Midland and Gladwin County Protocols
Posted are the approved MGMCA Protocols.
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Section 2
2.1 Adult/Pediatric Trauma Triage
2.2 General Trauma
2.3 Burns
2.4 General Crush Injury
2.5 Soft Tissue and Orthopedic Injuries
2.6 Spinal Injury Assessment
2.7 Traumatic Arrest
2.8 Drowning and Submersion Injury
2.9 Poisoning/Overdose/Environmental Exposure
2.10 Heat Emergencies
2.11 Hypothermia/Frostbite
2.12 Head Injury and Severe TBI
2.13 Bleeding Control
2.14 Hemorrhagic Shock
2.15 Sexual Assault
Section 4
4.1 Pediatric Medication Emergency Dosing and Intervention Cards
4.2 Childbirth and Related Obstetrical Emergencies
4.3 Newborn & Neonatal Assessment and Resuscitation
4.4 Pediatric Altered Mental Status
4.5 Pediatric Respiratory Distress, Failure or Arrest
4.6 Pediatric Fever
4.7 Pediatric Seizures
4.8 Safe Transportation of Children in Ambulances
4.9 Pediatric Crashing Patient/Impending Arrest
Section 5
5.1 Cardiac Arrest
5.2 Bradycardia
5.3 Tachycardia
5.4 Pulmonary Edema and Cardiogenic Shock
5.5 Chest Pain/ACS
5.6 ROSC
Section 6
6.1 Pediatric Cardiac Arrest
6.2 Pediatric Symptomatic Bradycardia
6.3 Pediatric Tachycardia
6.4 Pediatric ROSC
Section 7
7.1 12-Lead ECG
7.2 Child Abuse and Neglect
7.3 Crime Scene Management
7.4 Vulnerable Adult Neglect or Exploitation
7.5 CPAP
7.6 Dead on Scene Term Resuscitation
7.7 DNR
7.8 Electrical Therapy
7.9 Airway Management
7.10 Helmet Removal
7.12 Oxygen Administration
7.13 Pain Management
7.14 Patient Assessment
7.15 Documentation and PCR's
7.16 Patient Restraint
7.17 Patient Procedural Sedation
7.18 Pleural Decompression
7.19 Refusal of Care Adult-Minor
7.20 Spinal Precautions
7.21 Blood Glucose Level Testing
7.22 Tourniquet Application
7.23 Vascular Access and IV Fluid Therapy
7.24 ETC02
7.25 MI-POST
7.26 Interfacility HFNO
7.27 Transport of Adult Vent Patients
7.28 LVAD
7.29 Mechanical CPR Device
7.30 Active Compression-Decompression Device
Section 8
8.1 Downgrade of Response
8.2 Patient Prioritization and Use of Lights and Sirens
8.3 Transport Destination and Diversion
8.4 OB High Risk Transport
8.5 Intercept Policy
8.6 Dispatch
8.7 ALS to BLS Transfer of Care
8.9 Helicopter Utilization
8.10 Infection Control and Communicable Disease
8.11 Immunization and Testing
8.12 Communications Failure
8.13 Electronic Records EMSIS
8.14 Protected Health Information
8.15 Interfacility Patient Transfers
8.16 Licensure Level During Transport
8.17 Medical Control Privileges
8.18 Responsibilities of Participants in MCA
8.19 On Scene Physician Interaction
8.20 Protocol Deviation
8.21 Violent Chemical Hazardous Scene
8.22 Medical Examiner Notification and Body Disposition
8.23 Safe Delivery of Newborns
8.24 Complaint Investigation and Resolution
8.25 Disciplinary Action Appeal
8.26 EMS Provider Criminal Charges and Convictions
8.27 Quality Improvement Program
8.28 Evidentiary Blood Draw
Section 9
9.1 Medication Administration
9.2 Medication Substitution
9.3 Medication Shortage
9.5 Medication and IV Supply Req
9.6 Pharm MCA Med IV Supply Req
9.7 EPI PEN Procedure
9.9R Medications General
9.10R Acetaminophen
9.11R Adenosine
9.12R Albuterol
9.13R Amiodarone
9.14R Aspirin
9.15R Atropine
9.16R Calcium Chloride
9.17R Cefazolin
9.18R Ceftriaxone
9.19R Dextrose
9.20R Diazepam
9.21R Diltiazem
9.22R Diphenhydramine/Benadryl
9.23R Epinephrine
9.24R Fentanyl
9.25R Glucagon
9.26R Hydroxocobalamin
9.27R Ibuprofen
9.28R Ipratropium Bromide
9.29R Ketamine
9.30R Ketorolac
9.31R Lidocaine
9.32R Magnesium Sulfate
9.33R Methylprednisolone
9.34R Midazolam
9.35R Morphine
9.36R Naloxone
9.37R Nitroglycerin
9.38R Ondansetron
9.39R Pralidoxime
9.40R Prednisone
9.41R Sodium Bicarbonate
9.42R Racepinephrine
9.43R Tetracine
9.44R Tranexamic Acid
9.45R Verapamil