Patient Care

Protocols will be updated for the season 2019-2020

  1. Patient Transport: use the best way for comfort of patient, safety and efficiency.  Usually head up.
  2. Use Gondola for Transport: only when patient is FULLY ambulatory and has/had no diminished LOC, altered state and/or difficulty breathing
  3. Scoop or split board is preferred for transport only (no possible spinal injury)
  4. Backboarding: always use C-collar and tape chin and forehead.  When backboarding use straps to secure feet in addition to the body and legs.
  5. Ground Ambulance: transport to location as directed.  Depending on injury, patients are not required to be on a backboard
  6. Air Ambulance: all patients flying in  air ambulance must be backboarded with a C-collar.
  7. Transfer care for air ambulance: Senior Patroller on scene will call dispatch and say “care transferred to flight crew, destination is….”
  8. Code Blue (No pulse, No Respirations): requires  CPR, backboard and C-collar
  9. Oxygen: use for Altered, Diminished LOC, or Shortness of Breath.  Keep Oxygen Bottle and Regulator after transferring to ambulance.  Replace (ask ambulance personnel) head blocks, Non-rebreather Mask, and C-collar.
  10. Do not re-align possible fractures and dislocations.
  11. Mid-shaft Femur Fractures: Traction splint (Sager) with backboard and C-collar.
  12. When you pull traction on a Sager, pull to 10% of bodyweight or to comfort of patient.
  13. We will not pull traction or tension on an Open Mid-shaft Femur Fracture.
  14. Ski or Board Boots: do not remove boots. May open boot to define bleeding source.
  15. Helmet Removal: only to examine and when being patient on a backboard with a C-collar.
  16. Pulse Oximeters: within EMT scope of practice but not used by Northstar Ski Patrol.
  17. EpiPen® (Epinephrine Auto-Injectors) is only assisted, not administered, by Northstar Ski Patrol.
  18. Tourniquets are used for uncontrolled bleeding; when applied, write the time on the Tourniquet or on the patient, i.e. T – 1300 hours.