Clinical Guidelines

CARDIAC

GUIDELINES

CARDIAC ARREST

C-01 Initial Cardiac Arrest

C-02 Asystole/Pulseless Electrical Activity (PEA)

C-03 Ventricular Fibrillation/Pulseless Ventricular Tachycardia (VF/pVT)

C-04 Rapidly-Deteriorating Patient/Post-Resuscitation

 

OTHER CARDIAC

C-05 Bradycardia

C-06 Chest Pain/STEMI

C-07 Narrow-Complex Tachycardia

C-08 Wide-Complex Tachycardia 

C-09 Ventricular Assist Devices (VADs)

 

PROCEDURES

C-P1 Pit-Crew CPR

C-P2 AED/Manual Defibrillation

C-P3 Mechanical CPR Device

C-P4 Synchronized Cardioversion 

C-P5 Transcutaneous Pacing

GUIDELINES

E-01 Heat Injury (Hyperthermia)

E-02 Hypothermia/Cold Injury

E-03 Near-Drowning

E-04 Snake Bite

HAZMAT/TOXICOLOGY

GUIDELINES

H-01 Initial HazMat/Toxicology

H-02 Initial Treatment of Isolated Overdose/Exposure

H-03 Carbon Monoxide

H-04 Closed Space Fire

H-05 Corrosive Agents

H-06 Cyanide/Hydrogen Sulfide

H-07 Hydrofluoric Acid

H-08 Methemoglobin Formers

H-09 Opiates/Sedatives

H-10 Organophosphates

H-11 Radiation

 

REFERENCE

H-R1 Cardiovascular Drugs

H-R2 Metals

H-R3 Neurologic/Psychiatric Drugs

H-R4 Other Common Substances

H-R5 Poisonous Plants

H-R6 Vitamins/Herbal Supplements

MEDICAL

GUIDELINES

M-01 Abdominal Pain/Vomiting

M-02 Allergic Reaction

M-03 Altered Mental Status/Unresponsive/Syncope

M-04 Hypertensive Crisis

M-05 Fever/Sepsis

M-06 Medical Shock

M-07 Seizures

M-08 Stroke (Cerebrovascular Accident)

 

REFERENCE

M-R1 C-STAT Stroke Scale 

M-R2 Cincinnati Stroke Screen

M-R3 Terminally Ill Patients–

OB/GYN

GUIDELINES

 

OBSTETRIC/MATERNAL COMPLAINTS

OB-01 Initial OB/GYN Complaint

OB-02 Childbirth/Delivery

OB-03 Obstetrical Emergencies

OB-04 Vaginal Bleeding

 

NEONATAL RESUSCITATION

OB-05 Newborn Resuscitation

OB-06 Fetal Demise/Non-Viable Fetus

PSYCH/BEHAVIORAL

GUIDELINES

 

Acute Agitation/Psychosis

P-01 Severe Agitation/Delirium

P-02 Determination of Capacity

P-03 Physical Restraint

 

Abuse/Neglect

P-04 Child Abuse

P-05 Domestic Violence (Adult)/Neglect

P-06 Sexual Assault

 

PROCEDURES

P-P1 Taser Removal On-Scene

MEDICATIONS

GUIDELINES

RX-01 Off-Formulary Medications

RX-02 Pain Management

RX-03 Sedation/Excited Delirium

 

PROCEDURES

RX-P1 Aerosol/Inhaler Treatments

RX-P2 Intranasal Medication

RX-P3 Medication Administration 

 

REFERENCE

RX-R1 Medication Information

 

TRIAL PROTOCOLS

RX-T1 Inhaled Ketamine Trial

TRAUMA

GUIDELINES

T-01 Multi-System/Initial Trauma Assessment & Care 

T-02 Traumatic Cardiac Arrest

T-03 Care During Extrication

T-04 Hemorrhagic Shock (Traumatic & Non-Traumatic)

T-05 Thermal Burns

T-06 Electrocution/Lightning Injury

Note: For Chemical Burns, please see Corrosive Agents [H-05]

 

REGIONAL TRAUMA

T-07 Head Trauma (Includes Eye & Tooth Injury)

T-08 Spinal Cord Injury/Neurogenic Shock

T-09 Chest/Abdominal Trauma (Includes Tension Pneumothorax)

T-10 Extremity/Soft Tissue Trauma

 

PROCEDURES

T-P1 Needle/Finger Decompression

T-P2 Pelvic Binder

T-P3 Tourniquet

T-P4 TXA Administration

DEATH

GUIDELINES

X-01 Presumed Death on Arrival (DOA)

X-02 Discontinuation in Medical Arrest

X-03 Discontinuation in Traumatic Arrest

TRANSPORT & GENERAL CARE

GUIDELINES

 

PATIENT

Z-01 Patient or No-Patient

Z-02 Non-Transport/Refusal of Care

Z-03 Medical Clearance

 

PERSONNEL/TRANSPORT

Z-04 Physician/Bystander On-Scene

Z-05 ALS Attending/Paramedic Intercept

Z-06 Air Ambulance Transport

 

SAFETY

Z-07 Infection Control/PPE

Z-08 Scene/Transport Safety

 

PROCEDURES

Z-P1 ED Offloading

 

REFERENCE

Z-R1 Common Abbreviations

Z-R2 Definitions

Z-R3 Med Channels