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It defines overall protocol use under GMVEMSC authority and Ohio state certification, specifies when medical control permission is required, and sets limits on procedures, equipment, and training scope. It also includes operational instructions for communicating with hospitals or medical control, documentation expectations, and guidance for monitoring and transfer summaries.","GMVEMSC PREHOSPITAL AEMT STANDING ORDERS TRAINING MANUAL  \nVERSION January 1, 201 6  \nAdult: Patients 16 Years Old and Above  \nPediatric: Patients under 16 Years Old  \nADULT and PEDIATRIC ORDERS INDEX  \nTOPIC PAGE  \n12-Lead EKG 13  \n2016 Changes 109  \nAbbreviations 44  \nAbdominal Pain 29  \nAdministering Nerve Agent Antidotes 41  \nAirway Maintenance 7  \nAllergic Reactions 26  \nAntidote Resources 41  \nAPGAR Scores 31  \nAsthma/Emphysema/COPD 25  \nBradycardia 14  \nBurns/Smoke Inhalation 23  \nCapnography 7  \nCarbon Monoxide 23  \nCardiac Arrest-Asystole/PEA 12  \nCardiac Arrest-BLS 11  \nCardiac Arrest-VFIB/Pulseless VT 12  \nCardiac Arrest-Pregnancy 30  \nCardiovascular Emergencies 11  \nCHEMPACK 41  \nChest Pain 12  \nChild Abuse 32  \nChildbirth 30  \nCombative Patient 33  \nCommunicating with the Hospital 2  \nCPR Chart 11  \nCrisis Standards of Care 38  \nCrush Syndrome 20  \nDelivery Complications 30  \nDiabetic Refusal 26  \nDNR-Comfort Care/Comfort Care Arrest 3 Drowning 22  \nDrug Bag Exchange Program 82  \nDrug Sheets 48  \nEDD 8  \nElder Abuse 33  \nEnd Tidal CO2—Colorimetric 8  \nExsanguinating Hemorrhage 14  \nExtrapyramidal Reactions 27  \nExtremity Injuries 22  \nEye Injuries 24  \nFever 32  \nField Termination 4  \nFrostbite 23  \nGCS 21  \nTOPIC PAGE  \nHazardous Drug Exposure 39  \nHazMat 38  \nHazMat, Biological 40  \nHazMat, Cyanide 40  \nHazMat, Hydrofluoric Acid 40  \nHazMat, Organophosphate/Nerve Agent 40  \nHazMat, Pepper Spray 42  \nHead Injury 21  \nHeat Exposure 24  \nHemorrhage Control 20  \nHospital Capabilities 103  \nHypothermia 22  \nIntubation 8  \nInitial Care 4  \nIO Insertion 9  \nMaintenance Existing Med Pumps 10  \nMajor Trauma 19  \nNebulized Meds 9  \nNewborn Resuscitation 31  \nNon-Initiation of Care 3  \nObstetrical Emergencies 29  \nPain Protocol 6  \nPoisoning or Overdose 28  \nPrehospital Field Triage 16  \nPSW Exposure Matrix 105  \nPsychiatric Patient 33  \nPulmonary Edema 25  \nReroute Policy 97  \nRespiratory Distress 25  \nRegional Hospital Notification 43  \nRights of Medicine Administration 47  \nRun Documentation Requirements 47  \nSafe Harbor 32  \nSALT Triage 34  \nSeizures 27  \nShock 14  \nSkills Sheets 67  \nSpinal Motion Restriction 5  \nStipulations 2  \nStroke 15  \nTachycardia 14  \nTension Pneumothorax 9  \nTransport Guidelines 18  \nTrauma Criteria 17  \nTrauma Emergencies 16  \nSTIPULATIONS  \n􀁸 This protocol is for use by those individuals operating in and under the authority of the Greater Miami Valley EMS Council (GMVEMSC) Drug Bag Exchange Program and certified by the State of Ohio as an Advanced EMT.  \n􀁸 This protocol is to be used in the field only. Communications must be attempted as soon as practical for potentially unstable patients or for hospitals that request contact on all patients being transferred to their facility.  \n􀁸 Procedures that are marked with a diamond (􀁩) are never to be performed without Medical Control Physician (MCP) permission.  \n􀁸 No procedures, techniques, or drugs will be used without the proper equipment, or beyond the training or capabilities of the prehospital personnel. Nothing in this protocol may be used without specific pre-approval of the Medical Director for the local department or agency.  \n􀁸 It is the recommendation of the Standing Orders Committee that departments be able to access the humeral head via IO in the adult population.  \n􀁸 It is recommended to use filtered needles when drawing up any medication from an ampule.  \n􀁸 Items enclosed in braces ({ }) are at the option of the department and its Medical Director.  \n􀁸 EMS personnel of any level are not authorized to intubate unless they have and use appropriate confirmation devices (EtCO2 detectors or monitors, or Esophageal Detection Devices) .  \n􀁸 Any patient being monitored for a significant cardiac event or EtCO2 shall remain on the monitor until patient care is transferred to hospital staff. In addition, a summary report shall be provided from any device capable of printing one.  \n􀁸 Infrequently, stepwise adherence to specific protocols may not","cbCaikZgt5p24nRX","https://ap.wps.com/l/cbCaikZgt5p24nRX","pdf",1865544,14,110,"English","en",105,"# Adult and Pediatric Orders Index\n## Comms with Hospital or Medical Control\n## Standing Orders Stipulations","[{\"question\":\"What authority and certification requirements apply to using these standing orders?\",\"answer\":\"The protocol is for individuals operating under the authority of the GMVEMSC Drug Bag Exchange Program and certified by the State of Ohio as an Advanced EMT.\"},{\"question\":\"When is medical control (MCP) permission required?\",\"answer\":\"Procedures marked with a diamond symbol are never to be performed without Medical Control Physician permission.\"},{\"question\":\"What communications guidance is provided for contacting the hospital?\",\"answer\":\"Contact the hospital for setup time, serious-patient notifications, and advice; provide a clear picture of patient findings since hospital staff cannot see the patient.\"}]","GMVEMSC Prehospital AEMT Standing Orders Training Manual - Version January 1, 2016 | PDF",1790171127,277,{"code":4,"msg":83,"data":84},"ok",{"site_id":76,"language":75,"slug":85,"title":65,"keywords":86,"description":66,"schema_data":87,"social_meta":141,"head_meta":143,"extra_data":145,"updated_unix":146},"gmvemsc-prehospital-aemt-standing-orders-training-manual-version-january-1-2016","",{"@graph":88,"@context":140},[89,103,123],{"@type":90,"itemListElement":91},"BreadcrumbList",[92,96,98,101],{"item":93,"name":94,"@type":95,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":97,"name":9,"@type":95,"position":14},"https://docshare.wps.com/document/",{"item":99,"name":35,"@type":95,"position":100},"https://docshare.wps.com/document/healthcare/",3,{"item":102,"name":65,"@type":95,"position":19},"https://docshare.wps.com/document/gmvemsc-prehospital-aemt-standing-orders-training-manual-version-january-1-2016/367511/",{"url":102,"name":65,"@type":104,"image":105,"author":110,"headline":65,"publisher":112,"fileFormat":115,"inLanguage":75,"description":66,"dateModified":116,"datePublished":117,"encodingFormat":115,"isAccessibleForFree":118,"interactionStatistic":119},"DigitalDocument",{"url":106,"@type":107,"width":108,"height":109},"https://docshare.wps.com/thumbnails/gmvemsc-prehospital-aemt-standing-orders-training-manual-version-january-1-2016/367511.png","ImageObject",300,407,{"name":63,"@type":111},"Person",{"url":93,"name":113,"@type":114},"DocShare","Organization","application/pdf","2026-11-03","2026-09-23",true,{"@type":120,"interactionType":121,"userInteractionCount":72},"InteractionCounter",{"@type":122},"ViewAction",{"@type":124,"mainEntity":125},"FAQPage",[126,132,136],{"name":127,"@type":128,"acceptedAnswer":129},"What authority and certification requirements apply to using these standing orders?","Question",{"text":130,"@type":131},"The protocol is for individuals operating under the authority of the GMVEMSC Drug Bag Exchange Program and certified by the State of Ohio as an Advanced EMT.","Answer",{"name":133,"@type":128,"acceptedAnswer":134},"When is medical control (MCP) permission required?",{"text":135,"@type":131},"Procedures marked with a diamond symbol are never to be performed without Medical Control Physician permission.",{"name":137,"@type":128,"acceptedAnswer":138},"What communications guidance is provided for contacting the hospital?",{"text":139,"@type":131},"Contact the hospital for setup time, serious-patient notifications, and advice; provide a clear picture of patient findings since hospital staff cannot see the patient.","https://schema.org",{"og:url":102,"og:type":142,"og:title":65,"og:site_name":113,"og:description":66},"article",{"robots":144,"canonical":102},"index,follow",{"doc_id":61,"site_id":76},1790464290]