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Protocols
Section 1 - General Patient Care
1.0 Routine Patient Care
1.1 High Quality CPR
Section 2 - Medical
2.1 Adrenal Insufficiency/Adrenal Crisis
2.2.A Allergic Reaction/Anaphylaxis [Adult]
2.2P Alllergic Reaction/Anaphylaxis [Pediatric]
2.3A Altered Mental/Neurological Status/Diabetic Emergencies/Coma-Adult
2.3P Altered Mental/Neurological Status/Diabetic Emergencies/Coma-Pediatric
2.4 Behavioral Emergencies - Adult & Pediatric
2.5 Behavioral Emergencies: Restraint - Adult & Pediatric
2.6A Bronchospasm/Respiratory Distress-Adult
2.6P Bronchospasm/Respiratory Distress - Pediatric
2.7 Hyperthermia (Environmental) Adult & Pediatric
2.8 Hypothermia (Environmental) Adult & Pediatric
2.9 Nerve Agents Organophosphate Poisoning- Adult & Pediatric
2.10 Obstetrical Emergencies
2.11 Newly Born Care
2.12 Resuscitation of the Newly Born
2.13 Pain & Nausea Management - Adult & Pediatric
2.14 Poisoning/Substance Abuse/Overdose/Toxicology - Adult & Pediatric
2.15A Seizures-Adult
2.15P Seizures-Pediatric
2.16A Shock - Adult
2.16P Shock - Pediatric
2.17A Sepsis-Adult
2.17P Sepsis-Pediatric
2.18 Stroke
2.19 Hyperkalemia - Adult
2.20 Home Hemodialysis Emergency Disconnect
Section 3 - Cardiac
3.1 Acute Coronary Syndrome- Adult
3.2 Atrial Fibrillation/Flutter
3.3A Bradycardia-Adult
3.3P Bradycardia-Pediatric
3.4A Cardiac Arrest (Adult): Asystole/Pulseless Electrical Activity
3.4P Cardiac Arrest (Pediatric): Asystole/Pulseless Electrical Activity
3.5A Cardiac Arrest (ADULT): Ventricular Fibrillation/Pulseless Ventricular
3.5P Cardiac Arrest (PEDIATRIC): Ventricular Fibrillation/Pulseless Ventric
3.6 Congestive Heart Failure (Pulmonary Edema)
3.7 Targeted Temperature Management- Adult
3.8 Post Resuscitative Care/ROSC — Adult & Pediatric
3.9A Supraventricular Tachycardia — Adult
3.9P Supraventricular Tachycardia — Pediatric
3.10 Ventricular Tachycardia with Pulses—Adult & Pediatric
Section 4 - Trauma
4.1 Burns/Inhalation/Electrocution and Lightning Strike Injuries—Adult & Pe
4.2 Drowning/Submersion Injuries – Adult & Pediatric
4.3 Eye Emergencies – Adult and Pediatric
4.4 Head Trauma & Injuries—Adult & Pediatric
4.5 Multisystem Trauma—Adult & Pediatric
4.6 Musculoskeletal Injuries—Adult & Pediatric
4.7 Soft Tissue/Crush Injuries—Adult & Pediatric
4.8 Spinal Column/Cord Injuries—Adult & Pediatric
4.9 Thoracic Trauma – Adult & Pediatric
4.10 Traumatic Amputations—Adult & Pediatric
4.11 Traumatic Cardiac Arrest—Adult & Pediatric
Section 5 - Airway Protocols
5.1A Upper Airway Obstruction-- Adult
5.1P Upper Airway Obstruction-- Pediatric
5.2 Difficult Airway-- Adult The Difficult Airway protocol is to be used o
5.3 Tracheostomy Tube Obstruction Management – Adult & Pediatric
5.4 Sedation for an Intubated Patient
Section 6 - MD Options
6.0 Medical Director Options
6.1 BLS Bronchodilators—Adult & Pediatric EMT STANDING ORDERS If trained a
6.2 Needle Cricothyrotomy
6.3 Urban Search and Rescue (USAR) Medical Specialist
6.4 Tranexamic Acid
6.5 Check and Inject Epinephrine by EMT-Basics
6.6 Acetaminophen IV
6.7 Surgical Cricothyrotomy
6.8 Bilevel Positive Airway Pressure (BiPAP)
6.9 Glucagon for Hypoglycemia by EMT-Basic
6.10 Withholding and Cessation of Resuscitation by Paramedic as a Medical C
6.11 12-Lead Acquisition and Transmission of ECG by EMT-Basic and/or Advanc
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