FIRE/EMS OPERATIONS

Paramedic Protocols and Standing Orders for Paramedic Services

We believe our standard of care is equal to the best in the country and if you're curious about our treatment protocols or would like a copy of our protocol please contact Jason Peng as listed below.  He can send you the MS Word version which will be easier to modify for your own use than the PDF file.  Feel free to download the PDF files and browse at your leisure. In an effort to ease the download process we have listed sections separately rather than combined them into one document.

To initiate the download process simply click on the section you wish to download and follow the instructions provided by your browser.

Questions regarding our protocol or a request for the MSWord version of the protocol should be directed to 
Firefighter/Paramedic Jason Peng
jason.peng@miamitwpoh.gov 
Ph (513) 248-3700
   


Updated February, 2007

 PROTOCOL INDEX
   INDEX
  ADMINISTRATIVE
  CONTROL OF EMERGENCY MEDICAL SERVICES
  DETERMINATION OF DEATH / TERMINATION OF ACLS
  DO NOT RESUSCITATE (DNR) ORDERS IN THE FIELD
  INITIATING A MEDICAL COMMAND CALL
  OHIO DNR COMFORT CARE PROGRAM SYNOPSIS
  PREHOSPITAL TRAUMA TRIAGE/MCI CONSIDERATIONS
  CARDIAC ARRHYTHMIA
  ASYSTOLE / PEA 
  BRADYCARDIA
  NARROW COMPLEX TACHYCARDIA
  UNSTABLE TACHYCARDIA 
  VENTRICULAR ECTOPY
  VENTRICULAR FIBRILLATION 
  WIDE COMPLEX TACHYCARDIA
 MEDICAL
  ACUTE CORONARY SYNDROMES
  ANAPHYLAXIS / ALLERGIC REACTION
  BEHAVIORAL EMERGENCIES
  CARDIOGENIC SHOCK 
  CEREBRAL VASCULAR ACCIDENT (STROKE)
  FOREIGN BODY AIRWAY / ESOPHAGEAL OBSTRUCTION
  HYPERTENSIVE CRISIS 
  HYPERTHERMIA / HEAT EMERGENCIES
  HYPOGLYCEMIA / HYPERGLYCEMIA  
  HYPOTHERMIA 
  NAUSEA VOMITING AND MOTION SICKNESS 
  NERVE AGENT / ORGANOPHOSPHATE / BIOLOGICAL 
  NONTRANSPORT OF INSULIN DEPENDENT DIABETICS
  OVERDOSE 
  PAIN / ANXIETY
  RESPIRATORY DISTRESS (CONGESTIVE HEART FAILURE)
  RESPIRATORY DISTRESS (OBSTRUCTIVE LUNG DISEASES)
  SEIZURE 
  TRAUMA
  EYE INJURY 
  HEAD OR SPINAL TRAUMA 
  HEMORRHAGIC SHOCK
  MAJOR BURNS (THERMAL OR ELECTRICAL) 
 OBSTETRICAL
  IMMINENT DELIVERY
  PEDIATRIC
  ASYSTOLE / PEA 
  BRADYCARDIA 
  NARROW COMPLEX TACHYCARDIA 
  NEWBORN RESUSCITATION 
  PEDIATRIC CRICOTHYROTOMY
  PEDIATRIC FEVER 
  PEDIATRIC INTRAOSSEOUS INFUSION 
  PEDIATRIC STRIDOR  
  UNSTABLE TACHYCARDIA
  VENTRICULAR FIBRILLATION 
  PROCEDURE
  AIRWAY, OXYGEN ADMINISTRATION, & VENTILATION
  ADULT CRICOTHYROTOMY (QUICKTRACH DEVICE)
  ADULT INTRAOSSEOUS INFUSION (FAST-ONE) 
  ADULT TENSION PNEUMOTHORAX DECOMPRESSION (COOK)
  AUTOPULSE DEVICE 
  BOUGIE INTUBATING STYLET 
  CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) 
  EMERGENCY USE OF CENTRAL VENOUS ACCESS
  EMS STANDBY SERVICES 
  EVALUATION, RESTRAINT, TRANSPORT OF COMBATIVE PT’S
  NASOTRACHEAL INTUBATION 
  OROGASTRIC AND NASOGASTRIC TUBES 
  RAPID GLUCOSE ASSAY PROCEDURES 
  RAPID SEQUENCE INTUBATION WITH PARALYTICS 
  SPINAL IMMOBILIZATION 
  TASER EMERGENCIES 
  INFLUENZA VIRUS VACCINATION 
  APPENDIX
  PEDIATRIC MEDICATION CHART 1