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St. Clair County MCA Protocols

MAIN PROTOCOL TITLE

Section 1 - General Treatment Protocol

1-0 Table of Contents

1-1 GENERAL PRE HOSPITAL CARE SEMR

1-2 Abdominal Pain

1-3 Nausea & Vomiting

1.6 AnaphylaxisAllergic Reaction

1-7 Adrenal Crisis

1-8 Behavioral Health Emergencies

1-9 Retrun of Spontaneous Circulation ROSC

Section 2 - Trauma and Environmental Emergencies

2-0 Table of Contents

2-1 Adult and Pediatric Trauma Triage

2-2 General Trauma

2-4 General Crush Injury

2-5 Soft Tissue and Orthopedic Injuries

2-6 Spinal Injury Assessment

2-7 Traumatic Arrest

2-8 Drowning Submersion Injury

2-9 Poisoning Overdose Environmental Exposure

2-10 Heat Emergencies

2-11 Hypothermia Frostbite

2-12 Hypothermia Cardiac Arrest

2.15 SEXUAL ASSAULT 10.18.22

Section 3 - Adult Treatment Protocols

3-0 Table of Contents

3-1 Altered Mental Status

3.2 Stroke or Suspected Stroke Protocol

3-3 Respiratory Distress

3-6 Excited Delirium

Section 4 - Obstetrics and Pediatrics

4-0 Table of Contents

4-1 Pediatric Medication Emergency Dosing and Intervention Cards

4-2 Obstetrical Emergencies

4-3 Neonatal Assessment and Resuscitation

4-4 Pediatric Altered Mental Status

4.5 PEDIATRIC RESPIRATORY DISTRESS FAILURE ARREST

4-6 Pediatric Fever

4-7 Pediatric Seizures

4-8 Safe Transportation of Children in Ambulances

Section 5 - Adult Cardiac

5-0 Adult Cardiac

5-1-Cardiac-Arrest-General

5-2 Bradycardia

5-3 Tachycardia

5-4 Pulmonary Edema CHF

5-5-Chest-Pain-Acute-Coronary-Syndrome

Section 6 - Pediatric Cardiac

6-0 Table of Contents

6-1 Pediatric Cardiac Arrest – General

6-2 Pediatric Bradycardia

6-3 Pediatric Tachycardia

Section 8 - System Protocols

8-0 Section 8 Table of Contents

8-1 Cancellation Downgrade of Call

8-2 Use of Emergency Lights & Sirens During Transport

8-3 Destination & Diversion Guidelines

8-4 High Risk Delivery Transport Guidelines

8-6 Dispatch Protocol

8-7 Use of Lights & Sirens

8-8 Patient Prioritization Policy

8-9 Helicopter Utilization

8-10 Communicable Disease

8-11 Infection Control

8-12 Communications Failure

8-13 Waiver of EMS Patient Side Communications Capabilities

8-14 Health Insurance Portability Accountability Act (HIPPA)

8-15 Inter-Facility Patient Transfers & Critical Care Patient Transports

8.15a Enhanced Paramedic Interfacility Transports

8-16 Licensure Level Requirement of Attendant During Transport

8-17 Medical Control Privileges

8-18 Responsibilities of the Participants in the Medical Control Authority System

8-19 Physician on Scene

8-20 Protocol Deviation

8-21 Violent Chemical Hazardous Scene

8-22 Determination of Death, Death in Ambulance

8-23 Safe Delivery of Newborns

8-24 Complaint Investigation & Resolution

8-25 Disciplinary Action Appeal

8-26 Due Process and Disciplinary Procedure

8-27 Quality Improvement Program

8-28 Incident Classification

8-40 Evidentiary Blood Draw Protocol

8-44 Safe Transport of Patients

Section 9 - Medications

9-0 Table of Contents

9-1 Medication Administration

9-2 Medication Substitution

9-3 Medication Shortage

9-4 Intranasal Medication Administration

9.6 SEM Medication Exchange and Replacement Protocol

9-7 Epinephrine Auto-Injector Procedure

9-8 Nebulized Bronchodilators

9-9 Naloxone (Narcan) Administration

9-10 2-PAM Chloride-Duodote

9-11 Acetaminophen

9-14 Amiodarone

9-15 Acetylsalicylic Acid (Aspirin)

9-17 Calcium Chloride

9-20 Diphenhydramine

9-22 Epinephrine

9-26 Cyanokit (Hydroxodobalamin)

9-28 Ipratropium Bromide (Atrovent)

9-33 Magnesium Sulfate

9-34 Methylprednisolone

9-35 Midazolam (Versed)

9-37 Naloxone (Narcan)

9-38 Nitroglycerin

9-39 Ondansetron (Zofran)

9-40 Prednisone

9-41 Sodium Bicarbonate

9.43 Tranexamic Acid Protocol

9.50 Epi-Kit Contents and Exchange Procedure

Section 10 - Special Operations

10-0 Table of Contents

10-1 General CBRNE Identification of Agents

10-2 Chemical Exposure

10-3 Nerve Agency Organophosphate Pesticide Exposure Treatment

10-4 Chempack MEDDRUN

10-5 Cyanide Exposure

10-6 Mass Casualty Incidents

10-7 Pre-Hospital EMS MCA Mutual Aid Agreement

10-8 EMS Immunization & TB Testing

10-9 Suspected Pandemic Influenza

10-10 Special Pathogen Response Network-Transportation & Destination Guidelines

10-11 Special Pathogen Response Network-Patient Containment Algorithm

10-12 Special Pathogen Response Network-Transport Supplies

10-13 Special Pathogen Response Network-Transport Procedure

10-14 Special Pathogen Response Network-Patient Care during Transport of Suspected Highly Infectious Agent

10-15 Special Pathogen Response Network-Ambulance Cleaning & Disinfection

10-16 Special Pathogen Response Network-Medical Isolation Transport Device

10-17 Special Pathogen Response Network-Team Selection Procedure

Section 11 - Local System Protocols

11-0 SCCMCA System Protocol Table of Contents

11-1 By Laws – Introduction 11-1 By Laws – Introduction

11-2 By Laws – Purpose

11-3 By Laws Members of the Authority

11-4 By Laws-Authority Board

11-5 By Laws – Officers

11-6 By Laws – Checks and Other Instruments

11-7 By Laws – Committees of the Authority Board

11-8 By Laws – Standing Committees and Subcommittees

11-9 By Laws – Medical Director

11-10 By Laws – Quality Improvement

11-11 By Laws – Amendments

11-12 By Laws – Indemnification

11-13 Medical Control Authority Rules

11-14 Life Support Agency Rules

11-15 Ambulance Operations Rules

11-16 Cooperating Hospitals Rules

11-17 Mutual Aid

11-18 Rehabilitation Guidelines

11-19 Authority for Management of Patients in St. Clair County

11-20 Provisional Designation of Adult and Pediatric Trauma Facilities

11-21 Hazardous Chemical Scene Protocol

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