• Prehosp Disaster Med · Aug 2014

    Implementation of a titrated oxygen protocol in the out-of-hospital setting.

    • Nichole Bosson, Marianne Gausche-Hill, and William Koenig.
    • 1Los Angeles County Emergency Medical Services Agency,Los Angeles,California USA.
    • Prehosp Disaster Med. 2014 Aug 1; 29 (4): 403-8.

    AbstractOxygen is one of the most frequently-used therapeutic agents in medicine and the most commonly administered drug by prehospital personnel. There is increasing evidence of harm with too much supplemental oxygen in certain conditions, including stroke, chronic obstructive pulmonary disease (COPD), neonatal resuscitations, and in postresuscitation care. Recent guidelines published by the British Thoracic Society (BTS) advocate titrated oxygen therapy, but these guidelines have not been widely adapted in the out-of-hospital setting where high-flow oxygen is the standard. This report is a description of the implementation of a titrated oxygen protocol in a large urban-suburban Emergency Medical Services (EMS) system and a discussion of the practical application of this out-of-hospital protocol.

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