Prehospital Policies and Protocols

Communication from the EMS Medical Director:
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 |
||
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 |

2021 - 2022 Prehospital Policies and Protocols
All policies and protocols take effect July 1, 2021
-
000 - Systems
-
100 - Treatment Protocols
SECTION I
Introduction / Glossary / Abbreviations
S-100
S-101
Glossary of Terms REVISED (10/21) Effective 10/18/21
S-102
SECTION II
Inventory / Medication Lists and Charts / Skills List
S-103
S-104
S-104(a)
P-115
P-115(a)
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
Obstetrical Emergencies/Newborn Deliveries REVISED (10/21) Effective 10/18/2021
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
Newborn Deliveries REVISED (10/21) Effective 10/18/21
S-166(a)
S-167
S-168
S-169
S-170
S-172
S-173
S-174
S-175
S-176
S-177
Sepsis (7/21) -
200 - Air Medical
A-200 Air Medical Unified Scope (7/2019) -
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 During the COVID-19 Pandemic (Expanded January 18, 2022)
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
- 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

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-104(a)
P-115
P-115(a)
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-166(a)
S-167
S-168
S-169
S-170
S-172
S-173
S-174
S-175
S-176
S-177
Sepsis (7/21) -
200 - Air Medical
A-200 Air Medical Unified Scope (7/2019) -
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 During the COVID-19 Pandemic (Expanded January 18, 2022)
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
- 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 |