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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: PROVIDER AGENCIES
REFERENCE
NO. 400
Last
Updated

Public Provider Agency Directory
401   
01/23/2018
Licensed Ambulance and EMS Aircraft Operators                                                                          
03/15/2018
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
 11/30/2016
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
Critical Care Transport (CCT) Provider
 07/01/2014
Verification of Employment Letter
07/01/2017
Assessment Unit
 10/01/2017
Temporary Upgrade of An Assessment Unit to An ALS Unit      416.1 08/16/2017
Downgrade of An ALS Unit from Temporarily Upgraded Assessment Unit      416.2 08/16/2017
Authorization and Classification of Prehospital EMS Aircraft
 12/15/2014
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
08/01/2012
Notice of Violation -  Operational        451.3
08/01/2012
Notice of Violation -  Personnel        451.4
08/01/2012
Ambulance Licensing Administrative Fine Hearing Process        452
08/01/2012
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
05/01/2018
Patient Destination

502

10/01/2015
      503
04/01/2018
Hospital Diversion Request Requirements for Emergency Department Saturation
07/01/2014
Trauma Patient Destination
   504     
03/01/2017
MLK Community Hospital Transitional Transport Guidelines
  505     
08/11/2015
Trauma Triage
     506
07/01/2016
Trauma Triage Decision Scheme      506.1
02/06/2017
Sexual Assault Patient Destination
 508     
04/01/2018
SART Center Roster
508.1  
10/03/2016
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 04/01/2017
Perinatal Patient Destination
511     
07/01/2016
Burn Patient Destination
512     
02/28/2015
St Elevation Myocardial Infarction Patient Destination
513     
09/01/2015
Interfacility Transport of Patients with St-Elevation Myocardial Infarction
09/01/2015
Prehospital EMS Aircraft Operations
  514     
12/15/2014
Air Ambulance Trauma Transport

515

04/01/2017
Return of Spontaneous Circulation (ROSC) Patient Destination
516     
03/01/2017
Private Provider Agency Transport/Response Guidelines 517 10/01/2017
Guidelines for Determining Interfacility Level of Transport
517.1  
07/01/2017
Decompression Emergencies/Patient Destination
 518     
04/01/2017
Management of Multiple Casualty Incidents
 519     
04/15/2015
MCI - Definitions
519.1  
04/01/2018
MCI Triage Guidelines
519.2  
08/01/2017
MCI Transportation Management
519.3  
10/01/2017
MCI Transport Priority Guidelines
519.4  
08/01/2017
MCI Field Decontamination Guidelines
519.5  
07/01/2017
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  
     520
12/01/2017
Catalina Island Medical Center (AHM) Transfer Process 520.1 12/01/2017
     521
04/01/2018

 

 

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

EMT Scope of Practice
802     
12/01/2017
EMT Scope of Practice (Table Format)
802.1  
04/01/2018
Los Angeles County Paramedic Scope of Practice
803     
05/01/2014
Los Angeles CountyParamedic Scope of Practice (Table Format)
803.1  
05/01/2014
Fireline Emergency Medical Technician - Paramedic (FEMP)
 804      
09/25/2016
California Poison Control System
805     
02/01/2017
Procedures Prior to Base Contact
806     
05/15/2015
     806.1
08/01/2017
Medical Control During Hazardous Material Exposure
807      
02/01/2014
Prehospital Hazmat Incident Flowchart
807.1  
03/04/2010
Base Hospital Contact and Transport Criteria
808     
07/01/2016
Base Hospital Contact and Transport Criteria (Field Reference)
808.1  
07/01/2016
Standing Field Treatment Protocols
813     
02/28/2015
Determination/Pronouncement of Death in the Field 814      06/21/2016
Honoring Prehospital Do-Not-Resuscitate (DNR) Orders
815     
06/21/2016
State of California EMS Prehospital Do-Not-Resuscitate (DNR) Form
815.1   
02/28/2015
Physician Orders for Life-Sustaining Treatment (POLST)
815.2   
09/01/2015
Sample-Final Attestation For An Aid-in-Dying Drug to End My Life In a Humane and Dignified Manner 815.3    06/21/2016
End of Life Option Field Quick Reference Guide 815.4    06/21/2016
Physician at the Scene
816     
04/01/2018
Regional Mobile Response Team
817     
04/01/2018
     819
10/01/2015
Suspected Child Abuse/Neglect Reporting Guidelines
822     
08/01/2017
Guide to Suspected Child Abuse Reporting
822.1  
08/01/2017
Suspected Child Abuse Report (11166PC) Form
822.2  
08/01/2017
Suspected Child Abuse Report - Definitions and General Instructions 822.2a 08/01/2017
Sample Employee Acknowledgment 822.3 08/01/2017
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     
05/03/2016
Patient Refusal of Treatment or Transport 834 09/01/2015
Communicable Disease Exposure and Testing
836     
02/01/2017
Communicable Disease (CD) Exposure and Testing Flowchart
836.1  
07/01/2013
Communicable Disease Exposure and Notification Report Form
836.2  
02/01/2017
Court Petition For Order To Test Accused Blood
02/01/2017
Application of Patient Restraints        838 10/01/2017
Medical Support During Tactical Operations
03/30/2011
Mass Gatherings Interface with Emergency Medical Services
     842
04/01/2018
EMS Resource Guidelines for Mass Gatherings and Special Events      842.1 07/01/2016
Mass Gatherings and Special Events Medical Action Plan      842.2 07/01/2016
Mass Gatherings and Special Events Event Staffing Roster        842.3 07/01/2016
Mass Gatherings and Special Events Patient Care Log      842.4 07/01/2016
     

 

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

Last
Updated


Paramedic Accreditation 1006 03/01/2014
Mobile Intensive Care Nurse (MICN) Certification 1010 03/01/2014
MICN Field Observation
 1011   
07/01/2013
EMS Continuing Education (CE) Provider Approval and Program Requirements 1013  10/01/2017
Emergency Medical Technician (EMT) Certification
 1014   
07/01/2013

 

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
07/01/2017
LPC Photograph
07/01/2017
Mobilization of Medical/Surgical Supply (M/SS) Caches 07/01/2017
M/SS Cache Inventory and Checklist for Items Deployed 07/01/2017
Chempack Deployment For Nerve Agent Release
07/01/2017
Chempack Inventory List
07/01/2017
Chempack Photograph
07/01/2017
Chempack Checklist for Items Deployed
07/01/2017
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
07/01/2017
Local Burn Lead Specialist Call Panel
07/01/2017
Remote Burn Lead Specialist
07/01/2017
Mobile Medical System Deployment
07/01/2017
Mobile Medical System Deployment - Deployment Summary 04/01/2017

Down load Reference Number 1100 Index page

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
   
SUBJECT: TREATMENT PROTOCOLS INDEX
REFERENCE
NO. 1200
Last
Updated

Cover and Acknowledgement    
General Instructions For Treatment Protocols
               Treatment Protocols

10/01/2016
General Advanced Life Support
               General ALS *

08/01/2017
Dysrhythmias
               Non-Traumatic Cardiac Arrest (Adult)*
               Symptomatic Bradycardia (Adult)
               Tachycardia with Pulses (Adult)
 

05/01/2018
08/01/2017
09/01/2013
Environmental
               Bites and Stings
               Decompression Emergency
               Nerve Agent Exposure       
               Hyperthermia (Environmental)
               Hypothermia
               Near-Drowning
               Organophosphate Emergency
               Radiological Exposure


09/01/2013
08/01/2017
04/01/2015
08/01/2017
08/01/2017
09/01/2013
09/01/2013
04/01/2015
 
Medical
               Agitated Delirium
               Allergic Reaction/Anaphylaxis
               Altered Level of Consciousness*
               Chest Pain*
               Dystonic Reaction
               Non-Traumatic Hypotension
               Overdose/Poisoning (Suspected)*
               Pain Management*
               Respiratory Distress*
               Seizure (Adult)*
               Stroke/Acute Neurological Deficits*
               Syncope *

08/01/2017
02/01/2018
08/01/2017
08/01/2017
04/01/2017
08/01/2017
08/01/2017
09/01/2016
08/01/2017
08/01/2017
04/01/2017
04/01/2017
Pediatrics/Childbirth
               Emergency Childbirth-Mother*
               Emergency Childbirth-Newborn/Neonatal Resuscitation*
               Pediatric Arrest
               Pediatric Seizure*
               Pediatric Symptomatic Bradycardia
               Pediatric Tachydysrhythmias
07/01/2016
02/01/2017
08/01/2017
08/01/2017
02/01/2017
09/01/2013
Trauma
               Burns*
               Crush Injury/Crush Syndrome
               General Trauma*
               Traumatic Arrest *

05/01/2014
08/01/2017
07/01/2016
07/01/2016
* Protocols with a Standing Field Treatment Protocol (SFTP) component.  SFTPs are to be used only by
  
paramedics employed by paramedic provider agencies which have been approved as SFTP providers.

   Paramedics who utilize these protocols without authorization are considered to be functioning outside of
   the Paramedic Scope of Practice.

 

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
 
 
SUBJECT: MEDICAL CONTROL GUIDELINES
REFERENCE
NO. 1300
Last
Updated

Reference No. 1300              
10/01/2016
Los Angeles County Prehospital Code of Ethics
09/01/2013
12 - Lead Electrocardiogram              
09/01/2015
Medical Control Guideline: Cath Lab Activation Algorithm 1303 09/01/2015
Medical Control Guideline: Airway Management/Monitoring
10/01/2016
Altered Level of Consciousness
07/01/2014
Cardiac Monitoring              
10/01/2016
Color Code Drug Doses LA County Kids 1309 08/01/2017
Conducted Electrical Weapon              
01/01/2016
Continuous Positive Airway Pressure              
05/08/2013
Traumatic Hemorrhage Control             
04/15/2015
Hypoglycemia              
02/28/2015
Intraosseous Access
12/01/2014
Medication Orders and Administration 1319 10/01/2016
Needle Thoracostomy 1320 07/01/2016
Online Medical Control
01/01/2016
Pain Assessment
09/01/2013
Pediatric Patients
01/15/2014
Perfusion Status 1329 10/01/2016
Pre-Existing Vascular Access
07/01/2014
Spinal Motion Restriction
07/01/2014
Transcutaneous Pacing
01/01/2016
Vascular Access 1339 10/01/2016
Ventricular Assist Devices
07/01/2016
Vital Signs
01/01/2016