Approved Protocols
Protocol Icon Key
Section 1: General Treatment
Section 2: Trauma and Environmental Emergencies
Section 3: Adult Treatment Protocols
Section 4: Obstetrics and Pediatrics
Section 5: Adult Cardiac
Section 6: Pediatric Cardiac
Section 7: Procedures
- 12 Lead ECG
- ABUSE AND NEGLECT (SUSPECTED)
- BASIC EMT EPINEPHRINE INJECTION PROCEDURE
- CONTAMINATED PATIENT
- CPAP BIPAP ADMINISTRATION (OPTIONAL)
- CRIME SCENE MANAGEMENT
- DEAD ON SCENE
- DO NOT RESUSCITATE
- ELECTRICAL THERAPY
- EMERGENCY AIRWAY (Supplement) LMA Supreme
- EMERGENCY AIRWAY
- END TIDAL CARBON DIOXIDE MONITORING CAPNOMETRY AND CAPNOGRAPHY
- IMPEDANCE THRESHOLD DEVICE (ITD) (OPTIONAL)
- INJURED ATHLETE HELMET REMOVAL
- MICHIGAN PHYSICIAN ORDERS
FOR SCOPE OF TREATMENT (MI-POST) - NASAL INTUBATION PROCEDURE SUPPLEMENT (OPTIONAL)
- OXYGEN ADMINISTRATION
- PAIN MANAGEMENT
- PATIENT ASSESSMENT
- PATIENT CARE RECORD, ELECTRONIC DOCUMENTATION EMS INFORMATION SYSTEM
- PATIENT RESTRAINT
- PATIENT SEDATION
- PLEURAL DECOMPRESSION
- REFUSAL OF CARE ADULT AND MINOR
- SPINAL PRECAUTIONS
- TERMINATION OF RESUSCITATION
- TERMINATION OF RESUSCITATION BLS
- TOURNIQUET APPLICATION
- VASCULAR ACCESS IV FLUID THERAPY
Section 8: System
- ALS TO BLS
- AMBULANCE TRANSPORT OF OPERATIONAL CANINES
- CANCELLATION DOWNGRADE OF CALL
- COMMUNICABLE DISEASE
- COMMUNICATIONS FAILURE
- COMPLAINT INVESTIGATION RESOLUTION
- CRITERIA FOR SERVICE ENDORSEMENT FOR OPERATION
- DEATH IN AN AMBULANCE AND TRANSPORT OF BODY
- DISCIPLINARY ACTION APPEAL
- DISPATCH
- DUE PROCESS AND DISCIPLINARY PROCEDURE
- EMERGENCY FACILITY REROUTING
- EMERGENCY MEDICAL DISPATCH
- EVIDENTIARY BLOOD DRAW (OPTIONAL)
- GUIDELINES FOR TRANSPORTATION OF PATIENTS SCENE TIMES
- HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT (HIPAA)
- HELICOPTER UTILIZATION
- INCIDENT CLASSIFICATION
- INFECTION CONTROL
- INTERCEPT POLICY (OPTIONAL FOR ALL ALS SYSTEMS)
- LEFT VENTRICULAR ASSIST DEVICES
- LICENSURE LEVEL REQUIREMENT OF ATTENDANT DURING TRANSPORT (OPTIONAL)
- LIGHTS AND SIRENS RESPONSE TO THE SCENE
- MEDICAL CONTROL PRIVILEGES
- MEDICAL DIRECTION
- NEW LIFE SUPPORT AGENCY APPROVAL PROCESS
- PATIENT PRIORITIZATION
- PHYSICIAN ON SCENE
- PROFESSIONAL STANDARDS REVIEW ORGANIZATION (PSRO) STRUCTURE AND OPERATIONAL POLICY S
- PROTOCOL DEVIATION
- QUALITY IMPROVEMENT PROGRAM
- RESPONSIBILITIES OF THE PARTICIPANTS IN THE MEDICAL CONTROL AUTHORITY SYSTEM
- SAFE DELIVERY OF NEWBORNS
- TASER REMOVAL
- TRANSFER OF CARE
- TRANSFER OF PATIENT CARE BETWEEN EMS PROVIDERS AND RECEIVING FACILITIES
- USE OF EMERGENCY LIGHTS AND SIRENS DURING TRANSPORT
- UTILIZATION OF ECHO UNITS
- VIOLENT CHEMICAL HAZARDOUS SCENE
- WAIVER OF EMS PATIENT SIDE COMMUNICATION CAPABILITIES
Section 9: Medications
- ACETAMINOPHEN
- ACETYLSALICYLIC ACID (ASPIRIN)
- ADENOSINE
- ALBUTEROL (VENTOLIN ®)
- AMIODARONE
- ATROPINE
- CALCIUM CHLORIDE
- CYANOKIT ® (HYDROXOCOBALAMIN)
- D50 SHORTAGE PROTOCOL
- DEMCA Equipment Exchange
- DEXTROSE
- DIPHENHYDRAMINE
- EPINEPHRINE
- EPINEPHRINE AUTO INJECTOR PROCEDURE
- FENTANYL
- INTRANASAL MEDICATION ADMINISTRATION (OPTIONAL)
- IPRATROPIUM BROMIDE (ATROVENT ®)
- IV ANCILLARY SUPPLY EXCHANGE
- KETAMINE
- KETOROLAC (TORADOL ®)
- LIDOCAINE
- LORAZEPAM (ATIVAN ®)
- MAGNESIUM SULFATE
- MEDICATION ADMINISTRATION
- MEDICATION EXCHANGE AND REPLACEMENT PROCEDURE
- MEDICATION SHORTAGE
- MEDICATION SUBSTITUTION
- METHYLPREDNISOLONE
- MFR BLS MEDICATION KITS CONTENTS AND EXCHANGE PROCEDURE
- MIDAZOLAM (VERSED ®)
- MORPHINE
- NALOXONE (NARCAN ®)
- NALOXONE (NARCAN) ADMINISTRATION
- NEBULIZED BRONCHODILATORS
- NITROGLYCERIN
- ONDANSETRON (ZOFRAN ®)
- PROTOPAM CHLORIDE PRALIDOXIME
- PREDNISONE
- SODIUM BICARBONATE (NaHCO3)
- TISSUE PLASMINOGEN ACTIVATOR (tPA)
- TRANEXAMIC ACID
Section 10: Special Operations
- CHEMICAL EXPOSURE
- CHEMPACK MEDDRUN
- CYANIDE EXPOSURE
- EMS IMMUNIZATION TB TESTING
- GENERAL CBRNE IDENTIFICATION OF AGENTS
- MASS CASUALTY INCIDENTS
- NERVE AGENT ORGANOPHOSPHATE PESTICIDE EXPOSURE TREATMENT
- PRE HOSPITAL (EMS) MCA MUTUAL AID AGREEMENT
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) AMBULANCE CLEANING AND DISINFECTION (Optional)
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) MEDICAL ISOLATION TRANSPORT DEVICE (OPTIONAL)
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) PATIENT CARE DURING TRANSPORT OF SUSPECTED HIGHLY INFECTIOUS AGENT (Optional)
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) PATIENT CONTAINMENT ALGORITHM (Optional)
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) TEAM SELECTION PROCEDURE (Optional)
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) TRANSPORT AND DESTINATION GUIDELINES (Optional)
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) TRANSPORT PROCEDURE (Optional)
- SPECIAL PATHOGEN RESPONSE NETWORK (SPRN) TRANSPORT SUPPLIES (Optional)
- SUSPECTED PANDEMIC INFLUENZA
Destination Matrix
Section 14 COVID-19 Emergency Protocols Updated 9/22/21
DEMCA BVM COVID-19 Policy