Livingston County Michigan EMS Protocols

General Procedures	General Medical Procedures
Ambulance Diversion Air Ambulance Field Operation Basic, Limited Advanced and Advanced Life Support Units and Services Bicycle Paramedic Team Do-Not-Resuscitate Patients Due Process General Hazardous Materials Scene Assessment Ground Ambulance Service Communications Equipment Ground Ambulance Service Dispatch Health Insurance Portability Accountability Act (HIPAA) Helicopter Credentials Inter-hospital Patient Transfers Limitations to Life-Prolonging Therapy MFR Documentation MFR Required Equipment List Multiple Casualty Mutual Aid Requirements On-Scene Physician Interaction Physician Orientation for On-line Medical Direction Protocol for Non-Standard Treatment Quality Improvement Refusing Treatment and/or Transport Research with EMS Involvement Restricted Personnel Medical Treatment Protocol Resuscitation and Transport Termination of Resuscitation Testing, Certification and Recertification Procedures-Liability Coverage Transport Protocol Utilization of Advanced Life Support Units	12-lead ECG Program Acute Allergic Reaction Amputated Parts Emergency Airway Techniques (General Airway Protocol) General Notification of Pre-hospital Personnel Regarding Potential Exposures to Communicable Diseases Intravenous and Intraosseous Infusion (SEM General IV/IO Protocol) Ischemic Chest Pain, Suspected AMI Nitroglycerin Drip Paralytic Drug Box Exchange Procedure Pleural Decompression Procedure Southeast Michigan ALS Medication Box Contents/Schematic Southeast Michigan Medication Exchange Procedures Spinal Injury Assessment and Immobilization Standardized Medication/Equipment List for ALS Units Transport Guidelines for High-risk Delivery Transport of Patients with Suspected Acute Myocardial Infarction Transport of Suspected SARS Patients Universal Precautions Wayne/Washtenaw/Livingston Regional ALS/LALS IV Supply/Solution Exchange
Cardiac	Environmental
Acute CHF/Pulmonary Edema Asystole Automated External Defibrillators Cardiogenic Shock Chest Pain/Suspected AMI Chest Pain with PVC=s External Pacing General Cardiac Arrest General Pre-Hospital Care Narrow Complex Tachycardia Pulseless Electrical Activity Symptomatic Bradycardia Ventricular Fibrillation or Pulseless Ventricular Tachycardia Wide Complex Tachycardia (Presumed Ventricular Tachycardia)	Burns (Chemical/Electrical/Thermal) Drowning/Near Drowning Frostbite/Hypothermia Gas/Smoke Inhalation Heat Exhaustion/Heat Cramps Heat Stroke Poisoning Radiation Exposure/Hazmat Rule of Nines
Medical	Pediatric
Adult/Elder Abuse or Neglect Altered Level of Consciousness Anaphylaxis/Acute Allergic Reaction Asthma/Wheezing Cerebrovascular Accident/Stroke Chronic Obstructive Pulmonary Disease Diabetic Emergencies Non-Traumatic Hypotension OB/Childbirth/APGAR Seizures Sexual Assault	Cardiac Pediatric Asystole Pediatric Cardiac Arrest Pediatric Pulseless Electrical Activity Medical Pediatric Altered Level of Consciousness Pediatric Anaphylactic Reaction Pediatric Bradycardia Pediatric Burns Pediatric Child Abuse Pediatric Drug Dosages Pediatric Poisoning Pediatric Respiratory Arrest Pediatric Respiratory Distress Pediatric Seizures Pediatric Supraventricular Tachycardia Pediatric Trauma Pediatric Ventricular Fibrillation Pediatric Ventricular Tachycardia
Trauma	Haz-Mat Medical Response Team Procedures
General Trauma Protocol Traumatic Hypotension	Ammonia (Liquid and Gas) Chlorine and Related Compounds Cyanide Poisoning Eye Irrigation Hazardous Materials Drug Box and Exchange Procedures Hydrogen Fluoride Hydrogen Sulfide, Sulfides and Mercaptans Methanol/Ethylene Glycol Methemoglobinemia Organophosphate Poisoning Sodium Hydroxide
Mobile Intensive Care Unit (MICU) Treatment Protocols
Amiodarone (Cordarone) Blood Administration Cardizem (Diltiazem) Chest Pain Chest Tubes Dilantin (Phenotoin) Dobutamine (Dobutrex) Dopamine (Intropin) Esmolol (Brevibloc) Generalized Protocol for All MICU Transports Glycoprotein Iib/IIIa Receptor Antagonist Heparin Hypotension (Non-Hypovolemic) Insulin Labetolol (Normodyne, Trandate) Magnesium Sulfate Mannitol (Osmitrol)	MICU Medical Director Role/Responsibilities MICU Narcotic Drug Box Exchange Procedures MICU Program Policy MICU Required Equipment List MICU Transport Capabilities Milrinone (Corotrope, Primacor) Morphine Sulfate Nitroglycerin (Nitro-Bid IV, Nitrostat IV, Tridil) Nitroprusside (Nitropress) Norepinephrine (Levophed) Oxytocin (Pitocin) and related medications Paralytics: Non-depolarizing Neuromuscular Blockers (NDMB) Propofol (Diprivan) Thrombolytics Valium (Diazepam) Ventilators Versed (Midazolam)