Irish EMS Field Guide

The beginning of this new decade sees the publication by PHECC of an EMS Field Guide designed to assist registered practitioners in their practice on the ground.

This is the first PHECC publication of its type and it complements the introduction of the 3rd Edition Clinical Practice Guidelines (CPGs). The format is pocket sized in order to be easily carried and consulted by practitioners in the field.

The first half of the guide covers subjects ranging from items such as MEWS, Glasgow Coma Scale, ECG interpretation, Peak Flow Rates, Paediatric assessments - values - Wong Baker faces - analgesia options and Burns to Triage Sieve and Sort. The second half is devoted to medications. These are arranged alphabetically and details indications, dosage, contra-indications, side effects and additional information. Paediatric doses are included where appropriate.

The concept for this publication originated with Sean Creamer when on secondment with PHECC a number of years ago. Since then 3 practitioner levels, advanced practice and increases in medications at all levels have been introduced. These advances combined with the 3rd Edition of the CPGs and enquiries from other practitioners have prompted this publication.
The Field Guide is not a substitute for the published CPGs and does not authorise interventions or medication administration. Practitioners are reminded that they may only practice in keeping with their status on the Register and their current scope of practice. This is a quick reference tool to assist practitioners particularly with medication calculations, infrequent clinical encounters in addition to giving values for clinical measurements.
  This Field Guide has a limited life span. Please note the caution at the beginning of the guide. It will expire on 30 Sept 2011, when it will be replaced by a new revised edition which will be based on recommendations and incorporate suggestions from practitioners. A consultation process will be established early in 2011 to facilitate the creation of a revised publication to more accurately reflect practitioner’s needs. You are strongly encouraged to participate in and contribute to this process, details of which will be circulated following distribution of the Guide in the new year.