MESA COUNTY COMBINED EMS PROTOCOLS V 18.1
TABLE OF CONTENTS
Mesa County Protocol Changes 2018.1

0001 Title Page and Table of Contents - Version 18.1
0003 Mesa County Specific Introduction
0010 General Guidelines – Introduction
0020 General Guidelines – Benchmarks
0021 MC EMS System Benchmarks
0030 General Guidelines – Patient Determination
0031 MC PCRs
0040 General Guidelines – Consent
0050 General Guidelines – Confidentiality
0060 General Guidelines – Nontransport or Refusal
0061 MC Non-Transports / Refusals
0070 General Guidelines – Physician at Scene
0071 MC Non-MCEMS Providers on Scene
0076 MC Patient Assessment
0077 MC Medical Triage
0078 MC Hospice
0079 MC Trauma Triage
0080 General Guidelines – Fire Ground Rehabilitation
0090 General Guidelines – Duty Hours
0091 MC Approved Medications
1000 Adult Universal Respiratory Distress
1010 Obstructed airway
1020 Procedure: CPAP
1030 Asthma
1040 COPD
1050 CHF / Pulmonary Edema
1060 Procedure: Oral Intubation
1061 MC ETT and Rescue Airways
1062 MC RSI
1070 Procedure: Nasal Intubation
1080 Procedure: King Tube Airway
1090 Procedure: Capnography
1100 Procedure: Percutaneous Cricothyrotomy
1110 Procedure: Surgical Cricothyrotomy
1111 MC Procedure: Needle Cricothyrotomy
2000 Chest Pain
2010 Cardiac Alert Guideline
2011 MC STEMI Alert
2020 Adult Bradyarrhythmia
2030 Adult Tachyarrhythmia
2040 General Guidelines - Adult Cardiac Arrest
2041 MC Adult Cardiac Arrest General Principles
2050 General Guidelines – Advanced Medical Directives
2060 Adult Universal Pulseless Arrest Algorithm
2061 MC Therapeutic Hypothermia
2070 General Guidelines – Termination of Resuscitation
2071 MC Death Situations
2079 MC Venous Access
2080 Procedure: Intraosseous Infusion
2090 Procedure: Synchronized Cardioversion
2100 Procedure: Transcutaneous Cardiac Pacing
3000 Universal Altered Mental Status
3010 Hypoglycemia
3020 Seizure – Adult
3030 Stroke
3031 MC CVA/TIA Guidelines
3040 Alcohol Intoxication
3050 Abdominal Pain / Vomiting
3060 Allergy and Anaphylaxis
3070 Agitated / Combative Patient
3080 Procedure: Restraint
3085 Handcuffed Patient
3086 MC Taser Protocol
3090 Hypertension
3100 Medical Hypotension / Shock
3101 MC Medical Shock and Sepsis Alerts
3110 Overdose and Poisoning
3111 MC Opioid OD
4000 General Trauma Care
4010 Procedure: Tourniquet
4011 MC Procedure: Tourniquet Guidelines
4020 Traumatic Shock
4030 Traumatic Pulseless Arrest
4040 Abdominal Trauma
4050 Amputations
4060 Burns
4070 Chest Trauma
4075 Procedure: Needle Decompression
4080 Face and Neck Trauma
4090 Head Trauma
4100 Spinal Trauma
4105 Procedure: Spinal Immobilization
4110 Special Trauma Scenarios – Abuse and Neglect
4120 Trauma in Pregnancy
5000 Altitude Illness
5010 Environmental Hyperthermia
5020 Environmental Hypothermia
5030 Insect and Arachnid Bites and Stings
5040 Near Drowning
5050 Snake Bites
6000 Childbirth
6010 Obstetrical Complications
6020 Pediatrics – Neonatal Considerations
6030 Pediatrics – Neonatal Resuscitation
6040 Pediatrics – General Guidelines
6050 Pediatrics – Universal Respiratory Distress
6060 Pediatrics – Bradycardia with Poor Perfusion
6070 Pediatrics – Tachycardia with Poor Perfusion
6080 Pediatrics – Cardiac Arrest General Principles
6090 Pediatrics – Pulseless Arrest BLS / ALS Algorithm
6100 Pediatrics – Medical Hypotension / Shock
6110 Pediatrics – ALTE
6120 Pediatrics - Seizures
6130 Pediatrics – Trauma Considerations
6140 Pediatrics – Care of the Child with Special Needs
7010 Adenosine
7020 Albuterol Sulfate
7030 Amiodarone
7040 Aspirin
7050 Atropine Sulfate
7060 Butyrophenones
7070 Dextrose
7080 Diphenhydramine
7090 Dopamine
7100 Epinephrine
7110 Ipratropium Bromide
7120 Lidocaine 2%
7130 Magnesium Sulfate
7140 Midazolam
7150 Naloxone
7160 Nitroglycerin
7170 Odansetron
7180 Opioids
7190 Oral Glucose
7200 Oxygen
7210 Sodium Bicarbonate
7220 MC Ketamine
7230 MC Rocuronium
8000 Therapeutic Induced Hypothermia
8100 NWRETAC Trauma Destination Guidelines
8110 NWRETAC Pediatric Trauma Destination Guidelines
9000 MC Provider Relationship
9010 MC Credentialing
9020 MC Ongoing Education
9030 MC Provider Certifications
9040 MC Nurses in Prehospital Environment
9050 MC Search and Rescue
9060 MC Event Medicine
9070 MC CQI
9080 MC Priority Dispatch
9090 MC Scene Procedures
9100 MC Radio Report
9110 MC Delegation
9120 MC Veterans Administration
9130 MC Delegation – SMH
9140 MC Direct Admits
9150 MC Medication Inventory
9160 MC Required Agency Policies
9170 MC Due Process
Appendix 01 - EXHIBIT A - NWRETAC Prehospital Trauma Triage Algorithm - Adult
Appendix 02 - EXHIBIT B - NWRETAC Prehospital Trauma Triage Algorithm - Pediatric