Clinical Operating Guidelines

TABLE OF CONTENTS

Administrative Guidelines

• Introduction

• Medical Control

• Patient Consent and Refusal

• Patient Priority

• Infectious Disease Precautions

• Cessation of Resuscitation

• Do Not Resuscitate Protocol

• EMS Documentation

• Provider Credentialing

• Law Enforcement Blood Samples

Adult Guidelines

Pain management

Hemorrhage

Trauma

• General Trauma Protocol

• Abdomen/Pelvis Trauma

• Burns

• Chest Trauma

• Crush Injuries

• Extremity Trauma

• Eye Trauma

• Head Trauma

• Spine Trauma

• Traumatic Cardiac Arrest

• Traumatic Shock

Medical

• General Medical Protocol

• Abdominal Pain/Vomiting

• Altered Mental Status

• Anaphylaxis/Allergic Reaction

• Behavioral Emergencies

• Cardiac Arrest

• Cardiac Dysrhythmias

• Chest Pain

• Cincinnati Prehospital Stroke Scale

• Diabetic Emergencies

• Dyspnea

• Hypertensive Emergencies

• Medical Shock

• Poisoning/ Overdose

• Seizures

• Syncope

Environmental

• Cold Emergencies

• Electrocution/Lightning

• Heat Emergencies

• Near Drowning

• Smoke Inhalation

Obstetrics/Gynecologic

• Childbirth

• Vaginal Bleeding

• Sexual Assault

Pediatric Guidelines

• General Pediatric Protocol

• Pediatric Abdominal Pain/Vomiting

• Pediatric Airway/Respiratory Emergencies

• Pediatric Anaphylaxis/Allergic Reaction

• Pediatric Cardiac Arrest

• Pediatric Cardiac Dysrhythmia

• Pediatric Diabetic Emergencies

• Pediatric Drug Ingestion/Overdose

• Pediatric Seizures

• Pediatric Shock

• Pediatric Trauma

• Neonatal Resuscitation

Incident Rehabilitation Protocol

Interfacility Transfer Protocol

Procedures

Airway Procedures

• Airway Protocol

• CPAP Administration

• Endotracheal Intubation

• Combitube

• i-Gel

• King LTS-D

• Needle Cricothyrotomy

• Oxygen Administration

• Oxylator

• Rapid Sequence Intubation

Cardiovascular Procedures

• Cardioversion

• Double Sequential Defibrillation

• EZ-IO Access

• Port Access

Trauma Procedures

• Pleural Decompression

• Selective Spinal Immobilization

Formulary

Z-VENT 

Color Key for

Level of Care

Approved for All Providers

(except for procedures that fall out of a provider

Scope of Practice)

Approved for Advanced EMT

Approved for EMT - Paramedic