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Santa Cruz County Health Services Agency
Public Health Department
-- EMS Policies, Protocols and Procedures --

 

 

Adult Protocols
View and print all Adult Protocols

  Cardiac  
Number Title of Protocol Effective Date
C1 Cardiac Asystole April 2012
C2 Pulseless Electrical Activity April 2012
C3 Ventricular Fibrillation/ Pulseless Ventricular Tachycardia (V-Tach) April 2012
C4 Tachycardia >150 with pulses April 2012
C5 Frequent PVC’s in the Responsive Patient April 2012
C6 Cardiac Chest Pain/Anginal Equivalent Symptoms April 2012
C7 Bradycardia/ Heart Blocks April 2012
  Environmental  
Number Title of Protocol Effective Date
E1 Heat Exposure January 2007
E2 Cold Exposure/Hypothermia April 2012
E3 Near Drowning January 2007
E4 Burns  April 2009
E5 Acute Venomous Snake Bite January 2007
  Medical  
Number Title of Protocol Effective Date
M1 Overdose and/or Poison Ingestion January 2007
M2 Acute Allergic Reaction January 2008
M3 Routine Medical Care January 2007
M4 Management of Nausea and Vomiting April 2010
M5 Excited Delirium April 2012
  Neurological  
Number Title of Protocol Effective Date
N1 Altered Level Of Consciousness April 2010
N2 Seizures  January 2007
N3 Non-Traumatic Neuro Impairment (Suspected CVA) January 2007
  Obstetrical/Gynecological  
Number Title of Protocol Effective Date
O1 Uncomplicated Childbirth and Emergency Childbirth January 2007
  Respiratory  
Number Title of Protocol Effective Date
R1 Respiratory Distress - Acute Congestive Heart Failure April 2009
R2 Respiratory Distress With Wheezes (Suspected Pulmonary Origin) April 2009
S1 Respiratory Born Illness January 2007
  Trauma  
Number Title of Protocol Effective Date
T1 Trauma  April 2010
T2 Isolated Limb Injury (including Hips) January 2007
T3 Crush Injuries January 2007
T4 Management of Significant External Hemorrhage April 2010
MAP MAP Trauma Triage Scoresheet (Policy 7070) January 2007
  Attachments  
D1 Santa Cruz County Adult Drug List January 2007

 

Pediatric Protocols
View and print all Pediatric Protocols
  Cardiac
Number Title of Protocol Effective Date
C1-P Cardiac Asystole April 2012
C2-P Pulseless Electrical Activity April 2012
C3-P Ventricular Fibrillation/Pulseless Ventricular Tachycardia (V-Tach) April 2012
C4-P Tachycardia>220 with Pulses April 2012
C7-P Bradycardia/Heart Blocks April 2010
C8-P Neonatal Resuscitation January 2008
  Environmental
Number Title of Protocol Effective Date
E1-P Heat Exposure January 2007
E2-P Cold Exposure/Hypothermia April 2012
E3-P Near Drowning January 2007
E4-P Burns April 2009
E5-P Acute Venomous Snake Bite  January 2007
  Medical
Number Title of Protocol Effective Date
M1-P Overdose and/or Poison Ingestion January 2007
M2-P Acute Allergic Reaction January 2008
M3-P Routine Medical Care January 2007
M4-P Management of Nausea and Vomiting April 2012
  Neurological
Number Title of Protocol Effective Date
N1-P Altered Level Of Consciousness April 2010
N2-P Seizure January 2007
  Respiratory
Number Title of Protocol Effective Date
R1-P Respiratory Distress without Wheezes January 2008
R2-P Respiratory Distress with Wheezes January 2008
  SIDS & ALTE
Number Title of Protocol Effective Date
S1-P Sudden Infant Death Syndrome (SIDS) January 2007
S2-P Apparent Life-Threatening Event (ALTE) January 2007
  Trauma
Number Title of Protocol Effective Date
T1-P Trauma April 2010
T4-P Management of Significant External Hemorrhage April 2010

 

Section I: ALS/BLS Policies
View and print all ALS/BLS Policies
Number Title of Protocol Effective Date
1010 Standing Orders April 2012
1020 On-Scene Transfer of Patients From Paramedic To EMT-1 January 2007
1030 First Responder BLS Ambulance Intercept Policy January 2007
1050

Paramedic Interaction With Licensed Health-Care Providers

 January 2007
1060 Policy For Air Ambulance April 2009
1070 Triage For Receiving Hospital Destination July 2011
1080 Patient Refusal of Care Against Medical Advice (AMA) 
or Release at Scene		 April 2012
1090 Guidelines for Base Station Contact April 2009
1100 Police At The Scene December 2007
1110 On-Scene Medical Control April 2012
1120

EMS Quality Improvement Program

 January 2007
1130

Minimal Equipment and Medications For Transport ALS Units, ALS First Responder Engines, and BLS Units

 January 2007
1140 Determination/Pronouncement of Death In The Field April 2010
1170 Santa Cruz County Patient Care Record (PCR) and 
Transfer of Care Document 		April 2010
1190 Guidelines for EMS Personnel Regarding Do Not Resuscitate (DNR)  Orders/Directives April 2012
1200 Organ Donor Information January 2007
1220 Emergency Medical Dispatch (EMD) Policy January 2007
1230 Hospital Diversion (By-Pass Policy) June 2009
1250 Interfacility Transfer Policy January 2007
1260 Medical Management at Hazardous Materials Incidents January 2007
1290 Transport Out-of-County January 2007
1300 Guidelines For Medical Mutual Aid (Ambulance) January 2007
1340 Suspected Elder and Dependent Adult Abuse Reporting April 2012
1500

Nerve Gas Antidotes

 January 2007
1501

Cyanide Antidotes

 January 2007
1600

STEMI Identification, Transmission, and Hospital Destination from the Field

 April 2012

 

Section II: Educational and Certification Requirements
 Mobile Intensive Care Nurse (MICN)

Number Title of Protocol Effective Date
2010 Mobile Intensive Care Nurse (MICN) Continuing Education & Service Requirements January 2007

 

 

Section IV: ALS/BLS Standards and Guidelines
View and print all ALS/BLS Standards and Guidelines
Number Title of Protocol Effective Date
4000 Life Threats April 2012
4010 Field Personnel Exposure to a Reportable Disease January 2007
4020 Emergency Department Approved for Pediatrics (EDAP) 
Specialty Designation 		January 2007
4030 Patient Acuity Guidelines April 2009
4040 Non-Invasive Gas Monitoring April 2012
4060 Patient Restraints April 2009
4070 Spinal Immobilization April 2012
4080 First Responder Fire ALS Transfer of Care to Transport ALS January 2007
4090 Narcotic Medication Utilized by Paramedics January 2007
4100 PCR Documentation July 2011
4110 Approved Abbreviations January 2007
4200 Mass Casualty Incident April 2009
4300 Emergency Worker Rehabilitation April 2010
4500 UC Fire Department Influenza Response Procedure September 2009

 

 

 

 

 
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