Marquette County EMS Medical Control Authority

Marquette County Protocols

Website update: April 22, 2009

Table of Contents

Patient Care Standards - Section 1: Protocols

Title          Revision Date

Abdominal Pain BLS/LALS 4/27/00
Abdominal Pain ALS 4/27/00
Abuse and Neglect 5/5/08
Altered Mental Status BLS/LALS 05/06/08
Altered Mental Status ALS 05/06/08
Amputated Part 3/1/05
Anaphylaxis BLS 5/5/08
Anaphylaxis LALS/ALS 5/5/08
Adult AED 2008 5/30/08
Pediatric AED 2008 5/06/08
Bleeding – External 05/06/08
Burns BLS/LALS 05/06/08
Burns ALS 1/07/03
Cardiac Problems – Asystole ALS 5/30/08
Cardiac Problems – Bradycardia and Heart Blocks ALS 5/5/08
Cardiac Problems – Cardiac Arrest BLS/LALS/ALS 5/30/08
Cardiac Problems – Cardiogenic Shock BLS/LALS 5/5/08
Cardiac Problems – Cardiogenic Shock ALS 5/5/08
Cardiac Problems – Chest Pain BLS/LALS 5/30/08
Cardiac Problems – Chest Pain ALS 5/30/08
Cardiac Problems – Pulseless Electrical Activity (PEA) ALS 5/30/08
Cardiac Problems – Supraventricular Tachycardia BLS/LALS 5/30/08
Cardiac Problems – Supraventricular Tachycardia ALS 5/30/08
Cardiac Problems – Ventricular Ectopy BLS/LALS 5/5/08
Cardiac Problems – Ventricular Ectopy ALS 5/5/08
Cardiac Problems – Ventricular Fibrillation ALS 05/06/08
Cardiac Problems – Ventricular Tachycardia ALS 5/5/98
CVA/Stroke BLS/LALS 11/4/03
CVA/Stroke ALS 11/4/03
Environmental Emergencies 10/19/89
Hemorrhagic (Non-Traumatic) Emergencies 1/7/03
History Taking 1/7/03
Hypertensive Emergencies 9/17/02
Infection Control Policy 3/01/05
Obstetrical Emergencies 05/06/08

Patient Assessment 05/06/08
Pediatric Protocols 9/02/03
Poisoning 10/19/89
Psychiatric Emergencies 9/17/02
Respiratory Insufficiency 9/17/02
Seizure BLS/LALS 05/06/08
Seizure ALS 05/06/08
Sexual Assault (Alleged) 5/5/08
Shock BLS/LALS 5/5/08
Shock ALS 5/5/08
Taser Protocol 2006
Trauma Abdominal ALS 5/5/08
Trauma Abdominal BLS 5/5/08
Trauma Head ALS 5/5/08
Trauma Head BLS 5/5/08
Trauma Neck/Spine ALS 5/5/08
Trauma Neck/Spine BLS 5/5/08
Trauma Chest ALS 5/5/08
Trauma Chest BLS 5/5/08
Trauma Pelvis ALS 5/5/08
Trauma Pelvis BLS 5/5/08

Procedure Overview 1997
Albuterol Nebulizer Procedure BLS/LALS/ALS 9/17/02
Basic Airway Management Procedure 3/21/91
Combitube Procedure 6/24/97
Cricothyrotomy Procedure ALS 3/21/91
Documentation Procedure 9/17/02
Electrical Therapy/EKG Monitoring Procedure 05/06/08
Endotracheal Intubation Procedure (Nasal) LALS/ALS 5/5/08
Endotracheal Intubation Procedure (Oral) LALS/ALS 5/5/08
Epi-Pen Autoinjector Procedure 5/7/98
Fingerstick for Blood Glucose Procedure 8/12/99
MAST Suit Application Procedure 3/21/91
Medication Administration Procedure 9/17/02
Nitroglycerin Drip ALS 2006
Orthostatic Vital Signs Procedure 3/21/91
Spinal Immobilization Procedure 1991
Splinting Extremities Procedure 3/21/91
Tension Pneumothorax Decompression Procedure ALS 3/21/91
Vagal Maneuvers Procedure 9/17/02
Vascular Access Policy 5/5/08

Bioterrorism Protocols
Chemical Exposure Protocol 6/29/04
Cyanide Poisoning 6/29/04
General WMD Protocols 6/29/04
Nerve Agents Protocol 6/29/04
Smallpox Protocol 6/29/04
Smallpox Interfacility Transfer Protocol 6/29/04
SARS Protocol 6/29/04

Mass Casualty Incident
Marquette County Emergency Medical and Health Services Annex to the
MCI – State Model Protocol - November 2008

Do Not Resuscitate (DNR) Policies
Michigan Do Not Resuscitate Policy 3/31/97
Public Act 192 of 1996 8/1/96
Public Act 193 of 1996 8/1/96
Michigan DNR Order Policy and Protocol 9/4/96
Dead on Scene Policy 9/10/02

Automated External Defibrillator Program
Automated External Defibrillator (AED) Project with Forms 03/04/03
Automated External Defibrillator (AED) Protocol See Part 1, Section 1

Combitube MFR Program
Combitube Special Study Program 11/26/97
Special Study Reporting Form 8/08/02

Epi-Pen Program
Epi-Pen Project 5/7/98
Epi-Pen Recertification Requirements 3/21/96
Epi-Pen Usage Form 5/7/98
Epi-Pen MFR Special Study Program 5/7/98
Special Study Reporting Form 8/08/02

Albuterol Program
Albuterol Special Study Program 9/06/01
Albuterol Restocking Form 7/31/01
Albuterol Pharmacy Policy 9/04/01
Special Study Reporting Form 8/08/02

Public Access Automated External Defibrillation Program
Public Access AED Guidelines 3/04/03
Public Access AED (Non-Medical) Protocol 5/07/02

Part II. Marquette County EMS Medical Control Authority Policies
Section 1: General Policies

Marquette County EMS Medical Control Authority Approval 10/19/89
Annual Renewal for EMT-S and Paramedics 9/10/02
Conflicts Deleted
Complaint Investigation & Resolution 3/01/05
Due Process & Disciplinary Procedures 3/01/05
Equipment and Supplies Deleted
Equipment Failure 3/01/05
Health Insurance Portability Accountability Act (HIPPA) 3/01/05


Intercept Policy 5/5/98
Latex Sensitivity Policy 9/10/02
Medical Control Protocol for Marquette County 10/19/89
Medical Control Privileges Policy 9/10/02
Minimal License Standards** Delete
Participation with Public Act 78 of 1997 Policy 8/12/99
Patient Care/Provider Incidents Policy 10/19/89
Personnel Operating in Marquette County** Delete
Physician On Scene 10/19/89
Professional Standards Review Organization (PSRO) 3/01/05
Protocol/Procedure Revision Process 3/21/91
Refusal of Care Policy 10/19/89
Services Operating in Marquette County 5/06/03
Transportation Policy (may be deleted, see above) 5/05/98

Dispatch and Communication Policies
Communication Failure Policy 5/05/98
Communications Policy 11/04/03
Dispatching of Rescue Services Out of Marquette County 10/19/89

Pharmacy Policies
IV/Drug Box Security Policy 10/19/89
Ishpeming EMS/Bell Memorial Drug Box Contents 8/3/00
Marquette General Hospital EMS Drug Box Contents 8/3/00
Epi-Pen Locked Box Contents Form 5/7/98
Albuterol Pharmacy Policy See Part 1, Section 8
Albuterol Restocking Form See Part 1, Section 8

Medical Control Authority By-Laws
Marquette County Medical Control Authority By-Laws 2/05/02
Marquette County Medical Control Authority Articles of Incorporation 2/05/02

Quality Review Program
Marquette County Medical Control Authority Quality Review Program 9/30/98

Marquette County Mutual Aid Policy
Supplemental Aid Agreement/Agency Mutual Aid Policy 01/2000


Part III. Training

Medical First Responder Programs
Medical First Responder Training Programs 5/7/02

EMT-Basic Programs
Emergency Medical Technician – Basic Programs 5/7/02

EMT-Specialist Programs
Emergency Medical Technician – Specialist Programs 5/7/02

EMT-Advanced Programs
Emergency Medical Technician – Advanced Programs 5/7/02

AED Training
Automated External Defibrillator Training Program 3/06/01

Combitube Training
Combitube Training Program 5/2000

Epi-Pen Training
Epi-Pen Training Program 5/07/98

Albuterol Training
Albuterol Training Program 9/04/01

DRUG BOXES:
Bell EMS Drug Box Contents
MGHS EMS & MediRide Drug Box Contents

OTHER AND PROCEDURES:

Annual Renewal for EMT-S & Paramedics
Communications
Complaint Investigation & Resolution
Equipment Failure
Infection Control
Inter-facility and Critical Care Patient Transfer
Latex Sensitivity
MCA HIPAA
Medical Control Privileges
Professional Standards Review Organization
Services Operating in Marquette County
Transportation, Destination & Bypass