Emergency medical responder (EMR)/Transport decision

Load and go

Under the following circumstances a patient must always be a load and go:

• Altered level of consciousness.
• Any compromise to the airway.
• Any compromise to the Breathing.
• Any compromise to the circulation.
• Deadly bleeding.
• Change in skin colour, temperature, or condition.
• Spinal immobilization has been taken.
• Pelvic fracture.
• Femur fracture.
• Internal bleeding.

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If an EMR determines the patient to be a load and go, the following protocol must be followed. Note the patient history can usually be taken at the same time as the patient is being packaged.

1. Patient history.
2. Package patient.
3. Begin transport.
4. Check vitals (recheck vitals every five minutes or if a change in the patients condition occurs).
5. Perform a reassessment survey.
6. Begin treatment.

Stay and stabilize

If none of the above conditions exist, an EMR may choose to stay and stabilize the patient before transport.

If an EMR determines the patient to be a stay and stabilize, the following protocol must be followed.

1. Patient history.
2. Check vitals (recheck vitals every five minutes or if a change in the patients condition occurs).
3. Perform a reassessment survey.
4. Begin treatment.
5. Package patient.
6. Begin transport.