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