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Rhode Island Emergency Medical Services Statewide EMS ProtocolsOctober 2016Rhode Island Department of Health
Airway ProtocolsSection 5
Airway ProtocolGeneral Changes and Additions• This is a new section in the protocols.• This section has 3 protocols. • READ PEARLS – Pearls contain critical educational information to
understand protocol management and may include care direction.
Medical ProtocolNew Protocol Previous Protocol
Previous Protocol Section
5.01 Adult Airway Management 4.2 Airway management and Respiratory Support
5.01 Pediatric Airway Management 4.2 Airway management and Respiratory Support
5.02 Adult Failed Airway 4.2 Airway management and Respiratory Support
5.02 Pediatric Failed Airway 4.2 Airway management and Respiratory Support5.03 Respiratory Distress in
Patient with a Tracheotomy Tube 4.2 Airway management and Respiratory Support
5.01Adult Airway Management
Protocol Summary • Previously protocol 4.2 Airway Management
and Respiratory Support. • This protocol details airway management for
the adult patient.
5.01Pediatric Airway Management
Protocol Summary• Previously protocol 4.2 Airway Management
and Respiratory Support. • This protocol details airway management for
the pediatric patient.
5.02Adult Failed AirwayProtocol Summary • Previously protocol 4.2 Airway Management
and Respiratory Support. • This protocol details management of the
patient with a failed airway.
5.02Pediatric Failed AirwayProtocol Summary • Previously protocol 4.2 Airway Management
and Respiratory Support. • This protocol details management of the
pediatric patients with a failed airway.
5.03 Respiratory Distress in a Patient with a Tracheostomy Tube
Protocol Summary• Previously protocol 4.2 Airway Management
and Respiratory Support. • This protocol details management of
respiratory distress in the patient with a tracheostomy tube in place.
Paramedic ONLY• No Tracheostomy Tube in Place – insert or ETT.• Tracheostomy Tube in Place – remove obturator,
plug….• Continued respiratory distress manage as per
respiratory distress protocol.
ALL Providers including Advanced EMT Cardiac• Routine Patient Care.• No Tracheostomy Tube in Place – caregiver insert• Tracheostomy Tube in Place – caregiver remove
obturator, plug, inner cannula.• Continued respiratory distress manage as per
respiratory distress protocol.
Continue on to RI EMS Protocol Education ModulesSection 6
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