Epinephrine, Naloxone, and Glucometers

Training in the administration of naloxone or other opioid antagonist shall result in the EMT being competent in the administration of naloxone and managing a patient of a suspected narcotic overdose and shall include the following topics and skills:

       (1) Common causative agents.
​​​​​​​       (2) Assessment findings.
​​​​​​​       (3) Management to include, but not be limited to:
​​​​​​​       ​​​​​​​       (A) Need for appropriate personal protective equipment and scene safety awareness.
​​​​​​​       (4) Profile of Naloxone to include, but not be limited to:
​​​​​​​       ​​​​​​​       (A) Indications.
​​​​​​​       ​​​​​​​       (B) Contraindications.
​​​​​​​       ​​​​​​​       (C) Side/adverse effects.
​​​​​​​       ​​​​​​​       (D) Routes of administration.
​​​​​​​       ​​​​​​​       (E) Dosages.
​​​​​​​       ​​​​​​​       (F) Mechanisms of drug action.
​​​​​​​       ​​​​​​​       (G) Calculating drug dosages.
​​​​​​​       ​​​​​​​       (H) Medical asepsis.
​​​​​​​       ​​​​​​​       (I) Disposal of contaminated items and sharps.
​​​​​​​       ​​​​​​​       (J) Medication administration.

Training in the administration of epinephrine for suspected anaphylaxis and/or severe asthma shall result in the EMT being competent in the use and administration of epinephrine by auto-injector and managing a patient of a suspected anaphylactic reaction and/or experiencing severe asthma symptoms. Included in the training shall be the following topics and skills:

​​​​​​​       (1) Common causative agents.
​​​​​​​       (2) Assessment findings.
​​​​​​​       (3) Management to include, but not be limited to:
​​​​​​​       ​​​​​​​       (A) Need for appropriate personal protective equipment and scene safety awareness.
​​​​​​​       (4) Profile of epinephrine to include, but not be limited to:
​​​​​​​       ​​​​​​​       (A) Indications
​​​​​​​       ​​​​​​​       (B) Contraindications.
​​​​​​​       ​​​​​​​       (C) Side/adverse effects.
​​​​​​​       ​​​​​​​       (D) Mechanisms of drug action.
​​​​​​​       (5) Administration by auto-injector.
​​​​​​​       (6) Medical asepsis.
​​​​​​​       (7) Disposal of contaminated items and sharps.

Training in the use of finger stick blood glucose testing shall result in the EMT being competent in the use of a glucometer and managing a patient with a diabetic emergency. Included in the training shall be the following topics and skills:

​​​​​​​       (1) Blood glucose determination.
​​​​​​​       ​​​​​​​       (A) Assess blood glucose level.
​​​​​​​       ​​​​​​​       (B) Indications.
​​​​​​​       ​​​​​​​       ​​​​​​​       1. Decreased level of consciousness in the suspected diabetic.
​​​​​​​       ​​​​​​​       ​​​​​​​       2. Decreased level of consciousness of unknown origin.
​​​​​​​       ​​​​​​​       (C) Procedure for use of finger stick blood glucometer.
​​​​​​​       ​​​​​​​       ​​​​​​​       1. Medical asepsis.
​​​​​​​       ​​​​​​​       ​​​​​​​       2. Refer to manufacturer's instructions for device being used.
​​​​​​​       ​​​​​​​       (D) Disposal of sharps.
​​​​​​​       ​​​​​​​       (E) Limitations.
​​​​​​​       ​​​​​​​       ​​​​​​​       1. Lack of calibration.
​​​​​​​       ​​​​​​​       (F) Interpretation of results.
​​​​​​​       ​​​​​​​       (G) Patient assessment.
​​​​​​​​​​​​​​       ​​​​​​​       (H) Managing a patient before and after finger stick glucose testing.

Content Creator: Carli Wymore
CAPCE Course Number: 20-EMTP-F3-8304
Total CE Hours: 1
Level: Basic