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- OCMCA Protocols
- Protocol Suite
- Full Protocol Suite Download
- Section 1 | General Treatment
- Section 2 | Trauma & Environmental
- Section 3 | Adult Specific
- Section 4 | OB & Pediatrics
- Section 5 | Adult Cardiac
- Section 6 | Pediatric Cardiac
- Section 7 | Procedures
- Section 8 | System
- Section 9 | Medications
- Section 10 | Special Operations
- Section 1 – General Treatment
- Section 1 Table of Contents
- 1-1 General Pre Hospital Care
- 1-2 Abdominal Pain Non-Traumatic
- 1-3 Nausea And Vomiting
- 1-4 Syncope
- 1-5 Shock
- 1-6 Anaphylaxis/Allergic Reaction
- 1-7 Adrenal Crisis
- 1-8 Behavioral Health Emergencies
- 1-9 Opioid Overdose Treatment and Prevention
- 1-10 Foreign Body Airway Obstruction
- 1-100 Diabetic Emergencies
- 1-101 Citizen Assist/Lift Assist
- Section 2 – Trauma and Environmental
- Section 2 Table of Contents
- 2-2 General Trauma
- 2-3 Burns
- 2-4 General Crush Injury
- 2-5 Soft Tissue and Orthopedic Injuries
- 2-6 Spinal Injury Assessment
- 2-7 Traumatic Arrest
- 2-8 Drowning/Submersion Injury
- 2-9 Poisioning/Overdose/Environmental Exposure
- 2-10 Heat Emergencies
- 2-11 Hypothermia/Frostbite
- 2-12 Head Injury – Moderate & Severe TBI
- 2-13 Bleeding Control
- 2-14 Hemorrhagic Shock
- 2-15 Sexual Assault
- 2-100 Strangulation
- Section 3 – Adult Specific
- Section 4 – OB and Pediatrics
- Section 4 Table of Contents
- 4-1 Pediatric Medication Emergency Dosing Intervention Cards
- MI MEDIC Cards
- 4-2 Child Birth and Related Obstetrical Emergencies
- 4-3 Newborn & Neonatal Assessment and Resuscitation
- 4-4 Pediatric Altered Mental Status
- 4-5 Pediatric Respiratory Distress, Failure, or Arrest
- 4-6 Pediatric Fever
- 4-7 Pediatric Seizures
- 4-8 Safe Transport of Children in Ambulances
- 4-9 Pediatric Crashing Patient/Impending Arrest
- Section 5 – Adult Cardiac
- Section 6 – Pediatric Cardiac
- Section 7 – Procedures
- Section 7 Table of Contents
- 7-1 12 Lead ECG
- 7-2 Child Abuse and Neglect (Suspected)
- 7-3 Crime Scene Management
- 7-4 Vulnerable Adult Abuse, Neglect, or Exploitation (Suspected)
- 7-5 Continuous Positive Airway Pressure (CPAP) Administration
- 7-6 Dead on Scene & Termination of Resuscitation
- 7-7 Do Not Resuscitate
- 7-8 Electrical Therapy
- 7-8S Electrical Therapy Double Sequential Defibrillation
- 7-9 Airway Management
- 7-9.1 Video Laryngoscopy
- 7-10 Helmet Removal
- 7-11 Impedance Threshold Device (ITD)
- 7-12 Oxygen Administration
- 7-13 Pain Management
- 7-14 Patient Assessment
- 7-15 Documentation and Patient Care Records
- 7-16 Patient Restraint
- 7-17 Patient Procedural Sedation
- 7-18 Pleural Decompression
- 7-19 Refusal of Care Adult and Minor
- 7-20 Spinal Precautions
- 7-21 Blood Glucose Level Testing
- 7-22 Tourniquet Application
- 7-23 Vascular Access & IV Fluid Therapy
- 7-24 End-Tidal Carbon Dioxide Monitoring (Capnometry and Capnography)
- 7-25 Michigan Physician Orders for Scope of Treatment (MI-POST)
- 7-26 Interfacility High Flow Nasal Oxygen (MCA Optional Protocol)
- 7-27 Transport of Adult Ventilator-Dependent Patient
- 7-28 Left Ventricular Assist Device (LVAD)
- 7-29 Mechanical Chest Compression Device (MCA Optional Protocol)
- Section 8 – System
- Section 8 Table of Contents
- 8-1 Downgrade of Response
- 8-2 Patient Prioritization and Use of Lights and Siren
- 8-3 Transportation Protocol
- 8-3.1 OCMCA EMS Transport Matrix
- 8-6 Dispatch Protocol
- 8-7 ALS to BLS Transfer of Care
- 8-8 Air Ambulance Personnel Scope of Practice (MCA Optional Protocol)
- 8-9 Aircraft Transportation
- 8-9.1 Aircraft Letter of Compliance
- 8-10 Infection Control and Communicable Disease
- 8-11 Immunization & Testing
- 8-12 Communication with Emergency Facilities
- 8-13 Electronic Records and EMS Information System
- 8-14 Protected Health Information
- 8-15 Inter-Facility Patient Transfers
- 8-16 Licensure Level Requirement of Attendant During Transport
- 8-18 Agency and EMS Personnel Criteria for Participation
- 8-18.1 2025 ALS LSA Letter of Compliance
- 8.18.1 2025 BLS LSA Letter of Compliance
- 8.18.1 2025 MFR LSA Letter of Compliance
- 8-19 On-Scene Physician or Non-Physician Provider Interaction
- 8-20 Protocol Deviation
- 8-21 Violent/Chemical/Hazardous Scene
- 8-22 Medical Examiner Notification and Body Disposition
- 8-23 Safe Delivery of Newborns
- 8-24 Complaint Investigation and Resolution
- 8-25 Disciplinary Action Appeal
- 8-26 EMS Provider Criminal Charges and Convictions
- 8-28 Evidentiary Blood Draw
- 8-29 PSRO Committees
- 8-100 Bennett Bill Upgrade Policy
- 8-101 Transfer of Patient Care to Receiving Facility
- 8-102 Alternative EMS Response Team
- 8-104 EMS Response Time Standards
- 8-105 Equipment
- 8-106 Mutual Aid Policy
- 8-107 New or Upgraded EMS Agency Policy
- 8-107.1 Appendix A: New/Upgrade Life Support Agency Application
- 8-108 EMS Research Policy
- 8-109 Confidentiality Agreement
- 8-110 Rerouting Policy
- 8-111 Scene Patient Management
- 8-112 Tactical Emergency Medical Services (TEMS) Team
- 8-113 Medical Control and Participating Hospital Policy
- 8-113.1 Hospital Letter of Compliance
- 8-114 Hospital Provider-Based Emergency Department
- 8-115 Waiver of EMS Patient Side Communication Capabilities
- 8-200 Evolving Provider Based ED Study Protocol
- Section 9 – Medications
- Section 9 Table of Contents
- 9-1 Medication Administration
- 9-3 Medication Shortage
- 9-4 Personal Metered Dose Inhaler Use
- 9-5 IV Ancillary Supply Exchange
- 9-6 SE Michigan Medication Exchange and Replacement Procedure
- 9.6.1 | SEM Medication Exchange Addendums
- 9-7 Epi nephrine Auto-Injector Procedure
- 9-8 Naloxone Leave Behind Medication Kit Contents and Distribution Procedure
- 9-100 Medication Under Direct Medical Control
- 9-101 MFR and EMT Medication Exchange
- 9-102 MFR/BLS Opioid Overdose Naloxone Administration
- 9-103 BLS Medication Kit Contents Exchange Procedure
- 9-104 MFR Medication Kit Contents Exchange Procedure
- Section 10 – Special Operations
- Section 10 Table of Contents
- 10-1 General CBRNE Identification of Agents
- 10-2 Chemical Exposure
- 10-3 Nerve Agent/Organophosphate Pesticide Exposure Treatment
- 10-4 Chempack MEDDRUN
- 10-5 Cyanide Exposure
- 10-6 Mass Casualty Incidents
- 10-6.1 MCI – OCMCA Initial Patient-Hospital Transport
- 10-7 Pre-hospital (EMS) MCA Mutual Aid Agreement During Disaster
- 10-8 Hazard Contaminated Patient
- 10-9 Suspected Pandemic
- 10-10 SPRN Transportation & Destination Guidelines
- 10-11 SPRN Patient Containment Algorithm
- 10-12 SPRN Transport Supplies
- 10-13 SPRN Transport Procedure
- 10-14 SPRN Patient Care During Transport of Suspected Highly Infectious Agent
- 10-15 SPRN Ambulance Cleaning & Disinfection
- 10-16 SPRN Medical Isolation Transport Device
- 10-17 SPRN Team Selection Procedure
- 10-18 SPRN Death During Transport
- 10-100 General HAZMAT Treatment
- 10-101 Ammonia (Liquid & Gas)
- 10-102 Asphyxiants – Simple
- 10-103 Chlorine and Related Compounds
- 10-104 Corrosive Agents
- 10-105 HAZMAT Eye Irrigation
- 10-106 Hydrocarbons and Halogenated Hydrocarbons
- 10-107 Hydrogen Fluoride
- 10-108 Hydrogen Sulfide, Sulfides and Mercaptans
- 10-109 Methemoglobinemia
- 10-110 Hazardous Materials Medication and Replacement Procedure
- 10-111 Cyanokit® Medication Pack Exchange Procedure and Use Replacement Form
- 10-112 Cyanokit® (Hydroxocobalamin)
- 10-113 Multiple Patient Incidents
- Protocol Suite
- EMS Advisories
- 1/31/2024 OCMCA EMS Advisory 060 2024 Protocol Clarification
- 12/13/2023 OCMCA EMS Advisory 059 2024 Protocol Implementation
- 3/3/2022 OCMCA EMS Advisory 057 Suspending the use of Ketamine for Oakland County
- 6/21/2021 OCMCA EMS Advisory 054 Update on COVID-19 Emergency Protocols
- 12/2/2021 OCMCA EMS Advisory 056 Emergency Protocol Update
- 10/11/2021 OCMCA EMS Advisory 055 OCMCA Phone Number Changes
- 5/21/2020 OCMCA EMS Advisory 053 Guidance regarding MIS-C
- 5/4/2020 OCMCA EMS Advisory 052 COVID-19 Emergency Protocol Update
- 03/13/2020 OCMCA EMS Advisory 051 Coronavirus (COVID-19) Surgical Mask Exchange
- 03/10/2020 OCMCA EMS Advisory 050 Coronavirus (COVID-19) Response Information
- 09/04/2019 OCMCA EMS Advisory 049 C. auris Alert
- 03/22/2019 OCMCA EMS Advisory 047 Measles Cases in Oakland County
- 04/25/2019 OCMCA EMS Advisory 048 Superior Air Ceasing Operations
- 10/3/2018 OCMCA EMS Advisory 46 OCMCA Protocol App Now Available for Free
- 4/24/2018 OCMCA EMS Advisory 45 OCMCA CE Sponsorship
- 3/1/2018 OCMCA EMS Advisory 44 Clarification of Protocol 6-1, “Agency and EMS Personnel Criteria for Participation”
- OCMCA EMS Advisory 043 MFR and BLS Naloxone Administration Protocol: Now Optional
- 10/6/2017 OCMCA EMS Advisory 042 Transportation Protocol Update
- 8/1/2017 OCMCA EMS Advisory 041 Updated and New Protocol Implementation
- 5/18/2017 OCMCA EMS Advisory 040 Drug Shortages
- 4/20/2017 OCMCA EMS Advisory 039 New Drug Box Implementation
- 4/11/2017 OCMCA EMS Advisory 038 MI-MEDIC Implementation
- 3/28/17 OCMCA EMS Advisory 037 Updated Emergency Facility Telephone/Fax Numbers
- 03/16/17 OCMCA EMS Advisory 036 Transportation Protocol: Addition of Henry Ford WB as Level 3 Provisional Trauma Center
- 02/01/2017 OCMCA EMS Advisory 035 Implementation of the OCMCA Staffing Protocols
- 01/20/2017 OCMCA EMS Advisory 034 Knowledge Assessment Platform
- 01/03/2017 OCMCA EMS Advisory 033 Children’s Hospital – Troy
- 11/1/2016 OCMCA EMS Advisory 032 Atomization Device Recall and Shortage
- 11/1/2016 OCMCA EMS Advisory 031 Updated Transportation Protocol
- 09/15/16 OCMCA EMS Advisory 030 Website Update
- 04/08/16 OCMCA EMS Advisory 029 Epi Pens
- 04/11/16 OCMCA EMS Advisory 028 St Mary Mercy
- 03/11/16 OCMCA EMS Advisory 027 Epi 1:10,000 Shortage
- 2/9/16 OCMCA EMS Advisory 026 Protocol Update 2016
- 11/3/15 OCMCA EMS Advisory 026 EQIP Protocol Assessment
- 10/20/15 OCMCA EMS Advisory 025 Transportation Protocol Update 2015
- 09/28/15 OCMCA EMS Advisory 024 Narcan Implementation 2015
- 06/5/15 OCMCA EMS Advisory 023 Transportation Protocol Update 2015
- 05/27/15 OCMCA EMS Advisory 022 Implementation of Pharmacy Protocol 2015
- 12/19/14 OCMCA EMS Advisory 021 Implementation of 2015 Protocols
- 12/15/14 OCMCA EMS Advisory 020 Ebola Response Protocols
- 10/24/14 OCMCA EMS Advisory 019 Updated Ebola
- 10/15/14 OCMCA EMS Advisory 018 Ebola Response Plan
- 03/06/14 OCMCA EMS Advisory 017 Aircraft Dispatch Notice
- 02/05/14 OCMCA EMS Advisory 016 Field Notes
- 01/27/14 OCMCA EMS Advisory 015 DMC Surgery Lost Medical Control
- 10/22/13 OCMCA EMS Advisory 014 Dextrose Recall
- 09/26/13 OCMCA EMS Advisory 013 Doctors Hospital Closing
- 05/23/13 OCMCA EMS Advisory 012 D50
- 10/11/12 OCMCA EMS Advisory 011 NECC Recall
- 09/13/2012 OCMCA EMS Advisory 010 EMS Drug Box Changes
- 08/15/2012 OCMCA EMS Advisory 009 Transport of Psychiatric Patients
- 07/12/2012 OCMCA EMS Advisory 008 Spit Sock Hood
- 06/13/2012 OCMCA EMS Advisory 007 Transportation Protocol Update
- 02/10/2012 OCMCA EMS Advisory 006-2 Medication Identification-Generic and Trade Names
- 12/12/2011 OCMCA EMS Advisory 005 Duplicate Refusal Protocols
- 12/12/2011 OCMCA EMS Advisory 004 Narcotic Wasting and Witness Signature
- 10/18 /2011 OCMCA EMS Advisory 003 Valium and Fentanyl Shortages
- 09/19/2011 OCMCA EMS Advisory 002 Zofran
- 09/12/2011 OCMCA EMS Advisory 001
- 09/12/2011 EMS Advisories
- Calendar
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- Annual Letters of Compliance
- EMS Quality Improvement Program (EQIP)
- Special Studies and Programs
- Education
- Related Resource Links
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Oakland County Medical Control Authority