Step 1: Address scene safety:
 
•  If PSAP advises potential for acute febrile respiratory illness symptoms on scene, EMS personnel should don PPE for
   suspected cases of swine-origin influenza prior to entering scene.
 
•  If PSAP has not identified individuals with symptoms of acute febrile respiratory illness on scene, EMS personnel
   should stay more than 6 feet away from patient and bystanders with symptoms and exercise appropriate routine respiratory
   droplet precautions while assessing all patients for suspected cases of swine-origin influenza.
 

Step 2: Assess all patients for symptoms of acute febrile respiratory illness (fever plus one or more of the following:
nasal congestion/ rhinorrhea, sore throat, or cough):

•  If no symptoms of acute febrile respiratory illness, provide routine EMS care.
 
•  If symptoms of acute febrile respiratory illness, don appropriate PPE for suspected case of swine-origin influenza if
   not already on. 
 

Personal protective equipment (PPE):

When treating a patient with a suspected case of swine-origin influenza as defined above, the following PPE should be worn:
 
•  Fit-tested disposable N95 respirator and eye protection (e.g., goggles; eye shield), disposable non-sterile gloves,
   and gown, when coming into close contact with the patient.
 
•  When treating a patient that is not a suspected case of swine-origin influenza but who has symptoms of acute febrile
   respiratory illness, the following precautions should be taken:

   o  Place a standard surgical mask on the patient, if tolerated. If not tolerated, EMS personnel may wear a standard
   surgical mask.

   o  Use good respiratory hygiene – use non-sterile gloves for contact with patient, patient secretions, or surfaces that
   may have been contaminated. Follow hand hygiene including hand washing or cleansing with alcohol based hand disinfectant
   after contact. 

Encourage good patient compartment vehicle airflow/ventilation to reduce the concentration of aerosol accumulation when possible.