The Core Content specifies those procedures/skills that are medically acceptable in the out-of-hospital setting. This list should not be considered restrictive with the exception of those skills that should be prohibited. The task force felt strongly the “prohibited skills” should not be included as part of the scope of practice for any level of nonphysician EMS provider.
This list outlines the general principles of skills, not specifics techniques.
AIRWAY TECHNIQUES
Airway adjuncts|
Airway Maneuvers
Alternate Airway Devices
Cricothyrotomy
Obstructed Airway Clearance
Intubation
- Nasotracheal
- Orotracheal
- Pharmacological facilitation
- Confirmation procedures
Oxygen Delivery Systems
Suction
Ventilation – assisted / mechanical
Anesthesia ( Local)
Pain Control & Sedation
Blood and Component Therapy Administration
Diagnostic Procedures
Blood chemistry analysis
Capnography
Pulmonary function measurement
Pulse Oximetry
Ultrasonography
Genital/Urinary
Bladder catheterization
- Foley catheter
Testicular detorsion
HEAD AND NECK
Control of epistaxis
- Anterior packing
Tooth replacement
Hemodynamic Techniques
Arterial catheter insertion and maintenance
Central venous access
Intraosseous access & infusion
Peripheral venous access & maintenance
Hemodynamic monitoring
12-lead ECG monitoring
Obstetrics
Delivery of newborn
Other Techniques
Bleeding control
Foreign body removal
Incision/Drainage
Intravenous therapy
Medication administration
Nasogastric tube
Pericardiocentesis
Pleural decompression
Patient restraint
Sexual assault victim management
Trephination of nails
Wound closure techniques
Wound management
Resuscitation
Cardiopulmonary resuscitation (CPR) (all ages)
Skeletal Procedures
Care of the amputated part
Fracture/Dislocation immobilization techniques
Fracture/Dislocation reduction techniques
Spine immobilization techniques
Thoracic
Cardiac pacing
Defibrillation/Cardioversion
Thoracostomy
Body Substance Isolation / PPE
Lifting and moving techniques
**MEDICALLY UNACCEPTABLE PROCEDURES and SKILLS**
Burr holes
Demand valve devices without flow-restricted heads
EOA/EGTA
Field Amputation
Ipecac
Perimortum C-section