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Protocols will be updated for the season 2019-2020
- Patient Transport: use the best way for comfort of patient, safety and efficiency. Usually head up.
- Use Gondola for Transport: only when patient is FULLY ambulatory and has/had no diminished LOC, altered state and/or difficulty breathing
- Scoop or split board is preferred for transport only (no possible spinal injury)
- Backboarding: always use C-collar and tape chin and forehead. When backboarding use straps to secure feet in addition to the body and legs.
- Ground Ambulance: transport to location as directed. Depending on injury, patients are not required to be on a backboard
- Air Ambulance: all patients flying in air ambulance must be backboarded with a C-collar.
- Transfer care for air ambulance: Senior Patroller on scene will call dispatch and say “care transferred to flight crew, destination is….”
- Code Blue (No pulse, No Respirations): requires CPR, backboard and C-collar
- 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.
- Do not re-align possible fractures and dislocations.
- Mid-shaft Femur Fractures: Traction splint (Sager) with backboard and C-collar.
- When you pull traction on a Sager, pull to 10% of bodyweight or to comfort of patient.
- We will not pull traction or tension on an Open Mid-shaft Femur Fracture.
- Ski or Board Boots: do not remove boots. May open boot to define bleeding source.
- Helmet Removal: only to examine and when being patient on a backboard with a C-collar.
- Pulse Oximeters: within EMT scope of practice but not used by Northstar Ski Patrol.
- EpiPen® (Epinephrine Auto-Injectors) is only assisted, not administered, by Northstar Ski Patrol.
- Tourniquets are used for uncontrolled bleeding; when applied, write the time on the Tourniquet or on the patient, i.e. T – 1300 hours.