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Sanilac County Protocols
Official protocol resource page for EMS and First Responders. Here you’ll find the most current medical protocols, guidelines, and reference materials.
1.0 Section 1 General Treatment Table of Contents
1.1 - General Pre-Hospital Care
1.2 - Abdominal Pain
1.3 - Nausea and Vomiting
1.4 - Syncope
1.5 - Shock
1.6 - Anaphylaxis Allergic Reaction
1.7 - Adrenal Crisis
1.8 - Behavioral Health Emergencies
1.9 - Opioid-OD Treatment and Prevention
1.10 - Foreign Body Airway Obstruction2.0 Section 1 Trauma Table of Contents
2.1 - Trauma Triage
2.2 - General Trauma
2.3 - Burns
2.4 - General Crush Injury
2.5 - Soft-Tissue and Ortho Injuries
2.6 - Spinal Injury Assessment
2.7 - Traumatic Arrest
2.8 - Drowning Submersion Injury
2.9 - Poisoning OD Environmental Exposure
2.10 - Heat Emergencies
2.11 - Hypothermia Frostbite
2.12 - Head Injury
2.13 - Bleeding Control
2.14 - Hemorrhagic Shock
2.15 - Sexual Assault4.0 Section 4 Pediatric OB Treatment Table of Contents
4.1 - Pediatric Medication Emergency Dosing and Intervention Cards
4.2 - Childbirth and Related OB Emergencies
4.3 - Newborn Neonatal Assessment and Resuscitation
4.4 - Pediatric Altered Mental Status
4.5 - Pediatric Respiratory Distress Failure Arrest
4.6 - Pediatric Fever
4.7 - Pediatric Seizure
4.8 - Safe Transport of Children in Ambulances
4.9 - Pediatric Crashing Impending Arrest7.0 Section - 7 Procedures - Table of Contents
7.1 - Lead
7.2 - Child Abuse and Neglect
7.3 - Crime Scene Management
7.4 - Vulnerable Adult
7.5 - CPAP
7.6 - Dead On Scene and Termination of Resuscitation
7.7 - DNR
7.8 - Electrical Therapy
7.9 - Airway Management
7.10 - Helmet Removal
7.11 - ???
7.12 - Oxygen Administration
7.13 - Pain Management
7.14 - Patient Assessment
7.15 - Documentation and Patient Care Records
7.16 - Patient Restraint
7.17 - Patient Procedural Sedation
7.18 - Pleural Decompression
7.19 - Refusal of Care
7.20 - Spinal Precautions
7.21 - Blood Glucose Level Testing
7.22 - Tourniquet Application
7.23 - Vascular Access and IV Fluid Therapy
7.24 - End Tidal Carbon Dioxide Monitoring
7.25 - MI-POST
7.26 - ???
7.27 - Transport of Adult Ventilator-Dependent Patient
7.28 - Left Ventricular Assist Device - LVAD
7.29 - Mechanical CPR Device
7.30 - SMCA Spit Hood Protocol
8.0 Section - 8 System Protocols - Table of Contents
8.1 - Downgrade of Response
8.2 - Patient Prioritization Use of Lights & Siren
8.3 - Transport Destination and Diversion
8.4 - OB HIGH-RISK Delivery Transport Guidelines
8.5 - ALS and LALS Intercept Transfer of Care
8.6 - Dispatch
8.7 - ALS to BLS Transfer of Care
8.8 - Air-Ambulance Personnel Scope of Practice
8.9 - Helicopter Utilizations
8.10 - Infection Control and Communicable Disease
8.11 - Immunization and Testing
8.12 - Communications Failure
8.13 - Electronic Records and EMSIS
8.14 - Protected Health Information
8.15 - Inter-Facility Patient Transfers
8.15SS - EPIC and Critical Care Interfacility Transports
8.16 - License Level Requirement of Attendant During Transport
8.17 - Medical Control Privileges
8.18 - Responsibilities of Participants in MCA System
8.19 - On-Scene Physician Interaction
8.20 - Protocol Deviation
8.21 - Violent Chemical Hazardous Scene
8.22 - ME-Notification and Body Disposition
8.23 - Safe Delivery of Newborns
8.24 - Complaint Investigation and Resolution
8.24S - Protocol Section 8.24 (s)
8.25 - Disciplinary Action Appeal
8.26 - EMS Provider Criminal Charges and Convictions
8.27 - Quality Improvement2024 Sanilac Medication Box Contents
9.0 Section - 9 Medications - Table of Contents
9.1 - Medication Administration
9.2 - Medication Substitution
9.3 - Medication Shortage
9.4 - Personal Metered Dose Inhaler Use
9.5 - EMS Med and IV Supply Requirements
9.6 - Pharmacy and MCA Med and IV Supply Requirements
9.7 - Epinephrine Auto-Injector Procedure
9.8 - Naloxone Leave Behind
9.19R - Dextrose
9.24R - Fentanyl
9.25R - Glucagon
Section 9R Medications10.0 Section - 10 Special Operations - Table of Contents
10.1 - General CBRNE Identification
10.2 - Chemical Exposure
10.3 - Nerve Agent Organophosphate Exposure
10.4 - Chempack Meddrun
10.5 - Cyanide Exposure
10.6 - Mass-Casualty Incident
10.7 - Pre-Hospital EMS MCA Mutual Aid During Disaster
10.8 - Hazard Contaminated Patient
10.9 - Suspected Pandemic
Revised October 2024
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