STAGE 2: EMS facilitated Home Care for Respiratory Infection – Assumption: Severe impact to Hospitals. Goal: alternate care dispositions required to prevent further degradation of health services

 

Hospital Status: Severe Impact

 

Covid-19 Cases within Indiana: Extensive

 

 

 

You have received a medical assessment from Indianapolis EMS Paramedics. It appears you do not require immediate care in the Emergency Department. You should seek care by calling your doctor’s office and following the instructions below.

 

Prevent the spread of germs by covering your cough/sneezes and clean your hands often. Wash your hands with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. Avoid touching your eyes, nose, and mouth with unwashed hands.

 

Plan to stay at home and rest for the next 2-3 days
Avoid cigarette smoke
Avoid close contact (<6 feet distance) with people who are sick
Use Tylenol (acetaminophen) for fever, sore throat, muscle aching and headache. See the medication handout for important information about these medications.
Drink plenty of fluids, such as water, orange/apple/grape juice, lemonade or sports drinks – up to eight to twelve eight-ounce glasses a day. You can also use an Oral Rehydration Solution.
Follow up with your primary care doctor if you are not better within a week

 

CALL 911 IF

 

Start coughing blood or have very heavy mucous
Have chest pain/discomfort or difficulty breathing
Have a severe headache or neck stiffness
Have a seizure
Start vomiting
Have diarrhea longer than a day, or your stools are red or black in color
Have severe abdominal pain
Develop a fever greater than 100.4 F or higher, not relieved by use of anti-fever medicine after 6 hours
Feel faint or think you are going to pass out

 

 

Name of Medicine	How to Take	Do Not Use Without First Talking to a a Doctor if:
Acetaminophen Tylenol	325 mg tablets Adults: take 2 tablets every 4 to 6 hours while symptoms last Do not take more than 10 tablets in 24 hours, unless directed by a doctor Do not use for more than 10 days unless directed by a doctor	You have chronic liver orare using other products containing acetaminophen

 

You have received a medical assessment from Indianapolis EMS Paramedics. It appears you do not require immediate care in the Emergency Department. You should seek care by calling your doctor’s office and following the instructions below. You should restrict activities outside your home, except for getting medical care. Do not go to work, school, or public areas. Avoid using public transportation, ride-sharing, or taxis. Only leave your home after you have discussed your medical situation with your doctor.

 

Call EMS (9-1-1) back if you are not better in 24 hours for re-assessment or if you feel that you are worsening
Rest at home for the next 2-3 days- As much as possible, you should stay in a specific room and away from other people in your home. Also, you should use a separate bathroom, if available.
Prevent the spread of germs by wearing a facemask, cover your cough/sneezes and clean your hands often. Avoid close contact with other people (<6 feet distance)
Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. If soap and water are not readily available, use an alcohol-based hand sanitizer. Soap and water are the best option if hands are visibly dirty. Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid cigarette smoke
Use Tylenol (acetaminophen) for fever, sore throat, muscle aching and headache. See the medication handout for important information about this medicine.
Drink plenty of fluids, such as water, orange/apple/grape juice, lemonade or sports drinks – up to eight to twelve eight-ounce glasses a day

 

CALL 911 IF

 

Start coughing blood or have very heavy mucous
Have chest pain/discomfort or difficulty breathing
Have a severe headache or neck stiffness
Have a seizure
Start vomiting
Have diarrhea longer than a day, or your stools are red or black in color
Have severe abdominal pain
Develop a fever greater than 100.4 F or higher, not relieved by use of anti-fever medicine after 6 hours
Feel faint or think you are going to pass out

 

 

Name of Medicine	How to Take	Do Not Use Without First Talking to a a Doctor if:
Acetaminophen Tylenol	325 mg tablets Adults: take 2 tablets every 4 to 6 hours while symptoms last Do not take more than 10 tablets in 24 hours, unless directed by a doctor Do not use for more than 10 days unless directed by a doctor	You have chronic liver orare using other products containing acetaminophen

STAGE 2: EMS Pediatric facilitated Home Care for Fever or Respiratory Infection – Assumption: Severe impact to Hospitals. Goal: reduce pediatric transport if possible for well appearing children

 

Hospital Status: Severe Impact

 

Covid-19 Cases within Indiana: Extensive

 

VITAL SIGNS FOR CHILDREN
Age Group	Respiratory Rate	Heart Rate	Systolic Blood Pressure
Newborn	30 - 60	120 -180	> 60
Infant (1 - 12 months)	20 - 40	100 - 140	> 70
Toddler (1 - 3 yrs)	20 - 34	90 - 130	> 75
Preschooler (3 - 5 yrs)	20 - 30	80 - 120	> 80
School Age (6 - 12 yrs)	18 - 30	70 - 110	> 80
Adolescent (13+ yrs)	12-20	60 - 100	> 90

 

Your child has received a medical assessment from Indianapolis EMS Paramedics. During this current Public Health Emergency, you are advised to manage your child’s symptoms at home instead of going to the Hospital. This will limit your exposure to others who can get your child sick. Based on our assessment, your child does not need immediate care in the emergency department. You should seek care with your regular healthcare provider or doctor’s office.

 

IF YOUR CHILD WORSENS, YOU CAN CALL US BACK – DIAL 9-1-1

 

Plan to stay at home and rest for the next 2-3 days
Avoid cigarette smoke
Avoid close contact (<6 feet distance) with people who are sick
Use Tylenol (acetaminophen) for fever, sore throat, muscle aching and headache. See the medication handout for important information about these medications.

 

Acetaminophen Tylenol	Do Not Use Without First Talking to a a Doctor if:
Take every 4-6 hours if there is fever or pain	Your child is <12 weeks old Your child has liver problems or is using other products containing acetaminophen

 

Weight	Syrup: 160 mg/5 ml	Chewable 80 mg	Chewable 160 mg	Adult 325 mg	Adult 500 mg
6-11 lbs	1.25 ml	---	---	---	---
12-17 lbs	2.5 ml	---	---	---	---
18-23 lbs	3.75ml	1.5 tabs	---	---	---
24-35 lbs	5 ml	2 tabs	1 tab	---	---
36-47 lbs	7.5 ml	3 tabs	1.5 tabs	---	---
48-59 lbs	10 ml	4 tabs	2 tabs	1 tab	---
60-71 lbs	12.5 ml	5 tabs	2.5 tabs	1 tab	---
72-95 lbs	15 ml	6 tabs	3 tabs	1.5 tab	1 tab
> 95 lbs	20 ml	8 tabs	4 tabs	2 tabs	1 tab

 

Drink plenty of fluids, such as water, orange/apple/grape juice, lemonade or sports drinks – up to eight to twelve eight-ounce glasses a day. You can also use an Oral Rehydration Solution.

 

Child's Weight	Amount of Pedialyte or other hydration fluid to work up gradually
10 lbs*	2 ounces (4 tablespoons) every hour
15 lbs*	2.5 ounces (6 tablespoons) every hour
20 lbs*	3.5 ounces (1/2 of a large glass) every hour
40 lbs	6.5 ounces (1 large glass) every hour
60 lbs	10 ounces (1.5 large glasses) every hour

 

Per the protocol, children <1 year should be transported instead of home care. The average 1 year old is about 25 lbs in weight.

 

Follow up with your primary care doctor if you are not better within a week

 

CALL 911 IF

 

Difficulty breathing
Signs of chest pain or abdominal pain
Severe abdominal pain
Confusion or you are unable to rouse your child
A seizure
Vomiting more than once or having several episodes of diarrhea
Develop a fever greater than 100.4 F or higher, not relieved by use of anti-fever medicine after 6 hours