications. Pain that persists despite nitroglycerin may be treated with opioid analgesia.
    • Opioid analgesia should be used with caution in the management of multiple trauma patients due to the risk of hypotension.
    • Opioid analgesia should be used with caution in patients with altered mental status due to the risk of respiratory depression.
    • Patients who have received a parenteral (IV/IO/IM/IN) dose of opioid, benzodiazepine, or ketamine from a sending facility or ALS clinician must be transported by ALS:
      • If any of the above medications were given within the past 1 hour, or
      • If the patient has an altered mental status without return to their
        baseline after receiving any of the above medications, or
      • If the patient has potential for respiratory compromise (RR<14,
        oxygen saturation less than 94%, clinician judgment after receiving
        any of the above medications.
  • Asthma/COPD (6.1-A and 6.1-P): As noted in the medical consultation section, BLS
    clinicians must continue to obtain medical consultation for IM epinephrine for asthma
    patients with known history of cardiac disease.
  • Chlorine/Phosgene Exposure (6.2): The BLS treatment section should not reference dexamethasone or CPAP. These are in the ALS scope of practice. Additionally, albuterol is the only approved bronchodilator for BLS.
  • Procedures, Medical Devices, and Medications for EMS (9.2): Nebulized route is now a standing order (SO) for EMT, CRT, PM levels.
Share

MSFA Info

  • About
  • Leadership
  • Past Presidents
  • Member Companies
  • News
  • Contact MSFA
  • Partnerships
  • Documents
  • Links
  • Memorials
  • Members Area

News Digest

Subscribe to daily digests of MSFA News & Dept. Announcements, processed by Mailchimp.
    Select the daily-digest subscription lists you would like to join.
  • This field is for validation purposes and should be left unchanged.

Upcoming Events

Sat 20

Executive committee meeting, August 20-21, 2022 – Jarrettsville VFC

August 20 @ 9:00 am - 4:00 pm
Jarrettsville MD
Sep 04

Allegany and Garrett Counties Fire and Rescue Association Meeting

September 4 @ 2:00 pm - 4:00 pm
MD
Sep 13

Allegany County Emergency Service Board Meeting

September 13 @ 6:00 pm - 8:00 pm
Cumberland MD

View More…

On Instagram

Follow @msfa_official on Instagram

The Trumpet


View the Latest Issue & Archives...
  • About
  • Committees
  • Resources
  • Awards
  • Events
  • Ladies Auxiliary
  • Documents
  • Safety Corner
  • Members Area
  • Apply for Members Area Access

Maryland State Firemen's Association

2130 Priest Bridge Dr #4
Crofton, MD 21114

443-302-2911

Contact Us

MSFA Hashtags:
#marylandvolunteer
#msfaconvention

Webmail Login

Follow MSFA on Twitter
Retweet on TwitterMd State Fire Assoc Retweeted
FEMAGrantsFEMA Grants@FEMAGrants·
26 Jul

Need a primer on the rules for procurement under grants? This September, our Procurement Disaster Assistance Team will host a two-day, in-person training at the Emergency Management Institute in Emmitsburg, MD. Register in advance by August 1. Read more: http://content.govdelivery.com/accounts/USDHSFEMA/bulletins/32184b2?reqfrom=share

Reply on Twitter 1552004291732410370Retweet on Twitter 15520042917324103703Like on Twitter 15520042917324103706Twitter 1552004291732410370
Load More...

All content, including all images and photography except as specifically noted.
Copyright 2020, Maryland State Firemen's Association

  • About
  • Committees
  • Resources
    • MarylandVolunteer.org
  • Awards
  • Events
    • Convention Website
  • Ladies Auxiliary
  • Documents
  • Safety Corner
  • Memorials
  • Links
  • Members Area
  • Contact Us
First Arriving Logo