Colorado EMS protocols,
in your pocket.

0050 Field Pronouncement: when EMS may transport

EMS may transport any patient perceived to be viable, or if scene dynamics or public perception necessitates transport.

0051 Termination of Resuscitation: medical arrest endpoints

Resuscitate according to the Universal Pulseless Arrest Algorithm on scene (unless unsafe) until: ROSC; no ROSC despite 30 minutes of ALS care or BLS care with an AED; or Contact Receiving Hospital for TOR at any point if the effort is considered futile despite adequate CPR with ventilation and no reversible causes have been identified.

1070 Synchronized Cardioversion: pre-cardioversion checks

For an unstable tachyarrhythmia with a pulse, check: O2 via NRB facemask; functioning IV line; suction; advanced airway equipment ready. Sedate with benzodiazepine if not contraindicated.

Per 0050 Field Pronouncement, which medical arrest finding means resuscitation should not be attempted?

• ✓ Dependent lividity
• Age over 65
• No bystander CPR
• Unwitnessed arrest

0050 states do not attempt resuscitation for patients with definite signs of death, such as dependent lividity, rigor mortis, decomposition.

Per 0051, after 30 minutes of ALS care there is no ROSC but a shockable rhythm is still present. What should you do?

• Stop CPR and contact the coroner
• Terminate resuscitation on scene
• ✓ Continue resuscitation and transport to the closest emergency department
• Continue on scene for another 30 minutes before deciding

0051 states if a shockable rhythm is still present, continue resuscitation and transport to the closest emergency department.