Monroe County EMS Protocols

The protocols listed on this page have been approved by the Monroe County Medical Control Authority and the Michigan Department of Community Health. These protocols took effect August 2010 and will remain in effect for three years, unless amended by Medical Control and approved by MDCH.

The Monroe County Medical Control Authority has adopted State of Michigan Model Protocols for Sections 1, 2, 3, 4, 5, and 7 in their entireties. Protocols that have been amended in Section 6 can be identified by Monroe County Medical Control Authority in the protocol header.

NOTE: For anyone who is inclined to print these documents, the entire document is several hundred pages.

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Section 1: Adult Treatment Protocols
Abdominal Pain (non-traumatic)
Adult Trauma
Altered Mental Status
Anaphylaxis / Allergic Reaction
Burns
Cerebrovascular Accident (stroke)
Drowning - Near Drowing - Submersion
General PreHospital Care
Heat Emergencies
Hypothermia (Cardiac Arrest)
Hypothermia - Frostbite
Nausea / Vomiting
Non-cardiac Chest Pain
Obstetrical Emergencies
Poisoning / Overdose
Psychiatric Emergencies
Respiratory Distress
Seizures
Sepsis
Shock
Soft Tissue Injuries
Spinal Injury / Assessment
Syncope

Section 2: Adult Cardiac Protocols
Asystole
Bradycardia
Cardiac Arrest (General)
Cardiac Arrest – Return of Spontaneous Circulation (ROSC)
Chest Pain / Acute Coronary Syndrome
Nitroglycerin Drip Supplement
Tachycardia
Ventricular Fibrillation / Pulseless Ventricular Tachycardia
 
Section 3: Pediatric Treatment Protocols
Pediatric Altered Mental Status
Pediatric Anaphylaxis / Allergic Reaction
Pediatric Assessment / Treatment
Pediatric Bronchospasm
Pediatric Burns
Pediatric Drowning - Near Drowning - Submersion
Pediatric Fever
Pediatric Newborn Assessment, Treatment and Resuscitation
Pediatric Poison / Overdose
Pediatric Respiratory Distress, Failure or Arrest
Pediatric Seizures
Pediatric Shock
Pediatric Trauma

Section 4: Pediatric Cardiac Protocols
Pediatric Asystole
Pediatric Bradycardia
Pediatric Cardiac Arrest (general)
Pediatric Narrow Complex Tachycardia
Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia
Pediatric Wide Complex Tachycardia
 
Section 5: Procedure Protocols
12 Lead ECG
Abuse and Neglect
Assault / Sex Assault
Automatic External Defibrillator
Contaminated Patient
CPAP / BiPAP Administration
Dead on Scene
Do Not Resuscitate
Electrical Therapy
Emergency Airway Procedure
EMS Immunization
Epi-Pen
Helmet Removal
Intranasal Medication Administration
Nebulized Bronchodilators
Obstructed Airway
Pain Management
Patient Assesment
Patient Sedation
Physical Patient Restraint
Pleural Decompression
Refusal of Care: Adult & Minor
Refusal of Care Form
Spinal Immobilization
Suspected H1-N1
Termination of Resuscitation
Tourniqet Application
Vagal Maneuvers
Vascular Access
Waveform Capnography
 
Section 6: System Protocols
Cancellation / Downgrade of Call Policy
Communication with Medical Control
Communications Failure
Complaint Investigation & Resolution
Destination and Diversion Guidelines
Disciplinary Action Appeal
Documentation
Due Process and Disciplinary Procedures
Field Drug Box & IV Kits
Health Insurance Portability Accountability Act (HIPAA)
Helicopter
Infection Control
Intercept Policy
Inter-facility Patient Transfers & Critical Care Inter-facility Transports
Latex Sensitivity
Mass Casualty Incidents
Medical Priority Response and Transport
ST Elevation Myocardial Infarction
Medical Control Privileges
ALS Service Application for Medical Privileges
Suspension or Revocation of Life Support Agency Medical Privileges
Agency Application for Medical Privileges (form)
Patient Care Record, Electronic Documentation & EMS Information System
Patient Prioritization
Pharmacy Drug Box & IV Kit Exchange
Physician on Scene
Protocol Deviation
Quality Improvement Program
Regional Protocol Agreement
Monroe County / HEMS Coordination of Services Agreement
Responsibilities of the Participants in the MCA System
TraumaTransportation
Violent / Hazardous / Chemical Scene

Section 7: CBRNE Protocols
Chemical Exposure
CHEMPACK
Communicable Disease
Cyanide
General CBRNE
MEDDRUN
Nerve Agent
Prehospital (EMS) MCA Mutual Aid Agreement