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