St. Clair County MCA Protocols

1.0 Section 1 General Treatment Table of Contents

1.1 General Pre Hospital Care

1.2 Abdominal Pain

1.3 Nausea and Vomiting

1.4 Syncope

1.5 Shock

1.6 Anaphylaxis Allergic Reaction

1.7 Adrenal Crisis

1.8 Behavioral Health Emergencies

1.9 Opioid OD Treatement and Prevention

1.10 Foreign Body Airway Obstruction

2.0 Section 2 Trauma Table of Contents

2.1 Trauama Triage

2.2 General Trauma

2.3 Burns

2.4 General Crush Injury

2.5 Soft Tissue and Ortho Injuries

2.6 Spinal Injury Assessment

2.7 Traumatic Arrest

2.8 Drowning Submersion Injury

2.9 Poisoning OD Environmental Exposure

2.10 Heat Emergencies

2.11 Hypothermia_Frostbite

2.12 Head Injury

2.13 Bleeding Control

2.14 Hemorrhagic Shock

2.15 Sexual Assault

Section 3 Adult Treatment Table of Contents

3.1 ALTERED MENTAL STATUS 24.2

3.2 Stroke or Suspected Stroke Protocol

3.3 Respiratory Distress

3.4 Seizures

3.5 Sepsis

3.6 Hyperactive Delirium Syndrome

3.7 Crashing Adult Impending Arrest

3-8- Adult Fever

3.9 Diabetic Emergencies 2024.1

4.0 Section 4 Pediactric OB Treatment Table of Contents

4.1 Pediatric Medication Emergency Dosing and Intvervention Cards

4.2 Childbirth and Related OB Emergencies

4.3 Newborn Neonatal Assess and Resuscitation

4.4 Peds Altered Mental Status

4.5 Peds REspiratory Distress_Failure_Arrest

4.6 Pediatric Fever

4.7 Pediatric Seizure

4.8 Safe Transport of Children in Ambulances

4.9 Peds Crashing_Impending Arrest

5.0 Section 5 Adult Cardiac Table of Contents

5.1 Gen Cardiac Arrest

5.2 Bradycardia

5.3 Tachycardia

5.4 Pulmonary Edema_Cardiogenic Shock

5.5 Chest Pain ACS

5.6 ROSC

6.0 Section 6 Pediatric Cardiac Table of Contents

6.1 Peds Cardiac Arrest

6.2 Peds Bradycardia

6.3 Peds Tachycardia

6.4 Peds ROSC

7.0 Section 7 Procedures Table of Contents

7.1 12 Lead 1.5.23

7.2 Child Abuse and Neglect 5.23.23

7.3 Crime Scene Management 1.5.23

7.4 Vulnerable Adult 1.5.23

7.5 CPAP 5.25.23

7.6 DOS and Termination of Resuscitation 6.27.23

7.7 DNR 5.30.23

7.8 Electrical Therapy 5.25.23

7.9 Airway Management 5.30.23

7.10 Helmet Removal 1.27.23

7.12 Oxygen Administration 1.5.23

7.13 Pain Management 1.11.24

7.14 Patient Assessment 5.30.23

7.15 Documentation and Pt Care Records 1.5.23

7.16 Patient Restraint

7.17 Patient Procedural Sedation 2.24.23

7.18 Pleural Decompression 2.13.23

7.19 Refusal of Care 3.24.23

7.20 Spinal Precautions 5.26.23

7.21 BGL Testing 2.24.23

7.22 Tourniquet Application 5.27.27

7.23 Vascular Access and IV Fluid Therapy 5.26.23

7.24 End Tidal Carbon Dioxide Monitoring 2.13.23

7.25 MI POST 2.24.23

7.26 Interfacility HFNO 2.24.23 Fillable

7.27 Transport of Adult Ventilator-Dependent Pt 6.27.23

7.28 LVAD 1.27.23

7.29 Mechanical CPR Device 5.26.23 Fillable

8.0 Section 8 System Table of Contents

8.1 Downgrade of Response

8.2 Patient Prioritization and Use of L_S

8.3 Transport Destination and Diversion

8.4 OB HIGH RISK DELIVERY TNXP

8.6 Dispatch

8.9 Helicopter Utilization

8.10 Infection Control and Communicable Disease

8.11 Immunization and Testing

8.12 Communications Failure

8.13 Electronic Records and EMSIS

8.14 Protectected Health Information

8.15 Inter Facility Patient Transfers

8.15a Enhanced Paramedic Interfacility Transports

8.16 LIC LEVEL REQ_ATTEND DURING TNXP

8.17 Medical Control Privileges Protocol_Updated

8.18 Responsibilities of the Participants inthe MCA System

8.18(s) Ambulance Operations Rules

8.19 On Scene Physician Interaction

8.20 Protocol Deviation

8.21 Violent_Chemical_Haz Scene

8.22 ME Notification and Body Disposition 12.27.22

8.23 Safe Delivery of Newborns

8.24 Complaint Investigation and Resolution

8.25 Disciplinary Action Appeal

8.26 EMS Provider Criminal Charges and Convictions

8.27 Quality Improvement

8.28 Evidentiary Blood Draw 5.30.23 Fillable

8.50 Mutual Aid

8.51 Rehabilitation of EMS, Fire and First Responders

8.52 Authority for Management of Patient

8.53 Provisional Designation of Trauma Facilities Protocol

9.0 Section 9 Medications Table of Contents

9.1 Medication Administration

9.2 Medication Substitiution

9.3 Medication Shortage

9.4 MDI Fillable

9.5 EMS Med and IV Supply Requirements

9.6 SEM Medication Exchange and Replacement Protocol v.37

9.7 Epinephrine Auto Injector Procedure

9-44 Tranexamic Acid

9-50 Epi-Kit Contents and Exchange Procedure

MEDICATION REFERENCE SECTION

A Medications

Acetaminophen

Adenosine

Albuterol

Amiodarone

Aspirin

Atropine

CalciumChloride

Cefazolin

Ceftriaxone

Dextrose

Diazepam

---

 

Diltiazem

Diphenhydramine

Epinephrine

Fentanyl

Glucagon

Hydroxocobalamin

Ibuprofen

Ipratropium Bromide

Ketamine

Ketorolac

Lidocaine

Magnesium Sulfate

Methylprednisolone

Midazolam

Morphine

Naloxone

Nitroglycerin

Ondansetron

Pralidoxime

Prednisone

Racepinephrine

Sodium Bicarbonate

Tetracaine

Verapamil

10.0 Section 10 Special Ops Table of Contents

10.1 General CBRNE Identification 5.8.23

10.2 Chemical Exposure 5.9.23

10.3 Nerve Agent_Organophosphate Exposure 3.24.23

10.4 Chempack_Meddrun 12.27.22

10.5 Cyanide Exposure 3.24.23

10.6 Mass Casualty Incident 10.26.18

10.7 Pre Hospital EMS MCA Mutual Aid During Disaster 12.27.22

10.8 Hazard Contaminated Patient 12.27.22

10.9 Suspected Pandemic 12.27.22

10.10 through 10.18 Special Operations Optional SPRN

11.0 CIP Protocol Table of Contents

11-01 CIP Program Policy

11-02 CIP Medical Director Roles and Responsibilities

11-03 CIP Medical Direction

11-04 CIP Scope of Service.Treatment Capabilities

11-05 CIP Documentation

11-06 CIP Program Enrollment

11-07 CIP Patient Service Plan.Care Plan

11-08 CIP Program Discharge

11-26 CIP Fall Risk Reduction Assessment

11-27 CIP Social Determinants of Health Assessment

11-28 CIP Medication Audit

11-29 CIP Feeding Tube

11-30 CIP Urinary Catheter

11-31 CIP Ostomy Bag Replacement

11-32 CIP Nasal Packing

11-33 CIP Specimen Collection

11-34 CIP Point of Care Testing for Blood Analysis

11-35 CIP Suture Removal

11-36 CIP Otoscope

11-37 CIP PICC Access

11-38 CIP Vaccinations

11-39 CIP Naloxone Leave Behind

11-41 CIP Naloxone Medication Kit Contents and Distribution

11.50 CIP Patient General Assessment and Care

11-51 CIP Diabetic Care

11-52 CIP Asthma Care

11-53 CIP COPD Care

11-54 CIP CHF Care

11-55 CIP Chronic Hypertension Care

11-56 CIP Post MI or Cardiac Intervention Care

11-57 CIP Post Orthopedic Surgical Intervention Care

11-58 CIP Post Stroke Care

11-59 CIP Prenatal Care

11-60 CIP Mother and Infant – Postpartum Care

11-61 CIP Diagnosed Sleep Apnea Care

11-62 CIP Wound Care

11-63 CIP Substance Use Disorder Care

11-75 CIP Skin Rash Complaint

11.76 CIP Urinary Complaint

11-77 CIP GI Complaints

11-78 CIP Suspected Respiratory Infection Complaint

11-79 CIP Sore Throat Complaint

11-80 CIP Nosebleed Complaint

11-81 CIP Sexual Assault Follow Up – No logo

12.0 Local ByLaws Table of Contents

12-1 to 12-12 Local ByLaws