Kentucky State Protocol Updates

Feb 14, 2018

Lexington— February 14, 2018 — The Kentucky Board of Emergency Medical Services releases immediate availability of amendments to the Kentucky State EMS Protocol today.  These amendments are not meant to replace the forthcoming release of the new Kentucky State EMS Protocol; rather, they are updates of the currently published protocol.

These protocol amendments and additions have been incorporated throughout the document therefore an update packet is not available due to page numbering, insertions, and deletions. It is recommended that EMS agencies retire prior versions and begin use of updated document at this time.

  • Table of Contents modified, and page numbers modified to incorporate changes.
  • Master Medication List included
  • STEMI Destination Plan included in Adult Acute Coronary Syndromes Protocols
  • Kentucky Certified Stroke Centers Map updated
  • Adrenal Crisis relocated and included in Adult and Pediatric Medical Protocols
  • Poisoning: Cyanide Poisoning-Pediatric- CYANOKIT dosage modified.
  • Trauma Assessment and Management-Adult modified to include pelvic binding, tourniquet use, and/or wound packing.
  • Selective Spinal Immobilization relocated and included in Adult and Pediatric (>8) Trauma Protocols.
  • Chest Trauma- Adult modified to include wound-packing for uncontrolled external hemorrhage.
  • Abdominal Trauma-Adult modified to include wound-packing for uncontrolled external hemorrhage.
  • Pelvic Trauma-Adult modified to include wound-packing for uncontrolled external hemorrhage.
  • Trauma Assessment and Management- Pediatric modified to include pelvic binding, tourniquet use, and/or wound packing.
  • Chest Trauma-Pediatric modified to include wound-packing for uncontrolled external hemorrhage.
  • Abdominal Trauma- Pediatric modified to include wound-packing for uncontrolled external hemorrhage.
  • King LTD Protocol updated.
  • Interfacility Medication Classification List updated
  • Interfacility Transfer Guideline for Stroke Patient receiving IV tPA included.
  • Interfacility Transfer Protocol for the maintenance of a Propofol infusion included.
  • Medication Reference Updated

Any licensed Kentucky EMS agency that has adopted the Kentucky State EMS Protocols will be required to implement these amendments within thirty (30) days of release.  In the event that the agency wishes to “opt-out” of these new protocols, the agency shall follow the directions located on the KBEMS website here: Kentucky State Medical Protocol Page.