PAEMS Adult Protocol Manual
Forward From the EMS Medical Director
Levels of Prehospital Care
Table of Contents Hospitals of the PAEMS System
EMS Services Prehospital Personnel
Provider Responsibilities
Agency Responsibility Policy Professional Conduct & Code of Ethics Policy Agency Compliance Waiver Agency Advertising Policy System Certification Policy Re-Licensure Policy
EMS Communications & Documentation
Off-Line Medical Control Policy On-Line Medical Control Policy Radio Communications Protocol Patient Right of Refusal Policy Incident Reporting Policy EMS Patient Care Reports Policy Patient Confidentiality & Release of Information Policy
General Patient Assessment & Management/EMS Operations
Patient Destination Policy Transfer & Termination of Patient Care Policy Transition of Care Policy Intercept Policy Patient Assessment Process & Goals of Patient Care General Patient Assessment & Initial Care Procedure Routine (Initial) Patient Care Protocol Pain Control Protocol Basic Airway Control Procedure Airway Obstruction Procedure Esophageal Tracheal Combitube Procedure Advanced Airway Control Policy (ILS & ALS only) Orogastric (OG) Tube Insertion Procedure (ALS only) Intravenous Cannulation Procedure Adult Intraosseous Cannulation Procedure (ALS only) Medication Administration Procedure
Cardiac Care
Routine Cardiac Care Protocol Cardiogenic Shock Protocol Cardiac Arrest Protocol Resuscitation of Pulseless Rhythms Protocol Unstable Bradycardia Protocol Narrow Complex Tachycardia Protocol Wide Complex Tachycardia Protocol Implanted Cardiac Defibrillator (AICD) Protocol Manual Defibrillation Procedure Automated Defibrillation Procedure Transition of AED Care Procedure Cardioversion Procedure Transcutaneous Pacing (TCP) Procedure 12-Lead EKG Procedure
Medical & Respiratory Protocols
Respiratory Distress Protocol CPAP Procedure Altered Level of Consciousness (ALOC) Protocol Suspected Stroke Protocol Status Epilepticus/Seizure Protocol Hypertensive Crisis Protocol Acute Abdominal Pain Protocol Acute Nausea And Vomiting Protocol Allergic/Anaphylactic Reaction Protocol Drug Overdose and Poisoning Protocol Central Lines and Fistulas Procedure & Protocol Blood Glucose Testing Procedure
Environmental Emergencies Protocols
Hazardous Materials Exposure Protocol Hypothermic Emergencies Protocol Heat-Related Emergencies Protocol Burn Protocol Smoke Inhalation Protocol Near Drowning Protocol
Trauma Protocols
Routine Trauma Care Protocol Shock Protocol Head Trauma Protocol Spinal Trauma Protocol Traumatic Arrest Protocol Critical Trauma Procedure / Field Triage Criteria Extremity Injury Protocol Spinal Immobilization Procedure Needle Thoracentesis (Needle Chest Decompression) Procedure
OB/GYN Protocols
Childbirth Protocol Obstetrical Complications Protocol Abnormal Delivery Protocol Rape/Sexual Assault Protocol
Aberrant Situations
Domestic Abuse & Elder Abuse/Neglect Protocol Behavioral Emergencies/Chemical Restraint Protocol Petitioning an Emotionally Disturbed Patient Policy Patient Restraint Policy Less than Lethal Weapons Protocol Do Not Resuscitate (DNR) Policy Resuscitation vs. Cease Efforts Policy Coroner Notification Policy Reporting & Control of Suspected Crime Scenes Policy Physician (or Other Medical Professional) On Scene Policy Region 2 School Bus Policy
Well-Being of the EMS Provider
Infectious Disease Control Policy Latex Allergy Policy Substance Abuse Policy Critical Incident Stress Management (CISM) Team Procedure
EMS Supplies
EMS Vehicle Equipment & Supplies Policy First Responder Supply List BLS Non-Transport Supply List ILS Non-Transport Supply List ALS Non-Transport Supply List Ambulance Supply List BLS Medication List ILS Ambulance Supply List ILS Medication List ALS Ambulance Supply List ALS Medication List Controlled Substance Policy
