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Implementation of a Titrated Oxygen Protocol in the Out-of-Hospital Setting

Published online by Cambridge University Press:  01 July 2014

Nichole Bosson ,
Marianne Gausche-Hill  and
William Koenig
Nichole Bosson*
Affiliation:
Los Angeles County Emergency Medical Services Agency, Los Angeles, California USA Department of Emergency Medicine Harbor-UCLA Medical Center, Torrance, California USA Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, California USA David Geffen School of Medicine at UCLA, Los Angeles, California USA
Marianne Gausche-Hill
Affiliation:
Department of Emergency Medicine Harbor-UCLA Medical Center, Torrance, California USA Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, California USA David Geffen School of Medicine at UCLA, Los Angeles, California USA
William Koenig
Affiliation:
Los Angeles County Emergency Medical Services Agency, Los Angeles, California USA
*
Correspondence: Nichole Bosson, MD, MPH Harbor-UCLA Medical Center 1000 W Carson Street, Building D9 Box 21 Torrance, CA 90509 USA E-mail [email protected]
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Abstract

Oxygen is one of the most frequently-used therapeutic agents in medicine and the most commonly administered drug by prehospital personnel. There is increasing evidence of harm with too much supplemental oxygen in certain conditions, including stroke, chronic obstructive pulmonary disease (COPD), neonatal resuscitations, and in postresuscitation care. Recent guidelines published by the British Thoracic Society (BTS) advocate titrated oxygen therapy, but these guidelines have not been widely adapted in the out-of-hospital setting where high-flow oxygen is the standard. This report is a description of the implementation of a titrated oxygen protocol in a large urban-suburban Emergency Medical Services (EMS) system and a discussion of the practical application of this out-of-hospital protocol.

Bosson N, Gausche-Hill M, Koenig W. Implementation of a Titrated Oxygen Protocol in the Out-of-Hospital Setting. Prehosp Disaster Med. 2014;28(4):1-6 .

Keywords

Emergency Medical Servicesoxygenresuscitation
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 4 , August 2014 , pp. 403 - 408
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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