TABLE OF CONTENTS
Introduction 5
ENVIRONMENTAL PROTOCOLS
Bites, Non-Venomous 8
Bites, Venomous 9
Near Drowning 10
Hyperthermia 11
Hypothermia 13
MEDICAL PROTOCOLS
Abdominal Pain 16
Altered Mental Status 17
Anaphylactic Reaction 19
Airway Management 21
Behavioral Emergencies 23
Hypertension 25
Criteria for Obvious Death 26
Termination of Resuscitation 28
Cerebrovascular Accident 29
Dehydration 30
Diabetic Emergencies 31
Do Not Resuscitate Orders 32
Nausea/Vomiting 35
Pain Management Guidelines 36
Poisoning/Overdose 38
Post-Intubation Sedation 39
Refusal of Treatment/Transport 40
Restraint Involuntary 41
Respiratory Distress (Asthma, COPD) 43
Respiratory Distress (Pulmonary Edema, CHF) 45
Restraint Use 46
Seizure (Adult) 48
Sepsis 49
Sexual Abuse/Assault 50
Shock General 51
Syncope 53
OB/GYN PROTOCOLS
Childbirth 55
Childbirth (Imminent Delivery) 56
Newborn Care 57
Childbirth Complications 59
Pre-Eclampsia 61
PEDIATRIC PROTOCOLS
Apparent Life-Threatening Event (ALTE) 63
Refusal of Treatment/Transport (Pediatric) 64
Respiratory Distress (Pediatric) 65
Respiratory Distress (Croup) 67
Respiratory Distress (Epiglotitus) 68
Seizure (Pediatric) 69
Trauma Assessment (Pediatric) 71
Trauma Treatment Field Management 74
TRAUMA PROTOCOLS
Amputations 77
Burns (Thermal Injuries) 78
Burns (Chemical Injuries) 80
Crush Injuries 81
External Hemorrhage Control 82
Eye Injuries 83
Head Injuries 84
Spinal Immobilization 86
Traumatic Brain Injury (TBI) 88
Trauma (Multi-system) 89
Trauma Cardiac Arrest 91
Trauma Designation 93
CARDIAC PROTOCOLS
Atrial Fibrillation with RVR/Atrial Flutter 95
Bradycardia 97
Chest Pain 98
Cardiac Arrest (Medical) 100
Cardiac Arrest (Asystole) 103
EKG Transmission 104
Cardiac Arrest (PEA) 105
Cardiogenic Shock 106
Tachycardia (Narrow) 107
Tachycardia (Wide) 109
Team CPR Guidelines 110
Cardiac Arrest (V-fib, Pulseless VT) 111
Introduction 5
ENVIRONMENTAL PROTOCOLS
Bites, Non-Venomous 8
Bites, Venomous 9
Near Drowning 10
Hyperthermia 11
Hypothermia 13
MEDICAL PROTOCOLS
Abdominal Pain 16
Altered Mental Status 17
Anaphylactic Reaction 19
Airway Management 21
Behavioral Emergencies 23
Hypertension 25
Criteria for Obvious Death 26
Termination of Resuscitation 28
Cerebrovascular Accident 29
Dehydration 30
Diabetic Emergencies 31
Do Not Resuscitate Orders 32
Nausea/Vomiting 35
Pain Management Guidelines 36
Poisoning/Overdose 38
Post-Intubation Sedation 39
Refusal of Treatment/Transport 40
Restraint Involuntary 41
Respiratory Distress (Asthma, COPD) 43
Respiratory Distress (Pulmonary Edema, CHF) 45
Restraint Use 46
Seizure (Adult) 48
Sepsis 49
Sexual Abuse/Assault 50
Shock General 51
Syncope 53
OB/GYN PROTOCOLS
Childbirth 55
Childbirth (Imminent Delivery) 56
Newborn Care 57
Childbirth Complications 59
Pre-Eclampsia 61
PEDIATRIC PROTOCOLS
Apparent Life-Threatening Event (ALTE) 63
Refusal of Treatment/Transport (Pediatric) 64
Respiratory Distress (Pediatric) 65
Respiratory Distress (Croup) 67
Respiratory Distress (Epiglotitus) 68
Seizure (Pediatric) 69
Trauma Assessment (Pediatric) 71
Trauma Treatment Field Management 74
TRAUMA PROTOCOLS
Amputations 77
Burns (Thermal Injuries) 78
Burns (Chemical Injuries) 80
Crush Injuries 81
External Hemorrhage Control 82
Eye Injuries 83
Head Injuries 84
Spinal Immobilization 86
Traumatic Brain Injury (TBI) 88
Trauma (Multi-system) 89
Trauma Cardiac Arrest 91
Trauma Designation 93
CARDIAC PROTOCOLS
Atrial Fibrillation with RVR/Atrial Flutter 95
Bradycardia 97
Chest Pain 98
Cardiac Arrest (Medical) 100
Cardiac Arrest (Asystole) 103
EKG Transmission 104
Cardiac Arrest (PEA) 105
Cardiogenic Shock 106
Tachycardia (Narrow) 107
Tachycardia (Wide) 109
Team CPR Guidelines 110
Cardiac Arrest (V-fib, Pulseless VT) 111