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The ECNS symptom-based protocols guide the nurse through a series of medical questions. After confirming there are no priority symptoms requiring emergency 450 Edison Way • Reno, Nevada 89502 • 775.858.5700. PROTOCOL. MANUAL The practice of medicine by protocol enables REMSA to reliably bring the best. This patient care document has been specifically developed for Washoe County EMS responders. The purpose of this manual is to provide guidance for ALL REMSA 4603 Key Additions: Monitoring of patient position, vital signs (including Respiratory Rate and Effort), and diagnostics for oxygenation and ventilation
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