[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-365678-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-365678-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","gmvemsc-prehospital-emt-standing-orders-training-manual-version-june-1-adult-and-pediatric-orders-index-12-lead-ekg","GMVEMSC Prehospital EMT Standing Orders Training Manual - Version June 1 - Adult and Pediatric Orders Index - 12-Lead EKG","","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.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/gmvemsc-prehospital-emt-standing-orders-training-manual-version-june-1-adult-and-pediatric-orders-index-12-lead-ekg/365678/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/gmvemsc-prehospital-emt-standing-orders-training-manual-version-june-1-adult-and-pediatric-orders-index-12-lead-ekg/365678.png","ImageObject",300,407,{"name":42,"@type":43},"Đào","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-01","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who is allowed to use these standing orders and under what conditions?","Question",{"text":63,"@type":64},"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.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What do the stipulations say about performing procedures and equipment limits?",{"text":68,"@type":64},"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.",{"name":70,"@type":61,"acceptedAnswer":71},"How should EMTs communicate with hospitals or medical control?",{"text":72,"@type":64},"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.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},365678,1790654599,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":140,"language":141,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":12,"update_tm":145,"read_time":146},1374402968488,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","GMVEMSC PREHOSPITAL EMT STANDING ORDERS TRAINING MANUAL  \nVERSION June 1, 20 19 Adult: Patients 16 Years Old and Above  \nPediatric: Patients under 16 Years Old  \nAll Pediatric Treatments will be in Pink and Bulleted with a “P”  \nADULT and PEDIATRIC ORDERS INDEX  \nTOPIC PAGE  \n12-Lead EKG 13  \n2018 Changes 100  \nAbdominal Pain 28  \nAbbreviations 45  \nAdministering Nerve Agent Antidotes 43  \nAdult Abuse 33  \nAdult and Pediatric Trauma Arrest 17  \nAirway Maintenance 9  \nAllergic Reactions 26  \nALTE 32  \nAntidote Resources 43  \nAPGAR Scores 31  \nAsthma, Emphysema, COPD 26  \nBradycardia 13  \nBurns and Smoke Inhalation 24  \nCapnography 10  \nCarbon Monoxide 24  \nCardiac Arrest-BLS 11  \nCardiovascular Emergencies 11  \nCHEMPACKS 43  \nChest Pain 12  \nChildbirth 29  \nCombative Patients 34  \nCommunicating with Hospitals 3  \nCPR Chart 11  \nCrisis Standards of Care 40  \nCrush Syndrome 21  \nDelivery Complications 30  \nDiabetic Refusal of Transport 27  \nDNR-Comfort Care or Comfort Care Arrest 4  \nDrowning 23  \nDrug Bag Exchange Program 66  \nDrug Sheets 49  \nEnd Tidal CO2—Colorimetric 10  \nExtremity Injuries 22  \nEye Injuries 25  \nFever 31  \nFrostbite 23  \nGCS 16  \nHazardous Drug Exposure 41  \nHazMat 41  \nHazMat, Biological 42  \nTOPIC PAGE  \nHazMat, Cyanide 42  \nHazMat, Hydrofluoric Acid 42  \nHazMat, Organophosphate 42  \nHazMat, Pepper Spray 44  \nHead Injury 22  \nHeat Exposure 25  \nHemorrhage Control 21  \nHospital Capabilities 87  \nHypoglycemia 26  \nHypothermia 23  \nInitial Care 5  \nInfectious Disease Exposure 89  \nMajor Trauma 21  \nNewborn Resuscitation 30  \nNon-Initiation of Care 3  \nObstetrical Emergencies 29  \nOverdose or Poisoning 27  \nPAT 6  \nPediatric Abuse 33  \nPrehospital Field Triage 17  \nPsychiatric Patients 34  \nPulmonary Edema 26  \nReroute Policy 81  \nRespiratory Distress 25  \nRegional Hospital Notification 44  \nRights of Medication Administration 48  \nRule of Nines 97  \nRun Documentation Requirements 48  \nSafe Harbor 31  \nSALT Triage 36  \nSeizures 27  \nSepsis 14  \nShock 14  \nSkills Sheets 59  \nSpinal Motion Restriction 7  \nStipulations 2  \nStroke 15  \nSupraglottic Airway 10  \nTachycardia 14  \nTrauma Transport Guidelines 20  \nTrauma Criteria 18  \nTrauma Emergencies 16  \nViable Fetus 31  \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 Emergency Medical Technician (EMT) . You may not use new protocol until you have passed both the skills check-off and CBT.  \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 a Medical Control Physician (MCP) order. The diamond provides rapid identification of procedures and medications that require on-line MCP authorization.  \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• 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 insert an advanced airway unless they have and use appropriate confirmation devices such as EtCO2 detectors or monitors.  \n• 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.  \n• 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","cbCaimLNFEh9jkdD","https://ap.wps.com/l/cbCaimLNFEh9jkdD","pdf",2375546,101,"English","# Adult and Pediatric Orders Index\n## Key clinical topics (EKG, airway, trauma, sepsis, seizures)\n## Stipulations and field use rules\n## Communicating with hospitals or medical control","[{\"question\":\"Who is allowed to use these standing orders and under what conditions?\",\"answer\":\"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.\"},{\"question\":\"What do the stipulations say about performing procedures and equipment limits?\",\"answer\":\"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.\"},{\"question\":\"How should EMTs communicate with hospitals or medical control?\",\"answer\":\"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.\"}]","GMVEMSC Prehospital EMT Standing Orders Training Manual - Version June 1 - Adult and Pediatric Orders Index - 12-Lead EKG | PDF",1790161757,255]