2082 Approved drugs for ALS ambulance services

Approved Drugs for ALS Ambulance Services

[30 Pa.B. 6283]

   Under 28 Pa. Code §§ 1005.11(b) (relating to drug use, control and security) and 1007.7(c) (relating to licensure and general operating requirements), that the following drugs are approved for use by advanced life support (ALS) ambulance services and may be administered by EMT-paramedics, prehospital registered nurses and health professional physicians when use of those drugs is permitted by the applicable Department approved regional medical treatment protocols:

     1.  Adenosine
  2.  Albuterol
  3.  Amiodarone
  4.  Aminophylline
  5.  Aspirin
  6.  Atropine Sulfate
  7.  Benzocaine or Benzocaine/Tetracaine (for topical
      use only)
  8.  Bretylium
  9.  Calcium Chloride
10.  Dexamethasone Sodium Phosphate
11.  Diazepam
12.  Diltiazem
13.  Diphenhydramine HCL
14.  Dobutamine
15.  Dopamine
16.  Droperidol *
17.  Epinephrine HCL
18.  Furosemide
19.  Glucagon
20.  Heparin Intravenous (Drip) (for interfacility trans      ports, only)
21.  Heparin Lock Flush
22.  Hydrocortisone Sodium Succinate
23.  IIb/IIIa Inhibitors (for interfacility transports only)
         a.  Abciximab (Reopro)
         b.  Eptifibatide (Integrelin)
         c.  Tirofiban (Aggrastat)
24.  Intravenous Electrolyte Solutions
         a.  Dextrose
         b.  Lactated Ringer's
         c.  Sodium Chloride
         d.  Normosol


25.  Isoproterenol HCL
26.  Lidocaine HCL
27.  Magnesium Sulfate
28.  Meperidine
29.  Metaproterenol
30.  Midazolam
31.  Morphine Sulfate
32.  Naloxone HCL 33.  Nitroglycerin Intravenous (Drip) (for interfacility       transports, only)
34.  Nitroglycerin Ointment
35.  Nitroglycerin Spray
36.  Nitroglycerin Sublingual Tablets
37.  Nitrous Oxide
38.  Oxytocin
39.  Procainamide
40.  Sodium Bicarbonate
41.  Sterile Water for Injection
42.  Terbutaline
43.  Verapamil

*  =  Addition or change since last publication

   An air ambulance service may use drugs, medications and solutions in addition to those identified in the list upon securing the written approval of the Department of Health in accordance with 28 Pa. Code § 1001.4 (relating to exceptions).

   A health professional may administer drugs in addition to those permitted by the applicable regional transfer and medical treatment protocols and the Statewide BLS medical treatment protocols, provided the health professional has received approval to do so by the ALS service medical director of the ambulance service, and has been ordered to administer the drug by the medical command physician.

   Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, Braille) should contact Robert Gaumer, at the Pennsylvania Department of Health, Emergency Medical Services Office, Room 1032, Health and Welfare Building, Harrisburg, Pennsylvania, 17120, [phone] or telephone V/TT: [phone] for speech or hearing impaired persons or the Pennsylvania AT&T Relay Service at [phone] [TT].

ROBERT S. ZIMMERMAN, Jr.,   
Secretary

[Pa.B. Doc. No. 00-2082. Filed for public inspection December 1, 2000, 9:00 a.m.]