Effective February 1, 2018 Table of contents Overview ........................................................................................................................................ 7 Authorization................................................................................................................................. 7 Section 100.00: General protocols .............................................................................................. 9 Section 100.01: General principles .......................................................................................... 11 Section 100.02: Offer of assistance by a physician or nurse ................................................... 13 Section 100.03: Assistance during transport ............................................................................ 15 Section 100.04: Initiating cardiopulmonary resuscitation and determination of death ........... 17 Section 100.05: Emergency department resource at capacity ................................................. 21 Section 100.06: Refusal of medical care/transport .................................................................. 23 Section 200.00: Transport protocols ........................................................................................ 27 Section 200.01: Transport protocols, general .......................................................................... 29 Section 200.02: Transport protocols, cardiac .......................................................................... 31 Section 200.03: Transport protocols, Florida Mental Health Act (Baker Act) ........................ 33 Section 200.04: Transport protocols, obstetrical ..................................................................... 35 Section 200.05: Transport protocols, stroke ............................................................................ 37 Section 200.06: Transport protocols, therapeutic hypothermia ............................................... 39 Section 200.07: Transport protocols, trauma ........................................................................... 41 Section 300.00: Provider protocols ........................................................................................... 49 Section 300.01: Scope of practice ............................................................................................ 51 Section 300.02: Reporting requirements to the EMS medical director ................................... 53 Section 300.03: Certification and educational requirements ................................................... 55 Section 300.04: Communications with medical control .......................................................... 59 Section 300.05: Reserved ........................................................................................................ 61 Section 400.00: Adult protocols ................................................................................................ 63 Section 400.01: Abdominal pain/Gastrointestinal hemorrhage ............................................... 65 Section 400.02: Adrenal insufficiency ..................................................................................... 67 Section 400.03: Airway management ...................................................................................... 69 Section 400.04: Allergic reactions ........................................................................................... 71 Section 400.05: Altered mental status ..................................................................................... 73 Section 400.06: Behavioral ...................................................................................................... 75 Section 400.07: Carbon monoxide exposure and toxic inhalations ......................................... 77 Section 400.08: Cardiac dysrhythmia ...................................................................................... 79 Section 400.09: Cardiopulmonary arrest ................................................................................. 83 Section 400.10: Chest pain/Acute coronary syndrome ............................................................ 87 Section 400.11: Decompression sickness/Dysbarism .............................................................. 89 Section 400.12: Dyspnea ......................................................................................................... 91 Section 400.13: Hypertension .................................................................................................. 95 Section 400.14: Hyperthermia ................................................................................................. 97 Section 400.15: Hypothermia .................................................................................................. 99 Section 400.16: Nausea .......................................................................................................... 101 Section 400.17: Near-drowning ............................................................................................. 103 Section 400.18: Obstetrical .................................................................................................... 105 Section 400.19: Ophthalmic .................................................................................................. 109 Section 400.20: Overdose/Poisoning ..................................................................................... 111 Section 400.21: Pain management ......................................................................................... 117 Section 400.22: Seizure ......................................................................................................... 120 Section 400.23: Snake bite ..................................................................................................... 122 Section 400.24: Stroke ........................................................................................................... 124 Section 400.25: Syncope ........................................................................................................ 126 Section 400.26: Systemic inflammatory response syndrome ................................................ 128 Section 400.27: Trauma ......................................................................................................... 130 Section 400.28: Vaginal hemorrhage ..................................................................................... 134 Section 500.00: Pediatric protocols ........................................................................................ 136 Section 500.01: Adrenal insufficiency ................................................................................... 138 Section 500.02: Allergic reactions ......................................................................................... 140 Section 500.03: Altered mental status ................................................................................... 143 Section 500.04: Cardiac dysrhythmia .................................................................................... 145 Section 500.05: Cardiopulmonary arrest ............................................................................... 149 Section 500.06: Dyspnea ....................................................................................................... 151 Section 500.07: Nausea .......................................................................................................... 153 Section 500.08: Near-drowning ............................................................................................. 155 Section 500.09: Newborn care and resuscitation ................................................................... 157 Section 500.10: Overdose/Poisoning ..................................................................................... 159 Section 500.11: Pain management ......................................................................................... 161 Section 500.12: Seizure ......................................................................................................... 163 Section 500.13: Trauma ......................................................................................................... 165 Section 600.00: Procedural protocols ..................................................................................... 169 Section 600.01: Automatic external defibrillator (AED) ....................................................... 171 Section 600.02: Blood glucose measurement ........................................................................ 173 Section 600.03: Continuous positive airway pressure (CPAP) ............................................. 175 Section 600.04: Cricothyrotomy ............................................................................................ 177 Section 600.05: Defibrillation (manual) and synchronized cardioversion ............................ 179 Section 600.06: Dual lumen airway (Combitube) ................................................................. 181 Section 600.07: Electrocardiogram, 12 lead .......................................................................... 183 Section 600.08: EMT assistance with medication delivery ................................................... 185 Section 600.09: EMT intravenous access .............................................................................. 187 Section 600.10: Endotracheal intubation ..............................................................................
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