BLS Standing Medical Orders

The following Standing Medical Orders (SMOs) are to be utilized as the pre-hospital medical treatment guidelines by the system’s EMT-Bs. It is understood that deviations from the SMOs may be necessary in the interest of assuring that a patient is transported to an appropriate medical facility rather than receive no care at all.

Download Complete BLS Standing Medical Orders

A. GENERAL

Adult Initial Assessment
Routine Medical Care (RMC)

B. CARDIAC

Cardiac Chest Pain
Cardiac Arrest

C. RESPIRATORY

Respiratory Distress
Respiratory Obstruction
Allergic Reaction and/or Anaphylaxis
Suspected Carbon Monoxide Poisoning

D. MEDICAL

Altered Mental Status
Seizures
Suspected Acute Stroke
Behavioral Emergency
Taser/Electrical Weapon Device Exposure
Non-Cardiogenic/Non-Traumatic Shock

E.ENVIRONMENTAL

Frostbite
Hypothermia
Heat Illness
Burns
Burns – Electrical
Burns – Chemical
Haz Mat / Toxic Exposure
Hazardous Events / Nuclear /Blast Injuries
Hazardous Events / Suspected Biological
Hazardous Events / Chemical

F. TRAUMA

Routine Trauma Care
Head Trauma
Spinal Trauma
Trauma Airway
Chest Trauma
Extremity Trauma
Trauma in Pregnancy
Traumatic Hemorrhagic Shock
Traumatic Arrest

G.OBSTETRICS

Emergency Childbirth
Postpartum Care
Obstetrical Complications
Neonatal Resuscitation

H. PEDIATRICS

Pediatric Initial Assessment
Pediatric Routine Medical Care (PRMC)
Pediatric Routine Trauma Care (PRTC)
Pediatric Cardiopulmonary Arrest
Pediatric Respiratory Distress
Pediatric Respiratory Obstruction
Pediatric Allergic Reaction and/or Anaphylaxis
Pediatric Tracheostomy with Respiratory Distress
Pediatric Suspect Croup or Epiglottitis
Pediatric Altered Mental Status
Pediatric Seizures
Pediatric Extremity Trauma
Pediatric Non-Traumatic Shock
Pediatric Hypothermia
Pediatric Heat Illness
Pediatric Burns
Pediatric Burns – Electrical/Lightning
Pediatric Burns – Chemical
Pediatric Haz Mat / Toxic Exposure
Pediatric Hazardous Events / Nuclear/Blast Injuries
Pediatric Hazardous Events / Biological
Pediatric Hazardous Events / Chemical and Nerve Agents
Pediatric Near Drowning
Pediatric Drug Dosing Reference Guide

I.APPENDIX

Approved Oxygen Delivery Methods
Glasgow Coma Scale
Cincinatti Stroke Scale
Advanced Airway Management
Cardiac Arrest Management
Automatic External Defibrillator
Intra-Nasal Drug Administration
Epinephrine Auto-Injector (EpiPen)
Tourniquet Application
Spinal Immobilization
Latex Allergic Patients
Abbreviations/Acronyms