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Implementation of a Titrated Oxygen Protocol in the Out-of-Hospital Setting

  • Nichole Bosson (a1) (a2) (a3) (a4), Marianne Gausche-Hill (a2) (a3) (a4) and William Koenig (a1)


Oxygen is one of the most frequently-used therapeutic agents in medicine and the most commonly administered drug by prehospital personnel. There is increasing evidence of harm with too much supplemental oxygen in certain conditions, including stroke, chronic obstructive pulmonary disease (COPD), neonatal resuscitations, and in postresuscitation care. Recent guidelines published by the British Thoracic Society (BTS) advocate titrated oxygen therapy, but these guidelines have not been widely adapted in the out-of-hospital setting where high-flow oxygen is the standard. This report is a description of the implementation of a titrated oxygen protocol in a large urban-suburban Emergency Medical Services (EMS) system and a discussion of the practical application of this out-of-hospital protocol.

Bosson N , Gausche-Hill M , Koenig W . Implementation of a Titrated Oxygen Protocol in the Out-of-Hospital Setting. Prehosp Disaster Med. 2014;28(4):1-6 .


Corresponding author

Correspondence: Nichole Bosson, MD, MPH Harbor-UCLA Medical Center 1000 W Carson Street, Building D9 Box 21 Torrance, CA 90509 USA E-mail


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