Protocols
Wahkiakum County EMS Patient Care Protocols, revised July 18, 2025. Every link below opens the county's original PDF at that page. The document is shown exactly as the county issued it.
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Introductionpp. 6-16
Patient care protocolspp. 17-69
- Universal Patient Care Protocolp. 17
- Abdominal Pain/Acute Abdomenp. 18
- Abuse and Maltreatmentp. 19
- Altered Mental Status and Comap. 20
- Allergic Reaction and Anaphylaxisp. 21
- Amputationp. 22
- Behavioral Emergencypp. 23-26
- Behavioral Emergency – Transport to Alternative Carep. 27
- Blast Injuriesp. 28
- Brief Resolved Unexplained Event - BRUEp. 29
- Burnspp. 30-31
- Cardiac Arrest – INITIAL MANAGEMENTp. 32
- Cardiac Arrest – ASYSTOLEp. 33
- Cardiac Arrest – PULSELESS ELECTRICAL ACTIVITY (PEA)p. 34
- Cardiac Arrest – VFIB/PULSELESS VTACHpp. 35-36
- Cardiac Arrest – RETURN OF SPONTANEOUS CIRCULATION (ROSC)p. 37
- Cardiac Dysrhythmia – BRADYCARDIAp. 38
- Cardiac Dysrhythmia – STABLE TACHYCARDIApp. 39-40
- Cardiac Dysrhythmia – UNSTABLE TACHYCARDIAp. 41
- Chest Pain/Acute Coronary Syndromep. 42
- Crush Injury/Entrapmentp. 42
- Drowning – Near Drowningp. 43
- Heat Syndromesp. 43
- Highly Infectious Respiratory Illnessp. 44
- Highly Infectious Disease Patient Management Protocolpp. 45-47
- Hemorrhage Controlp. 48
- Hyperkalemiap. 48
- Hypothermia/Cold Exposurep. 49
- Newborn Resuscitationp. 50
- Nontransport of Patientpp. 51-52
- Obstetrical Emergencies and Childbirthpp. 53-54
- Pain Control (Acute)pp. 55-56
- Poisoning and Overdosepp. 57-58
- Poisoning And Overdose Toxidrome Tablep. 59
- Respiratory Distresspp. 60-61
- Seizuresp. 62
- Sepsisp. 63
- Shockp. 64
- Stroke – CVAp. 65
- Syncopep. 66
- Traumatic Brain Injuryp. 67
- Trauma System Activationp. 68
- Vomiting/Significant Nauseap. 69
Procedurespp. 70-96
- Airway Management Overviewp. 70
- Advanced Airwaypp. 71-73
- Advanced Airway Emergency RSI Checklistp. 74
- BLS Advanced Skillsp. 75
- Automated External Defibrillator (AED)p. 76
- Blood Draws of Impaired Driverp. 77
- Cardiopulmonary Resuscitation (CPR)pp. 78-79
- Continuous Positive Airway Pressure (CPAP)p. 80
- Death in the Fieldpp. 81-82
- Gastric Decompressionp. 83
- Intraosseous (IO) Accesspp. 84-86
- Left Ventricular Assist Device (LVAD)p. 87
- Nitrous Oxide (Nitronox)p. 88
- Pelvic Immobilizationp. 89
- Pleural Decompressionp. 90
- Positive End Expiratory Pressure (PEEP)p. 91
- Restraint of Combative Patientsp. 92
- Spinal Immobilization Algorithmp. 93
- Surgical Airwayp. 94
- Taser Dart Removalp. 95
- Wound Packingp. 96
Medicationspp. 97-135
- Acetaminophenp. 97
- Activated Charcoalp. 98
- Adenosine (Adenocard)p. 99
- Albuterol (Proventil, Ventolin)p. 100
- Amiodarone (Cordarone)p. 101
- Aspirinp. 102
- Atropinep. 103
- Calcium Gluconatep. 104
- Calcium Chloridep. 105
- Dexamethasone (Decadron)p. 106
- Dextrose 10% (D10)p. 107
- Diltiazemp. 108
- Diphenhydramine (Benadryl)p. 109
- Epinephrinep. 110
- Etomidate (Amidate)p. 111
- Fentanylp. 112
- Glucagonp. 113
- Haloperidol (Haldol)p. 114
- Hydroxocobalamin (Cyanokit)p. 115
- Ipratropium Bromide (Atrovent)p. 116
- Ketaminep. 117
- Ketorolac (Toradol)p. 118
- Lidocainep. 119
- Magnesium Sulfatep. 120
- Methylprednisolone (Solumedrol)p. 121
- Midazolam (Versed)p. 122
- Morphine Sulfatep. 123
- Naloxone (Narcan)p. 124
- Nitroglycerinep. 125
- Norepinephrine (Levophed)p. 126
- Ondansetron (Zofran)p. 127
- Racemic Epinephrinep. 128
- Rocuronium (Zemuron)p. 129
- Sodium Bicarbonate (NaHCO3)p. 130
- Sodium Thiosulfatep. 131
- Succinylcholinep. 132
- Vecuronium (Norcuron)p. 133
- Verapamilp. 134
- Ziprasidone (Geodon)p. 135
About this document
Medical Program Director: Marc Kranz, MD
Revised: July 18, 2025, 142 pages
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