Answer:
You should administer on-line procedure which is to contact the on-call physician or registered nurse and request for special care instructions about the possibility for you to start the first steps in site on the aggressive treatment necessary, before heading to the hospital, informing about patient´s condition and trying to get a further detailed explanation on the patient´s problem and how long it has been going on, and stating as quickly as possible the patient medical history. If authorized, get the patient ready to be transported in an ambulance.
Step-by-step explanation:
U.S. Emergency Medical Technician (EMT) are clinicians, trained to provide emergency medical care. Their actions in field are governed by state and local regulations for them to be under the supervision of medical direction through the advice of a medical advisory committee which issues a list of standard operating procedures or protocols that often vary from region to region.
Treatments and procedures provided by EMTs are clasified in two categories:
- Off-line medical orders or standing orders.
- On-line medical orders: which are procedures that must be explicitly approved by a base hospital physician or registered nurse by phone or radio. These procedures are high risk procedures.
Or a procedure can be both an on-line and a standing order depending on the level of the provider.
Their clinical level of practice does not include any medical acts beyond advanced first-aid but EMTs contribute to the chain of survival with a critical role in traumatic injuries, accident scenes or elder residences being skilled in applying oxygen therapy, blood glucose monitoring, bleeding control, management of burns, splinting of fractures if suspected, spinal injuries, childbirth, cardiopulmonary resuscitation, oral suctioning, insertion of oropharyngeal and nasopharyngeal airways, and administration of intranasal Narcan with the exception of automated external defibrillation, semi-automatic defibrillation, pulse oximetry, auscultation of lung sounds, and administration of a limited set of medications like ASA, I.M. epinephrine, glucagon, oral glucose, dextrose, nalaxone, albuterol, ipratropium bromide, nitroglycerin, nitrous oxide, oxygen and acetylsalicylic acid. Training requirements and treatment protocols vary from area to area, but in some areas they may insert supraglottic airway devices and CPAP.
Some advanced EMT can provide intermediate life support (ILS) care including obtaining intravenous/intraosseous access, fluid resuscitation, use of supraglottic airway devices, administration of some additional medications, and basic cardiac monitoring.