UPDATED JULY 17, 2007

WEST MICHIGAN REGIONAL PROTOCOLS

(Including KCEMS-Specific protocols, policies and procedures)

I. INTRODUCTION

A. CONTENTS

B. FORMAT PROTOCOL

II. PROTOCOLS

A. ASSESSMENT

1. PATIENT ASSESSMENT

B. ENVIRONMENTAL

1. BURNS - (CHEMICAL, ELECTRIC, THERMAL, RADIATION)

2. DROWNING/NEAR DROWNING

3. HYPERTHERMIA

4. HYPOTHERMIA/FROSTBITE

5. POISONING (INGESTION, TOXIC EXPOSURE, BITES/STINGS)

C. MEDICAL

1. ABDOMINAL PROBLEMS

2. ALLERGIC REACTION/ANAPHYLAXIS

3. ALTERED MENTAL STATUS

4. BEHAVIORAL EMERGENCIES

5. CARDIAC

a. ASYSTOLE - VENTRICULAR

b. BRADYCARDIA/HEARTBLOCK

c. CARDIAC ARREST

d. CARDIOGENIC SHOCK

e. ~~PULSELESS ELECTRICAL ACTIVITY~~

f. SUPRAVENTRICULAR TACHYCARDIA

g. ~~VENTRICULAR ECTOPY~~

h. VENTRICULAR FIBRILLATION

i. VENTRICULAR TACHYCARDIA

6. NON-CARDIAC CHEST PAIN

a. ACUTE CORONARY SYNDROME

7. CNS ILLNESS

8. GENERAL WEAKNESS/ILLNESS

9. HEMORRHAGE (NON-TRAUMATIC)

10. HYPERTENSIVE CRISIS

11. NEWBORN ASSESSMENT, TREATMENT & RESUSCITATION

12. OBSTETRICAL EMERGENCIES

13. RESPIRATORY DISTRESS

14. SEIZURES

15. SHOCK

16. SYNCOPE

D. TRAUMA

1. AMPUTATED PARTS

2. CHEST INJURY

3. HEAD AND SPINAL INJURY

4. ALLEGED SEXUAL ASSAULT

5. SOFT TISSUE AND ORTHOPEDIC INJURY

6. TRAUMA

PROTOCOL - Kent County Emergency Medical Services - Specific

E. DISASTER PROTOCOL (4-03) (See supplement) (NOT AVAILABLE ON-LINE)

F. CBRNE PROTOCOLS/POLICIES - STATE MODEL (WMR FORMAT)

1. GENERAL CBRNE IDENTIFICATION OF AGENTS

2. CHEMICAL EXPOSURE

a. CYANIDE EXPOSURE TREATMENT

b. NERVE AGENT/ORGANOPHOSPHATE EXPOSURE

3. COMMUNICABLE DISEASE

4. PRE-HOSPITAL (EMS) MCA MUTUAL AID AGREEMENT

5. MEDRUN

a. PRE-DEPLOYMENT OF MEDDRUN

6. CHEMPACK

7. MASS CASUALTY

III. PROCEDURES

A. AIRWAY / OXYGENATION PROCEDURE

B. ELECTRICAL THERAPY

C. MEDICATION ADMINISTRATION

H. PLEURAL DECOMPRESSION

I. MAST APPLICATION

J. RADIO COMMUNICATIONS

a. Kent County Addendum

K. VAGAL MANEUVERS

L. VASCULAR ACCESS

M. EPI-PEN

P. 12 LEAD EKG

PROCEDURES - Kent County Emergency Medical Services- Specific

N. ALBUTEROL NEBULIZER

O. TEMP PROTOCOL FOR PREHOSPITAL CPAP

IV. POLICIES - West Michigan Regional

A. (SUSPECTED) ABUSE OR NEGLECT

B. DEAD ON SCENE

C. DO NOT RESUSCITATE POLICY

D. HELMET REMOVAL POLICY

E. MEDICO-LEGAL REPORTING

F. PHYSICIAN INTERVENOR (ON-SCENE PHYSICIAN INTERVENTION)

G. PATIENT PRIORITIZATION POLICY

H. PATIENT REFUSAL OF CARE OR TRANSPORTATION (AMA)

I. TREATMENT & TRANSPORT OF MINOR PATIENT POLICY

J. VIOLENT/HAZARDOUS SCENE

JA. PUBLIC ACCESS DEFIBRILLATOR UTILIZATION POLICY

JB. MEDICAL EVALUATION & REHAB POLICY

JC. HEALT INSURANCE PORTABILITY & ACCOUNTABILITY ACT POLICY

JD. COMPLAINT INVESTIGATION & RESOLUTION POLICY

JE. DISCIPLINARY ACTION APPEAL POLICY

JF. DUE PROCESS & DISCIPLINARY ACTION POLICY

JG. QUALITY IMPROVEMENT POLICY

JH. REGIONAL PROTOCOL AGREEMENT

JI. RESPONSIBILITIES OF THE PARTICIPANTS IN THE MEDICAL CONTROL AUTHORITY SYSTEM POLICY 2007

POLICIES - Kent County Emergency Medical Services - Specific

K. AUTHORIZATION FOR MEDICAL CONTROL PRIVILEGES

L. CANCELLATION/DOWNGRADE OF CALL

M. COMMUNICATIONS FAILURE

N. DEVIATION FROM SYSTEM PROTOCOL

O. DRUG BOX

1. CONTENTS

2. EXCHANGE PROCEDURE

P. EMS MEDICAL RECORD

Q. EMERGENCY MEDICAL HELICOPTER

R. INFECTION CONTROL

S. INTER-HOSPITAL TRANSFER

T. MAST EXCHANGE/ REPLACEMENT POLICY

U. HOSPITAL FACILITIES REROUTING

V. PATIENT TRANSPORTATION POLICY

W. PERSONNEL NUMBER POLICY

X. MEDICAL PRIORITY DISPATCH POLICY

Y. ALS EMS OFF-DUTY ACTIVITY POLICY

Z. ALTERNATIVE TRANSPORT POLICY

AA. MEDICAL DIRECTION OVERRIDE POLICY

AB. REQUEST FOR AMBULANCE SERVICES POLICY

AC. TRANSPORTATION OF AN APPARENT INTOXICATED PATIENT POLICY

AD. MEDICAL INCIDENT REVIEW AND CORRECTIVE ACTION POLICY

AE. NOTIFICATION OF MEDICAL DIRECTOR POLICY

AF. EMS AED INSTRUCTION POLICY

AG. PEDIATRIC POLICY

TEMP PRE-DIVERT POLICY

AH. POISON CENTER NOTIFICATION POLICY

AJ. REQUIRED EQUIPMENT POLICY

AK. IDENTIFICATION CARD POLICY

AL. EPI-PEN SUPPLY & RESTOCKING PROCEDURE

V. MEDICATION REFERENCES

BENADRYL (DIPHENHYDRAMINE)

SODIUM BICARBONATE

CALCIUM CHLORIDE

~~CHARCOAL (ACTIVATED)~~

TETRACAINE HYDROCHLORIDE

THIAMINE

VASOPRESSIN