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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                                                                          
05/01/2019
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
Critical Care Transport (CCT) Provider
 07/01/2018
Verification of Employment Letter
07/01/2018
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
05/17/2019
Patient Destination

502

06/01/2018
503
06/01/2018
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  
05/01/2019
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     
04/01/2019
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
Return of Spontaneous Circulation (ROSC) Patient Destination
   516     
06/01/2018
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      06/01/2018
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    
Instructions 1200.1    
Base Contact Requirements 1200.2    
Provider Impressions 1200.3    
BLS Upgrade to ALS Assessment 1200.4    
Assessment 1201    
       
GENERAL MEDICAL      
General Medical 1202 1202-P  
Diabetic Emergencies 1203 1203-P  
Fever/Sepsis 1204 1204-P  
GI/GU Emergencies 1205 1205-P  
Medical Device Malfunction 1206 1206-P  
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    
Cardiac Dysrhythmia - Bradycardia 1212 1212-P  
Cardiac Dysrhythmia - Tachycardia 1213 1213-P  
Pulmonary Edema / CHF 1214    
       
CHILDBIRTH/ PREGNANCY      
Childbirth (Mother) 1215 1215-P  
Newborn/Neonatal Resuscitation   1216-P  
Pregnancy Complication 1217 1217-P  
Pregnancy/Labor 1218 1218-P  
       
ENVIRONMENTAL      
Allergy 1219 1219-P  
Burns 1220 1220-P  
Electrocution 1221 1221-P  
Hyperthermia (Environmental) 1222 1222-P  
Hypothermia/ Cold Injury 1223 1223-P  
Stings/Venomous Bites 1224 1224-P  
Submersion 1225 1225-P  
(Drowning and Decompression Emergency)    
       
ENT EMERCENCIES      
ENT/Dental Emergencies 1226 1226-P  
  1227 (omitted)    
Eye Problem 1228 1228-P  
       
NEUROLOGY      
ALOC 1229 1229-P  
Dizziness / Vertigo 1230 1230-P  
Seizure 1231 1231-P  
Stroke / CVA / TIA 1232 1232-P  
Syncope / Near Syncope 1233 1233-P  
       
RESPIRATORY      
Airway Obstruction 1234 1234-P  
BRUE - 1235-P  
Inhalation Injury 1236 1236-P  
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  
Traumatic Arrest 1243 1243-P  
Traumatic Injury 1244 1244-P  
(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 06/01/2018
Color Code Drug Doses LA County Kids 1309 04/01/2019
Conducted Electrical Weapon (CEW) 1310 06/01/2018
Continuous Positive Airway Pressure (CPAP) 1315 06/01/2018
Drug Reference 1317 07/01/2018
         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 07/01/2018
         Fentanyl 1317.19 04/01/2019
         Glucagon 1317.21 07/01/2018
         Lidocaine 1317.23 07/01/2018
         Midazolam 1317.25 07/01/2018
         Morphine Sulfate 1317.27 04/01/2019
        Naloxone 1317.29 04/01/2019
        Nitroglycerin 1317.31 04/01/2019
        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 06/01/2018
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 04/01/2019