MCB 2015 EMS SYSTEM PROTOCOLS
EMS Protocols 4/1/2015
Access individual protocols using the sections below, or download the entire binder (PDF).
Section 0. Protocol Index
Section 1. General Assessment & General Supportive Care
Section 2. Airway
- 2A Airway Assessment - Adult & Pediatric
- 2B Airway Establishment/ObstructionManagement - Adult & Pediatric
- 2C Airway Suctioning - Adult & Pediatric
- 2D Bag Valve Mask (BVM) Management - Adult & Pediatric
- 2E Supraglottic Airways- Adult & Pediatric
- 2F Oral Intubation - Adult
- 2G Medication Assisted Intubation – Adult
- 2H Nasal Intubation - Adult
- 2I Cricothyrotomy - Adult
- 2J Confirmation of Endotracheal Airway Placement - Adult & Pediatric
- 2K Stoma/Tracheostomy Management - Adult & Pediatric
Section 3. Pulmonary/Respiratory
- 3A Respiratory Arrest - Adult & Pediatric
- 3B Dyspnea - Uncertain Etiology - Adult & Pediatric
- 3C Dyspnea - Asthma - Adult & Pediatric
- 3D Dyspnea - Chronic Obstructive Pulmonary Disease (COPD) - Adult
- 3E Dyspnea Congestive Heart Failure Adult & Pediatric
- 3F Dyspnea - Brief Resolve Unexplained Event (BRUE) Pediatric Less Than 1 Year of Age
- 3G Pulse Oximetry - Adult & Pediatric
- 3H Waveform Capnography - Adult & Pediatric
- 3I Oxygen Administration - Adult & Pediatric
- 3J Nebulization Therapy - Adult & Pediatric
- 3K Non-Invasive Positive Pressure Ventilation (NIPPV) - Adult
- 3L Mechanical Ventilation - Adult
Section 4. Cardiac Arrest
- 4A Resuscitation (CPR) - Adult & Pediatric
- 4B Resuscitation Team Roles - Adult & Pediatric
- 4C Automated External Defibrillation (AED) - Adult & Pediatric
- 4D Manual Defibrillation - Adult & Pediatric
- 4E Double Sequential External Defibrillation - Adult
- 4F Asystole- Adult & Pediatric
- 4G Ventricular Fibrillation/Pulseless VentricularTachycardia -Adult & Pediatric
- 4H Pulseless Electrical Activity (PEA) - Adult & Pediatric
- 4I Specific Causes of Cardiac Arrest - Adult & Pediatric
- 4J Post Cardiac Arrest Treatment Adult & Pediatric
- 4K Do Not Resuscitate Orders Futility of Resuscitation and CPR Termination Adult & Pediatric
- 4L Intra-Arrest Wakefulness
- 4M Active Compression Decompression CPR - Adult
Section 5. Cardiac (Non-Arrest)
- 5A Chest Pain - Uncertain Etiology - Adult & Pediatric
- 5B Acquiring & Transmitting 12-Lead ECGs - Adult & Pediatric
- 5C Acute Coronary Syndrome Adult
- 5D Bradycardia - Adult & Pediatric
- 5E Transcutaneous Pacing - Adult & Pediatric
- 5F Tachycardia - Stable - Adult & Pediatric
- 5G Tachycardia - Unstable - Adult & Pediatric
- 5H Synchronized Cardioversion - Adult & Pediatric
- 5I Implantable Pacemaker Management - Adult & Pediatric
- 5J Implantable Cardioverter/Defibrillator (ICD) Management -Adult & Pediatric
- 5K Premature Ventricular Contractions - Adult & Pediatric
- 5L Hypertensive Emergency - Adult & Pediatric
- 5M Ventricular Assist Device (VAD) Management - Adult
- 5N Intra-Aortic Balloon Pump (IABP) Monitoring - Adult
- 5O Zoll Lifevest Wearable Defibrillator
Section 6. Neurologic/Altered Mental Status
Section 7. Psychiatric/Behavioral Disorders
Section 8. Toxicologic/Poisonings
- 8A Poisonings - General Management - Adult & Pediatric
- 8B Toxidromes - Adult & Pediatric
- 8C Oklahoma Poison Control Center Use
- 8D Acute Allergic Reactions - Adult & Pediatric
- 8E Snakebites Pit Vipers (Rattlesnakes, Copperheads, & Mocassins)
- 8F Bee/Wasp Stings & Fire Ant Bites
- 8G Hazardous Materials Response
- 8H Hydrofluoric Acid Adult & Pediatric
Section 9. Medical
- 9A Abdominal Pain/Nausea/Vomiting/Diarrhea - Adult & Pediatric
- 9B Sepsis Adult & Pediatric
- 9C Epistaxis - Adult & Pediatric
- 9D Pain Management (Acute Onset & Chronic Type) - Adult & Pediatric
- 9E Dialysis-Related Issues Adult & Pediatric
- 9F Infectious Disease Precaution Recommendations - EMS Professionals
- 9G Post-Exposure Prophylaxis Recommendations - Adult & Pediatric
- 9H Vascular Access - Intravenous - Adult & Pediatric
- 9I Vascular Access - Intraosseous - Adult & Pediatric
- 9J Indwelling Central Vascular Device Management - Adult & Pediatric
- 9K Medication Administration - Adult & Pediatric
- 9L Nasogastric/Orogastric Tube - Adult
- 9M Suspected Abuse/Neglect - Adult & Pediatric
Section 10. Trauma
- 10A Head/Neck/Spine Injury - Adult & Pediatric
- 10B Eye Injury - Adult & Pediatric
- 10C Dental Injury/Pain - Adult & Pediatric
- 10D Chest/Abdomen/Pelvis Injury - Adult & Pediatric
- 10E Needle Thoracostomy (Tension Pneumothorax Decompression) - Adult & Pediatric
- 10F Chest Tube Monitoring - Adult & Pediatric
- 10G Extremity/Amputation Injury - Adult & Pediatric
- 10H Tourniquet - Adult & Pediatric
- 10I Hemostatic Agents Adult & Pediatric
- 10J Compartment Syndrome - Adult & Pediatric
- 10K Crush Injury Syndrome - Adult & Pediatric
- 10L Burns - Adult & Pediatric
- 10M Conductive Energy Weapon Related Management - Adult & Pediatric
- 10N Less Lethal Weapon Related Management Adult & Pediatric
- 10O Splinting of Injuries - Adult & Pediatric
- 10P Blast Injury Adult & Pediatric
Section 11. Environmental
Section 12. Fireground-Related
Section 13. Obstetric/Gynecologic
Section 14. Response, Scene Issues & Patient Transportation
- 14A Staging Considerations
- 14B Actions to Preserve Crime Scenes
- 14C Other Health Care Professionals on Scene
- 14D Informed Patient Consent/Refusal
- 14E On-Line Medical Control Physicians
- 14F Helicopter EMS (HEMS) Considerations
- 14G Patient Prioritization
- 14H Radio Report Communications
- 14I Interhospital Transfers
- 14J Scene Coordination
Section 15. Mass Casualty/Disaster/Terrorist Events
Section 16. Formulary
- 16A Activated Charcoal
- 16B Adenosine ( Adenocard)
- 16C Albuterol (Proventil, Ventolin)
- 16D Amidarone Cordarone, Nexterone
- 16E Aspirin
- 16F Atropine Sulfate
- 16G Calcium Chloride
- 16H Dextrose (50% as D50 and 25% as D25)
- 16I Diazepam (Valium)
- 16J Diltiazem (Cardizem)
- 16K Diphenhydramine (Benadryl)
- 16L Dopamine (Intropin)
- 16M DuoDote Auto-Injector
- 16N Epinephrine 1:1,000;1:10,000
- 16O Epinephrine Auto-Injector (Epipen, Auvi-Q)
- 16P Etomidate (Amidate)
- 16Q Fentanyl (Sublimaze)
- 16R Glucagon
- 16S Glucose (Oral)
- 16T Haloperidol (Haldol)
- 16U Hydralazine (Apresoline)
- 16V Hydromorphone (Dilaudid)
- 16W Hydroxocobalamin (CyanoKit)
- 16X Ipratropium Bromide (Atrovent ®)
- 16Y Labetalol (Normodyne ®, Trandate ®)
- 16Z Lidocaine 2% Intravascular (Xylocaine ®)
- 16AA Lidocaine Viscous Gel (Xylocaine ®)
- 16BB Lorazepam (Ativan)
- 16CC Magnesium Sulfate
- 16DD Methylprednisolone (Solu-Medrol)
- 16EE Midazolam (Versed)
- 16FF Morphine Sulfate
- 16GG Naloxone (Narcan)
- 16HH Nitroglycerin- Nitroglycerin (Nitrolingual, Nitromist, Nitrostat, Nitroquick, Tridil (IV Infusion), Nitro-Bid-Dermal)
- 16II Norepinephrine (Levophed)
- 16JJ Ondansetron (Zofran)
- 16KK Phenylephrine 2% (NeoSynephrine)
- 16LL Pralidoxime Chloride (2-PAM)
- 16MM Sodium Bicarbonate
- 16NN Calcium Gluconate
Section 17. Reserved For Agency Specific Use
- 17A MCB: Destination Determination
- 17B MCB: Table: Categorization of Hospitals
- 17C MCB: Hospital Initiated EMS Diversion
- 17D MCB: NO FLY ZONES
- 17E MCB: Advanced Airway Management: Pediatric Oral Intubation
- 17F MCB: Medication-Assisted Intubation - Pediatric
- 17G MCB: Confirmation of Endotracheal Airway Placement - Pediatric
- 17H MCB: Helmet Removal
- 17I MCB: Controlled Substance Handling Documentations Field Paramedics
- 17J MCB: Seasonal Influenza Vaccine Administration
- 17K MCB: Tranexamic Acid