GMVEMSC Prehospital EMT Standing Orders Training Manual - Version June 1 - Adult and Pediatric Orders Index - 12-Lead EKG

Sep 23, 2026

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GMVEMSC prehospital EMT standing orders training manual (Version June 1, 2019) provides adult and pediatric protocols for EMT practice, including an orders index with clinical topics such as airway maintenance, cardiac arrest, sepsis, trauma transport guidance, seizures, and obstetrical emergencies. It defines pediatric identification rules, uses color/bullet conventions, and includes stipulations governing where and when procedures may be performed, equipment requirements, and limits on advanced airway placement. It also outlines communication expectations with hospitals and medical control.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages101

Reading Time4 h 15 min

AccessFree to download

Adult and Pediatric Orders Index

Key clinical topics (EKG, airway, trauma, sepsis, seizures)

Stipulations and field use rules

Communicating with hospitals or medical control

GMVEMSC PREHOSPITAL EMT STANDING ORDERS TRAINING MANUAL VERSION June 1, 20 19 Adult: Patients 16 Years Old and Above Pediatric: Patients under 16 Years Old All Pediatric Treatments will be in Pink and Bulleted with a “P” ADULT and PEDIATRIC ORDERS INDEX TOPIC PAGE 12-Lead EKG 13 2018 Changes 100 Abdominal Pain 28 Abbreviations 45 Administering Nerve Agent Antidotes 43 Adult Abuse 33 Adult and Pediatric Trauma Arrest 17 Airway Maintenance 9 Allergic Reactions 26 ALTE 32 Antidote Resources 43 APGAR Scores 31 Asthma, Emphysema, COPD 26 Bradycardia 13 Burns and Smoke Inhalation 24 Capnography 10 Carbon Monoxide 24 Cardiac Arrest-BLS 11 Cardiovascular Emergencies 11 CHEMPACKS 43 Chest Pain 12 Childbirth 29 Combative Patients 34 Communicating with Hospitals 3 CPR Chart 11 Crisis Standards of Care 40 Crush Syndrome 21 Delivery Complications 30 Diabetic Refusal of Transport 27 DNR-Comfort Care or Comfort Care Arrest 4 Drowning 23 Drug Bag Exchange Program 66 Drug Sheets 49 End Tidal CO2—Colorimetric 10 Extremity Injuries 22 Eye Injuries 25 Fever 31 Frostbite 23 GCS 16 Hazardous Drug Exposure 41 HazMat 41 HazMat, Biological 42 TOPIC PAGE HazMat, Cyanide 42 HazMat, Hydrofluoric Acid 42 HazMat, Organophosphate 42 HazMat, Pepper Spray 44 Head Injury 22 Heat Exposure 25 Hemorrhage Control 21 Hospital Capabilities 87 Hypoglycemia 26 Hypothermia 23 Initial Care 5 Infectious Disease Exposure 89 Major Trauma 21 Newborn Resuscitation 30 Non-Initiation of Care 3 Obstetrical Emergencies 29 Overdose or Poisoning 27 PAT 6 Pediatric Abuse 33 Prehospital Field Triage 17 Psychiatric Patients 34 Pulmonary Edema 26 Reroute Policy 81 Respiratory Distress 25 Regional Hospital Notification 44 Rights of Medication Administration 48 Rule of Nines 97 Run Documentation Requirements 48 Safe Harbor 31 SALT Triage 36 Seizures 27 Sepsis 14 Shock 14 Skills Sheets 59 Spinal Motion Restriction 7 Stipulations 2 Stroke 15 Supraglottic Airway 10 Tachycardia 14 Trauma Transport Guidelines 20 Trauma Criteria 18 Trauma Emergencies 16 Viable Fetus 31 STIPULATIONS • 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 Emergency Medical Technician (EMT) . You may not use new protocol until you have passed both the skills check-off and CBT. • 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. • Procedures that are marked with a diamond (􀁩) are never to be performed without a Medical Control Physician (MCP) order. The diamond provides rapid identification of procedures and medications that require on-line MCP authorization. • 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. • Items enclosed in braces ({ }) are at the option of the department and its Medical Director. • EMS personnel of any level are not authorized to insert an advanced airway unless they have and use appropriate confirmation devices such as EtCO2 detectors or monitors. • Any patient in respiratory distress on oxygen or whose O2 saturation indicate a need for oxygen, shall remain on oxygen until care is transferred to the hospital. • Infrequently, stepwise adherence to specific protocols may not be in the patient’s best interest. No protocol can substitute for the EMS professional’s judgment. However, at no time should treatment options exceed those authorized without direct co

FAQs

Who is allowed to use these standing orders and under what conditions?

The protocol is for individuals operating under the authority of the Greater Miami Valley EMS Council (GMVEMSC) Drug Bag Exchange Program and certified as an EMT by the State of Ohio. It cannot be used until both the skills check-off and CBT are passed.

What do the stipulations say about performing procedures and equipment limits?

Procedures marked with a diamond require a Medical Control Physician (MCP) order, and nothing may be done without proper equipment or beyond the training/capabilities of prehospital personnel. Use also requires specific pre-approval of the Medical Director for the local department or agency.

How should EMTs communicate with hospitals or medical control?

EMTs should contact the hospital for specific reasons such as major trauma, cardiac arrest, hazardous materials, and alerts, and provide clear patient findings. EMTs must call whenever they transmit an EKG, and when requesting physician consultation they should specifically request Medical Control Physician.

Sep 23, 2026

Uploaded by Đào