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• 12:06, 3 April 2026 Jonesk talk contribs created page 1.5 Incident Commander (Created page with "==== Purpose ==== The Incident Commander (IC) provides comprehensive leadership and management to the response effort. The position is the focal point of all facets of the operation consistent with the Incident Management System. ==== Responsibilities ==== The IC is ultimately responsible for all incident response activities including development and implementation of an Incident Action Plan (IAP) plan to stabilize the incident, make decisions and issue orders for effi...") Tag: Visual edit
• 11:50, 3 April 2026 Jonesk talk contribs created page 1.4 Unified Command (Created page with "==== Purpose ==== A Unified Command links the responding organizations to the incident and provides a forum for these agencies to make consensus decisions. The Unified Command establishes a common set of incident objectives and strategies while Incident Commanders continue to carry out their respective agency’s jurisdictional responsibilities. ==== Responsibilities ==== The overall management of an incident. The Unified Command will develop overall objectives and stra...") Tag: Visual edit
• 11:35, 3 April 2026 Jonesk talk contribs created page 1.3 Area Command (Created page with "==== Purpose ==== Oversee the management of incident(s), focusing on strategic assistance, direction, and resolving competition for resources. This position does not supersede any Incident Commanders or Unified Commands but supports and provides strategic direction. ==== Responsibilities ==== The overall direction and setting of priorities for Incident Management Teams (IMTs) assigned to incidents in close proximity or large complex incidents. This includes ensuring tha...") Tag: Visual edit
• 11:01, 3 April 2026 Jonesk talk contribs created page File:Major Incident.png
• 11:01, 3 April 2026 Jonesk talk contribs uploaded File:Major Incident.png
• 20:34, 1 April 2026 Jonesk talk contribs created page 1.2 Organization / Command Structure (Created page with "center|640x640px center") Tag: Visual edit
• 20:33, 1 April 2026 Jonesk talk contribs created page File:1 2 Exanding Struture Fire.png
• 20:33, 1 April 2026 Jonesk talk contribs uploaded File:1 2 Exanding Struture Fire.png
• 20:31, 1 April 2026 Jonesk talk contribs created page File:1.2 Regular Response.png
• 20:31, 1 April 2026 Jonesk talk contribs uploaded File:1.2 Regular Response.png
• 20:17, 1 April 2026 Jonesk talk contribs created page IMS (Created page with "{| class="wikitable" |+ !Section !Description !Issue Date !Revision Date !Effective Date |- |1.1 |Incident Management System Organization |January 1, 2017 |January 1, 2026 |January 1, 2026 |- | | | | | |- | | | | | |}") Tag: Visual edit
• 14:59, 31 March 2026 Jonesk talk contribs created page Incident Management System Organization (Created page with "== 1.1 Incident Management System Organization == === Purpose === The organizational structure outline in this plan has been derived from the '''National Interagency Incident Management System (NIMS)'''. '''NIMS''' is utilized by the Federal Government and is recognized and recommended by the Florida Fire Chiefs’ Association as the standard Incident Command System. In addition, certain portions of this manual have been adapted from Firescope, Phoenix Fireground Comman...") Tag: Visual edit
• 20:50, 9 December 2025 Treloars talk contribs changed group membership for Gonzalezm: granted administrator
• 20:50, 9 December 2025 User account Gonzalezm talk contribs was created by Treloars talk contribs
• 20:24, 9 December 2025 Treloars talk contribs changed group membership for Pattisonm: granted administrator
• 20:24, 9 December 2025 Treloars talk contribs changed group membership for Jonesk: granted administrator
• 20:23, 9 December 2025 Treloars talk contribs changed group membership for Imesona: granted administrator
• 20:23, 9 December 2025 User account Imesona talk contribs was created by Treloars talk contribs
• 20:22, 9 December 2025 User account Jonesk talk contribs was created by Treloars talk contribs
• 20:22, 9 December 2025 User account Pattisonm talk contribs was created by Treloars talk contribs
• 19:50, 9 December 2025 Treloars talk contribs changed group membership for Harlowg: granted administrator
• 19:50, 9 December 2025 User account Harlowg talk contribs was created by Treloars talk contribs
• 18:35, 26 November 2025 Treloars talk contribs created page Ceftriaxone (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTIBIOTIC=== ====CEFTRIAXONE / ROCEPHIN==== '''DESCRIPTION / ACTION:''' * Ceftriaxone is a third generation cephalosporin antibiotic that is used to treat bacterial infections * Ceftriaxone is used as the treatment for bacterial infections and is often used pre-operatively to reduce the risk of surgical infections '''INDICATIONS:''' * Open extremity fracture * Penetrating trauma to the torso '''CONTRAINDICATIONS:''' * Allergy to...")
• 14:17, 23 June 2025 Treloars talk contribs deleted page Geodon (content was: "==Section 8 - MEDICATION GUIDELINES== ===SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC=== ====Ziprasidone (GEODON) / Antipsychotic==== '''DESCRIPTION''' * An atypical antipsychotic acting as a dopamine antagonist that also affects other neurotransmitters to reduce psychosis and acute agitation. '''INDICATIONS''' * Used for the control of acute agitation in schizophrenic and/or sev...", and the only contributor was "Treloars" (talk))
• 18:29, 14 May 2025 Treloars talk contribs created page Memo - Stroke Alerts (Created page with "May 12, 2025 '''Stroke Alerts''' Please be advised of a change in stroke alert policy. All stroke alerts should be taken to the nearest (by time of transport) comprehensive stroke center This new directive took into account multiple considerations. Although we have made great improvement in attempting to determine the severity of patients with stroke by examination in the field, we recognize that such a determination is still not exact. We also recognize that stroke...")
• 21:58, 13 May 2025 Treloars talk contribs moved page Suspected Stroke Transcient Ischemic Attack TIA to Suspected Stroke Transient Ischemic Attack TIA (Misspelled word)
• 15:25, 7 May 2025 Treloars talk contribs created page Tetracaine (Redirected page to Ponticaine) Tag: New redirect
• 16:37, 30 April 2025 Treloars talk contribs deleted page CORE Opioid Addition Recovery (content was: "==Section 5 -MEDICAL== ===5.23 CORE Opioid Adiction Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL...", and the only contributor was "Treloars" (talk))
• 18:18, 16 April 2025 Treloars talk contribs created page Memo - Medical Clearance (Created page with "March 31, 2025 '''Medical Clearance''' We are receiving more calls from law enforcement to check a patient prior to being transported by law enforcement under a Baker Act. We have had a couple of problems and there will be more if we are not more careful. First, there is no such thing as a "vitals check". You must touch that person to do vitals therefore that person is a patient. You will be writing a thorough run report. That includes history, observations, physic...") Tag: Visual edit
• 18:15, 16 April 2025 Treloars talk contribs created page Memo - Patient Assists (Created page with "March 31, 2025 '''Patient Assists''' We need to clarify what we should be doing when called to "assist" a patient. "You observe people, you touch patients." This is the only way to delineate who's who. The old term "lift assist" found us trying to determine if that's all they needed, or more. How did this happen? How did they end up on the floor? How have they been feeling? What are the other medical issues?  OPQRST. Do they have any fractures/dislocations? Do...") Tag: Visual edit
• 15:56, 16 April 2025 Treloars talk contribs created page Memo - Face to face Medical Director meetings (Created page with "MEMORANDUM March 31, 2025 The medical director team and I believe strongly in face-to-face medical director meetings in small groups. It is an important piece of a successful, high-quality EMS system. It has been proven over decades. I don't think everyone embraces it and has importance. It's just a chore or another requirement. It's not always convenient. Knowing your feelings we decided to change a few things. We are no longer going to have 630 p.m. meetings that in...")
• 18:40, 4 March 2025 Treloars talk contribs created page Elegard - Pediatric (Created page with "==Procedure Guidelines== ===Elegard - Pediatric=== '''Therapeutic Goal''' To recognize the pediatric patient requiring cardiopulmonary resuscitation and to restore a stable cardiac rhythm with adequate cardiac output and perfusion leading to neurologically intact survival. '''Assessment / Pathophysiology''' * Most cardiac arrest in infants and children is secondary to other causes (respiratory insult, illness, congenital heart defect, drowning, etc.) rather than corona...")
• 18:28, 4 March 2025 Treloars talk contribs created page Elegard - Adult (Created page with "Cardiac Arrest (Adult) Therapeutic Goal To recognize the patient requiring cardiopulmonary resuscitation and to restore a stable cardiac rhythm with adequate cardiac output and perfusion leading to neurologically intact survival. 1. This protocol is for medical cardiac arrest and does not apply to hemorrhagic cardiac arrest. 2. The first few minutes are critical and must be focused on establishing optimal perfusion (BLS). Utilize the “carry less do more” strategy t...")
• 19:51, 28 January 2025 Treloars talk contribs moved page Lift Assist to Patient Assist (Better description)
• 15:38, 27 January 2025 Treloars talk contribs created page Lift Assist (Created page with "For all falls or lift assist calls the following protocol guidelines are to be followed and docuemented: {| class="wikitable" |+ !Manual Vitals !Assess AVPU/GCS and compare to normal baseline if possible. Tachycardia (HR>100) or relative hypotension (SBP<110) is concerning for sepsis. Assess skin color, condition, and temp. Assess blood sugar level. |- !Events leading to fall or list assist !Any new symptoms? Generalized weakness? Poor appetite? Shortness of breath? Syn...") Tag: Visual edit
• 19:02, 3 December 2024 Treloars talk contribs created page Buprenorphine (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTICONVULSANT=== ====Buprenorphine ==== '''DESCRIPTION / ACTION:''' * Medication to treat opioid use disorder (OUD) '''INDICATIONS:''' * Patients precipitated opioid withdrawal who agree to start recovery and agree to transport to a designated CORE transport facility '''CONTRAINDICATIONS:''' * Severe hypersensitivity, including anaphylaxis and angioedema '''DOSE:''' * 8mg Sublingual Tablet as per Protocol Category:Medication...")
• 19:45, 22 October 2024 Treloars talk contribs created page File:LifeVac.jpg (Picture of LifeVac device)
• 19:45, 22 October 2024 Treloars talk contribs uploaded File:LifeVac.jpg (Picture of LifeVac device)
• 19:41, 22 October 2024 Treloars talk contribs created page LifeVac (Created page with "==Procedure Guidelines== ===9.42 LifeVac=== INDICATIONS *The Lifevac is a non-powered single patient portable suction apparatus used to remove a foreign body airway obstruction. *If the victim is unable to ventilate any air, then perform Abdominal Thrusts. If Abdominal Thrusts fail after three attempts or the victim becomes unconscious then it is recommended to attempt use of the LifeVac. (Modifications of Chest thrusts for pregnancy or obese and 5 back slaps/5 chest co...")
• 16:03, 18 October 2024 Treloars talk contribs created page CORE Opioid Addiction Recovery (Created page with "==Section 5 -MEDICAL== ===5.23 CORE Opioid Addiction Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL CARE : PRECIPTIATED OPIOID WITHDRAWAL: Once the patient has received naloxone (Narcan/Kloxxado)...")
• 15:38, 18 October 2024 Treloars talk contribs created page CORE Opioid Addition Recovery (Created page with "==Section 5 -MEDICAL== ===5.23 CORE Opioid Addition Recovery=== These patients have suffered an opioid overdose or poisoning resulting in a decreased level of consciousness and near or complete respiratory arrest. Absence of consciousness/respirations have been treated by bystanders, law enforcement or EMS crew with naloxone (Narcan, Kloxxado, etc). AFTER INITIAL MEDICAL CARE : PRECIPTIATED OPIOID WITHDRAWAL: Once the patient has received naloxone (Narcan/Kloxxado) a...")
• 13:26, 19 March 2024 Treloars talk contribs created page Controlled Substance Disposal Procedures (Created page with "==Procedure Guidelines== ===9.41 Controlled substances disposal procedure=== *This procedure applies to DEA controlled substances that have expired, have a broken seal, or otherwise need to be disposed of. It does not apply to the wasting of remaining medications after partial administration to a patient. *Each agency will designate who in their agency will be responsible for disposal of controlled substances, this should not be a street paramedic responsibility. *The...")
• 20:58, 22 January 2024 Treloars talk contribs created page Hypertonic Saline (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ELECTROLYTE=== ====Hypertonic Saline / 3% Saline==== '''DESCRIPTION''' Strong saline solution used to shift fluid out of the cells and decrease intercranial pressure '''INDICATIONS''' Traumatic Brain Injury '''CONTRAINDICATIONS''' None found '''PRECAUTIONS''' None found '''DOSAGE''' * Pediatrics - 5 ml/kg IV/IO utilizing 10 gtts drip set. * Max dose 250 ml Hypertonic Saline")
• 20:43, 22 January 2024 Treloars talk contribs created page Keppra (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTICONVULSANT=== ====Keppra / Levetiracetam==== '''DESCRIPTION / ACTION:''' * Anticonvulsant for Traumatic Brain Injury patients. '''INDICATIONS:''' * TBI in the Pediatric Patient '''CONTRAINDICATIONS:''' * Hypersensitivity or allergy '''DOSE:''' * For pediatrics, 20 mg/kg IV or IO push. May repeat at 40 mg/kg * Max dose of 1 gram. Keppra")
• 16:31, 22 January 2024 Treloars talk contribs created page Ancef (Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTIBIOTIC=== ====CEFAZOLIN / ANCEF==== '''DESCRIPTION / ACTION:''' * Cefazolin is a first generation cephalosporin antibiotic that is used to treat bacterial infections * Cefazolin is often used pre-operatively to reduce the risk of surgical infections '''INDICATIONS:''' * Open extremity fracture * Penetrating trauma to the torso '''CONTRAINDICATIONS:''' * Allergy to penicillin or cephalosporins '''POSSIBLE ADVERSE REACTIONS'''...")
• 18:24, 15 September 2023 Treloars talk contribs created page T-POD Pelvic Stabilization Device (Created page with "==Procedure Guidelines== ===9.40 T-POD Pelvic Stabilization Device=== T-POD® Pelvic Stabilization Device is indicated for treating a pelvic injury or significant pelvic pain. Untreated, pelvic injuries can result in extreme pain, significant internal bleeding and can be fatal. Traumatic injuries from pelvic fractures may occur with minimal external signs and have been associated with significant hemorrhage. When pelvic trauma has occurred, binding the hips quickly and...")
• 17:44, 15 September 2023 Treloars talk contribs moved page Hospital Capability Chart - DRAFT to Hospital Capability Chart (Removed DRAFT)
• 12:50, 27 June 2023 Treloars talk contribs deleted page Hormones Vitamins (No longer in protocol)
• 13:16, 28 September 2022 Treloars talk contribs created page Memo - Hurricane Ian – EMS OPERATIONS (Created page with "MEMORANDUM Date: 09/26/2022 To: Lake Mary FD, Longwood FD, Oviedo FD, Sanford FD, Seminole County FD From: Todd Husty, DO Seminole County EMS Medical Director Re:...")
• 14:28, 31 August 2022 Treloars talk contribs created page Memo - Masks Required in ED's (Created page with "MEMORANDUM TO: EMS Personnel FROM: Dr. Todd Husty DATE: August 22, 2022 RE: Masks It has come to my attention from several hospital EDs that masks are not being worn when...")