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Mobile Intensive Care Paramedic (MICP)

ParamedicsBasic Scope - all individuals certified as MICPs by the University of Washington School of Medicine - Paramedic Training Program must be trained and tested in these practices:

  • Perform manual defibrillation
  • Perform synchronized cardioversion
  • Perform transcutaneous pacing
  • Perform Valsalva's Maneuver and Carotid Sinus Massage
  • Perform EKG-Monitoring
  • Acquire and Interpret 12-lead EKG
  • Perform pulse oximetry
  • Visualize the airway by use of the laryngoscope and remove foreign body(ies) with forceps
  • Perform pulmonary ventilation by endotracheal intubation (incl. use of eschman catheter) The majority of intubations are elective in nature. These are comprised of head injuries, dyspneic chest trauma, CHF or other patients with severe respiratory compromise.
  • Perform retrograde intubation in patients > 16 years of age
  • Perform needle cricothyrotomy/transtracheal jet insufflation
  • Perform surgical cricothyroidotomy in patients > 12 years of age
  • Perform needle thoracostomy
  • Monitor thoracostomy tubes
  • Institute intravenous (IV) catheters, saline locks, needles, or other cannulae (IV lines), in central and peripheral veins; and monitor and administer medications through pre-existing vascular access (i.e. port-a-cath) Frequently central lines are initiated if peripheral access is unavailable.
  • Perform intraosseous cannulation in patients < 6 years of age
  • Administer intravenous glucose solutions and Ringer's lactate solution
  • Obtain venous blood samples
  • Perform phlebotomy
  • Perform pericardiocentesis
  • Perform escharotomy
  • Perform episiotomy
  • Perform nasogastric intubation and gastric suction
  • Perform drug administration via I.M., S.C., I.V., SL, ET, IC, rectal and buccal routes
  • Administer the following medications:
    • adenosine
    • albuterol
    • aminophylline
    • amyl nitrite
    • acetylsalicylic acid
    • atropine
    • calcium chloride
    • dextrose 50%
    • diazepam
    • diltiazem
    • diphenhydramine
    • epinephrine
    • etomidate
    • furosemide
    • glucagon
    • glyceryl trinitrate
    • isoetharine
    • isoproterenol
    • lidocaine
    • magnesium sulfate
    • metoprolol
    • morphine
    • naloxone
    • norepinephrine
    • oxytocin
    • pancuronium
    • phenobarbital
    • procainamide
    • promethazine
    • sodium bicarbonate
    • sodium nitrite
    • sodium thiosulfate
    • succinylcholine