Johnson County EMS System
Principles of Care
- Principles of Quality, Patient-Centric Care in the Johnson County EMS System
- Authorization of Protocols
- Local Scope of Practice
- Introduction to Patient Care Guidelines
Universal Care
- Universal Care Guidelines
- Vascular Access
- Obtaining Blood Samples
- Medication Administration and Verification
- Patient and Provider Safety During Transport
- Direct Medical Oversight
- Biomedical Communications/Documentation
- Abuse, Neglect, Human Trafficking
General Medical Protocols
- Abdominal Pain (Non-Traumatic)
- Adrenal Insufficiency/Adrenal Crisis
- Agitated or Violent/Behavioral Patient Emergency
- Altered Mental Status
- Anaphylaxis and Allergic Reaction
- Epistaxis
- Hyperglycemia
- Hypoglycemia
- Nausea/Vomiting
- Pain Management
- Patient Restraint
- Seizures
- Shock
Cardiovascular
- Chest Pain/ACS/STEMI
- Dysrhythmias (Bradycardia)
- Dysrhythmias (Tachycardia)
- Suspected Stroke/Transient Ischemic Attack
- Syncope and Presyncope
- Ventricular Assist Devices
Respiratory Distress
Pediatric Specific Guidelines
- Pediatric Respiratory Distress (Bronchiolitis)
- Pediatric Respiratory Distress (Croup)
- Pediatric Specific Guidelines (BRUE-Brief Resolved Unexplained Event)
- Newborn/Neonatal Resuscitation
Toxins and Environmental
- Toxins/Environmental Poisoning/Overdose Universal Care Guidelines
- Acetylcholinesterase Inhibitor (Carbamates, Nerve Agents, Organophosphates) Exposure
- Beta Blocker Poisoning/Overdose
- Bites and Envenomations
- Calcium Channel Blocker Poisoning/Overdose
- Carbon Monoxide Poisoning/Smoke Inhalation
- Conducted Electrical Weapon Injury (Taser™)
- Cyanide Exposure
- Drowning
- Electrical Injuries
- Hyperthermia/Heat Exposure
- Hypothermia/Cold Exposure
- Lightning Strike/Lightning Strike Injury
- Opioid Overdose
- Riot Control Agents
- Stimulant Poisoning/Overdose
- TCA Poisoning/Overdose
- Topical Chemical Burns
Obstetrics and Gynecology
Cardiac Arrest and Resuscitation
- Cardiac Arrest and Resuscitation
- Post-ROSC Care
- Determination of Death/Withholding Resuscitation
- Termination of Resuscitation
Trauma
- Trauma Patient Universal Management
- Blast Injuries
- Burns
- Crush Injury
- Extremity Trauma/External Hemorrhage
- Facial/Dental Trauma
- Head Injury
- Spinal Care
Patient Self-Determination for Care and Autonomy
- Deciding Hospital Destination
- Patient Refusals
- DNR/Advanced Directives/Health Care Power of Attorney (POA)
- End-Of-Life/Palliative Care
Medications
- Medications Reference
- Adenosine (Paramedic)
- Albuterol (Paramedic, AEMT, EMT)
- Amiodarone (Paramedic, AEMT)
- Aspirin (Paramedic, AEMT, EMT)
- Atropine (Paramedic)
- Calcium Chloride (Paramedic)
- Dextrose 10% (Paramedic, AEMT)
- Diphenhydramine (Paramedic, AEMT)
- Duodote (Paramedic, AEMT, EMT)
- Epinephrine (Paramedic, AEMT, EMT)
- Fentanyl (Paramedic)
- Glucagon (Paramedic, AEMT)
- Haloperidol (Paramedic)
- Hydroxocobalamin (Paramedic)
- Instaglucose (other sugar containing substances) (Paramedic, AEMT, EMT)
- Ipratropium (Paramedic, AEMT, EMT)
- Isopropyl Alcohol Preps (Paramedic, AEMT, EMT)
- Ketamine (Paramedic)
- Lidocaine (Paramedic, AEMT)
- Lorazepam (Paramedic)
- Midazolam (Paramedic, AEMT)
- Naloxone (Paramedic, AEMT) (EMT admin IN/IM routes only)
- Nitroglycerin (Paramedic, AEMT, EMT)
- Norepinephrine (Paramedic)
- Normal Saline (Paramedic, AEMT)
- Ondansetron (Paramedic, AEMT)
- Oxymetazoline (Paramedic)
- Racemic Epinephrine 2.25% solution (nebulized) (Paramedic)
- Sodium Bicarbonate (Paramedic)
- Tetracaine (Paramedic)
Appendices
- APPENDIX A-Johnson County Trauma Plan
- APPENDIX B-Physician on Scene
- APPENDIX C-Air Medical Transport
- APPENDIX D-EMS Response to Events Requiring Rehab
- APPENDIX E-Authorization to Administer Immunizations
- APPENDIX F-Multi-Casualty Incidents
- APPENDIX G-Hospital Capability Chart
- APPENDIX H-Neonatal Resuscitation
- APPENDIX I-Adult Cardiac Arrest Algorithm
Checklists
- ADULT Acute Coronary Syndrome (ACS) Checklist
- Adult Cardiac Arrest Checklist
- CVA Checklist
- Hypoglycemia Refusal Checklist
- Medication Cross-Check
- PEDIATRIC Cardiac Arrest Checklist
- Post Resuscitation Checklist
- Rainbow Services Inc. Checklist
- Termination of Resuscitation (Non-Traumatic Arrest)
Adult and Pediatric Field Reference Guide
- Grey 3kg
- Grey 4kg
- Grey 5kg
- Pink 6-7kg
- Red 8-9kg
- Purple 10-11kg
- Yellow 12-14kg
- White 15-18kg
- Blue 19-23kg
- Orange 24-29kg
- Green 30-36kg
- Newborn Resuscitation, Burn Chart, and APGAR Score
- Pediatric Glasgow Coma Score
- Pediatric Vital Signs and Pain Rating Scale
- Pacing Chart
- i-Gel Sizes, Easy Cap, Percutaneous Airway Device, Pediatric Transport Seats, and CPR Feedback Device
- Adult Medications
- Norepinephrine and Ketamine Dose Charts
- Lidocaine and Sodium Bicarbonate Dose Charts
- Hydroxocobalamin and Crush Injury Dose Charts
- Adult Glasgow Coma Scale and Rule of 9's
- Medication Cross-Check
Specialty Team Protocols
- Joint Protocols
- Bicycle Medic Team
- Disaster Medicine Specialists
- Introduction
- Ammonia (Anhydrous), Hydrogen Nitride, Nitrogen Trihydride
- Aniline, Phenylamine, Aminobenzene
- Asphyxiants, Carbon Dioxide, Carbon Monoxide, Chlorofluoromethane, Freon-22, RP Captan, Methane
- Cyclohexanamine, Aminocyclohexane, Hexahydroaniline
- Formaldehyde, Methanal, Methyl Aldehyde, Formol, Formalin
- Hydrogen Fluoride, Hydrofluoric Acid
- Alkali Exposure, Caustic, Sodium Hydroxide, Lye, Concrete Dust
- Acid Exposures, Corrosive, Sulfuric Acid, Nitric Acid, Hydrochloric Acid, Dodecylbenzenesulfonic Acid
- Toluene Diisocyanate, Methyl Phenylene Diisocyanate
- Vesicant, WMD Blister Agent, Lewisite, Phosgene, Sulfur Mustard, Nitrogen Mustard
- Cellular Asphyxiant, WMD Blood Agent, Hydrogen Cyanide, Sodium Cyanide, Cyanogen Chloride, Potassium Cyanide, Hydrogen Sulfide, Sewer Gas
- WMD-Choking Agent, Chlorine, Phosgene
- Organophosphates, WMD Nerve Agent, Sarin, VX, Coumaphos
- WMD - Biologic Agent, Highly Infectious Disease
- WMD Radiological/Nuclear Agent
- Tactical Medic Team
- HMD-03. Grey 3kg
- HMD-04. Grey 4kg
- HMD-05. Grey 5kg
- HMD-06. Pink 6-7kg
- HMD-08. Red 8-9kg
- HMD-10. Purple 10-11kg
- HMD-12. Yellow 12-14kg
- HMD-15. White 15-18kg
- HMD-19. Blue 19-23kg
- HMD-24. Orange 24-29kg
- HMD-30. Green 30-36kg
- Hazmat References
- HMMST Albuterol
- HMMST Atropine
- HMMST Atropine/Pralidoxime Hydrochloride (DuoDote)
- HMMST Calcium Chloride
- HMMST Calcium Gluconate
- HMMST Diphenhydramine
- HMMST Fentanyl Citrate
- HMMST Magnesium Sulfate
- HMMST Methylprednisolone
- HMMST Methylthioninium Chloride
- HMMST Midazolam
- HMMST Normal Saline
- HMMST Oral Rehydration Therapy
- HMMST Pralidoxime Chloride
- HMMST Sodium Bicarbonate
- HMMST Sodium Nitrite
Hazmat Medical Support Team
Hazmat Drug Charts
Hazmat Medical Support Team Formulary
Ventricular Assist Device (VAD) Field Guide
- Cover Sheet
- Questions and Answers for Ventricular Assist Device
- Color Coding System
- Patient Management for VADs
- HeartMate III® with Pocket Controllers
- HeartMate II®
- HeartWare® Ventricular Assist System
- Jarvik 2000® VAS
- Total Artificial Heart
- Patient Management for TAHs
- Questions and Answers for Total Artificial Heart
- Total Artificial Heart Freedom™ Driver System
Last updated: 2021-07-16