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


 



Section I: Core Principles

Title of Principle
Appropriate Patient Disposition
EMS Response to Law Enforcement Incidents (LEIs)
Invasive Procedures
Managing Airway and Ventilation
Managing Cardiac Arrest
Managing Sepsis
Managing Trauma Patient Life Threats
Medical Incident Command System (ICS)
Spinal Immobilization


Section II: Adult Treatment 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
M6 Sepsis July 2014
  Neurological  
Number Title of Protocol Effective Date
N1 Altered Level Of Consciousness April 2013
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 2014
R2 Respiratory Distress With Wheezes (Suspected Pulmonary Origin) April 2014
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


 

Section III: 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 April 2013
  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
M6-P Sepsis July 2014
  Neurological
Number Title of Protocol Effective Date
N1-P Altered Level Of Consciousness April 2013
N2-P Seizure January 2007
  Respiratory
Number Title of Protocol Effective Date
R1-P Respiratory Distress without Wheezes April 2014
R2-P Respiratory Distress with Wheezes April 2014
  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 IV: EMS Policies
View and print all ALS/BLS Policies

Number Title of Protocol Effective Date
1010 Guidelines for Medical Control Orders October 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 October 2013
1110 On-Scene Medical Control April 2012
1112 EMS Resource Response and Management July 2013
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
1700

Guidelines for Special Projects

March 2013



 Section V: ALS/BLS Standards and Guidelines
View and print all ALS/BLS Standards and Guidelines

Number Title of Protocol Effective Date
4000 Life Threats April 2014
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 2014
4040 Non-Invasive Gas Monitoring April 2014
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

Section VI: ALS Procedures
View and print all ALS Procedures

Number Title of Protocol Effective Date
5000 Advanced Airway Management April 2014
5100 Intraosseous Infusion July 2007
5300 Needle Thoracostomy April 2012
5400 Procedure for EMS Personnel Regarding Do Not Resuscitate (DNR) Orders/Directives April 2009
5500 Accessing Pre-Vascular Access Devices (PVAD) January 2007
5600 Pain Management April 2014
5700 Pediatric Fast Pack April 2009
5800 Continuous Positive Airway Pressure (CPAP) February 2008
5900 12 Lead ECG Procedure April 2010
6000 Transcutaneous Cardiac Pacing April 2010

Section VII: Trauma
View and print all Trauma Policies

Number Title of Policy Effective Date
7000 Trauma System Organization and Management January 2007
7010 Trauma Data Collection and Management January 2007
7020 Trauma Service Area January 2007
7030 Trauma Patient Interfacility Transfers January 2007
7040 Trauma Quality Improvement and System Evaluation January 2007
7050 Trauma Patient Transport and Hospital Destination April 2012
7060 Mutual Aid and Coordination with Neighboring System January 2007
7070 MAP Trauma Triage April 2012

  

  

 


 
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