File:	/media/381707/e101 mdi protocol mrm version 4.1.20.pdf
Description:	This West Virginia OEMS EMERGENCY protocol is to provide guidance for EMS Operations utilizing Metered Dose Inhalers (MDI’s). A global pandemic due to the novel coronavirus (COVID-19) has precipitated a surge in calls for Emergency Medical Services (EMS) related to viral syndromes. Centers for Disease Control and Prevention (CDC) guidance for EMS providers and healthcare personnel are continuously updated. All healthcare personnel should review these recommendations regularly. EMS providers may encounter a known or suspected symptomatic COVID-19 patient. The COVID-19 virus will precipitate respiratory emergencies that may require treatment via nebulized medications. The CDC has advised that these procedures are considered “HIGH RISK” and require full PPE. Because nebulizer therapy with bronchodilators for presumptive or confirmed COVID-19 patients may not be safe due to the generation of aerosols, which increases the risk that respiratory droplets will remain in the air and spread
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