Austin-Travis County Emergency Medical Services
Clinical Guidelines
- Abdominal Pain
- Airway Management & Ventilation
- Allergic Reaction / Anaphylaxis
- 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
- Dialysis Transport
Drug Formulary
- Acetaminophen (APAP) (Tylenol)
- Adenosine
- Albuterol
- Amiodarone
- Aspirin
- Atropine Sulfate
- Blood Products
- 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
- 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)
- Bag 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)
- 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 Non-Invasive Ventilation (≥ PL6)
- 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 References
- Cardiac and Medical Transport Grid
- Perinatal Transport Grid
- Stroke Transport Grid
- Trauma Transport Grid
- Current Medication and Equipment Extensions
- Trauma Criteria
- Pediatric Vitals
- Glasgow Coma Scale
Hospital Transport Grids
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
Credentials and Authorized Procedures
Medical Directives
- MD-22-20. St David's Medical Center
- MD-22-19. Update of Clinical Operating Guidelines
- MD-22-18. Implementation of MPDS Omega Protocol
- Proposal to Add Omega Determinants to Dispatch Protocol
- System Medical Advisory: IV Acetaminophen
- MD-22-17. Chest Seals
- MD-22-16. Update of Clinical Operating Guidelines
- System Medical Advisory: Monkeypox
- MD-22-14. St David's Medical Center
- MD-22-13. Maintenance of Credentialing
- MD-22-12. Expiration of the PL4 Credential
- MD-22-11. Expired Thoracostomy Kits
- MD-22-08. St David's Medical Center
- 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: 2022-09-14