Hillsdale County Medical Control Authority

Hillsdale County MCA: 2024 Approved EMS Protocols

Table of Contents

Section 1: General Treatment Section 2: Trauma & Environmental Section 3: Adult Treatment Section 4: Obstetrics Pediatrics Section 5: Adult Cardiac Section 6: Pediatric Cardiac Section 7: Procedures Section 8: Systems Section 9: Medications Section 10: Special Operations

NOTE: To download approved EMS protocols, please click the section button.

1-1: General Pre-Hospital Care 1-2: Abdominal Pain (non-traumatic) 1-3: Nausea and Vomiting 1-4: Syncope 1-5: Shock 1-6: Anaphylaxis/Allergic Reaction 1-7: Adrenal Crisis 1-8: Behavior Health Emergencies 1-9: Opioid Overdose Treatment and Prevention 1-10: Foreign Body Airway Obstructions

2-1: Adult/Pediatric Trauma Triage 2-2: General Trauma 2-3: Burns 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: Head Injury — Moderate and Severe TBI 2-13: Bleeding Control 2-14: Hemorrhagic Shock 2-15: Sexual Assault

3-1: Altered Mental Status 3-2: Stroke or Suspected Stroke 3-3: Respiratory Distress 3-4: Seizures 3-5: Sepsis 3-6: Hyperactive Delirium Syndrome with Severe Agitation 3-7: Crashing Adult/Impending Arrest

4-1: Pediatric Medication Emergency Dosing and Intervention Cards 4-2: Childbirth and Related Obstetrical Emergencies 4-3: Newborn and Neonatal Assessment and Resuscitation 4-4: Pediatric Altered Mental Status 4-5: Pediatric Respiratory Distress, Failure or Arrest 4-6: Pediatric Fever 4-7: Pediatric Seizures 4-8: Safe Transportations of Children in Ambulances 4-9: Pediatric Crashing Patient/Impending Arrest

5-1: Cardiac Arrest — General 5-2: Bradycardia 5-3: Tachycardia 5-4: Pulmonary Edema/Cardiogenic Shock 5-5: Chest Pain/Acute Coronary Syndrome 5-6: Adult Return of Spontaneous Circulation (ROSC)

6-1: Pediatric Cardiac Arrest — General 6-2: Pediatric Bradycardia 6-3: Pediatric Tachycardia 6-4: Pediatric Return of Spontaneous Circulation (ROSC)

7-1: 12-Lead ECG 7-2: Child Abuse and Neglect (Suspected) 7-3: Crime Scene Management 7-4: Vulnerable Adult Abuse, Neglect or Exploitation (Suspected) 7-5: Continuous Positive Airway Pressure (CPAP) Administration 7-6: Dead on Scene and Termination of Resuscitation 7-7: Do-Not-Resuscitate 7-8: Electrical Therapy 7-8(S): Electrical Therapy — Double Sequential Defibrillation 7-9: Airway Management 7-10: Helmet Removal 7-11: Impedance Threshold Device (ITD) 7-12: Oxygen Administration 7-13: Pain Management 7-14: Patient Assessment 7-15: Documentation and Patient Care Records 7-16: Patient Restraint 7-17: Patient Procedural Sedation 7-18: Pleural Decompression 7-19: Refusal of Care: Adult and Minor 7-20: Spinal Precautions 7-21: Blood Glucose Level Testing 7-22: Tourniquet Application 7-23: Vascular Access and IV Fluid Therapy 7-24: End-Tidal Carbon Dioxide Monitoring (Capnometry and Capnography) 7-25: Michigan Physician Orders for Scope of Treatment (MI-POST) 7-27: Transport of Adult Ventilator-Dependent Patient 7-28: Left Ventricular Assist Device (LVAD) 7-29: Mechanical Chest Compression Device (Lucas)

10-1: General CBRNE Identification of Agents 10-2: Chemical Exposure 10-3: Nerve Agent/Organophosphate Pesticide Exposure Treatment 10-4: Chempack/MedRun 10-5: Cyanide Exposure 10-6: Mass Casualty Incidents 10-7: Pre-Hospital (EMS) MCA Mutual Aid During Disaster 10-8: Hazard Contaminated Patient 10-9: Suspected Pandemic

8-1: Downgrade of Response 8-2: Patient Prioritization and Use of Lights and Siren 8-3: Transport Destination and Diversion 8-5: ALS and LALS Intercept/Transfer of Care 8-6: Dispatch 8-7: ALS to BLS Transfer of Care 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 EMS Information System 8-14: Protected Health Information 8-15: Inter-Facility Patient Transfers 8-15(A): Emergency Interfacility Ground Transfer Protocol 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: On-Scene Physician Interaction 8-20: Protocol Deviation 8-21: Violent/Chemical/Hazardous Scene 8-22: Medical Examiner Notification and Body Disposition 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 Policy 8-28: Evidentiary Blood Draw Protocol

9-1: Medication Administration 9-2: Medication Substitution 9-3: Medication Shortage 9-4: Personal Metered Dose Inhaler Use 9-5: EMS: Medication and IV Supply Requirements 9-6: Pharmacy and MCA: Medication and IV Supply Requirements 9-7: Epinephrine Auto-Injector Procedure 9-8: Naloxone Leave Behind Medication Kit Contents and Distribution Procedure 9-9R: Medications (General) 9-10R: Acetaminophen 9-11R: Adenosine 9-12R: Albuterol 9-13R: Amiodarone 9-14R: Aspirin 9-15R: Atropine 9-16R: Calcium Chloride 9-17R: Cefazolin 9-18R: Ceftriaxone 9-19R: Dextrose 9-20R: Diazepam 9-21R: Diltiazem 9-22R: Diphenhydramine 9-23R: Epinephrine 9-24R: Fentanyl 9-25R: Glucagon 9-26R: Hydroxocobalamin 9-27R: Ibuprofen 9-28R: Ipratropium Bromide 9-29R: Ketamine 9-30R: Ketorolac 9-31R: Lidocaine 9-32R: Magnesium Sulfate 9-33R: Methylprednisolone 9-34R: Midazolam 9-35R: Morphine 9-36R: Naloxone 9-37R: Nitroglycerin 9-38R: Ondansetron 9-39R: Pralidoxime 9-40R: Prednisone 9-41R: Sodium Bicarbonate 9-42R: Racepinephrine 9-43R: Tetracaine 9-44R: Tranexamic Acid 9-45R: Verapamil