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GOAL!

Refusals Cont.

Refer to WREMAC PROTOCOL: REFUSAL OF TREATMENT/TRANSPORTATION POLICY for other considerations regarding treat and release

Refusal of transport

The following conditions MUST be met to sign off the patient:

- Patient must have a GCS of 15

- Patient must have a heart rate of <110 bpm, respiratory rate >12, O2 saturation >94%, systolic blood pressure >100mmHg and <180mmHg

- Patient has no other acute medical or psychiatric condition requiring medical evaluation, such as: Traumatic injury sustained in TASER induced fall or police encounter, Hypoglycemia, Acute psychiatric disturbance or Agitated/Excited delirium syndrome

- No tetanic muscle contractions

- Patient is 18 years of age or older

- Patient has had tetanus booster in last ten years. If tetanus status is unknown, the patient may be taken to hospital by police if all other treat and release criteria are met. (Police are to be informed that it is the responsibility of the police service to ensure that the patient receives a tetanus booster within 72 hours. This advice must be documented of the PCR.

- All darts which have been deployed are accounted for

12 Leads

Taser Barb Removal

If a 12 lead is needed- the patient needs to be transported to a physician, or medical direction needs to be contacted to sign the patient off.

Always ask if the patient has any cardiac history- this may indicate potential hazards

Removal Continued

• Wearing gloves:

grasp the cylinder of the TASER dart between the thumb and index finger of one hand. Remove the dart with a quick, firm pull directed perpendicular to the skin surface.

Dispose of the dart in a sharps container, being careful not to poke oneself with the barb. Repeat this step for each embedded dart

• Clean the wound with gauze with water or saline if required and apply a bandage to each site.

Contraindications for Removal

Dart penetrated the eye, face, neck, breasts (females), axilla or genitals

DO NOT REMOVE above this line

Taser Barb Removal

DEMS

• Must be credentialed by service medical director to remove TASER barbs

• After ensuring that the electrical current is disconnected, cut the wires at the base of the probe that is attached to the skin

In order to remove a taser barb...

You must be at least an EMT Basic Level

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