ProQA Protocol Changes

Audrey Fraizer

NAVIGATOR speakers provided session attendees with the most recent enhancements to ProQA medical, fire, and police protocols.

MPDS 13.2

• New Protocol 23 Fast Track option enabling rapid Narcan and CPR therapy for obvious narcotic overdose has been constructed.
• New instructions for Nasal Narcan (Adapt Pharma), now the most common Narcan delivery device in public circulation, have been added.
• The send point for Protocol 31: Unconscious/Fainting (Near) has been moved up for unconscious patients with abnormal breathing to avoid any dispatch delay.
• A new Determinant Code has been added for “Falls down (not on) stairs," and a new Axiom has been added to better define Ground-level falls.
• Multiple changes to Rules, Axioms, CEIs, and Qualifiers have been made to enable better understanding and communication for EMDs and callers.

• New PDIs provide callers with instructions on how to interact with arriving officers to increase safety for officers and callers when multiple weapons are involved at the scene.
• New Jurisdictionally Approved Questions (JAQs) give centers more flexibility in determining appropriate responses for assisting agencies in traffic/transportation incidents.
• Changes to the global question for vehicle suspect/persons descriptions are enhanced to better address police-related scenarios and those involved (e.g., the elderly or those under the legal age to drive).
• Two new Key Question pathways that are JAQs in Protocol 125: Public Service address callers who are on scene vs. those meeting officers at a neutral (off-site) location.

• Verification of whether the caller is inside the building has been added to Protocol 69: Structure Fire after the initial ECHO dispatch of REPORTED BUILDING/STRUCTURE FIRE.