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Prehospital Care Manual

Ref 100

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
        
   
SUBJECT: STATE LAW AND REGULATIONS
REFERENCE NO. 100

Health & Safety Code, Division 2.5 Emergency Medical Services
California Code or Regulations, TITLE 22, Division 9

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
   
SUBJECT: LOCAL EMS AGENCY
REFERENCE
NO. 200
Last
Updated

Medical Management of Prehospital Care      201 04/01/2019
Sample Agreement for Release and Limited Use of Paramedic
        Base Hospital Audio Recordings
201.1 04/01/2019
Prehospital Care Policy Development and Revision
202   
04/01/2019
Summary of Comments Received Form
04/01/2019
Policy Review - Summary of Comments 202.2 04/01/2019
Medical Council
204   
05/01/2019
Innovation, Technology, and Advancement Committee (ITAC) 205 05/01/2019
Emergency Medical Services Commission Ordinance
206   
12/15/2014
EMS Commission Advisory Committees
207   
07/01/2017
County Organization Chart Emergency Medical Services Agency
210   
01/01/2017
County Administrative Staff Emergency Medical Services
212   
04/05/2018
Base Hospital and Provider Agency Reporting Responsibilities
214   
04/01/2018
Pediatric Advisory Committee (PedAC) 216 05/01/2019
Trauma Hospital Advisory Committee (THAC) 218 05/01/2019
Downgrading or Closure of 9-1-1 Receiving Hospitals or
        
Emergency Medical Services

222   

01/01/2017
Private Ambulance Provider Non 9-1-1 Medical Dispatch
226   
06/01/2018
Private Ambulance Provider Non 9-1-1 Medical Dispatch
Caller Interview Guidelines
     226.1 06/01/2018
Dispatching of Emergency Medical Services
227   
10/01/2017
Dispatch Prearrival Instructions 227.1 04/01/2019
ReddiNet Utilization
228   
04/01/2018

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
   
SUBJECT: PROVIDER AGENCIES
REFERENCE
NO. 400
Last
Updated

Public Provider Agency Directory
401   
01/23/2018
Licensed Ambulance and EMS Aircraft Operators                                                                          
08/01/2019
Licensed Ambulette Operators
12/11/2017
Cities and Unincorporated Areas Provided Fire and EMS Services by
          
Los Angeles County Fire Department
404   
04/01/2016
Authorization for Paramedic Provider Status
406   
   12/15/2014
Advance Life Support (ALS) Unit Staffing
408   
04/01/2018
Reporting ALS Unit Staffing Exceptions
409   
 04/01/2018
ALS Unit Staffing Exception Report Form
 04/01/2019
Provider Agency Medical Director
411 
10/01/2017
EMT Automated External Defibrillator (AED) Service Provider Program Requirements
412 
   07/01/2013
EMT AED Service Provider Program Application
07/01/2013
Public Safety Automated External Defibrillator (AED) Service Provider Program
        Required

07/01/2013
Public Safety AED Service Provider Program Application
07/01/2013
Specialty Care Transport Provider
 07/01/2018
Verification of Employment Letter
07/01/2019
Assessment Unit  
 06/01/2018
Temporary Upgrade of An Assessment Unit to An ALS Unit      416.1 04/01/2019
Downgrade of An ALS Unit from Temporarily Upgraded Assessment Unit      416.2 04/01/2019
Authorization and Classification of Prehospital EMS Aircraft
 04/01/2019
EMS Aircraft Provider/Dispatch Center Designation
 06/01/2014
Private Ambulance Operator Medical Director 420 10/01/2017
Los Angeles County Code, Title 7, Business Licenses (Ambulance Ordinance)        450
10/01/2015
Ambulance Licensing Notices of Violation and Administrative Fines        451
08/01/2012
Ambulance Licensing Administrative Fines        451.1
08/01/2012
Ambulance Vehicle Essential Medical Equipment     451.1a 10/01/2015
Notice of Violation -  Administrative        451.2
04/01/2019
Notice of Violation -  Operational        451.3
04/01/2019
Notice of Violation -  Personnel        451.4
04/01/2019
Ambulance Licensing Administrative Fine Hearing Process        452
07/01/2018
Ambulance Licensing Investigations
10/01/2015
Ambulance Vehicle Color Scheme and Insignia Guidelines        454
10/01/2015
Ambulance Vehicle Age Limit Requirements and Exemptions        455
10/01/2015
DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
 
SUBJECT: TRANSPORTATION / PATIENT DESTINATION
REFERENCE NO. 500
Last
Updated

Hospital Directory
08/11/2019
Patient Destination

502

06/01/2018
503
07/01/2019
Hospital Diversion Request Requirements for Emergency Department Saturation
09/01/2018
Trauma Patient Destination
   504     
03/01/2017
Trauma Triage
05/01/2019
Trauma Triage Decision Scheme 506.1
04/01/2019
Sexual Assault Patient Destination
508     
04/01/2018
SART Center Roster
508.1  
09/03/2019
Service Area Hospital
 509     
03/09/2018
Service Area For Centinela Hospital Medical Center
04/01/2018
Service Area For Centinela Hospital Medical Center Map
04/01/2018
Shared Service Area For California Hospital Medical Center
          Good Samaritan Hospital and St. Vincent Hospital
 509.2  

04/01/2018
Shared Service Area For California Hospital Medical Center
         
And Good Samaritan Hospital and St. Vincent Hospital Map
04/01/2018
Service Area For White Memorial Medical Center
509.4  
01/01/2017
Service Area For White Memorial Medical Center Map
11/01/2016
Pediatric Patient Destination 510 06/01/2018
Perinatal Patient Destination
    511     
06/01/2018
Burn Patient Destination
   512     
07/01/2018
St Elevation Myocardial Infarction Patient Destination
  513     
07/01/2019
Interfacility Transport of Patients with St-Elevation Myocardial Infarction
09/01/2015
Prehospital EMS Aircraft Operations
  514     
06/01/2018
Air Ambulance Trauma Transport

515

06/01/2018
Cardiac Arrest Patient Destination
   516     
07/01/2019
Private Provider Agency Transport/Response Guidelines 517 06/01/2018
Guidelines for Determining Interfacility Level of Transport
517.1  
04/01/2019
Decompression Emergencies/Patient Destination
 518     
06/01/2018
Management of Multiple Casualty Incidents
 519     
06/01/2018
MCI - Definitions
519.1  
04/01/2018
MCI Triage Guidelines
519.2  
04/01/2019
MCI Transportation Management
519.3  
10/01/2017
MCI Transport Priority Guidelines
519.4  
04/01/2019
MCI Field Decontamination Guidelines
519.5  
04/01/2019
Regional MCI Maps and Bed Availability Worksheets
04/01/2018
North Region MCI Worksheet 519.6a 04/01/2018
South Region MCI Worksheet 519.6b 04/01/2018
East Region MCI Worksheet 519.6c 04/01/2018
West Region MCI Worksheet 519.6d 04/01/2018
Transport of Patients from Catalina Island  
12/01/2017
Catalina Island Medical Center (AHM) Transfer Process 520.1 12/01/2017
521
07/01/2018

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
   
SUBJECT: FIELD PROTOCOL / PROCEDURES
REFERENCE NO. 800
Last
Updated

EMT Scope of Practice
802     
06/01/2018
EMT Scope of Practice (Table Format)
802.1  
04/01/2018
Los Angeles County Paramedic Scope of Practice
803     
06/01/2018
Los Angeles CountyParamedic Scope of Practice (Table Format)
803.1  
04/01/2019
Fireline Emergency Medical Technician - Paramedic (FEMP)
 804      
06/01/2018
California Poison Control System  
805     
06/01/2018
Medical Control During Hazardous Material Exposure
807      
06/01/2018
Prehospital Hazmat Incident Flowchart
807.1  
04/01/2019
Determination/Pronouncement of Death in the Field 814      07/01/2019
Honoring Prehospital Do-Not-Resuscitate (DNR) Orders
815     
06/01/2018
State of California EMS Prehospital Do-Not-Resuscitate (DNR) Form
815.1   
04/01/2019
Physician Orders for Life-Sustaining Treatment (POLST)
815.2   
04/01/2019
Sample-Final Attestation For An Aid-in-Dying Drug to End My Life In a Humane and Dignified Manner 815.3    04/01/2019
End of Life Option Field Quick Reference Guide 815.4    04/01/2019
Physician at the Scene
816     
04/01/2018
Regional Mobile Response Team
817     
06/01/2018
     819
06/01/2018
Suspected Child Abuse/Neglect Reporting Guidelines
822     
08/01/2017
Guide to Suspected Child Abuse Reporting
822.1  
04/01/2019
Suspected Child Abuse Report (11166PC) Form
822.2  
04/01/2019
Suspected Child Abuse Report - Definitions and General Instructions 822.2a 04/01/2019
Sample Employee Acknowledgment 822.3 04/01/2019
Elder Abuse And Dependent Adult Abuse Reporting Guidelines
823     
04/01/2018
Report of Suspected Dependent Adult/Elder Abuse Form
823.1  
04/01/2018
Report of Suspected Dependent Adult/Elder Abuse General Instructions
04/01/2018
Paramedic Trial and Scientific Studies
830     
04/01/2018
Treatment/Transport of Minors
832     
06/01/2018
Patient Refusal of Treatment or Transport 834      06/01/2018
Communicable Disease Exposure and Testing
836     
07/01/2018
Communicable Disease (CD) Exposure and Testing Flowchart
836.1  
07/01/2018
Communicable Disease Exposure and Notification Report Form
836.2  
07/01/2018
Court Petition For Order To Test Accused Blood
07/01/2018
Application of Patient Restraints        838 06/01/2018
Medical Support During Tactical Operations
03/30/2011
Mass Gatherings Interface with Emergency Medical Services
     842
06/01/2018
EMS Resource Guidelines for Mass Gatherings and Special Events      842.1 07/01/2016
Mass Gatherings and Special Events Medical Action Plan      842.2 04/01/2019
Mass Gatherings and Special Events Event Staffing Roster        842.3 04/01/2019
Mass Gatherings and Special Events Patient Care Log      842.4 04/01/2019
     

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
   
SUBJECT: CERTIFICATION / RECERTIFICATION
Ref. NO. 1000

Last
Updated


Paramedic Accreditation 1006 01/01/2019
Mobile Intensive Care Nurse (MICN) Certification 1010 04/01/2019
MICN Field Observation
 1011   
04/01/2019
EMS Continuing Education (CE) Provider Approval and Program Requirements 1013  10/01/2017
Emergency Medical Technician (EMT) Certification
 1014   
09/01/2018

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
   
SUBJECT: EMERGENCY / DISASTER MANAGEMENT REFERENCE NO. 1100
Last
Updated

Disaster Resource Center (DRC) Designation and Mobilization
07/01/2017
Disaster Resource Centers in Los Angeles County
07/01/2017
DRC Equipment Checklist for items deployed to other Facilities
04/01/2018
Disaster Pharmaceutical Caches Carried By First Responders
07/01/2017
Mobilization of Local Pharmaceutical Caches (LPCs)
07/01/2017
LPC Inventory List
04/01/2019
LPC Photograph
04/01/2019
Mobilization of Medical/Surgical Supply (M/SS) Caches 07/01/2017
M/SS Cache Inventory and Checklist for Items Deployed 04/01/2019
Chempack Deployment For Nerve Agent Release
07/01/2017
Chempack Inventory List
04/01/2019
Chempack Photograph
04/01/2019
Chempack Checklist for Items Deployed
04/01/2019
Hospital Evacuation
01/01/2009
Hospital - Adopt a Shelter Program
02/01/2017
Bed Availability Reporting
07/01/2017
Bed Availability Report
07/01/2017
Disaster Preparedness Exercise/Drills
07/01/2017
07/01/2017
Trauma Center Emergency Preparedness
07/01/2017
Amateur Radio Communications
07/01/2017
Burn Resource Center (BRC) Designation and Activation
07/01/2017
Burn Resource Center Required Equipment/Supplies/Pharmaceutical
04/01/2019
Local Burn Lead Specialist Call Panel
04/01/2019
Remote Burn Lead Specialist
04/01/2019
Mobile Medical System Deployment
07/01/2017
Mobile Medical System Deployment - Deployment Summary 04/01/2019

Down load Reference Number 1100 Index page

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES

Treatment Protocol: TABLE OF CONTENTS   Ref. No . 1200
     
Subject: REFERENCE NO. 1200 Last Updated

Table of Contents 1200   07/01/2019
Instructions 1200.1    
Base Contact Requirements 1200.2   09/01/2019
Provider Impressions 1200.3   09/01/2019
BLS Upgrade to ALS Assessment 1200.4   09/01/2019
Assessment 1201    
       
GENERAL MEDICAL      
General Medical 1202 1202-P 09/01/2019
Diabetic Emergencies 1203* 1203-P 09/01/2019*
Fever/Sepsis 1204 1204-P 09/01/2019
GI/GU Emergencies 1205 1205-P 09/01/2019
Medical Device Malfunction 1206* 1206-P 09/01/2019*
Shock/Hypotension 1207 1207-P  
       
BEHAVIORAL      
Agitated Delirium 1208 1208-P  
Behavioral/Psychiatric Crisis 1209 1209-P  
       
CARDIOVASCULAR/ CHEST PAIN      
Cardiac Arrest 1210 1210-P  
Cardiac Chest Pain   1211   09/01/2019
Cardiac Dysrhythmia - Bradycardia 1212 1212-P 09/01/2019
Cardiac Dysrhythmia - Tachycardia 1213* 1213-P 09/01/2019*
Pulmonary Edema / CHF 1214    
       
CHILDBIRTH/ PREGNANCY      
Childbirth (Mother) 1215 1215-P  
Newborn/Neonatal Resuscitation   1216-P 09/01/2019
Pregnancy Complication 1217 1217-P  
Pregnancy/Labor 1218 1218-P  
       
ENVIRONMENTAL      
Allergy 1219 1219-P* 09/01/2019*
Burns 1220 1220-P 09/01/2019
Electrocution 1221 1221-P 09/01/2019
Hyperthermia (Environmental) 1222 1222-P  
Hypothermia/ Cold Injury 1223 1223-P  
Stings/Venomous Bites 1224 1224-P 09/01/2019
Submersion 1225 1225-P  
(Drowning and Decompression Emergency)    
       
ENT EMERCENCIES      
ENT/Dental Emergencies 1226 1226-P 09/01/2019
  1227 (omitted)    
Eye Problem 1228 1228-P 09/01/2019
       
NEUROLOGY      
ALOC 1229 1229-P  
Dizziness / Vertigo 1230 1230-P  
Seizure 1231 1231-P 07/01/2019
Stroke / CVA / TIA 1232* 1232-P 09/01/2019*
Syncope / Near Syncope 1233 1233-P  
       
RESPIRATORY      
Airway Obstruction 1234 1234-P  
BRUE - 1235-P  
Inhalation Injury 1236 1236-P* 09/01/2019*
Respiratory Distress 1237 1237-P  
       
TOXICOLOGY      
Carbon Monoxide Exposure 1238 1238-P  
Dystonic Reaction 1239 1239-P  
HAZMAT 1240 1240-P  
(Nerve Agent, organophosphate, radiological)                        
Overdose / Poisoning / Ingestion 1241 1241-P  
       
TRAUMA      
Crush Injury/Syndrome 1242 1242-P 09/01/2019
Traumatic Arrest 1243 1243-P 09/01/2019
Traumatic Injury 1244 1244-P 09/01/2019
(Multisystem, Isolated head, isolated extremity)                     
       
       

 

DEPARTMENT OF HEALTH SERVICES    
COUNTY OF LOS ANGELES    
     
SUBJECT: MEDICAL CONTROL GUIDELINES REFERENCE No. 1300 Last Updated
_________________________________________________________________________________
Medical Control Guidelines 1300 04/01/2019
Code of Ethics 1301 07/01/2018
Airway Management and Monitoring 1302 07/01/2018
Algorithm for Cath Lab Activation 1303 06/01/2018
Cardiac Monitoring/12 -  LEAD ECG 1308 09/01/2019
Color Code Drug Doses 1309 07/01/2019
Conducted Electrical Weapon (CEW) 1310 09/01/2018
Continuous Positive Airway Pressure (CPAP) 1315 06/01/2018
Drug Reference 1317 07/01/2019
         Adenosine 1317.1 07/01/2018
         Albuterol 1317.3 07/01/2018
         Amiodarone 1317.5 07/01/2018
         Aspirin 1317.7 07/01/2018
         Atropine 1317.9 04/01/2019
         Calcium Chloride 1317.11 07/01/2018
         Dextrose 1317.13 07/01/2018
         Diphenhydramine 1317.15 07/01/2018
         Epinephrine 1317.17 09/01/2019
         Fentanyl 1317.19 04/01/2019
         Glucagon 1317.21 07/01/2018
         Lidocaine 1317.23 07/01/2018
         Midazolam 1317.25 07/01/2019
         Morphine Sulfate 1317.27 09/01/2019
        Naloxone 1317.29 04/01/2019
        Nitroglycerin 1317.31 09/01/2019
        Ondansetron 1317.33 07/01/2018
        Oxygen 1317.35 07/01/2018
        Pralidoxime Chloride (DuoDote™) 1317.37 07/01/2018
        Sodium Bicarbonate 1317.39 07/01/2018
Level of Consciousness 1320 06/01/2018
Mechanical Circulatory Support (MCS) Devices 1325 06/01/2018
Medication Orders/Administration 1330 06/01/2018
Needle Thoracostomy 1335 06/01/2018
Online Medical Direction and Receving Hospital Notification 1340 07/01/2018
Pain Management 1345 06/01/2018
Pediatric Patients 1350 06/01/2018
Perfusion Status 1355 06/01/2018
Spinal Motion Restriction (SMR) 1360 12/18/2018
Transcutaneous Pacing (TCP) 1365 06/01/2018
Traumatic Hemorrhage Control 1370 09/01/2019
Treatment Protocol Quality Improvement Fallout Data Dictionary 1373 12/01/2018
Vascular Access 1375 04/01/2019
Vital Signs 1380 06/01/2018

 

  Last Updated
Los Angeles County Treatment Protocols 09/01/2019