2023 BLS
Medication update
2023 SWTP BLS update
• April 1st 2023 the commonwealth has added
some medications to the protocols for the BLS
provider.
• Diphenhydramine (Benadryl)
• Acetaminophen (Tylenol)
• Ibuprofen (Advil, Motrin)
2023 SWTP update
• Along with the addition to the medications
the state will be requiring that we carry
additional Naloxone HCI (Narcan). AAS will be
supplying this in the single dose (4mg) spray.
Medication reminders
Remember its up to you as the provider to
ensure that you are administrating medications
in a safe, appropriate manner that adheres to
your protocols.
What are the 6 Rs?
The 6 Rs
• The RIGHT patient
• The RIGHT dose
• The RIGHT route
• The RIGHT reason
• The RIGHT time
• The RIGHT medication
Allergies!
You must find out about any allergies prior to
administrating any medication!
SWTP 2.2A
Allergic reaction / anaphylaxis adult
SWTP 2.2A
• EMT Standing orders
Mild distress: Diphenhydramine 25-50mg by liquid or oral tablet
/ capsules
Severe distress: Epi auto injector 0.3mg or IM in accordance with
protocol 6.5 check and inject Epinephrine by EMT – basics.
SWTP 2.2 p (pedi Allergic /
Anaphylaxis)
• When administering epinephrine IM, EMTs
may do so in accordance with protocol 6.5
check and inject.
• Diphenhydramine – 1mg/kg for patients 2
years or older, up to a total dose of 25mg.
(preferably by liquid measured dose)
Diphenhydramine
Concentration 12.5mg per 5mls
dosing cup provided
Diphenhydramine dosing
Adult:
25-50mg by oral liquid (dosing cup provided
with container)
Pediatric:
1 mg/kg for patients 2 years or older
(measured dosing cup provided). IE 12kg pt
would receive a 12mg or 5MLs.
SWTP 2.13 Pain & Nausea
management
SWTP 2.13
• EMT STANDING ORDERS:
• 1.O ROUTINE PT CARE
• Ibuprofen: 600mg by liquid or oral tablets /
capsules (AAS will be using liquid with
provided measuring cup)
• Acetaminophen: 650 – 1000 mg by liquid or
oral tablets / capsules (AAS will be using liquid
with provided measuring cup)
Acetaminophen
Concentration: 160mg per 5ml
Ibuprofen
Concentration: 100mg per 5ml
Naloxone (Narcan)
SWTP change: Increased limit of dosing of
Naloxone for all levels to 8mg.
Armstrong will now be supplying each
ambulance with 20mg of Naloxone in
accordance with state regulations.
You will be seeing a new dosing and delivery
device.
Naloxone (Narcan)
4mg single dose metered nasal spray
Naloxone cont.
• Note: Per SWTP 2.14 Naloxone should only be
administrated in suspected overdose patients
with inadequate respiratory rate. Treatment
should progress toward the restoration of
adequate respirations. Patients with
inadequate respiratory rates may need to be
ventilated until their respiratory rate
increases.
Naloxone cont.
Guidelines for use of single metered dose nasal spray.
• 1. Peel back the tab
Naloxone cont.
Guidelines for use of single metered dose nasal spray.
• 2. Hold the spray with your thumb on the bottom of
the plunger and your first and middle finger on either
side of the nozzle.
Naloxone cont.
Guidelines for use of single metered dose nasal spray.
• 3. Gently insert the tip of the nozzle into
either nostril and firmly press the plunger to
give the 4mg dose of Naloxone.
BLS medication update.
Soon you will be seeing a new medication kit on
all BLS units. These will be clear boxes that are
sealed with expiration dates visible. Should you
use any item from the box please contact a FOM
and do a supply request for replacements.
The single dose metered naloxone spray will be
kept in the first in bag.
BLS medication kit
BLS medication kit
Thank you taking the time to go through this
presentation and thanks for all you do day in
and day out!
Be safe!