EMS site banner

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   
10/27/2016
Private Provider Agency Directory                                                                            
3/20/2017
Licensed Ambulette Operators
1/26/2017
Cities and Unincorporated Areas Provided Fire and EMS Services by
          
Los Angeles County Fire Department
404   
4/1/2016
Authorization for Paramedic Provider Status
406   
   12/15/2014
Advance Life Support (ALS) Unit Staffing
408   
3/1/2015
Reporting ALS Unit Staffing Exceptions
409   
 12/15/2014
ALS Unit Staffing Exception Report Form
 11/30/2016
Drug Authorizing Physician for Provider Agencies
410  
12/14/2014
Provider Agency Drug Authorizing Physician Confirmation and Agreement
        To Purchase Drugs and Medical Supplies

12/15/2014
Provider Agency Medical Director
411 
10/1/2017
EMT Automated External Defibrillator (AED) Service Provider Program Requirements
412 
   7/1/2013
EMT AED Service Provider Program Application
7/1/2013
Public Safety Automated External Defibrillator (AED) Service Provider Program
        Required

7/1/2013
Public Safety AED Service Provider Program Application
7/1/2013
Critical Care Transport (CCT) Provider
 7/1/2014
Verification of Employment Letter
7/1/2014
Assessment Unit
 10/1/2017
Temporary Upgrade of An Assessment Unit to An ALS Unit      416.1 8/16/2017
Downgrade of An ALS Unit from Temporarily Upgraded Assessment Unit      416.2 8/16/2017
Authorization and Classification of Prehospital EMS Aircraft
 12/15/2014
EMS Aircraft Provider/Dispatch Center Designation
 12/15/2014
Private Ambulance Operator Medical Director 420 10/01/2017
Los Angeles County Code, Title 7, Business Licenses (Ambulance Ordinance)        450
10/1/2015
Ambulance Licensing Notices of Violation and Administrative Fines        451
8/1/2012
Ambulance Licensing Administrative Fines        451.1
8/1/2012
Ambulance Vehicle Essential Medical Equipment     451.1a 10/1/2015
Notice of Violation -  Administrative        451.2
8/1/2012
Notice of Violation -  Operational        451.3
8/1/2012
Notice of Violation -  Personnel        451.4
8/1/2012
Ambulance Licensing Administrative Fine Hearing Process        452
8/1/2012
Ambulance Licensing Investigations
10/01/2015
Ambulance Vehicle Color Scheme and Insignia Guidelines        454
10/1/2015
Ambulance Vehicle Age Limit Requirements and Exemptions        455
10/1/2015
DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES
   
SUBJECT: TRANSPORTATION / PATIENT DESTINATION
REFERENCE NO. 500
Last
Updated

Hospital Directory
11/6/2017
Patient Destination

502

10/1/2015
      503
7/01/2014
Hospital Diversion Request Requirements for Emergency Department Saturation
7/01/2014
Trauma Patient Destination
   504     
3/1/2017
MLK Community Hospital Transitional Transport Guidelines
  505     
8/11/2015
MLK Transitional Transport Guidelines 505.1 7/29/2015
Trauma Triage
     506
7/1/2016
Trauma Triage Decision Scheme      506.1
2/6/2017
Sexual Assault Patient Destination
 508     
9/1/2015
SART Center Roster
508.1  
10/3/2016
Service Area Hospital
 509     
4/1/2016
Service Area For Centinela Hospital Medical Center
9/1/2015
Service Area For Centinela Hospital Medical Center Map
3/1/2017
Shared Service Area For California Hospital Medical Center
          Good Samaritan Hospital and St. Vincent Hospital
 509.2  

4/1/2015
Shared Service Area For California Hospital Medical Center
         
And Good Samaritan Hospital and St. Vincent Hospital Map

3/19/2015
Service Area For Memorial Hospital Of Gardena
 509.3  
8/11/2015
Service Area Memorial Hospital Of Gardena Map
5/21/2015
Service Area For White Memorial Medical Center
509.4  
1/1/2017
Service Area For White Memorial Medical Center Map
11/1/2016
Pediatric Patient Destination<<< New 510 4/1/2017
Pediatric Patient Destination
10/1/2015
Perinatal Patient Destination
511     
7/1/2016
Burn Patient Destination
512     
2/28/2015
St Elevation Myocardial Infarction Patient Destination
513     
9/1/2015
Interfacility Transport of Patients with St-Elevation Myocardial Infarction
9/1/2015
Prehospital EMS Aircraft Operations
  514     
12/15/2014
Air Ambulance Trauma Transport

515

2/1/2014
Return of Spontaneous Circulation (ROSC) Patient Destination
516     
3/1/2017
Private Provider Agency Transport/Response Guidelines
  517     
4/1/2016
Private Provider Agency Transport/Response Guidelines 517 10/1/2017
Guidelines for Determining Interfacility Level of Transport
517.1  
7/1/2017
Decompression Emergencies/Patient Destination
 518     
4/1/2017
Management of Multiple Casualty Incidents
 519     
4/15/2015
MCI - Definitions
519.1  
2/28/2015
MCI Triage Guidelines
519.2  
8/1/2017
MCI Transportation Management
519.3  
10/1/2017
MCI Transport Priority Guidelines
519.4  
8/1/2017
MCI Field Decontamination Guidelines
519.5  
7/1/2017
Regional MCI Maps and Bed Availability Worksheets
6/1/2014
North Region MCI Worksheet 519.6a 11/18/2014
South Region MCI Worksheet 519.6b 11/18/2014
East Region MCI Worksheet 519.6c 11/18/2014
West Region MCI Worksheet 519.6d 11/18/2014
Transport of Patients from Catalina Island 520 05/01/2012
Transport of Patients from Catalina Island  ***Effective 12/1/2017
     520
12/1/2017
Catalina Island Medical Center (AHM) Transfer Process 520.1 12/1/2017
     521
7/1/2016

 

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

EMT Scope of Practice
802     
10/1/2017
EMT Scope of Practice (Table Format)
802.1  
12/1/2017
Los Angeles County Paramedic Scope of Practice
803     
5/1/2014
Los Angeles CountyParamedic Scope of Practice (Table Format)
803.1  
5/1/2014
Fireline Emergency Medical Technician - Paramedic (FEMP)
 804      
8/25/2016
California Poison Control System
805     
2/1/2017
Procedures Prior to Base Contact
806     
5/15/2015
     806.1
8/1/2017
Medical Control During Hazardous Material Exposure
807      
2/1/2014
Prehospital Hazmat Incident Flowchart
807.1  
3/4/2010
Base Hospital Contact and Transport Criteria
808     
7/1/2016
Base Hospital Contact and Transport Criteria (Field Reference)
808.1  
7/1/2016
Standing Field Treatment Protocols
813     
2/28/2015
Determination/Pronouncement of Death in the Field 814      6/21/2016
Honoring Prehospital Do-Not-Resuscitate (DNR) Orders
815     
6/21/2016
State of California EMS Prehospital Do-Not-Resuscitate (DNR) Form
815.1   
2/28/2015
Physician Orders for Life-Sustaining Treatment (POLST)
815.2   
9/1/2015
Sample-Final Attestation For An Aid-in-Dying Drug to End My Life In a Humane and Dignified Manner 815.3    6/21/2016
End of Life Option Field Quick Reference Guide 815.4    6/21/2016
Physician at the Scene
816     
9/1/2017
Hospital Emergency Response Team (H.E.R.T.)
817     
5/15/2015
     819
10/1/2015
Suspected Child Abuse/Neglect Reporting Guidelines
822     
8/1/2017
Guide to Suspected Child Abuse Reporting
822.1  
8/1/2017
Suspected Child Abuse Report (11166PC) Form
822.2  
8/1/2017
Sample Employee Acknowledgment 822.3 8/1/2017
Elder Abuse And Dependent Adult Abuse Reporting Guidelines
823     
5/1/2012
Report of Suspected Dependent Adult/Elder Abuse Form
823.1  
1/15/2009
Report of Suspected Dependent Adult/Elder Abuse General Instructions
1/15/2009
Paramedic Trial and Scientific Studies
830     
10/1/2015
Treatment/Transport of Minors
832     
5/3/2016
Patient Refusal of Treatment or Transport 834 9/1/2015
Communicable Disease Exposure and Testing
836     
2/1/2017
Communicable Disease (CD) Exposure and Testing Flowchart
836.1  
2/1/2013
Communicable Disease Exposure and Notification Report Form
836.2  
2/1/2017
Court Petition For Order To Test Accused Blood
2/1/2017
Application of Patient Restraints
838    
7/1/2013
Application of Patient Restraints  <<< Effective 10 1, 2017      838 10/1/2017
Medical Support During Tactical Operations
3/30/2011
Mass Gatherings Interface with Emergency Medical Services
     842
7/16/2016
EMS Resource Guidelines for Mass Gatherings and Special Events      842.1 7/1/2016
Mass Gatherings and Special Events Medical Action Plan      842.2 7/1/2016
Mass Gatherings and Special Events Event Staffing Roster        842.3 7/1/2016
Mass Gatherings and Special Events Patient Care Log      842.4 7/1/2016
     

 

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

Disaster Resource Center (DRC) Designation and Mobilization
7/01/2017
Disaster Resource Centers in Los Angeles County
7/1/2017
DRC Equipment Checklist for items deployed to other Facilities
7/1/2017
Disaster Pharmaceutical Caches Carried By First Responders
7/1/2017
Mobilization of Local Pharmaceutical Caches (LPCs)
7/1/2017
LPC Inventory List
7/1/2017
LPC Photograph
7/1/2017
Mobilization of Medical/Surgical Supply (M/SS) Caches 7/1/2017
M/SS Cache Inventory and Checklist for Items Deployed 7/1/2017
Chempack Deployment For Nerve Agent Release
7/1/2017
Chempack Inventory List
7/1/2017
Chempack Photograph
7/1/2017
Chempack Checklist for Items Deployed
7/1/2017
Hospital Evacuation
1/1/2009
Hospital - Adopt a Shelter Program
2/1/2017
Bed Availability Reporting
7/1/2017
Bed Availability Report
7/1/2017
Disaster Preparedness Exercise/Drills
7/1/2017
7/1/2017
Trauma Center Emergency Preparedness
7/1/2017
Amateur Radio Communications
7/1/2017
Burn Resource Center (BRC) Designation and Activation
7/1/2017
Burn Resource Center Required Equipment/Supplies/Pharmaceutical
7/1/2017
Local Burn Lead Specialist Call Panel
7/1/2017
Remote Burn Lead Specialist
7/1/2017
Mobile Medical System Deployment
7/1/2017
Mobile Medical System Deployment - Deployment Summary 4/1/2017

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

10/1/2016
General Advanced Life Support
               General ALS *

8/1/2017
Dysrhythmias
               Non-Traumatic Cardiac Arrest (Adult)*
               Symptomatic Bradycardia (Adult)
               Tachycardia with Pulses (Adult)
 

8/1/2017
8/1/2017
9/1/2013
Environmental
               Bites and Stings
               Decompression Emergency
               Nerve Agent Exposure       
               Hyperthermia (Environmental)
               Hypothermia
               Near-Drowning
               Organophosphate Emergency
               Radiological Exposure


9/1/2013
8/1/2017
4/1/2015
8/1/2017
8/1/2017
9/1/2013
9/1/2013
4/1/2015
 
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 *

8/1/2017
11/8/2017
8/1/2017
8/1/2017
4/1/2017
8/1/2017
8/1/2017
9/1/2016
8/1/2017
8/1/2017
4/1/2017
4/1/2017
Pediatrics/Childbirth
               Emergency Childbirth-Mother*
               Emergency Childbirth-Newborn/Neonatal Resuscitation*
               Pediatric Arrest
               Pediatric Seizure*
               Pediatric Symptomatic Bradycardia
               Pediatric Tachydysrhythmias

7/1/2016
2/1/2017
8/1/2017
8/1/2017
2/1/2017
9/1/2013
Trauma
               Burns*
               Crush Injury/Crush Syndrome
               General Trauma*
               Traumatic Arrest *

5/1/2014
8/1/2017
7/1/2016
7/1/2016
* 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              
10/1/2016
Los Angeles County Prehospital Code of Ethics
9/1/2013
12 - Lead Electrocardiogram              
9/1/2015
Medical Control Guideline: Cath Lab Activation Algorithm 1303 9/1/2015
Medical Control Guideline: Airway Management/Monitoring
10/1/2016
Altered Level of Consciousness
7/1/2014
Cardiac Monitoring              
10/1/2016
Color Code Drug Doses LA County Kids 1309 8/1/2017
Conducted Electrical Weapon              
1/1/2016
Continuous Positive Airway Pressure              
5/8/2013
Traumatic Hemorrhage Control             
4/15/2015
Hypoglycemia              
2/28/2015
Intraosseous Access
12/1/2014
Medication Orders and Administration 1319 10/1/2016
Needle Thoracostomy 1320 7/1/2016
Online Medical Control
1/1/2016
Pain Assessment
9/1/2013
Pediatric Patients
1/15/2014
Perfusion Status 1329 10/1/2016
Pre-Existing Vascular Access
7/1/2014
Spinal Motion Restriction
7/1/2014
Transcutaneous Pacing
1/1/2016
Vascular Access 1339 10/1/2016
Ventricular Assist Devices
7/1/2016
Vital Signs
1/1/2016