PEMS Patient Care Protocols

PEMS Regional EMS Award

COVID-19

• COVID-19 Tiered EMS Response Protocol
• PEMS Medication Box Infection Control Directive COVID-19 2020
• COVID-19 Viral Respiratory Pathogen Exposure Reduction Procedure

Front Matter

• Cover Sheet
• Protocol Revisions
• Acknowledgements
• Introduction
• How to Read the Protocols

Administrative Policies

• Administrative Policies Table of Contents
• Abuse Recognition & Mandatory Reporting
• ALS Release to BLS
• Communications
• Death & Criteria for Withholding Resuscitation
• Regional Hospital Diversion
• Helicopter EMS (HEMS)
• Infant Abandonment
• Patient Refusal of Treatment / Transport
• Patient Restraint
• Safe Transport of Pediatric Patients
• STEMI Field Triage
• Stroke Field Triage
• Transportation & Destination Determination
• Trauma Field Triage

Adult Protocols

• Adult Table of Contents
• Universal Patient Care/Initial Patient Contact

Airway

• Obstruction/Foreign Body
• Airway-Sedation Post Advanced Airway

Cardiac Arrest

• Asystole and Pulseless Electrical Activity
• Post ROSC Care
• V-Fib/Pulseless V-Tach

Environmental

• Cold Exposure
• Heat Exposure/Exhaustion
• Heat Stroke/Hyperthermia

General

• Behavioral/Patient Restraint
• Exception Protocol
• Hemorrhage Control
• Pain Control
• Spinal Immobilization/Clearance
• Trauma

Injury

• Crush Syndrome
• Drowning and Diving Injuries
• Burns - Thermal
• Electrical Injuries

Medical

• Allergic Reaction/Anaphylaxis
• Bradycardia
• Chest Pain - Cardiac Suspected
• Hypertension
• Hypoglycemia / Hyperglycemia
• Hypotension/Shock (Non-Trauma)
• Nausea/Vomiting
• Overdose/Poisoning/Toxic Ingestion
• Respiratory Distress/Asthma/COPD/Croup/Reactive Airway
• Seizure
• Sepsis
• Stroke/TIA
• Supraventricular Tachycardia (including Atrial Fibrillation)
• Ventricular Tachycardia with Pulse

OB/GYN

• Childbirth/Labor/Delivery
• Eclampsia
• Pregnancy Related Emergencies

Pediatric Protocols

• Pediatric Table of Contents
• Age-Based Vital Signs
• Allergic Reaction/Anaphylaxis
• Asystole and Pulseless Electrical Activity
• Bradycardia
• Burns – Thermal
• Drowning and Diving Injuries
• Electrical Injuries
• Hypoglycemia / Hyperglycemia
• Overdose/Poisoning/Toxic Ingestions
• Pain Control
• Respiratory Distress/Asthma/COPD/Croup/Reactive Airway
• Seizure
• Supraventricular Tachycardia
• Trauma
• V-Fib/Pulseless V-Tach
• Ventricular Tachycardia with Pulse

CBRNE

• CBRNE Table of Contents
• Airway/Inhalation Irritants
• Biological/Infectious
• Blistering Agents
• Nerve Agents
• Nerve Agents (Pediatric)
• Radiologic Agent

Pharmacology

• Pharmacology Table of Contents
• Adenosine (Adenocard)
• Albuterol Sulfate (Proventil)
• Amiodarone (Cordarone)
• Aspirin
• Atropine Sulfate
• Calcium Chloride
• Dextrose 10%, 25% and 50%
• Diphenhydramine (Benadryl)
• Epinephrine (Adrenaline)
• Etomidate (Amidate)
• Furosemide (Lasix)
• Glucagon
• Haloperidol (Haldol)
• Hydroxocobalamin (CYANOKIT)
• Ipratropium Bromide (Atrovent)
• Ketamine (Ketalar)
• Ketorolac (Toradol)
• Lidocaine 2% (Xylocaine)
• Magnesium Sulfate
• Methylprednisolone (Solu-Medrol)
• Midazolam (Versed)
• Morphine Sulfate
• Naloxone (Narcan)
• Nitroglycerin (Nitrostat)
• Norepinephrine (Levophed)
• Ondansetron (Zofran)
• Rocuronium (Zemuron)
• Sodium Bicarbonate
• Fentanyl (Sublimaze)
• Succinylcholine (Anectine)
• Vecuronium (Norcuron)
• Ziprasidone (Geodon)

Procedures

• Procedures Table of Contents
• 12-Lead Electrocardiogram (ECG)
• Adult Cardiopulmonary Resuscitation (CPR)
• Airway Management and Ventilatory Support
• Capnography
• Chest Decompression
• CPAP
• Endotracheal Intubation
• Intraosseous (IO) Access
• Medical Devices and Pumps
• Medication Administration
• Nasogastric Tube Insertion
• Pediatric Cardiopulmonary Resuscitation (CPR)
• Spinal Motion Restriction
• Surgical Airway
• Taser Barb Removal
• Tourniquet Application
• Transcutaneous Pacing

Supporting Documents

• SD-01. Hampton Roads Mass Casualty Incident Response Guide

Last updated: 2022-03-01