PUBLIC HEALTH ADVISORY CONCERNING FENTANYL AND FENTANYL-LACED SUBSTANCES

Emergency Medical Services

Protocols

The following medical protocols have been developed for use by emergency medical providers operating within the State of Tennessee as a GUIDELINE for preparation of pre-hospital treatment protocols and related administrative policies. Protocols are treatment guidelines that should only be carried out with direct medical control from a physician unless a "standing order" policy has been established for a particular protocol. Please keep in mind that the treatment sequences illustrated presume that the patient remains symptomatic or in a deteriorating state and covers a broad range of conditions and situations and may require changes in the plan of actions. At the time of development of the protocols, great care was taken to make certain that doses of medication and schedules of treatment were compatible with generally accepted standard of care. Anyone planning to use any or all of these protocols should review and study them carefully, satisfying themselves that they are accurate and appropriate at the time they are instituted.