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 were updated April 2013 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 - Frostbite
Nausea / Vomiting
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
Hypothermia (Cardiac Arrest)
Pulmonary Edema / CHF
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 Nausea/Vomiting
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
Adrenal Crisis
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
Medication Shortage
Nebulized Bronchodilators
Oxygenation Administration
Pain Management
Patient Assesment
Patient Care Record, Electronic Documentation and EMS Information System
Patient Restraint
Patient Sedation
Pleural Decompression
Refusal of Care: Adult & Minor
Spinal Immobilization
Suspected Pandemic Influenza
Termination of Resuscitation
Tourniquet Administration
Vagal Maneuvers
Vascular Access and IV Fluid Therapy
Waveform Capnography

Section 6: System Protocols
Cancellation / Downgrade of Call Policy
Communicable Disease
Communications Failure
Communication with Medical Control
Complaint Investigation and Resolution
Destination and Diversion Guidelines
Disciplinary Action Appeal
Documentation
Due Process and Disciplinary Procedures
Field Drug Box and 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 Control Privileges
Medical Control Privileges - ALS Service Application for Medical Privileges
Medical Control Privileges - Agency Application for Medical Privileges (form)
Medical Control Privileges - Suspension or Revocation of Life Support Agency Medical Privileges
Medical Priority Response and Transport
Patient Prioritization
Pharmacy Drug Box and IV Kit Exchange
Physician on Scene
Protocol Deviation
Quality Improvement Program
Quality Review Process for Agencies Responsibilities of the Participants in the MCA System
Violent / Hazardous / Chemical Scene Waiver of EMS Patient-side Communication Capabilities Medical Control Checklist
Wayne County / HEMS Coordination of Services Agreement

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