Austin-Travis County Emergency Medical Services
Summary of COG Changes 2022
COVID-19
System Medical Advisory December 17, 2020 - Symptoms of CO Poisoning & COVID-19
Donning & Doffing Airborne PPE for Infection Control (≥ PL1)
Donning & Doffing Coverall PPE for Infection Control (≥ PL1)
Donning & Doffing Droplet PPE for Infection Control (≥ PL1)
Important Links
Field Guide for COGs Cover Page
Clinical Guidelines
Abdominal Pain
Airway Management & Ventilation
Allergic Reaction
Altered Mental Status
Behavioral & Violent Excited Delirium
Bites and Envenomation
Burns
Carbon Monoxide
Cardiac: Bradycardia with Pulse
Cardiac: Care of the LVAD Patient
Cardiac: Narrow Complex Tachycardia with Pulse
Cardiac: Suspected Acute Coronary Syndrome
Cardiac: Treatable Causes with a Pulse
Cardiac: Wide Complex Tachycardia with Pulse
Cardiac Arrest: Asystole & PEA
Cardiac Arrest: pVTach & VFib
Cardiac Arrest: ROSC and Induced Hypothermia
Cardiac Arrest: Trauma
Cardiac Arrest: Treatable Causes
Crush Injury
Cyanide
Drowning / Submersion
Environmental Hyperthermia
Environmental Hypothermia
Epistaxis
ETOH Withdrawal
Eye Injury / Complaint
Fever/Infection Control
Headache
Hypotension Non-Traumatic
Nausea / Vomiting
Obstetrical Emergency
Obstetrical Labor and Childbirth
Obstetrical Newborn Care
Organophosphate Exposure
Overdose
Pain Management
Pulmonary Edema
Respiratory Distress
Seizure
Sepsis and Septic Shock
Stroke
Syncope
Trauma
Universal Patient Care
Drug Formulary
Acetaminophen (APAP) (Tylenol)
Adenosine
Albuterol
Amiodarone
Aspirin
Atropine Sulfate
Calcium Chloride
Dextrose (10W)
Diltiazem
Diphenhydramine
Epinephrine
Fentanyl
Glucagon
Haloperidol
Hurricane / Cetacaine Spray
Hydroxocobalamin (Cyanokit)
Ibuprofen
Ipratropium Bromide (Atrovent)
Isotonic Crystalloid Fluids
Ketamine
Lidocaine
Magnesium Sulfate 50%
Methylprednisolone
Metoclopramide
Midazolam
Naloxone
Neo-Synephrine
Nitroglycerin
Norepinephrine
Ondansetron
Oral Glucose
Oxygen
Rocuronium Bromide
Sodium Bicarbonate
Tranexamic Acid
Xylocaine Gel
Checklists
APGAR
Conscious Sedation Checklist
Field Triage
Pit Crew CPR, Cardiac Arrest, ROSC Checklists
Rapid 12-Lead ECG & Suspected ACS Checklists
Rapid Sequence Induction Airway Checklist
Refusal of Care, Lift Assist, and Capacity Checklists
Restraints Checklist
Simple Thoracostomy Checklist
Spinal Motion Restriction
Stroke Screening Tool
Telemedicine Checklist
Clinical Procedures
12-Lead ECG Placement (≥ PL2)
Automated External Defibrillation (≥ PL1)
Adult Assessment (≥ PL1)
Pediatric Assessment (≥ PL1)
Auto-Injector Delivered Medication (≥ PL1)
Big Valve Mask (≥ PL1)
Beck Airway Airflow Monitor (≥ PL5)
Bimanual Trachea Manipulation (≥ PL1)
Blood Glucose Assessment (≥ PL1)
Blood Product Administration (≥ PL5)
Conscious Sedation (≥PL6)
Contact Precautions (≥ PL1)
Continuous Positive Airway Pressure Ventilation (≥ PL2)
CPR Pit Crew Adult (≥PL1)
CPR Pit Crew Pediatric (≥PL1)
Decontamination (≥ PL1)
Determination of Capacity (≥ PL1)
Dislocated Joint Reduction (≥ PL6)
Donning & Doffing Airborne PPE for Infection Control (≥ PL1)
Double Sequential Defibrillation (≥ PL5)
Equipment Failure (≥ PL1)
Escharotomy (≥ PL6)
EtCO₂ - EZ Cap (≥ PL2)
EtCO₂ Wave Form Monitoring (≥ PL2)
External Jugular Access (≥ PL4)
Eye Irrigation (≥ PL1)
Field Triage (≥ PL1)
Flex Guide ETT Introducer (≥ PL5)
Foreign Body Airway Obstruction - Conscious Patient (≥ PL1)
Foreign Body Airway Obstruction - Unconscious Patient (≥ PL1)
Gastric Tube Insertion (≥ PL4)
i-gel Airway BIAD (Sizes 1-2.5 ≥ PL5, Size 3+ ≥ PL2)
Infusion Pump (≥ PL5)
Inter-Facility Transfer with Precautions (≥ PL2)
Intramuscular Injections (≥ PL1)
Intraosseous Infusion EZIO (≥ PL3)
Intravenous Access & Saline Lock (≥ PL3)
King Vision Video Laryngoscopy (≥ PL5)
Limb Amputation (≥ PL6)
Manual Defibrillation (≥ PL4)
Mechanical Ventilation (≥ PL6)
Medication Administration and Cross Check (≥ PL1)
Modified Valsalva Maneuver (≥ PL4)
Nasal Drug Delivery Device (≥ PL1)
Nasopharyngeal and Oropharyngeal Swab Collection (≥ PL2)
Nasotracheal Intubation (≥ PL5)
Nebulized Medication (≥ PL2)
Needle Cricothyrotomy (≥ PL5)
Newborn Delivery and Complications (≥ PL1)
Orotracheal Intubation (Direct Laryngoscopy) (≥ PL5)
Pain Assessment & Documentation (≥ PL1)
Pelvic Binder (Sam Sling®) (≥ PL1)
Pleural Decompression (≥ PL5)
Positive End Expiratory Pressure (PEEP) (≥ PL1)
Pressure Infusion Bag (≥ PL3)
Pulse Oximetry (≥ PL1)
Rapid Sequence Induction (≥ PL6)
Respiratory Precautions (≥ PL1)
Restraints (≥ PL1)
Safe Injection Practices (≥ PL2)
Simple Thoracostomy (≥ PL5)
Spinal Motion Restriction (≥ PL1)
Splinting (≥ PL1)
Standard Precautions (≥ PL1)
Suctioning Advanced (≥ PL2)
Surgical Cricothyrotomy (≥ PL5)
Synchronized Cardioversion (≥ PL5)
Tourniquet (≥ PL1)
Tracheostomy Tube Change / Replacement (≥ PL5)
Transcutaneous Cardiac Pacing (≥ PL5)
Ultrasound (≥ PL5)
Vacuum Immobilizer (≥PL2)
Vagus Nerve Stimulator (≥PL2)
Ventricular Assist Device (≥PL2)
Wound Care (≥PL1)
Wound Packing for Penetrating Junctional and Extremity Trauma (≥PL1)
Clinical Standards
Atypical Clinical Guideline Utilization and Online Medical Direction
Cancellation or Alteration of Response
Cardiac Arrest Documentation
Child Abuse (< 18 Years Old) Recognition and Reporting
Crime Scene
Criteria for Death or Withholding Resuscitation
Definition of a Patient
Discontinuation of Prehospital Resuscitation
DNR and Advanced Directives
Documentation of Patient Care Report
Documentation of Vital Signs
Domestic Violence (≥ 18 Years Old) (Partner and/or Elder Abuse) Recognition and Reporting
Emergency Medical Dispatch
Hospital Diversion
Identification Badges
Infant Abandonment
Inter-Facility Transfers
Medication Administration Safety
Memorandum of Transfer (MOT)
Minimal Equipment to Patient’s Side
National Registry Renewal
Office of the Chief Medical Officer Credential Audit
OCMD Modification or Revocation of Credential to Practice
On-Scene Authority Patient Care
Patient Referral to ATU, MCOT, Psychiatric ED
Patient Referral to Sobering Center
Patient Safety
Patients with Special Healthcare Needs
Physician on Scene
Provider Credentialing
Provider Specialty Qualifications
Refusal of Treatment and/or Transport
Request for Service by Individuals at a Hospital
Safe Transport of Patients
STEMI Alert
Stroke / LVO Alert
System Design
System Performance Improvement
Telemedicine Consult Guidelines & Process
Transfer of Care to Provider of Lesser Credentials
Transport Decision Process
Transport Destination Decision
Hospital Transport Grid
Cardiac and Medical Transport Grid
Perinatal Transport Grid
Stroke Transport Grid
Trauma Transport Grid
Credentials and Authorized Procedures
OMDR-3. Authorized Skills per Credential Level
OMDR-9. Credentialing Requirements
Medical Directives
MD-22-07. MPDS Local Medical Control Authorization
MD-22-06. Mouth-To-Mouth Pre-Arrival Instructions
MD-22-05. Blood Product Administration Changes
MD-22-04. Update of Clinical Operating Guidelines
MD-22-03. St. David's Medical Center
System Medical Advisory: Xylazine
System Medical Advisory: Opiate Overdoses
MD-22-02. Expired Epinephrine
MD-22-01. Update of Clinical Operating Guidelines
Kratom
System Medical Advisory: Transport Destinations for Patients Requiring Dialysis
Cold Weather Emergencies & Hypothermia
MD-21-20. Treatment of COVID-19 Patients
MD-21-19. Telemedicine Consult Guidelines & Process
MD-21-18. BSW Lakeway & BSW Round Rock
MD 21-17. Blood Product & Mechanical Ventilation
MD-21-16. MIST Report
MD 21-14. Rescue Paramedic Minimum Equipment
MD 21-13. Stroke / LVO, Alters, Transport Matrix
MD-21-10. Cancellation or Alteration of Response
MD 21-08. 9-1-1 Calls Transferred to C4
MD-21-06. Snake Bites & Field Triage / Transport
MD-21-03. Blood Product Pilot Program (Blood Product Clinical Procedure)
MD-21-02. EMD Protocol 36
Symptoms of CO Poisoning & COVID-19
System Medical Advisory: EMD Credentialed System Providers
System Medical Advisory: Capital Area Medical Operations Center (CA-MOC)
System Medical Advisory: Requirement for Body Temperatures and Alerting Receiving Facilities
System Medical Advisory: Personal Protective Equipment - Vulnerable Populations
MD 20-17. IV Administration of Bamlanivimab for COVID-19 & Monitoring for Reaction
MD 20-16. IM COVID-19 Vaccine & Monitoring for Allergic Reaction
MD 20-15. Community Health Paramedic Opioid Withdrawal Buprenophine
MD-20-12 Sobering Center Hours of Operation
MD-20-10 EMD Protocol 36 & EIDS Discontinuation of Bystander Mount to Mouth CPR Instructions
Reference Card
Operative IQ - Load My Box
Operative IQ - Regular Crew Change
Operative IQ - Demand Truck
Operative IQ - Special Events
Last updated: 2022-05-18