EMS Field Treatment Guidelines
The use or possession of the protocol book does not exempt field personnel from the responsibility to know the information in the San Mateo County Policy and Procedures Manual. This protocol book does not replace the Policy and Procedures Manual and is provided as a tool for their reference.
Routine Medical Care
A group of standard assessments and treatments, including but not limited to airway, breathing and circulation, and the use of routine monitoring devices. See Routine Medical Care (G01) under General Care.
Care Outside of Protocol Guidelines
No set of protocols can cover all patient problems. We encourage the use of Base Physician contact in such events.
Disease agents may be present in any body substance or fluid, and the presence of disease agents may or may not be known. Clinically healthy individuals may carry and be capable of transmitting these agents. Precautions with all patients shall include routine use of appropriate barrier precautions to prevent skin and mucous-membrane exposure when contact with blood or other body fluids is anticipated. Refer to Routine Medical Care (G01) for more information.
Prehospital personnel who are exposed to potentially infectious materials should immediately follow the reporting procedures set up by their agency.
Hospital emergency departments have specific requirements for managing exposure to body substances experienced by prehospital care personnel. Emergency departments are expected to actively assist prehospital personnel in evaluating risk and recommending and/or providing appropriate prophylactic care when needed. Emergency responders are expected to identify the source patient to the hospital, and to comply with emergency department procedures (e.g. Royce log) when reporting potential exposure to infectious materials.
Prophylactic care recommendations for health care workers are found in the CDC May 23, 2018 updated U.S. Public Health Service guidelines for the Management of Occupational Exposures to HIV and Recommendation for Post Exposure Prophylaxis. Emergency departments are expected to follow these guidelines when managing prehospital exposure to potentially infectious substances.
Section 1 – General Treatment Protocols
Section 2 – Adult Cardiac Arrest – Non-traumatic Treatment Protocols
Section 3 – Adult Cardiac Dysrhthmia Treatment Protocols
Section 4 – Adult Respiratory Distress Treatment Protocols
Section 5 – Adult Environment Treatment Protocols
Section 6 – Adult Toxic Exposure Treatment Protocols
Section 7 – Adult Behavioral Treatment Protocols
Section 8 – Adult Medical Treatment Protocols
Section 9 – Pediatric Cardiac Arrest Treatment Protocols
Section 10 – Pediatric Cardiac Dysrhythmia Treatment Protocols
Section 11 – Pediatric Treatment Protocols – Respiratory
Section 12 – Pediatric Treatment Protocols – Environmental
Section 13 – Pediatric Treatment Protocols – Toxic Exposure
Section 14 - Pediatric Treatment Protocols – Behavioral
Section 15 - Pediatric Treatment Protocols – Medical
Section 16 – Trauma Treatment Protocols
Section 17 – Field Procedures
Field Feedback Form
Field providers: use the form below to submit policy, procedure and/or protocol feedback.
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