MCB ALS (Paramedic) PROTOCOLS
Section Sub-Section Protocol # Title Last Updated
Intro   I.0a ALS Book Cover

3/6/2007

Intro   I.0b Dedication Page

3/6/2007

Intro   I.0c Acknowledgements Page

3/6/2007

Intro   I.0d Table of Contents

3/6/2007

Intro   I.0e Introduction

3/15/2006

Intro   I.0f Disclaimer

3/6/2007

Administrative   I.1 Priority-In Definitions

6/7/2004

Administrative   I.2 Communication - Radio Reports

7/16/2004

Administrative   I.3 Controlled Substances

9/12/2007

Administrative   I.4 Destination

9/12/2007

Administrative   I.5 Hospital Diversion

7/19/2006

Administrative   I.6 Interhospital Transfer

4/11/2005

Administrative   I.7 Multi-Patient Scene/Mass Casualty Incident/Triage

11/30/2000

Administrative   I.8 No Code Orders and Discontinuance of CPR

3/9/2005

Administrative   I.9 On-Line Medical Control

3/9/2005

Administrative   I.10 Patient Refusal or Non Transport

1/12/2000

Administrative   I.11 Physician On Scene

3/9/2005

Administrative   I.12 Staging

8/12/1998

Administrative   I.13 Mental Hold

8/12/1998

Administrative   I.14 Crime Scene Management

4/11/2005

Administrative   I.15 Care of Minors

1/12/2000

Administrative   I.16 Response to Hazardous Materials Incident

8/12/1998

Administrative   I.17 Use of Helicopter Within the EMSA Regulated Service Area

4/11/2005

Administrative   I.18 Inter-facility Transports of IV Medications

5/12/2004

Treatment   II.TPA-PS Trauma Patient Assessment - Primary Survey

8/12/1998

Treatment   II.TPA-SS Trauma Patient Assessment - Secondary Survey

8/12/1998

Treatment   II.MPA Medical Patient Assessment

8/12/1998

Treatment   II.PPA Pediatric Patient Assessment

8/12/1998

Treatment   II.NA Neurologic Patient Assessment

8/12/1998

Treatment   II.PH Patient History

8/12/1998

Treatment   II.1 General Supportive Care

3/9/2005

Treatment   II.2 Trauma and Hypovolemic Supportive Care

3/9/2005

Treatment Cardiovascular II.3 Asystole

3/15/2006

Treatment Cardiovascular II.4 Bradycardia

3/15/2006

Treatment Cardiovascular II.5 Cardiogenic Shock

3/9/2005

Treatment Cardiovascular II.6 Acute Coronary Syndromes

3/9/2005

Treatment Cardiovascular II.7 Pulseless Electrical Activity (PEA)

3/15/2006

Treatment Cardiovascular II.8 Hypertensive Emergencies

3/9/2005

Treatment Cardiovascular II.9 Premature Ventricular Ectopy

8/12/1998

Treatment Cardiovascular II.10 Supraventricular Tachycardia

3/15/2006

Treatment Cardiovascular II.11 Vent. Fibrillation and Pulseless Vent. Tach.

3/15/2006

Treatment Cardiovascular II.12 Post-Resuscitation of Patients Immediately After Cardiac Arrest

1/12/2000

Treatment Cardiovascular II.13 Ventricular or Wide QRS Tachycardia with Pulse

3/15/2006

Treatment Pulmonary II.14 Airway Obstruction

5/11/2005

Treatment Pulmonary II.15 Asthma

11/9/2005

Treatment Pulmonary II.16 Emphysema

11/9/2005

Treatment Pulmonary II.17 Pulmonary Edema

9/8/2004

Treatment Altered Mental Status II.18 Behavioral Disorders

7/11/2001

Treatment Altered Mental Status II.19 Coma: Unknown Etiology

7/11/2001

Treatment Altered Mental Status II.20 Diabetic Emergencies

7/11/2001

Treatment Altered Mental Status II.21 Drug Overdose/Poisonings

4/11/2005

Treatment Altered Mental Status II.22 Seizures and Status Epilepticus

7/9/2003

Treatment Altered Mental Status II.23 Syncopal Episode

8/12/1998

Treatment Altered Mental Status II.24 Cerebrovascular Accidents

5/23/2001

Treatment Miscellaneous Medical II.25 Abdominal Pain

12/12/2001

Treatment Miscellaneous Medical II.26 Anaphylactic Reactions

11/9/2005

Treatment Miscellaneous Medical II.27 Bites and Stings

8/12/1998

Treatment Miscellaneous Medical II.28 Hyperthermia

4/11/2005

Treatment Miscellaneous Medical II.29 Hypothermia and Frostbite

7/11/2001

Treatment Miscellaneous Medical II.30 Obstetrical Emergencies

11/13/2002

Treatment Trauma II.31 Abdominal/Pelvic Trauma

12/12/2001

Treatment Trauma II.32 Amputation

4/11/2005

Treatment Trauma II.33 Burns

9/12/2007

Treatment Trauma II.34 Chest Trauma

4/11/2005

Treatment Trauma II.35 Extremity Injuries

4/11/2005

Treatment Trauma II.36 Eye Injuries

8/12/1998

Treatment Trauma II.37 Head and Spinal Injuries

8/12/1998

Treatment Trauma II.38 Near Drownings

1/12/2000

Treatment Trauma II.39 Suspected or Confirmed Terrorist Event

11/13/2002

Treatment Trauma II.40 Non-Traumatic LumbroSacral Back Pain

11/17/2005

Treatment Trauma II.41 Electrocution/Lightning Injuries

3/9/2005

Treatment Trauma II.42 Management of the Tasered Patient

7/17/2002

Treatment   II.43 Pain Management

11/9/2005

Procedures Airway Management III.1 General Principles

1/12/2000

Procedures Airway Management III.2 Opening the Airway

1/12/2000

Procedures Airway Management III.3 Clearing and Suctioning the Airway

8/12/1998

Procedures Airway Management III.4 Assisting Ventilation

1/12/2000

Procedures Advanced Airway Management III.5 Orotracheal Intubation

1/12/2000

Procedures Advanced Airway Management III.6 Nasotracheal Intubation

8/12/1998

Procedures Advanced Airway Management III.7 Combitube: Esophageal Tracheal Double Lumen Airway

8/12/1998

Procedures Advanced Airway Management III.8 Cricothyroid Puncture/Trans-Tracheal Ventilation (CTP/TTV)

3/9/2005

Procedures   III.9 Clinical Definitions

8/12/1998

Procedures   III.10 Defibrillation (Fast Patch) Electrodes

8/12/1998

Procedures   III.11 Chemstrip bG (DELETED)

8/12/1998

Procedures   III.12 Endotracheal Drug Administration

8/12/1998

Procedures   III.13 External Cardiac Pacing

1/12/2000

Procedures   III.14 Infectious Disease

8/12/1998

Procedures   III.15 Intraosseous Infusion

1/18/2006

Procedures   III.16 Medication Administration

8/12/1998

Procedures   III.17 Nebulized Bronchodilators

8/12/1998

Procedures   III.18 Neonatal CPR

8/12/1998

Procedures   III.19 Oxygen Tolerance in COPD

8/12/1998

Procedures   III.20 Peripheral IV Line Insertion

8/12/1998

Procedures   III.21 Pneumatic Anti-Shock Garment PASG (DELETED)

12/12/2001

Procedures   III.22 Restraint

8/12/1998

Procedures   III.23 Splinting: Axial

12/12/2001

Procedures   III.24 Splinting: Extremity

12/12/2001

Procedures   III.25 Tension Pneumothorax Decompression

3/9/2005

Procedures   III.26 The Pulse Oximeter

8/12/1998

Procedures   III.27 Peripheral Saline Locks

8/12/1998

Procedures   III.28 Continuous Positive Airway Pressure (CPAP) Use of CPAP Mask

9/8/2004

Procedures   III.29 Automatic Transport Ventilator (paraPAC MedicTM)

3/9/2005

Procedures   III.30 Capnography

5/12/2004

Procedures   III.31 Nasogastric Tube Insertion

3/8/2000

Procedures   III.32 Mucosal Atomization Device

11/13/2002

Procedures   III.33 D50W Administration

5/14/2003

Procedures   III.34 Blood Glucose Monitor

5/14/2003

Procedures   III.35 Use of IV Infusion Pump

5/12/2004

Procedures   III.36 Flex-Guide ET Tube Introducer

1/19/2005

Procedures   III.37 Use of Impedance Threshold Device (RESQPOD)

11/15/2006

Drugs   DL.1 MCB Approved Drug List

7/9/2003

Drugs   IV.1 Activated Charcoal

8/12/1998

Drugs   IV.2 Adenosine (Adenocard)

8/12/1998

Drugs   IV.3 Albuterol (Proventil, Ventolin)

7/11/2001

Drugs   IV.4 Aspirin

7/11/2001

Drugs   IV.5 Atropine Sulfate (As an Antidote for Poisonings)

8/12/1998

Drugs   IV.6 Atropine Sulfate (As a Cardiac Agent)

8/12/1998

Drugs   IV.7 Atrovent (Ipratropium Bromide)

7/11/2001

Drugs   IV.8 Cordarone Intravenous (Amiodarone Hydrochloride)

9/15/1999

Drugs   IV.9 Dextrose 50%

11/13/2002

Drugs   IV.10 Diastat (Diazapam Rectal Gel) - DELETED

11/13/2002

Drugs   IV.11 Diazepam (Valium)

7/9/2003

Drugs   IV.12 Diphenhydramine (Benadryl)

8/12/1998

Drugs   IV.13 Dopamine (Intropin)

8/12/1998

Drugs   IV.14 Epinephrine (1:1,000)

8/12/1998

Drugs   IV.15 Epinephrine (1:10,000)

8/12/1998

Drugs   IV.16 Furosemide (Lasix)

8/12/1998

Drugs   IV.17 Glucagon

8/12/1998

Drugs   IV.18 Lidocaine (Xylocaine)

8/12/1998

Drugs   IV.19 Lidocaine 2% Viscous Gel (Xylocaine)

1/20/2000

Drugs   IV.20 Magnesium Sulfate 10%

8/12/1998

Drugs   IV.21 Meperidine (Demoral)

8/12/1998

Drugs   IV.22 Midazolan (Versed)

11/13/2002

Drugs   IV.23 Morphine Sulfate (MS)

8/12/1998

Drugs   IV.24 Naloxone (Narcan)

8/12/1998

Drugs   IV.25 Neosynephrine

8/12/1998

Drugs   IV.26 Nitroglycerin (Nitrostat)

3/9/2005

Drugs   IV.27 Pediatric Infusions

8/12/1998

Drugs   IV.28 Pralidoxime Chloride (2PAMCI)

1/12/2000

Drugs   IV.29 Sodium Bicarbonate

8/12/1998

Drugs   IV.30 Solu-Medrol (Methylpredisolone)

1/16/2002

Drugs   IV.31 Solu-Cortef (Hydrocortisone)

11/13/2002

Appendices   V.AP Abdominal Pain

3/9/2005

Appendices   V.AT Abdominal Trauma

3/9/2005

Appendices   V.A/A Allergy/Anaphylaxis

3/9/2005

Appendices   V.AMS Altered Mental States

8/12/1998

Appendices   V.AP Amputated Parts

8/12/1998

Appendices   V.A:G Arrhythmias: General

3/9/2005

Appendices   V.A:B Arrhythmias: Bradycardia, Normal Rate, and Tachycardia

3/9/2005

Appendices   V.B/S Bites and Stings

3/9/2005

Appendices   V.B Burns

8/12/1998

Appendices   V.CA Cardiac Arrest

8/12/1998

Appendices   V.CI Chest Injury

8/12/1998

Appendices   V.CP Chest Pain

8/12/1998

Appendices   V.CB Childbirth

8/12/1998

Appendices   V.C Coma

8/12/1998

Appendices   V.D/ND Drowning-Near Drowning

8/12/1998

Appendices   V.EI Extremity Injuries

8/12/1998

Appendices   V.FNT Face and Neck Trauma

8/12/1998

Appendices   V.HT Head Trauma

8/12/1998

Appendices   V.HTN Hypertension

8/12/1998

Appendices   V.Hy Hyperthermia

8/12/1998

Appendices   V.H/F Hypothermia and Frostbite

8/12/1998

Appendices   V.ND Neurologic Deficit

8/12/1998

Appendices   V.P/O Poisons and Overdoses

8/12/1998

Appendices   V.RD Respiratory Distress

8/12/1998

Appendices   V.Se Seizures

8/12/1998

Appendices   V.S:M Shock: Medical

8/12/1998

Appendices   V.S:T Shock: Traumatic

8/12/1998

Appendices   V.STP Special Trauma Problems

8/12/1998

Appendices   V.ST Spinal Trauma

8/12/1998

Appendices   V.Sy Syncope

8/12/1998

Appendices   V.VB Vaginal Bleeding

8/12/1998