Hypertension Treatment by EMS

1. Introduction

A question was raised in our regional stroke committee meeting regarding what, if any, treatment pre-hospital healthcare agencies were providing to Hypertensive Patients. So, we would like to see exactly what is out in EMS protocol.

Please take a couple of minutes to answer the following questions regarding how your EMS System treats patients who are hypertensive with or without associated symptoms.

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* 1. If you have a patient who exhibits gross hypertension (based upon your protocols definition) what treatments are in your protocol? (Choose all that apply)

Oxygen

EKG Monitor

Pharmacological Treatment

Patient Positioning

Any other interventions not listed above

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* 2. What is your oxygen protocol for Hypertensive Emergencies?

Nasal Cannula

Mask

Based upon SPO2 measurements

Based upon symptoms

Other (please specify)

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* 3. What, if any, guidance is prescribed in your protocols for patient positioning when they are hypertensive?

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* 4. What medications are in your protocols for the treatment of hypertension emergencies

Med 1

Med 2

Med 3

Med 4

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* 5. What indications or criteria would initiate your hypertensive emergency protocol?

Systolic Reading of:

Diastolic Reading of:

Pts that present with these signs and symptoms:

Other

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* 6. If you have a patient that meets your system's definition of Hypertensive Emergency, are there any presentations, signs or symptoms that would preclude the patient from being treated. (For example, our pain treatment protocol states a patient in severe pain should receive pain relief medications unless they are severely intoxicated, etc)

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* 7. What is your agency's name?

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* 8. If you would like a copy of this survey, de-identified, please include your email address.

Name:

Email Address:

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* 9. Thank you for taking a few minutes to answer these questions. Feel free to provide any additional information you feel may be beneficial or that you would like to share.