Prehospital Policies and Protocols

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• 000 - Systems

  S-001	Emergency Medical Services System Compliance with State Statutes and Regulations (12/12)
  S-002	Policy and Protocol Approval Process (7/24)
  S-003	Program Recordkeeping: Training and Certification (7/19)
  S-004	EMS System Quality Improvement (1/05)
  S-005	EMS Medical Director's Advisory Committee (Base Station Physicians' Committee) (7/07)
  S-006	Prehospital Audit Committee (7/10)
  S-007	Transfer Agreements (7/07)
  S-008	Interfacility Transfers - Levels of Care (7/21)
  S-009	Guidelines for the Prevention of Transmission of Contagions and Contaminants (7/19)
  S-010	Emergency Department Ambulance Diversion  (7/21) EMS Medical Director's County Ambulance Diversion Memo
  S-011	EMT/Advanced EMT/Paramedic Disciplinary Process (7/10)
  S-014	Guidelines for Verification of Organ Donor Status (7/17)
  S-015	Medical Audit Committee on Trauma (7/18)
  S-016	Patient Information/Confidentiality (7/04)
  S-017	Downgrade or Closure of Emergency Services in a Hospital Designated as a Basic Emergency Receiving Facility (7/07)
  S-018	EMS for Children (EMSC) Advisory Committee (7/02)
  S-019	Cardiac Advisory Committee (7/19)
  S-020	ST Elevation Myocardial Infarction Critical Care System Designation (7/19)
  S-021	De-Designation of an ST Elevation Myocardial Infarction Critical Care System Center (7/19)
  S-022	Infant Safe Surrender (7/19)
  S-028	Stroke Critical Care System Designation (7/19)
  S-029	Stroke Advisory Committee (7/19)
  S-030	Extracorporeal Cardiopulmonary Resuscitation (ECPR) Critical Care System (7/24)

• 100 - Treatment Protocols

  SECTION I	Standards / Glossary / Abbreviations
  S-100	Protocol Standards (7/24)
  S-101	Glossary of Terms (7/23)
  S-102	Abbreviation List (7/24)
  SECTION II	Inventory / Medication Lists and Charts / Skills List
  S-103	BLS/ALS Ambulance Inventory (7/24)
  S-104	Skills List (7/24)
  S-104A	Spinal Motion Restriction Algorithm (7/18)
  P-115	Medication List (7/24)
  P-115A	Pediatric Weight-Based Dosage Standards (7/24)
  P-117	ALS Pediatric Drug Chart (7/24)
  SECTION III	Adult Treatment Protocols
  S-120	Abdominal Discomfort / GI / GU (Non-Traumatic) (7/24)
  S-121	Airway Obstruction (7/24)
  S-122	Allergic Reaction / Anaphylaxis (7/24)
  S-123	Altered Neurologic Function (Non-Traumatic) (7/24)
  S-124	Burns (7/24)
  S-126	Discomfort / Pain of Suspected Cardiac Origin (7/24)
  S-127	CPR / Arrhythmias (7/24)
  S-127A	ECPR Decision Algorithm (7/23)
  S-129	Envenomation Injuries (7/24)
  S-130	Environmental Exposure (7/24)
  S-131	Hemodialysis Patient (7/24)
  S-132	Decompression Illness / Diving / Altitude-Related Incidents (7/24)
  S-133	Obstetrical Emergencies / Newborn Deliveries (7/24)
  S-134	Poisoning / Overdose (7/24)
  S-135	Existing Devices and Medications (7/24)
  S-136	Respiratory Distress (7/24)
  S-138	Shock (7/24)
  S-139	Trauma (7/24)
  S-141	Pain Management (7/24)
  S-142	Psychiatric / Behavioral Emergencies (7/24)
  S-143	Sepsis (7/24)
  S-144	Stroke and Transient Ischemic Attack (7/24)
  S-145	Opioid Withdrawal / Opioid Use Disorder (7/24)
  S-145A	COWS Score (7/23)
  SECTION IV	Pediatric Treatment Protocols
  S-160	Airway Obstruction (7/24)
  S-161	Altered Neurologic Function (Non-Traumatic) (7/24)
  S-162	Allergic Reaction / Anaphylaxis (7/24)
  S-163	CPR / Arrhythmias (7/24)
  S-164	Envenomation Injuries (7/24)
  S-165	Poisoning / Overdose (7/24)
  S-166	Obstetrical Emergencies / Newborn Deliveries (7/24)
  S-166A	Out of Hospital Birth Report (7/24)
  S-167	Respiratory Distress (7/24)
  S-168	Shock (7/24)
  S-169	Trauma (7/24)
  S-170	Burns (7/24)
  S-172	BRUE (Brief, Resolved, Unexplained Event) (7/24)
  S-173	Pain Management (7/24)
  S-174	Abdominal Discomfort / GI / GU (Non-Traumatic) (7/24)
  S-175	Psychiatric / Behavioral Emergencies (7/24)
  S-176	Environmental Exposure (7/24)
  S-177	Sepsis (7/24)

• 200 - Air Medical

  A-200

  Air Medical Treatment Protocol Unified Scope of Practice for California (7/19)

   

• 300 - Education

  P-300	Paramedic Training Program Student Eligibility (7/15)
  P-301	Paramedic Training Program Requirements and Procedures for Approval/Reapproval (7/17)
  P-302	Guidelines for Placement of Paramedic Interns in San Diego County (7/18)
  P-303	Mobile Intensive Care Nurse Authorization/Reauthorization (7/18)
  P-305	Paramedic Accreditation/Reaccreditation (7/24)
  S-306	Designation of Authorized Emergency Medical Services Continuing Education Providers (3/11)
  S-307	Continuing Education for Prehospital Personnel (3/12)
  S-308	Public Safety First Aid Training Programs (7/17)
  S-308A	Public Safety First Aid Training Programs (Application Form) (7/17)
  B-326	EMT-Basic Optional Skills Student Eligibility (5/09)
  B-351	EMT Training Programs (7/17)
  B-352	EMT Certification/Renewal (7/18)
  B-353	EMT Out-of-County Status (7/18)
  B-360	Advanced EMT Training Programs (7/10)
  B-361	Advanced EMT Certification/Renewal (7/18)

• 400 - Medical Control

  S-400	Management of Controlled Drugs for ALS Agencies (7/19)
  P-401	Paramedic Scope of Practice (7/24)
  S-402	Prehospital Determination of Death (7/14)
  P-403	Physician on Scene (7/14)
  P-403A	Note to Physician on Involvement with EMT-Paramedics
  P-405	Communications Failure (7/24)
  P-405A	Communications Failure Form (7/24) Download Fillable PDF
  S-407	Triage to Appropriate Facility (7/07)
  S-409	Reporting of Issues in Patient Care Management (1/05)
  P-410	San Diego County Special Assignment - Paramedic (7/10)
  S-411	Reporting of Suspected Child, Dependent Adult, or Elder Abuse/Neglect (7/24)
  S-411A	Mandated Reporter Flowchart (1/13)
  S-412	Prehospital Treatment and Transportation of Adults - Refusal of Care or Suggested Destination, Release (7/17)
  S-413	Triage, Multiple/Mass Casualty Incidents, Annex D (7/19)
  S-414	Do Not Resuscitate - DNR/End of Life Option (Aid-In-Dying Drug) (7/19)
  S-415	Base Hospital Contact/Patient Transportation and Report - Emergency Patients (7/18)
  S-416	Supply and Resupply of Designated EMS Agencies and Vehicles (7/16)
  S-421	Sexual Assault Patient Destination (7/21)
  S-422	Application of Patient Restraints (7/12)
  P-430	Special Assignment - Fireline Paramedic (7/24)
  B-450	EMT Scope of Practice (7/24)
  B-451	Advanced EMT Scope of Practice (7/10)
  T-460	Identification of the Trauma Center Patient (7/18)
  T-460A	Trauma Decision Algorithm (7/24)
  A-475	Air Medical Support Utilization (7/16)
  S-476	Emergency Medical Services at Special Events (7/19)

   

• 600 - Data Collection

  S-601	Documentation Standards and Transferral of Prehospital Care Record (PCR) Information (7/18)
  S-602	EMS Provider Data Submission Process (7/18)
  S-603	System Management and Support During Downtime (7/18)
  S-610	Ambulance Patient Offload Time Standard (7/24) Transfer of Patient Care Guidelines (7/24)

• 700 - Base Hospital/Trauma Center

  P-701	Paramedic Base Hospital Designation (3/11)
  P-702	De-designation of a Paramedic Base Hospital (7/05)
  T-705	Trauma Catchment Service Area (7/21)
  T-708	Trauma Care Coordination within the Trauma System (7/21)
  T-710	Designation of a Trauma Center (7/24)
  T-711	De-designation of a Trauma Center (7/21)
  T-712	Trauma Center Bypass (7/18)
  T-716	Repatriation of Stable Trauma Service Health Plan Members (7/21)
  T-717	Trauma Center Injury Prevention Activities (7/21)
  T-718	Public Information & Education on Trauma Systems (7/21)
  T-719	Trauma Provider Marketing and Advertising (7/21)

• 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)
  S-804	First Responder Inventory (7/24)
  P-805	ALS First Responder Units (7/10)
  B-808	Advanced EMT Service Provider Designation (7/10)
  S-830	Ambulance Provider's Permit Application Process (7/15 )
  S-831	Permit Appeal Process (7/15)
  S-833	Ground Ambulance Vehicle Requirements (7/16)
  S-835	Requirements for Ground Critical Care Transport Services (7/07)
  S-836	Critical Care Transport Unit Inventory (7/24)
  S-837	Public Safety First Aid Optional Skills Provider Designation (7/17)
  N-840	Non-Emergency Medical Transport Wheelchair/Gurney Van Provider's Permit Application Process (7/15)
  N-841	Non-Emergency Medical Transport Wheelchair/Gurney Van Service Requirements (7/15)
  B-850	Basic Life Support Ambulance Service Provider Requirements (7/15)
  A-875	Prehospital EMS Aircraft Classification (11/10)
  A-876	Air Ambulance Dispatch Center Designation/Dispatch of Air Ambulance (7/17)
  A-877	Air Ambulance Service Provider Authorization (11/10)
  S-880	Ground Ambulance EMS Radios (7/17)
  S-881	Hospital EMS Radios (7/17)
  S-882	Emergency Medical Dispatch Programs (7/24)
  S-882A	Emergency Medical Dispatch Plan Template (7/24)

Expand All | Collapse All

• 000 - Systems

  S-001	Emergency Medical Services System Compliance with State Statutes and Regulations (12/12)
  S-002	Policy and Protocol Approval Process (7/24)
  S-003	Program Recordkeeping: Training and Certification (7/19)
  S-004	EMS System Quality Improvement (1/05)
  S-005	EMS Medical Director's Advisory Committee (Base Station Physicians' Committee) (7/07)
  S-006	Prehospital Audit Committee (7/10)
  S-007	Transfer Agreements (7/07)
  S-008	Interfacility Transfers - Levels of Care (7/21)
  S-009	Guidelines for the Prevention of Transmission of Contagions and Contaminants (7/19)
  S-010	Emergency Department Ambulance Diversion  (7/21) EMS Medical Director's County Ambulance Diversion Memo
  S-011	EMT/Advanced EMT/Paramedic Disciplinary Process (7/25)
  S-014	Guidelines for Verification of Organ Donor Status (7/17)
  S-015	Medical Audit Committee on Trauma (7/18)
  S-016	Patient Information/Confidentiality (7/25)
  S-017	Downgrade or Closure of Emergency Services in a Hospital Designated as a Basic Emergency Receiving Facility (7/07)
  S-018	EMS for Children (EMSC) Advisory Committee (7/02)
  S-019	Cardiac Advisory Committee (7/25)
  S-020	ST-Elevation Myocardial Infarction Critical Care System Designation (7/25)
  S-021	De-Designation of an ST-Elevation Myocardial Infarction Critical Care System Center (7/25)
  S-022	Infant Safe Surrender (7/19)
  S-028	Stroke Critical Care System Designation (7/25)
  S-029	Stroke Advisory Committee (7/25)
  S-030	Extracorporeal Cardiopulmonary Resuscitation (ECPR) Critical Care System (7/25)

• 100 - Treatment Protocols

  SECTION I	Standards / Glossary / Abbreviations
  S-100	Patient Management Standards (7/25)
  S-101	Glossary of Terms (7/23)
  S-102	Abbreviation List (7/25)
  SECTION II	Inventory / Medication Lists and Charts / Skills List
  S-103	BLS/ALS Ambulance Inventory (7/25)
  S-104	Skills List (7/25)
  S-104A	Spinal Motion Restriction Algorithm (7/18)
  P-115	Medication List (7/25)
  P-115A	Pediatric Weight-Based Dosage Standards (7/24)
  P-117	ALS Pediatric Drug Chart (7/25)
  SECTION III	Adult Treatment Protocols
  S-120	Abdominal Discomfort / GI / GU (Non-Traumatic) (7/24)
  S-121	Airway Obstruction (7/25)
  S-122	Allergic Reaction / Anaphylaxis (7/25)
  S-123	Altered Neurologic Function (Non-Traumatic) (7/25)
  S-124	Burns (7/25)
  S-126	Discomfort / Pain of Suspected Cardiac Origin (7/25)
  S-127	CPR / Arrhythmias (7/25)
  S-127A	ECPR Decision Algorithm (7/23)
  S-129	Envenomation Injuries (7/24)
  S-130	Environmental Exposure (7/25)
  S-131	Hemodialysis Patient (7/25)
  S-132	Decompression Illness / Diving / Altitude-Related Incidents (7/24)
  S-133	Obstetrical Emergencies / Newborn Deliveries (7/25)
  S-134	Poisoning / Overdose (7/25)
  S-135	Existing Devices and Medications (7/25)
  S-136	Respiratory Distress (7/25)
  S-138	Shock (7/25)
  S-139	Trauma (7/25)
  S-141	Pain Management (7/25)
  S-142	Psychiatric / Behavioral Emergencies (7/25)
  S-143	Sepsis (7/24)
  S-144	Stroke and Transient Ischemic Attack (7/24)
  S-145	Opioid Withdrawal / Opioid Use Disorder (7/25)
  S-145A	COWS Score (7/23)
  S-150	CHEMPACK Deployment and Autoinjector Use (7/25)
  SECTION IV	Pediatric Treatment Protocols
  S-160	Airway Obstruction (7/25)
  S-161	Altered Neurologic Function (Non-Traumatic) (7/25)
  S-162	Allergic Reaction / Anaphylaxis (7/25)
  S-163	CPR / Arrhythmias (7/25)
  S-164	Envenomation Injuries (7/24)
  S-165	Poisoning / Overdose (7/25)
  S-166	Obstetrical Emergencies / Newborn Deliveries (7/25)
  S-166A	Out of Hospital Birth Report (7/24)
  S-167	Respiratory Distress (7/25)
  S-168	Shock (7/25)
  S-169	Trauma (7/25)
  S-170	Burns (7/25)
  S-172	BRUE (Brief, Resolved, Unexplained Event) (7/25)
  S-173	Pain Management (7/25)
  S-174	Abdominal Discomfort / GI / GU (Non-Traumatic) (7/24)
  S-175	Psychiatric / Behavioral Emergencies (7/25)
  S-176	Environmental Exposure (7/25)
  S-177	Sepsis (7/24)

• 200 - Air Medical

  A-200

  Air Medical Treatment Protocol Unified Scope of Practice for California (7/25)

   

• 300 - Education

  P-300	Paramedic Training Program Student Eligibility (7/15)
  P-301	Paramedic Training Program Requirements and Procedures for Approval/Reapproval (7/25)
  P-302	Guidelines for Placement of Paramedic Interns in San Diego County (7/18)
  P-303	Mobile Intensive Care Nurse Authorization/Reauthorization (7/25)
  P-305	Paramedic Accreditation/Reaccreditation (7/25)
  S-306	Designation of Authorized Emergency Medical Services Continuing Education Providers (7/25)
  S-307	Continuing Education for Prehospital Personnel (7/25)
  S-308	Public Safety First Aid Training Programs (7/25)
  S-308A	Public Safety First Aid Training Programs (Application Form) (7/17)
  B-326	EMT-Basic Optional Skills Student Eligibility (5/09)
  B-351	EMT Training Programs (7/25)
  B-352	EMT Certification/Renewal (7/18)
  B-353	EMT Out-of-County Status (7/25)
  B-360	Advanced EMT Training Programs (7/25)
  B-361	Advanced EMT Certification/Renewal (7/18)

• 400 - Medical Control

  S-400	Management of Controlled Drugs for ALS Agencies (7/25)
  P-401	Paramedic Scope of Practice (7/25)
  S-402	Prehospital Determination of Death (7/25)
  P-403	Physician on Scene (7/14)
  P-403A	Note to Physician on Involvement with EMT-Paramedics
  P-405	Communications Failure (7/25)
  P-405A	Communications Failure Form (7/24) Download Fillable PDF
  S-407	Triage to Appropriate Facility (7/07)
  S-409	Reporting of Issues in Patient Care Management (1/05)
  P-410	San Diego County Special Assignment - Paramedic (7/25)
  S-411	Reporting of Suspected Child, Dependent Adult, or Elder Abuse/Neglect (7/24)
  S-411A	Mandated Reporter Flowchart (7/25)
  S-412	Prehospital Treatment and Transportation of Adults - Refusal of Care or Suggested Destination, Release (7/25)
  S-413	Triage, Multiple/Mass Casualty Incidents, Annex D (7/19)
  S-414	Do Not Resuscitate - DNR/End of Life Option (Aid-In-Dying Drug) (7/19)
  S-415	Base Hospital Contact/Patient Transportation and Report - Emergency Patients (7/25)
  S-416	Supply and Resupply of Designated EMS Agencies and Vehicles (7/16)
  S-421	Sexual Assault Patient Destination (7/21)
  S-422	Application of Patient Restraints (7/25)
  P-430	Special Assignment - Fireline Paramedic (7/25)
  B-450	EMT Scope of Practice (7/25)
  B-451	Advanced EMT Scope of Practice (7/25)
  T-460	Identification of the Trauma Center Patient (7/18)
  T-460A	Trauma Decision Algorithm (7/24)
  A-475	Air Medical Support Utilization (7/25)
  S-476	Emergency Medical Services at Special Events (7/25)

   

• 600 - Data Collection

  S-601	Documentation Standards and Transferral of Prehospital Care Record (PCR) Information (7/25)
  S-602	EMS Provider Data Submission Process (7/25)
  S-603	System Management and Support During Downtime (7/25)
  S-610	Ambulance Patient Offload Time Standard (7/24) Transfer of Patient Care Guidelines (7/24)

• 700 - Base Hospital/Trauma Center

  P-701	Paramedic Base Hospital Designation (7/25)
  P-702	De-designation of a Paramedic Base Hospital (7/05)
  T-705	Trauma Catchment Service Area (7/21)
  T-708	Trauma Care Coordination within the Trauma System (7/21)
  T-710	Designation of a Trauma Center (7/24)
  T-711	De-designation of a Trauma Center (7/21)
  T-712	Trauma Center Bypass (7/18)
  T-716	Repatriation of Stable Trauma Service Health Plan Members (7/21)
  T-717	Trauma Center Injury Prevention Activities (7/21)
  T-718	Public Information & Education on Trauma Systems (7/25)
  T-719	Trauma Provider Marketing and Advertising (7/21)

• 800 - Service Provider Agency

  P-801	Designation of Providers of Advanced Life Support Service (7/25)
  S-803	Recovery of Prehospital Patient Care Reusable Equipment (7/19)
  S-804	First Responder Inventory (7/25)
  P-805	ALS First Responder Units (7/25)
  B-808	Advanced EMT Service Provider Designation (7/10)
  S-830	Ambulance Provider's Permit Application Process (7/15 )
  S-831	Permit Appeal Process (7/15)
  S-833	Ground Ambulance Vehicle Requirements (7/16)
  S-835	Requirements for Ground Critical Care Transport Services (7/07)
  S-836	Critical Care Transport Unit Inventory (7/24)
  S-837	Public Safety First Aid Optional Skills Provider Designation (7/25)
  N-840	Non-Emergency Medical Transport Wheelchair/Gurney Van Provider's Permit Application Process (7/15)
  N-841	Non-Emergency Medical Transport Wheelchair/Gurney Van Service Requirements (7/15)
  B-850	Basic Life Support Ambulance Service Provider Requirements (7/15)
  A-875	Prehospital EMS Aircraft Classification (7/25)
  A-876	Air Ambulance Dispatch Center Designation/Dispatch of Air Ambulance (7/25)
  A-877	Air Ambulance Service Provider Authorization (7/25)
  S-880	Ground Ambulance EMS Radios (7/17)
  S-881	Hospital EMS Radios (7/17)
  S-882	Emergency Medical Dispatch Programs (7/24)
  S-882A	Emergency Medical Dispatch Plan Template (7/24)