Acknowledgement - GMVEMSC

Acknowledgement

Region 3 EMS Providers,

This Protocol and the supporting Training Manual has been produced as a result of countless hours of work by a diverse cross section of the regional EMS community. This group includes the members of the Standing Orders Committee and the Regional Physician's Advisory Board. In editing the protocol, the team considered changes in State of Ohio- EMS scope of practice changes, medication availability, patient management best practices and EMS care procedural improvements. Additionally, the input given by you, the providers operating under this protocol, was factored in. The entire protocol also went through a visual and formatting change this year. The overall goal was to improve and clarify this document, while also making it easier to provide quality care to your patients.

There are companion documents and additional resources that are available for you to either view online or download for further explanation on the Training and Testing process for 2021. The first of these is the "2021 Implementation Guide". It addresses the new philosophy, CEUs, and other important information regarding the testing. The other is the Ohio Public Safety "Scope of Practice" document. We hope to have additional supplemental material posted on the website at a later date.

The entire protocol, the training manual and testing processes would not have been possible without the strong foundation left by the many past chairpersons of the Continuing Education Committee and all of the other council members. Thank you to all who have volunteered to edit and critique these manuals.

I would also like to thank Dr. Randy Marriott and all of the many RPAB members for their work.

Sincerely,

John Russell Standing Orders Co-Chair

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General Patient Management

1000 Series

1001........................................................................................................................................... Introduction to Treatment Protocols 1002..................................................................................................................... Communication with Hospital or Medical Control 1003..................................................................................................................................................................... Non-initiation of Care 1004......................................................................................................................................................................... Do Not Resuscitate 1005...................................................................................................................................................... General Patient Management 1006............................................................................................................................................................. Patient Abuse and Neglect 1007............................................................................................................................................................. Basic Airway Maintenance 1008.................................................................................................................................................... Advanced Airway Management 1009...................................................................................................................................... Advanced Airway Confirmation Devices 1010................................................................................................................ {Sedate to Intubate and Rapid Sequence Intubation} 1011....................................................................................................................................... Tracheostomy and Laryngectomy Care 1012.................................................................................................................................................................... Intraossesous Infusion 1013.............................................................................................................................................................. Alternate Vascular Access 1014........................................................................................................................................................................... Pain Management

Cardiac Protocol

2000 Series

2001............................................................................................................................................................... Resuscitation Guidelines 2002......................................................................................................................................................................... Cardiac Arrest - BLS 2003..................................................................................................................................................... Cardiac Arrest ? Renal Dialysis 2004................................................................................................................................ Cardiac Arrest ? V-Fib or Pulseless V-Tach 2005................................................................................................................................................. Cardiac Arrest ? Asystole or PEA 2006....................................................................................................................................................... Suspected Cardiac Chest Pain 2007............................................................................................................................................................................. AICD Activations 2008................................................................................................................................................................... Cardiac Alert Program 2009...................................................................................................................................................................................... Bradycardia 2010....................................................................................................................................................................................... Tachycardia 2011..................................................................................................................................................................Ventricular Assist Device

Trauma Protocol

3000 Series

3001...................................................................................................................................................... General Trauma Management 3002...................................................................................................................................................................... Glasgow Coma Score 3003.................................................................................................................................................................................. Trauma Arrest 3004.................................................................................................................................................................................. Major Trauma 3005................................................................................................................................................................ Crush Syndrome Trauma 3006....................................................................................................................................................................... Hemorrhage Control 3007............................................................................................................................................................... Spinal Motion Restriction 3008....................................................................................................................................................................................... Head Injury 3009............................................................................................................................................................................ Extremity Injuries 3010.......................................................................................................................................................................................... Drowning

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3011.................................................................................................................................................................................... Hypothermia 3012............................................................................................................................................................................................ Frostbite 3013.......................................................................................................................................................... Burns and Smoke Inhalation 3014........................................................................................................................................................................... Cyanide Poisoning 3015........................................................................................................................................................ Carbon Monoxide Poisoning 3016.................................................................................................................................................................................. Heat Exposure 3017....................................................................................................................................................................................... Eye Injuries 3018....................................................................................................................................................... Trauma Transport Guidelines 3019....................................................................................................................................................................... SALT Triage Systems 3020...................................................................................................................................................... Crisis Standard of Care in MCI 3021......................................................................................................................................... Regional Hospital Notification System

Medical Protocol

4000 Series

4001................................................................................................................................................................................................. Shock 4002................................................................................................................................................................................................ Sepsis 4003................................................................................................................................................................................................ Stroke 4004..................................................................................................................................... Respiratory Distress/Pulmonary Edema 4005........................................................................................................................................................... Asthma/Emphysema/COPD 4006..................................................................................................................................................... Allergic Reactions/Anaphylaxis 4007.................................................................................................................................................................................. Hypoglycemia 4008................................................................................................................................ Diabetic Emergencies/Refusal of Transport 4009............................................................................................................................................................................................. Seizures 4010.............................................................................................................................................................. Extrapyramidal Reactions 4011................................................................................................................................................................. Behavioral Emergencies 4012...........................................................................................................................................Combative Patients/Patient Restraint 4013..................................................................................................................................................................... Overdose/Poisonings 4014.............................................................................................................................................................................. Abdominal Pain 4015................................................................................................................................................................ Obstetrical Emergencies 4016.......................................................................................................................................................................................... Childbirth 4017................................................................................................................................................................... Complicated Childbirth

Pediatric Considerations

5000 Series

5001................................................................................................................................................ Newborn Care and Resuscitation 5002................................................................................................................................................. Pediatric Assessment Triangle 5003.................................................................................................................................................. Apparent Life Threatening Event 5004....................................................................................................................................................................................... Safe Harbor

Special Operations Protocol

6000 Series

6001.............................................................................................................................................. General Management for Haz Mat 6002.............................................................................................................................................................. Hazardous Drug Exposure 6003.......................................................................................................................................................... Hydrofluoric Acid Exposure

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6004.......................................................................................................................................................... Organophosphate Exposure 6005....................................................................................................................................................................... Antidote Resources 6006........................................................................................................................................................... Other Hazardous Materials

Administration

7000 Series

7001................................................................................................................... Drug Bag Program: General Operating Guidelines 7002.............................................................................................................................. Drug Bag Program: Wasted Drug Procedure 7003.......................................................................................................................................... Drug Bag Program: Exchange Process 7004................................................................................................................................ Drug Bag Program: Drug Bag Discrepancies 7005.................................................................................................................. Drug Bag Program: Lost or Stolen Drug Bag Policy 7006....................................................................................................................... Drug Bag Program: Hospital Participation Policy 7007....................................................................................................................... Drug Bag Program: New Member Agency Policy 7008....................................................................................................................... Drug Bag Program: Protocol Compliance Letter 7009............................................................................................... Drug Bag Program: GMVEMSC Drug Bag Discrepancy Report 7010............ Drug Bag Program: Report of Theft or Loss of Dangerous Drugs, Controlled Substances and Drug Documents 7011........................................................................................................................................................ Ambulance Restocking Policy 7012................................................................................................................................................ Diversion of Emergency Patients

7013............................................................................................................................................................. Hospital Capabilities Chart 7014........................................................................................................................................................ Hospital Contact Information 7015............................................................................................................................................... Infectious Disease Exposure Policy

EMS Drug Formulary

8000 Series

8001........................................................................................................................................................................................ Adenosine 8002.......................................................................................................................................................................................... Albuterol 8003.................................................................................................................................................................................... Amiodarone 8004............................................................................................................................................................................................... Aspirin 8005........................................................................................................................................................................................... Atropine 8006............................................................................................................................................................................. Calcium Chloride 8007......................................................................................................................................................................... Calcium Gluconate 8008................................................................................................................................................................................... Ciprofloxacin 8009.................................................................................................................................................................................. Dextrose 10% 8010......................................................................................................................................................................................... Diazepam 8011.......................................................................................................................................................................... Diphenhydramine 8012........................................................................................................................................................................................ Dopamine 8013...................................................................................................................................................................................... Doxycycline 8014........................................................................................................................................................................................... Duodote 8015..................................................................................................................................................................................... Epinephrine 8016......................................................................................................................................................................................... Etomidate 8017........................................................................................................................................................................................... Fentanyl 8018......................................................................................................................................................................................... Glucagon

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