MS SMOs

REGION 1 GENERAL GUIDELINES

Use of Standard Medical Orders (SMOs)
Body Substance Isolation
Body Substance Exposure
Prehospital Emergency Medical Care of Acute Febrile Respiratory Syndrome including SARS
Latex Sensitivity Precaution
Rehabilitation Guidelines

Refusal:

• Consent and Refusal of Consent
  
• School Bus Accident Response
  

Restraints
Physician/ RN on Scene
DNR
In-Field Termination
Notification of Coroner

Transport Guidelines

• Closest Hospital Transport
  
• Ambulance Diversion Status Changes
  
• Trauma Field Criteria
  
• Load and Go
  
• Inbound report
  
• Intercept criteria
  

Transfer Responsibility of Patient Care
Interhospital/ Interfacility Transport

ADULT MEDICAL PROTOCOLS

Patient Assessment: Initial
Patient Assessment: Focused
Routine Medical Care (RMC)
Abuse: spousal / geriatric (suspected)
Abdominal Discomfort
Airway Management
Alcohol Related Emergencies
Allergic Reaction / Anaphylaxis
Altered Mental Status
Behavioral Emergencies
Bites and Stings
Bronchospasm
Carbon Monoxide Exposure / Poisoning
Diabetic Emergencies
Drowning/Near-Drowning
Hypertensive Crisis
Hyperthermia
Hypothermia/Frostbite
Nausea & Vomiting
Pain Management
Poisoning and Overdose
Pulmonary Edema
Renal Emergencies
Seizure / Status Epilepticus
Severe Acute Respiratory Syndrome (SARS) (suspected)
Stroke
Syncope

CARDIAC PROTOCOLS

Automatic Implantable Cardiac Defibrillator (AICD)
Cardiac Arrest Overview
Asystole
Pulseless Electrical Activity (PEA)
Ventricular Fibrillation / Pulseless Ventricular Tachycardia
Cardiogenic Shock
Chest Pain of Suspected Cardiac Origin
Dysrhythmias Overview
Bradycardia (Symptomatic)
Premature Ventricular Complexes (PVC)
Narrow Complex Tachycardia
Wide Complex Tachycardia

TRAUMA PROTOCOLS

Routine Trauma Care (RTC)
State In-Field Trauma Categorization
Triage Categorization (START Triage and BDLS Triage)
Load and Go
Amputated Parts
Burns
Chest and Abdominal Trauma
Extremity Trauma
Head/Facial Trauma
Neck and Spinal Cord
Ophthalmic Injuries
Pregnancy Trauma
Shock/Fluid Resuscitation
Traumatic Arrest

OB / GYNE PROTOCOLS

Childbirth/Normal
Abnormal Deliveries/Post Partum Hemorrhage
Gynecological Hemorrhage
Pre-eclampsia/ Eclampsia
Rape/Sexual Assault

PEDIATRIC PROTOCOLS

General Pediatric Assessment
Allergic Reaction/Anaphylaxis
Altered Mental Status
Burns

Resuscitation:

• Cardiac Arrest Overview—EMT-Basic
• Bradyasystole & Pulseless
• Pulseless Electrical Activity
• Neonatal Resuscitation
• Ventricular Fibrillation & Pulseless V-Tach
  

Child Abuse/Neglect
Drowning/Near-Drowning

Dysrhythmias

• Bradycardia
• Tachycardia

Head Trauma
Respiratory Distress/ Obstruction/ Arrest
Seizures/Status Epilepticus
Shock
Toxic Exposures and Ingestions
Trauma

DISASTER / TERRORISM PROTOCOLS

Hazardous Materials Overview
Isolation Guidelines Chart
BDLS Triage System (Terrorism Event)
Mark I Kit (Nerve Gas Auto Injectors)

Chemical Exposure

• Ammonia
• Hydrofluoric Acid
• Hydrogen Cyanide
• Methyl Bromide
• Methyl Isocyanate
• Nerve Agents: Sarin, Soman, Tabun, VX
• Phosgene

Biological Exposure

• Anthrax: Cutaneous
• Anthrax: Gastrointestinal
• Anthrax: Inhalation
• Anthrax: Oropharyngeal
• Botulism
• Brucellosis
• Clostridium Perfringens Toxins
• Equine Encephlalitides
• Food- and Water- Borne Illnesses
• Glanders
• Plague: Bubonic
• Plague: Pneumonic
• Plague: Septicemic
• Q Fever
• Ricin
• Smallpox
• Staphylococcal Enterotoxin B (SEB)
• T-2 Mycotoxin
• Tularemia
• Viral Hemorrhagic Fever

Radiation Exposure

PROCEDURES

12-Lead
Arterio-Venous Fistula/ Graft Vascular Access
Cardioversion
Central Line/Port-A-Cath Access
Chest Decompression
Combi-tube
CPAP
Defibrillation
EZ-IO
In-line Nebulizer Administration
Intraosseous Access
Intubation (Adult)
Intubation (Pediatric)
King Airway
Moderate Sedation for Intubation
Mucosal Atomization Device
Nebulizer Inhalation Administration
Needle Cricothyrotomy
Nitronox Administration
Saline Lock
SMO-ATV
Surgical Cricothyrotomy
Transcutaneous Pacing (TCP)

APPENDIX

Acceptable Abbreviation/ Acronyms List
Burn Reference Guide (Adult/ Peds)
Drug Chart
Glasgow Coma Scale/Revised Trauma Score (Adult and Peds)
Nitrous Oxide
Paramedic Expanded Scope