Prehospital Policies and Protocols

Communication from the EMS Medical Director:
Monkeypox Guidance for EMS professionals is published in the Prehospital and Disaster Medicine journal. A customizable Monkeypox 3I Tool is available here.
Xylazine Alert for EMS Professionals
Monkeypox Guidance for EMS Professionals
Formation of the San Diego Resuscitation Consortium Workgroup
2021 Protocol Clarifications and Revisions
Oxygen Delivery Modalities for IFT Notification
"Leave Behind Naloxone" Program
Protocol Guidance -
Expanded Stroke Windows, Midazolam, and Ketamine
Medical Directors Guidance during Morphine Shortage
2022-2023 Treatment Protocol packet available now!
Please see the CoSD EMS Protocol Change Log for 2022-2023
Medication shortage information |
||
Thoracostomy needle-related guidance | ||
October 6, 2022 | ||
Activated charcoal-related guidance | ||
September 29, 2022 | ||
Critical EMS pharmaceutical guidance | ||
August 9, 2022 | ||
Glucagon-related guidance | ||
August 9, 2022 | ||
Normal saline-related guidance | ||
April 20, 2022 | ||
Epinephrine-related guidance | ||
April
7, 2022 | Use of expired medications | |
April
7, 2022 | New option for push-dose
epinephrine preparation | |
March 29, 2022 | Mitigation strategies | |
February 28, 2022 | Cardiac and push-dose epinephrine guidance | |
Dextrose-related guidance | ||
February 28, 2022 |
Notify County EMS via EMSNotifications@sdcounty.ca.gov when medication or supply shortages resolve.


2022 - 2023 Prehospital Policies and Protocols
All policies and protocols take effect July 1, 2022
-
000 - Systems
-
100 - Treatment Protocols
SECTION I
Introduction / Glossary / Abbreviations
S-100
S-101
S-102
SECTION II
Inventory / Medication Lists and Charts / Skills List
S-103
S-104
S-104A
P-115
P-115A
P-117
SECTION III
Adult Treatment Protocols
S-120
S-121
S-122
S-123
S-124
S-126
S-127
S-129
S-130
S-131
S-132
Decompression Illness/Diving/Altitude Related Incidents (7/21)
S-133
S-134
S-135
S-136
S-138
S-139
S-141
S-142
S-143
S-144
SECTION IV
Pediatric Treatment Protocols
S-160
S-161
S-162
S-163
S-164
S-165
S-166
S-166A
S-167
S-168
S-169
S-170
S-172
S-173
S-174
S-175
S-176
S-177
Sepsis (7/21) ------ Special Use Protocols S-190 Immunization / Viral Swab Sample (7/22) - 200 - Air Medical
-
300 - Education
-
400 - Medical Control
S-400
Management of Controlled Drugs on Advanced Life Support Units (7/16)
P-401
S-402
P-403
P-403A
P-405
P-405A
Report of ALS Services Provided without Base Hospital Contact
S-407
P-408
Variation from San Diego County Protocols for Advanced Life Support (7/10)
P-408A
S-409
P-410
S-411
Reporting of Suspected Child, Dependent Adult, or Elder Abuse/Neglect (11/19)
S-411A
S-412
S-413
S-414
S-415
Base Hospital Contact/Patient Transportation and Report (7/18)
S-415A
Assess and Refer Option for Patients with Influenza-Like Illness (1/23)
S-416
Supply and Resupply of Designated EMS Agencies and Vehicles (7/16)
S-421
S-422
P-430
B-450
B-451
Advanced Emergency Medical Technician Scope of Practice (7/10)
T-460
T-460A
A-475
S-476
S-480 Viral Specimen Collection and Vaccination Administration - 600 - Data Collection
-
700 - Base Hospital/Trauma Center
P-701
P-702
T-705
T-708
T-710
T-711
T-712
T-716
Transfer of Stable Trauma Service Health Plan Members (7/21)
T-717
T-718
T-719
-
800 - Service Provider Agency
P-801
Designation of Providers of Advanced Life Support Service (3/11)
S-803
Recovery of Prehospital Patient Care Reusable Equipment (7/19)
P-805
P-806
P-807
B-808
D-822
Perilaryngeal Airway Adjuncts Service Provider Designation (7/10)
S-830
S-831
S-833
B-834
S-835
Requirements for Ground Critical Care Transport Services (7/07)
S-836
S-837
Public Safety - First Aid optional Skills Provider Designation (7/17)
N-840
Non-Emergency Transport Provider's Permit Application Process (7/15)
N-841
B-850
Basic Life Support Ambulance Service Provider Requirements (7/15)
A-875
A-876
Air Ambulance Dispatch Center Designation/Dispatch of Air Ambulance (7/17)
A-877
S-880
S-881

Policy Designators: | |
A | Air Medical |
B | EMT-B |
N | Non-Emergency Medical Transport |
P | Paramedic |
S | System (Applies to all components of EMS system) |
T | Trauma Care System |