EMS Protocols – ALS

These Region 11 Chicago EMS System Protocols, Policies, and Procedures for EMTs and Paramedics are prehospital medical guidelines for patient assessment, treatment, and transportation within the system.  They provide a framework for all patient encounters and Online Medical Control should be consulted in situations where there is not clear direction from the written documents.

Download complete EMS Protocols – ALS

GENERAL

Adult Initial Assessment
Routine Medical Care (RMC)

CARDIOVASCULAR

Acute Coronary Syndrome / Cardiac Chest Pain
Bradycardia with Pulse
Narrow Complex Tachycardia
Pulseless Electrical Activity / Asystole
Stroke
Syncope or Presyncope
Ventricular Assist Device (VAD)
Ventricular Fibrillation / Pulseless Ventricular Tachycardia
Wide Complex Tachycardia with Pulse

RESPIRATORY

Airway Obstruction
Bronchospasm
Pulmonary Edema

MEDICAL

Altered Mental Status
Anaphylaxis and Allergic Reaction
Behavioral Emergency
COVID-19
Nausea and Vomiting
Pain Management
Renal Failure / Hyperkalemia
Seizures
Shock

TOXINS AND ENVIRONMENTAL

Biological Agents
Burns
Carbon Monoxide / Smoke Inhalation
CBRNE / Hazardous Materials
Chemical Agents / Airway Respiratory Irritants
Conducted Electrical Weapon Injury (TASER)
Cyanide Exposure
Electrical Injuries
Frostbite
Hyperthermia / Heat Exposure
Hypothermia / Cold Exposure
Topical Chemical Burn

TRAUMA

General Trauma Management
Blast Injury (under revision)
Crush Injury (under revision)
Extremity Trauma / External Hemorrhage Management
Facial / Dental Injury (under revision)
Head Trauma
High Threat Considerations (under revision)
Spinal Care
Traumatic Arrest

OBSTETRICS

Childbirth and Post-Delivery Care
Neonatal Resuscitation
Obstetrical Complications / Bleeding in Pregnancy
Obstetrical Complications / Breech Birth
Obstetrical Complications / Nuchal Cord
Obstetrical Complications / Pre-Eclampsia or Eclampsia
Obstetrical Complications / Prolapsed Cord

PEDIATRICS

Pediatric Initial Assessment
Pediatric Routine Medical Care (PRMC)
Pediatric Routine Trauma Care (PRTC)
Pediatric Acetylcholinesterase Inhibitor (Carbamates / Nerve Agents / Organophosphates) Exposure
Pediatric Airway Obstruction
Pediatric Altered Mental Status
Pediatric Anaphylaxis and Allergic Reaction
Pediatric Bradycardia
Pediatric Bronchospasm
Pediatric Burns
Pediatric Chemical Agents / Airway Respiratory Irritants
Pediatric Croup or Epiglottitis
Pediatric Drowning
Pediatric Hyperthermia / Heat Exposure
Pediatric Hypothermia / Cold Exposure
Pediatric Narrow Complex Tachycardia
Pediatric Nausea and Vomiting
Pediatric Pain Management
Pediatric Pulseless Electrical Activity / Asystole
Pediatric Seizures
Pediatric Shock
Pediatric Tracheostomy with Respiratory Distress
Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia
Pediatric Wide Complex Tachycardia
Region 11 EMS Pediatric Resuscitation Card

APPENDIX

Latex Allergy
Oxygen Delivery Methods