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	<id>https://www.crsguidelines.org/index.php?action=history&amp;feed=atom&amp;title=3-7_TRAUMA-NEAR_DROWNING</id>
	<title>3-7 TRAUMA-NEAR DROWNING - Revision history</title>
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	<updated>2026-04-20T15:35:50Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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		<id>https://www.crsguidelines.org/index.php?title=3-7_TRAUMA-NEAR_DROWNING&amp;diff=69&amp;oldid=prev</id>
		<title>Cgabryszek: Created page with &quot;Perform Initial Trauma Care per protocol.  {| class=&quot;wikitable&quot; |&#039;&#039;&#039;EMR - Emergency Medical Responder&#039;&#039;&#039; |}  # &#039;&#039;&#039;Assess and Maintain Scene Safety&#039;&#039;&#039; ## Removal from water should be performed by a trained rescuer with appropriate equipment  # Assess for indications to withhold CPR.  If none, initiate CPR # Assess, secure and maintain an adequate airway via the airway management protocol. ## Apply appropriate C-spine stabilization for all diving or fall mechanisms, espec...&quot;</title>
		<link rel="alternate" type="text/html" href="https://www.crsguidelines.org/index.php?title=3-7_TRAUMA-NEAR_DROWNING&amp;diff=69&amp;oldid=prev"/>
		<updated>2022-04-04T01:36:34Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;Perform Initial Trauma Care per protocol.  {| class=&amp;quot;wikitable&amp;quot; |&amp;#039;&amp;#039;&amp;#039;EMR - Emergency Medical Responder&amp;#039;&amp;#039;&amp;#039; |}  # &amp;#039;&amp;#039;&amp;#039;Assess and Maintain Scene Safety&amp;#039;&amp;#039;&amp;#039; ## Removal from water should be performed by a trained rescuer with appropriate equipment  # Assess for indications to withhold CPR.  If none, initiate CPR # Assess, secure and maintain an adequate airway via the airway management protocol. ## Apply appropriate C-spine stabilization for all diving or fall mechanisms, espec...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Perform Initial Trauma Care per protocol.&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;EMR - Emergency Medical Responder&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
# &amp;#039;&amp;#039;&amp;#039;Assess and Maintain Scene Safety&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
## Removal from water should be performed by a trained rescuer with appropriate equipment &lt;br /&gt;
# Assess for indications to withhold CPR.  If none, initiate CPR&lt;br /&gt;
# Assess, secure and maintain an adequate airway via the airway management protocol.&lt;br /&gt;
## Apply appropriate C-spine stabilization for all diving or fall mechanisms, especially if the patient is unresponsive.&lt;br /&gt;
# Apply high flow oxygen&lt;br /&gt;
# Assess for Hypothermia&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;EMT - Emergency Medical Technician&amp;#039;&amp;#039;&amp;#039;  &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
# Initiate transport. Any patient with even brief submersion should be transported to the hospital for assessment by a physician as they may develop delayed pulmonary edema.&lt;br /&gt;
# Consider ALS Intercept&lt;br /&gt;
# Assess for Spinal Injury.  Treat for Spinal Injury unless able to determine otherwise. &lt;br /&gt;
# Treat for Hypothermia and Shock as necessary&lt;br /&gt;
# Evaluate lung sounds and Contact MEDICAL CONTROL for consideration of initiation of treatment with:&lt;br /&gt;
## &amp;#039;&amp;#039;&amp;#039;Albuterol (Ventolin)&amp;#039;&amp;#039;&amp;#039; nebulizer if wheezing present&lt;br /&gt;
## CPAP if significant respiratory distress is present. &lt;br /&gt;
# Apply cardiac monitor, if trained to do so. &lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;AEMT – Advanced Emergency Medicine Tech  &amp;#039;&amp;#039;&amp;#039; &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
1.           Establish IV access at TKO and Contact MEDICAL CONTROL for fluid orders.&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;Intermediate -&amp;#039;&amp;#039;&amp;#039; &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
                           &lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;Paramedic -&amp;#039;&amp;#039;&amp;#039; &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;/div&gt;</summary>
		<author><name>Cgabryszek</name></author>
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