San Juan County EMS Protocols
Introduction
EMS System
- EMS Agencies
- EMS Medical Program Director
- Medical Control
- Quality Assurance / Improvement
- On-Scene Conflicts
- Patient Advocacy / Treatment & Transport Rights
- Patient Care Responsibilities
- Transfer of Care to Receiving Facility
- Personal Protective Equipment
General Patient Management
Administrative
- Hospital Capabilities
- Communication
- Physician on Scene
- BLS Transport
- Criteria for Transport Decisions
- Air Medical Transport
- Transfer of Care
- Competence
- Patient Refusal
- Tiered Response / Call Priorities
Treatment Guidelines
- Universal Airway Protocol
- Bronchospasm / Asthma
- COPD Exacerbation
- Obstructed Airway
- Post Intubation Management
- Respiratory Arrest / Failure
- Stoma / Tracheostomy Care
- Cardiac Arrest
- Chest Pain
- Chest Pain Causes and Descriptions
- STEMI
- Cardiogenic Shock
- Congestive Heart Failure / Pulmonary Edema
- Atrial Fibrillation / Flutter with RVR
- Bradycardia
- Supraventricular Tachycardia (SVT)
- Ventricular Tachycardia (with a Pulse)
- Left Ventricular Assist Device (LVAD)
- Abdominal Pain
- Altered Mental Status
- Anaphylaxis / Allergic Reaction
- Back Pain
- Carbon Monoxide Exposure
- Diabetic Emergencies
- Diving Emergencies
- Drowning / Near-Drowning
- End of Life Care
- Heat Emergency
- Hyperkalemia
- Hypertensive Emergency
- Hypothermia
- Infectious Diseases (Airborne)
- Migraine
- Nausea / Vomiting
- Opiate Overdose
- Oral / Nasal Bleeding (Non-Traumatic)
- Organophosphate Exposure
- Pain Management & Sedation
- Poisoning / Overdose
- Rehabilitation, Fire / Rescue Incidents
- Seizure
- Sepsis
- Shock, Non-Traumatic
- Stoke / CVA
- Withdrawal Symptoms
- Abuse / Rape
- Amputation
- Bites (Human & Animal)
- Brain Injury (TBI)
- Burns, Electrical / Lightning
- Burns, Thermal
- Cardiac Arrest, Traumatic
- Chest Injuries
- Crush Injuries
- Evisceration
- Eye Injuries
- Fractures, Extremity
- Fractures, Pelvic
- Hemorrhagic Shock / Massive Hemorrhage
- Spinal Motion Restriction
- Spinal / Neurogenic Shock
- Wound Care, Traumatic
Respiratory Emergencies
Cardiac Emergencies
Medical Emergencies
Trauma Emergencies
OB / GYN Emergencies
Pediatrics
- Brief Resolved Unexplained Events
- Cardiac Arrest
- Bradycardia
- Stable Tachycardia
- Unstable Tachycardia
- Fever
- Neonatal Resuscitation
- Respiratory Distress (Croup/Epiglottitis)
Behavioral
- Agitated or Violent Patient
- Compass Health Evaluation
- Involuntary Restraint & Transport
- Excited Delirium
- Violent Patient in Law Enforcement Custody
Special Situations
- Against Medical Advice / Release of Responsibility
- Blood Transfusion (Inter-Facility)
- Crime Scene
- Declaration of Death
- Do Not Resuscitate (DNR)
- Hazardous Materials
- Interfacility Transport
- Legal Blood Draw
- Marine Response
- Mass Casualty Incidents
- Termination of Resuscitation
Procedures
- Airway Management - Drug-Assisted Intubation (DAI)
- Airway Management - Delayed Sequence Intubation (DSI)
- Airway Management - Rapid Sequence Intubation (RSI)
- Airway Management - Difficult Airway
- Cricothyrotomy (Surgical) - Adult Only
- Cricothyrotomy (Needle - aka Needle Cric) - Pediatrics Only
- Continuous Positive Airway Pressure (CPAP)
- Supraglottic Airway Placement
- 12 Lead ECG Acquisition
- Cardiac Pacing
- Synchronized Cardioversion
- Fracture & Dislocation Reduction
- Injection, Intramuscular / Vaccination
- Intraosseous Access
- Junctional Tourniquet
- Nebulizer / Metered Dose Inhaler
- Noxious Stimuli
- Pelvic Binder
- Postural Vital Signs
- Reduction of Dislocated Finger or Toe
- Reduction of Dislocated Shoulder
- Reduction of Dislocated Patella
- Rapid Rhino
- Taser Barb / Probe Removal
- Thoracostomy, Needle
- Thoracostomy, Finger
- Ultrasound
- Ventilator Management
Formulary
- Acetaminophen
- Activated Charcoal
- Adenosine
- Albuterol
- Amiodarone
- Antibiotic Ointment
- Aspirin
- Atropine
- Calcium Chloride
- Ceftriaxone (Rocephin)
- Cetirizine (Zyrtec)
- Dextrose
- Diphenhydramine (Benadryl)
- Droperidol
- Epinephrine
- Etomidate
- Famotidine (Pepcid)
- Fentanyl
- Furosemide (Lasix)
- Glucagon
- Glucose Gel
- Hydromorphone (Dilaudid)
- Ibuprofen
- Ipratropium Bromide (Atrovent)
- Ketamine
- Ketorolac (Toradol)
- Labetalol
- Lactated Ringer's Solution
- Lidocaine
- Magnesium
- Methylprednisolone (Solu-Medrol)
- Metoprolol
- Midazolam
- Naloxone (Narcan)
- Nitroglycerin
- Norepinephrine (Levophed)
- Ondansetron (Zofran)
- Oxygen
- Oxymetazoline (Afrin)
- Oxytocin (Pitocin)
- Promethazine (Phenergan)
- Rocuronium
- Sodium Bicarbonate
- 3% Sodium Chloride
- Succinylcholine
- Tenecteplase
- Tetracaine
- Tranexamic Acid (TXA)
Appendix
- Approved Abbreviations
- APGAR Score
- CIWA Score
- End Tidal CO2 Waveform / Changes
- Fibrinolytic Checklist
- Glasgow Coma Score
- HEAR Score
- Helicopter Landing Zones
- Ideal Body Weight / Tidal Volume
- Critical Lab Values
- Pecarn Rules
- Richmond Agitation & Sedation Score (RASS)
- Triage
- Pediatric Vital Signs Reference Chart
- Thank You Note
Last updated: 2021-08-11