All First Responder Protocols
57 protocols extracted and codified from official compendium
1RESP/PED. 2 Seizures
Pediatric Problems – Seizures 1RESP/PED. 2 Inclusion criteria: Alteration of the state of consciousness associated with localized or generalized tonic or clonic movements. 1. Refer to the 1REP/ACP pr...
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1RESP/OBS. 2 Imminent Delivery (PR-3)
1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. Visualize the perineum. 3. If the cord protrudes, refer to the 1RESP/OBS protocol. 6 (Procidence of the cord). 4. If urge to push ...
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1REP TECH May 10, 2022
1RESP/TECH. 10 1RESP/TECH. 10 Oxygen and saturation (PR-3 with specific training) This protocol only applies to PR 3 services which are equipped with a saturometer and which have been trained in its u...
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1RESP/TECH. 1 Removal of Protective Helmet (PR-2, 3)
Patient standing: 1. PR #1 approaches the patient from the front, asks him not to move and holds the patient's head patient in vice: • One hand placed on the base of the occiput; • One hand placed on ...
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1RESP/ENV. 4 Electrocution/Electrical Injury (PR-DEA,1, 2, 3)
Inclusion criteria: Burns by electric arc or anyone affected by an electric shock. The environment of the electrified patient poses a risk for responders. The first responder must always ensure protec...
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1RESP/TECH. 2 Contrôle d’hémorragie (PR-2, 3)
1. Localize the hemorrhage. 2. If multiple sites of bleeding, prioritize control of the heaviest bleeding. 3. Note the nature of the hemorrhage and the presence of a foreign body if visible. 4. In the...
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1RESP/TECH. 5 Extremity Immobilization (PR-2, 3)
1. Consider any trauma to an extremity as a possible fracture. 2. Minimize movements of the injured part. 3. Assess distal neurovascular functions. 4. Maintain the limb in the position found by suppor...
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1RESP/TECH. 10 Oxygen and Oxygen Saturation (PR-3 avec formation spécifique)
This protocol only applies to PR 3 services which are equipped with a saturometer and which have been trained in its use. use. 1. Situations requiring high concentration oxygen: Administer oxygen with...
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1RESP/ENV. 7 Drowning
1. Refer to the prehospital clinical approach protocol. 2. If trauma present or suspected, apply cervical protection. 3. Remove the patient or have the patient removed from the water by the appropriat...
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1RESP/ENV. 1 Diving Accident
The chamber operator has priority in terms of instructions and patient care. 1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. If trauma present or suspected, apply cervical protec...
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1RESP/MED. 11 Epistaxis
1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. If bleeding is active, blow the patient's nose. 3. Pinch the nostrils at the level of the wings of the nose and compress the space...
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1RESP/PED. 3 Respiratory Difficulty (PR-3)
Inclusion criteria (one of the following criteria must be present): • Patient with admitted respiratory difficulty (dyspnea); • Patient with apparent difficulty (pulling or use of accessory muscles, f...
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1RESP/OBS. 1 Pregnant Woman in Labor (PR-3)
For all obstetric protocols, the midwife has priority in terms of instructions and care. of the patient. 1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. Administer oxygen with a ...
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1RESP/TRAU. 4 Eye Trauma or Burn
1. Refer to the 1REP.ACP.TRAU protocol. (Prehospital clinical approach in traumatology). 2. Burn a) Immediately wash the eye with water or 0.9% NaCl; b) Continue irrigation until paramedics arrive. 3....
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1RESP/TECH. 14 A
Inclusion criteria: Capillary blood glucose known and measured in the last 30 minutes and < 4 mmol/L. 1. Check the contents and expiration date of the Glucagon emergency kit (a kit includes one syring...
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1RESP/TECH. 3 Adult Spinal Protection (PR-2, 3)
(continued) • Bring the lower side straps (legs) down on each side of the patient. Do not install immediately; • Bring the chest flaps forward and buckle the center and bottom straps only (do not do n...
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1RESP/TRAU. 2 Trauma in Pregnant Women (PR-2, 3)
CLINICAL APPROACH PROTOCOL IN TRAUMATOLOGY 1REP/ACP.TRAU 1RESP/TRAU PROTOCOL. 1 ADMINISTER OXYGEN WITH A HIGH CONCENTRATION MASK WITH 10L/MIN. OR MORE REPEAT VITAL SIGNS TO 5 MINUTES POSITION LIGHTLY ...
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1RESP/TRAU. 3 Isolated Extremity Trauma (PR-2, 3)
1. Refer to the prehospital trauma clinical approach protocol. 2. If hemorrhage is present, refer to the 1RESP/TECH protocol. 2 (Hemorrhage control); 3. Check neurovascular functions distal to the inj...
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1RESP/ENV. 3 Heat Stroke (PR-2,3)
Inclusion criteria: Patient exposed to a hot environment, with or without exercise, with change in state of consciousness or confusional/combative state. 1. Refer to the 1REP/ACP protocol (Prehospital...
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1RESP/PED. 4 Airway Obstruction by Foreign Body – Pediatrics (PR-DEA, 1, 2, 3)
Pediatrics CLINICAL APPROACH PROTOCOL 1 REP/ACP PERFORM THE DISOBSTRUCTION MANEUVER ACCORDING TO FMCQ STANDARDS YES PERSIST NO YES ASSIST VENTILATION WITH INADEQUATE VENTILATION OXYGEN AT 10 L/MIN. OR...
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1RESP/TRAU. 5 Pediatric Trauma (PR-2, 3)
1. Refer to the 1REP/ACP.TRAU protocol. (Prehospital clinical approach in traumatology). 2. Apply cervical protection. 3. Check ventilation and intervene according to a), b) or c): a) If ventilation i...
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1REP/TRAU. 4
1REP/TRAU. 4 Eye trauma or burn (PR-2, 3) 1. Refer to the 1REP.ACP.TRAU protocol. (Prehospital clinical approach in traumatology). 2. Burn a) Immediately wash the eye with water or 0.9% NaCl; b) Conti...
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1RESP/MED. 7 Seizures
5. Administer oxygen with a high concentration mask at 10 L/min or more. 6. If the state of consciousness is reached, refer to the 1RESP/MED protocol. 2 (Achieved of the state of consciousness). 7. (P...
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1RESP/IND. 2 Exposure to Toxic Substances (PR-DEA, 1, 2, 3)
1. Refer to the 1REP/ACP protocol (Prehospital clinical approach) and the 1REP/IND protocol. 1 (Exposure to hazardous materials – Comprehensive response). 2. Identify potential risks, type of poisonin...
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1REP/TECH. 15
1RESP/TECH.15 Ventilation with MRSI precautions (PR-1, 2, 3) Inclusion criteria (must all be present): Applicable: In situations where ventilatory assistance is required in PICPR protocols. In the con...
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1RESP/PED. 1 Atteinte de l’état de conscience (PR-DEA, 1, 2, 3)
Inclusion criteria: Patient with “V”, “P” or “U” level of consciousness or acute confusion or generalized weakness. 1. Refer to the prehospital clinical approach protocol. 2. Ensure patency of the air...
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1RESP/TECH. 6 Transport d’un membre amputé (PR-2, 3)
Inclusion criteria: Any amputated limb or part of a limb. 1. Recover the amputated part. 2. Cover the exposed part of the amputated limb with sterile compresses moistened with NaCl 0.9%. 3. Place wate...
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1RESP/OBS. 4 Newborn Assessment and Care (PR-3)
Inclusion criteria: Any newborn 23 weeks pregnant or older or who shows signs of life. 1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. Hold the newborn between the mother's legs....
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1RESP/IND. 1 Exposure to Hazardous Materials
overall) 5. A positive response to the three conditions listed below must be obtained before continuing the protocol: a) The poisoning is without risk or the risks have been controlled; b) Patients we...
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1RESP/OBS. 6 Cord Prolapse (PR-3)
1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. If the umbilical cord is visible at the entrance to the vagina, check with a sterile gloved hand for a pulse of the cord is presen...
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1RESP/ACP Prehospital clinical approach Prehospital clinical approach
Prehospital clinical approach 1 REP/ACP 1 REP/ACP Prehospital clinical approach (PR-DEA, 1, 2, 3) As soon as a patient presents with impairment of vital functions (primary approach or vital signs), p...
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1RESP/ENV. 2 Burns
Inclusion criteria: Thermal, electrical or chemical burn. 1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. Stop the process that is causing the burns. 3. Identify the type of burn...
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1RESP/PED. 5 Allergic/Anaphylactic Reaction (PR-1, 2, 3)
(continued) 1. Repeat epinephrine: - every 5 minutes, if the patient shows deterioration. - every 10 minutes if there is no improvement. - every 10 minutes if there is improvement, but the inclusion c...
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1RESP/MED. 13 Airway Obstruction by Foreign Body – Adult (PR-DEA, 1, 2, 3)
Adult CLINICAL APPROACH PROTOCOL 1 REP/ACP PERFORM THE DISOBSTRUCTION MANEUVER ACCORDING TO FMCQ STANDARDS YES PERSIST NO FREQUENCY YES ASSIST VENTILATION WITH RESPIRATORY < 8/MIN. OXYGEN AT 10L/MIN. ...
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1RESP/ENV. 5 Frostbite
Inclusion criteria: Cold part to the touch or change in color of the affected part. 1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. If hypothermia is suspected, refer to the 1RES...
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1RESP/ENV. 6 Hypothermia
Inclusion criteria: This protocol should only be applied in situations where the patient is found in a cold environment and his body is cold. Any patient exposed to a cold environment or showing signs...
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1RESP/MED. 12 Poisoning and Drug Toxicity (PR-DEA,1,2,3)
DRUG ADDICTION (PR-DEA,1,2,3) Inclusion criteria: History of intoxication with medication, alcohol, drugs or any other product. 1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. If...
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1RESP/MED. 10 Chest Pain (PR-3)
Inclusion criteria: Pain or discomfort of non-traumatic origin that persists or disappears in the region between the navel and the jaw including the back and arms or any usual anginal pain that was th...
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1RESP/MED. 16 Diabetic Emergency (PR-3)
Inclusion criteria: History of known or suspected diabetes with signs and symptoms compatible with an imbalance of low blood sugar (reaching the state of consciousness “V”, “P” or “U”), convulsions, c...
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1RESP/OBS. 2 (
4. Place the mother on her knees, buttocks raised and head down. 5. Administer high concentration mask oxygen at 10 L/min or more. 6. Ask the mother not to push. 7. Maintain this position until EMTs a...
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1RESP/TECH. 15 Ventilation with Contact Precautions (PR-1, 2, 3)
(PR-1, 2, 3) Inclusion criteria (must all be present): Applicable: In situations where ventilatory assistance is required in PICPR protocols. In the context of severe infectious respiratory disease (M...
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1RESP/MED. 8 Respiratory Difficulty (PR-3)
6. If respiratory rate < 8/min, assist ventilation with oxygen at 10 L/min or more. 7. Administer oxygen with a high concentration mask at 10 L/min or more. 8. Comfort position. 9. Continue the 1REP/A...
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1RESP/TECH. 4 Pediatric Spinal Protection (PR-2, 3)
(continued) 3. Pediatric mobilization (1 to 7 years) (continued): a) Child found in a sitting position; • Approach the child calmly; • Immobilize the head manually in a neutral position; • Measure and...
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1RESP/MED. 17 Allergic/Anaphylactic Reaction (PR-1, 2, 3)
CLINICAL APPROACH PROTOCOL 1RESP/ACP YES LIMIT TO ONE RELEASE CYCLE RESPIRATORY TRACT NO YES PROTOCOL 1RESP/REA.0 NO ASSIST THE YES YES VENTILATION WITH RESPIRATORY ANAPHYLACTIC OF OXYGEN 10 L/MIN. OR...
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1RESP/TRAU. 1 Adult Trauma (PR-2, 3)
abdominal) (PR-2, 3) 1. Refer to the 1REP/ACP.TRAU protocol (Prehospital clinical approach in traumatology). 2. Apply cervical protection. 3. Check respiratory rate and intervene according to a), b) o...
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1RESP/SIN. 1 Mass Casualty Incident (PR-2, 3)
SITE SECURITY APPROACH PRESENCE YES PROTOCOL MATTER 1RESP/IND.1 DANGEROUS NO CONTROL RISKS DANGERS YES OR HAVE IT CHECKED BY POTENTIALS THE AUTHORITIES COMPETENT PRESENTS NO ESTIMATE CLIMATIC CONDITIO...
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1RESP/MED. 2 Atteinte de l’état de conscience (PR-DEA, 1, 2, 3)
Inclusion criteria: Patient with “V”, “P”, “U” level of consciousness, acute confusion or generalized weakness. 1. Refer to the 1REP/ACP protocol (Prehospital clinical approach). 2. Ensure patency of ...
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