807 Division of emergency medical services systems; approved drugs, medications and solutions

Division of Emergency Medical Services Systems; Approved Drugs, Medications and Solutions

[30 Pa.B. 2428]

   Under 28 Pa. Code §§ 1005.11(b) and 1007.7(c) (relating to medication, use, control and security; licensure requirements), the following drugs, medications and solutions 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 under medical command or Department of Health (Department) approved 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.  Epinephrine HCL
17.  Furosemide
18.  Glucagon
19.  Heparin Intravenous (Drip) (for interfacility trans         ports, only)
20.  Heparin Lock Flush
21.  Hydrocortisone Sodium Succinate
22.  IIb/IIIa Inhibitors (for interfacility transports only)
         (a)  Abciximab (Reopro)
         (b)  Eptifibatide (Integrelin)
         (c)  Tirofiban (Aggristat)
23.  Intravenous Electolyte Solutions
         (a)  Dextrose
         (b)  Lactated Ringer's
         (c)  Sodium Chloride
         (d)  Normosol
24.  Isoproterenol HCL
25.  Lidocaine HCL
26.  Magnesium Sulfate
27.  Meperidine
28.  Metaproterenol
29.  Midazolam
30.  Morphine Sulfate
31.  Naloxone HCL
32.  Nitroglycerin Intravenous (Drip) (for interfacility          transports, only)
33.  Nitroglycerin Ointment
34.  Nitroglycerin Spray
35.  Nitroglycerin Sublingual Tablets
36.  Nitrous Oxide
37.  Oxytocin
38.  Procainamide
39.  Sodium Bicarbonate
40.  Sterile Water for Injection
41.  Terbutaline
42.  Verapamil

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

   Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, braille) should contact Caroline L. Bowes, R.N., at the Department of Health, Emergency Medical Services Office, Room 912, Health and Welfare Building, Harrisburg, PA 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. 00-807. Filed for public inspection May 12, 2000, 9:00 a.m.]