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EMT Med Routes

Common EMT medication routes * = definitely know

QuestionAnswer
Endotracheal route Pretty rare, medications given down the windpipe when a patient has been intubated by an ALS provider
Inhalation route* Medication given via breathing in, helps medications get into the bloodstream quickly via the lungs
Intramuscular (IM)* Needle is used to inject medication into the muscle
Intraosseous (IO)* IO drill used to push medications via bone marrow, this is mainly used in trauma calls when blood vessels have collapsed; patients are UNCONSCIOUS for this route
Intravenous (IV)* Needle and IV catheter used to push medication directly into the bloodstream
Per os (PO)* Medications swallowed via mouth and absorbed in the digestive tract
Per rectum (PR) Rectal suppositories are used most commonly in kids/patients with difficulty swallowing
Subcutaneous (SQ)* Needle used to inject medication under the skin and into the body's fat layer
Sublingual (SL)* Medications are given via mouth and held under the tongue for absorption
Transdermal* Medications absorbed through the skin via patches, gels, or sprays
Intranasal (IN)* Medications inhaled, specifically through the nose
Examples of inhalation route* Metered dose inhalers, nebulized medications; BOTH are commonly Albuterol when working inside the EMT scope, but ALS can give other medications
Examples of intramuscular route* Epi-pens (Epinephrine) and DuoDote/ATNAA (Atropine) given by EMT
Examples of endotracheal route Not in EMT scope, ALS providers intubate and would give medications via the endotracheal tube
Examples of intraosseous route Not in EMT scope, ALS providers use the IO drill
Examples of intravenous route* Not in EMT scope (ACCORDING TO THE NREMT, this is an ALS skill!) ALS providers can give fluids like saline through this route or certain medications can be pushed through IVs
Examples of per os route* Oral Glucose, Activated Charcoal, Aspirin and OTC medications like Acetaminophen, Benadryl, etc
Examples of subcutaneous route Not in the EMT scope, daily injections like insulin for diabetics are given via this route
Examples of sublingual route* Nitroglycerin spray given by EMTs
Examples of transdermal route* Nitroglycerin paste given by EMTs; patients might have lidocaine patches for chronic pain or nicotine patches to stop smoking
Examples of intranasal route* Naloxone given by EMTs; sometimes ALS will use a mucosal atomizer device to turn medications into sprays that can be administered through the nose
Examples of rectal route Not in the EMT scope, only ALS can do this
 

 



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