Sun Peaks – Emergency Medical Responder Protocol
Sun Peaks was one of two B.C. fire departments chosen for a pilot project allowing firefighters to use the EMR protocol to attend to emergency calls. Located about 45 minutes from the nearest ambulance services, Sun Peaks was an ideal choice to study the EMR protocol.
The EMR protocol outlines the roles and responsibilities of staff who respond to a medical emergency on-site. The goal of this plan is to quickly identify and respond to any patient, visitor or staff member that suffers from a potential life threatening medical emergency.
Using the EMR protocol gives firefighters better tools in attending to patients. It also allows them to use additional pain relief as well as immobilization tools in responding to emergency situations.
Chest pain, shortness of breath, seizure and presumed overdose are considered the types of Medical Emergencies identified by employees, which will activate the Emergency Medical Response Team. These types of emergencies are to be considered Code Blue calls.
When a Code Blue medical emergency has been identified, a medical emergency response protocol must be initiated. For example, a severe allergic reaction (anaphylaxis) is considered a Code Blue call and is one of the key areas of the EMR protocol.
Learn more about anaphylaxis and Epi-Pens:
The anaphylactic EMR protocol for Sun Peaks is broken down into five stages.
1) Perform Primary Survey
- Support Airway, Breathing and Circulation as required
- Administer oxygen
- Confirm pulse / signs of life present
2) Perform Secondary Survey
- Obtain a history relevant to an anaphylaxis reaction
- Record initial vital signs
- Attach cardiac monitor, pulse oximeter, and initiate IV (if able)
- Perform focused physical exam
3) Indications for Interventions (both indications must be present)
Patient has had a recent exposure to a probable allergen
Patient is unstable demonstrated by at least one of the following
- Respiratory distress (wheezing, stridor or shortness of breath)
- Generalized edema
- Low blood pressure
4) Interventions (the medical procedures or applications that are intended to relieve illness or injury)
- Administer Epinephrine
- IF SEVERE SHOCK increase Epinephrine
- Administer bolus
- Administer Diphenhydramine
- Record vital signs after administration of Epinephrine
- Repeat dose of Epinephrine in 5 – 10 minutes if no improvement
- If patient has significant wheezing: Administer Salbutamol
- If no improvement administer increased dosage of Salbutamol
- Decrease frequency as symptoms improve
5) Monitoring and Follow-up
- Monitor ABC’s (A = Airway B = Breathing C = Circulation), vital signs and pulse oximetry
- Transfer to acute care hospital as all anaphylaxis patients require prolonged monitoring
Global Medical is proud to be working with Sun Peaks Fire Rescue in the development of the EMR protocol. The success of the EMR program at Sun Peaks may lead to fire departments throughout the province implementing similar plans. “This is exciting,” said fire Chief Bill Stoner. “The EMR protocol will be similar to what an ambulance attendant in a rural community might have for skills.”