EMS FIELD MANUAL
effective 12/01/08
Table of Contents
Ambulance Diversion Criteria
Approved Abbreviations
Certification / Recertification / Accreditation checklist
Drip charts (dopamine/amiodarone)
Hospital Phone Numbers and services
Index / Policy locator
Summary of Changes
ALPHABETICAL BY SECTION
General Adult Pediatric Operational Procedures WMD/Bioterrorism
SECTION 1 - GENERAL POLICIES: Up
An Overview of Patient Care Protocol
Assault / Abuse (child, elder, domestic, sexual)
Burn Patient Care
Burn Patient Criteria
CardioPulmonary Resuscitation (CPR)
Crush Injury Syndrome 
Extremity Injury
Hyperthermia / Heat Illness
Hypothermia
Infection Control
OB / GYN Emergencies
Scope of Practice - Local Optional
Smoke inhalation 
Transport Guidelines - General
Trauma Patient Care
Trauma Patient Criteria
SECTION 2 - ADULT POLICIES: Up
Airway Obstruction - Adult
Allergic Reaction / Anaphylactic Shock - Adult
Altered Level of Consciousness - Adult 
Asystole - Adult
Bradycardia - Adult
Cerebral Vascular Accident (CVA) - Adult
Chest Pain - Adult
Dystonic Reaction - Adult
Medications (Authorized) - Adult 
Pain Management - Adult
Poisoning / Ingestion / Overdose - Adult
Pulmonary Edema / CHF - Adult 
Pulseless Electrical Activity (PEA) - Adult
Respiratory Distress - Adult (Asthma/Bronchospasm/COPD)
Return of Spontaneous Circulation - Adult 
Routine Medical Care - Adult
Seizure - Adult 
Shock: Hypovolemic / Cardiogenic - Adult
Submersion - Adult
Tachycardia - Adult (Atrial Fibrillation/Atrial Flutter/SVT/VT)
Ventricular Fibrillation / Ventricular Tachycardia - Adult
SECTION 3 - PEDIATRIC POLICIES: Up
Airway Obstruction - Pediatric
Allergic Reaction / Anaphylactic Shock - Pediatric
Altered Level of Consciousness - Pediatric
Apparent Life-Threatening Event (ALTE) - Pediatric
Bradycardia - Pediatric
Medication Dose Chart - Pediatric 
Neo-Natal Resuscitation
Pain Management - Pediatric
Pediatric MS Dose Chart may be printed and added to page 54
Poisoning / Ingestion / Overdose - Pediatric
Pulseless Arrest Asystole/PEA - Pediatric
Pulseless Arrest V-fib/V-Tach - Pediatric
Respiratory Distress (Stridor) Upper Airway - Pediatric
Respiratory Distress (Wheezing) Lower Airway - Pediatric
Routine Medical Care - Pediatric
Seizure - Pediatric 
Shock and Hypotension - Pediatric
Submersion - Pediatric
Tachycardia - Pediatric
SECTION 4 - OPERATIONAL POLICIES: Up
ALS Responder
BLS Responder 
Crime Scene Management / Evidence Preservation
Death in the Field: Determination / POLST / Discontinuation / Donor card 
EMS Aircraft Transport (helicopter)
Equipment and Supplies - ALS/BLS 
Equipment and Supply Requirements/Inspection - ALS/BLS 
Grief Support
Interfacility Transfers
Intravenous Lines and Devices, Ventilators and Other Patient Care Equipment
Medical Personnel on the Scene | MD on scene card
| MD on scene card (print on business card stock)
Paramedic Field Supervisors - Utilization of ALS Skills
Patient Care Report Form (PCR)
Police Assistance - Requests for
Psychiatric & Behavioral Emergencies 
Psychiatric Evaluation (5150 transports)
Refusal of Care/Refusal of Service
Refusal of Care Form
Refusal of Service Log | page 2
Responding Units - Canceling/ Reducing Code
Restraints
Staffing - ALS and BLS Providers
SECTION 5 - PROCEDURES: Up
Advanced Airway Management (ETT and ETDLA) 
Blood Glucose Testing
Consent and Refusal Guidelines
Continuous Positive Airway Pressure (CPAP) 
EKG - 12-Lead
Impedance Threshold Device 
Intranasal Medications
Intraosseous Infusion - Adult | Pediatric
Nitroglycerin Spray - Administration of
Percutaneous Transtracheal Jet Ventilation
Pleural Decompression
Pulse Oximetry
Reporting Format
Sedation
Spinal Immobilization | Spinal Injury Assessment
Stoma and Tracheostomy Care
Transcutaneous Pacing (TCP)
Transfer of Care
Valsalva Maneuver
SECTION 6 - BIOTERRORISM/WMD Up
Biological Attack 
Chemical Attack 
ChemPack Deployment 
Cyanide Poisoning 
Decontamination Incident 
Dirty-Bomb Attack 
Disaster Trailer Cache 
Hazardous Material Incidents - EMS Response 
Multicasualty Incidents - EMS Response 
Nerve Agent Autoinjector Administration 
Nerve Agent Treatment 
Suspicious Powders 
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