Emergency Medical Services (EMS) Agency

Prehospital Care Manual

Ref 100

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES

SUBJECT: PROVIDER AGENCIES
REFERENCE
NO. 400
Last
Updated
Public Provider Agency Directory
01/23/2020
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
04/01/2016
Authorization for Paramedic Provider Status
 10/01/2019
Advance Life Support (ALS) Unit Staffing
04/01/2018
Reporting ALS Unit Staffing Exceptions
 04/01/2018
ALS Unit Staffing Exception Report Form
 04/01/2019
Provider Agency Medical Director
10/01/2017
EMT Automated External Defibrillator (AED) Service Provider Program Requirements
  10/01/2019
EMT AED Service Provider Program Application
10/01/2019
AED Annual Report
10/01/2019
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
 04/01/2020
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
10/01/2019
Ambulance Licensing Administrative Fines 451.1
10/01/2019
Ambulance Vehicle Essential Medical Equipment 451.1a 10/01/2019
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
Notice of Violation – Exclusive Operating Agreement (EOA) Provider 451.5 04/01/2020
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
07/09/2020
Patient Destination 502 06/01/2018
503
07/01/2019
Hospital Diversion Request Requirements for Emergency Department Saturation
09/01/2018
Trauma Patient Destination
04/01/2020
Trauma Triage
07/01/2019
Trauma Triage Decision Scheme 506.1
04/01/2019
9-1-1 Trauma Re-Triage 506.2
07/01/2020
Sexual Assault Patient Destination
04/01/2018
SART Center Roster
04/01/2020
Service Area Hospital
01/08/2020
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
And Good Samaritan Hospital
01/08/2020
Shared Service Area For California Hospital Medical Center
And Good Samaritan Hospital Map
02/01/2020
Service Area For White Memorial Medical Center
04/01/2020
Service Area For White Memorial Medical Center Map
01/01/2020
Pediatric Patient Destination 510 01/01/2020
Perinatal Patient Destination
06/01/2018
Burn Patient Destination
07/01/2018
St Elevation Myocardial Infarction Patient Destination
07/01/2019
Interfacility Transport of Patients with St-Elevation Myocardial Infarction
10/01/2019
Air Ambulance Trauma Transport 515
06/01/2018
Cardiac Arrest Patient Destination
07/01/2019
Private Provider Agency Transport/Response Guidelines 517 06/01/2018
Guidelines for Determining Interfacility Level of Transport
04/01/2019
Decompression Emergencies/Patient Destination
06/01/2018
Management of Multiple Casualty Incidents
06/01/2018
MCI – Definitions
04/01/2018
MCI Triage Guidelines
04/01/2019
MCI Transportation Management
10/01/2017
MCI Transport Priority Guidelines
04/01/2019
MCI Field Decontamination Guidelines
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
06/01/2018
EMT Scope of Practice (Table Format)
04/01/2018
Los Angeles County Paramedic Scope of Practice
06/01/2018
Los Angeles CountyParamedic Scope of Practice (Table Format)
04/01/2019
Fireline Emergency Medical Technician – Paramedic (FEMP)
06/01/2018
California Poison Control System
06/01/2018
Medical Control During Hazardous Material Exposure
06/01/2018
Prehospital Hazmat Incident Flowchart
04/01/2019
Determination/Pronouncement of Death in the Field 814 03/30/2020
Honoring Prehospital Do-Not-Resuscitate (DNR) Orders
06/01/2018
State of California EMS Prehospital Do-Not-Resuscitate (DNR) Form
04/01/2019
Physician Orders for Life-Sustaining Treatment (POLST)
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
04/01/2018
Regional Mobile Response Team
01/01/2020
819
06/01/2018
Suspected Child Abuse/Neglect Reporting Guidelines
07/01/2020
Guide to Suspected Child Abuse Reporting
07/01/2020
Suspected Child Abuse Report (11166PC) Form
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
04/01/2018
Report of Suspected Dependent Adult/Elder Abuse Form
04/01/2018
Report of Suspected Dependent Adult/Elder Abuse General Instructions
04/01/2018
Paramedic Trial and Scientific Studies
04/01/2018
Treatment/Transport of Minors
01/01/2020
Patient Refusal of Treatment or Transport 834 06/01/2018
Communicable Disease Exposure and Testing
07/01/2018
Communicable Disease (CD) Exposure and Testing Flowchart
07/01/2018
Communicable Disease Exposure and Notification Report Form
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
10/01/2019
Mass Gatherings Interface with Emergency Medical Services
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: 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
Prehospital Care Policy Waivers 1142 03/12/2020
Prehospital Care Policy Waiver Request Form 1142.1 03/12/2020

Down load Reference Number 1100 Index page

DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES

Treatment Protocol: TABLE OF CONTENT   Ref. No . 1200
Subject: REFERENCE NO. 1200 Last Updated
Table of Contents 1200 07/01/2019
Instructions 1200.1 01/01/2020
Base Contact Requirements 1200.2 01/01/2020
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 07/01/2020
Diabetic Emergencies 1203* 1203-P 07/01/2020
Fever/Sepsis 1204 1204-P 07/01/2020
GI/GU Emergencies 1205 1205-P 07/01/2020
Medical Device Malfunction 1206 1206-P 07/01/2020
Shock/Hypotension 1207 1207-P 10/01/2019
BEHAVIORAL
Agitated Delirium 1208 1208-P
Behavioral/Psychiatric Crisis 1209 1209-P
CARDIOVASCULAR/ CHEST PAIN
Cardiac Arrest 1210 1210-P 04/09/2020
Cardiac Chest Pain 1211* 09/01/2019  (*07/01/2020)
Cardiac Dysrhythmia – Bradycardia 1212 1212-P 07/01/2020
Cardiac Dysrhythmia – Tachycardia 1213* 1213-P 01/01/2020*
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 07/01/2020
ENVIRONMENTAL
Allergy 1219 1219-P* 09/01/2019*
Burns 1220 1220-P 07/01/2020
Electrocution 1221 1221-P 07/01/2020
Hyperthermia (Environmental) 1222 1222-P
Hypothermia/ Cold Injury 1223 1223-P
Stings/Venomous Bites 1224 1224-P 07/01/2020
Submersion 1225 1225-P
(Drowning and Decompression Emergency)
ENT EMERCENCIES
ENT/Dental Emergencies 1226 1226-P 07/01/2020
1227 (omitted)
Eye Problem 1228 1228-P 07/01/2020
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 07/01/2020
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 01/01/2020 (*07/01/2020)
TRAUMA
Crush Injury/Syndrome 1242 1242-P 07/01/2020
Traumatic Arrest 1243 1243-P 09/01/2019
Traumatic Injury 1244* 1244-P 09/01/2020* (07/01/2020)
(Multisystem, Isolated head, isolated extremity)                   
POTENTIAL COVID-19 PATIENTS 1245 06/29/2020

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
Capnography 1305 04/01/2020
Cardiac Monitoring/12 –  LEAD ECG 1308 09/01/2019
Color Code Drug Doses 1309 09/01/2020
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 01/01/2020
         Albuterol 1317.3 07/01/2018
         Amiodarone 1317.5 01/01/2020
         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
         Ketorolac 1317.22 09/01/2020
         Lidocaine 1317.23 07/01/2018
         Midazolam 1317.25 09/01/2020
         Morphine Sulfate 1317.27 09/01/2019
        Naloxone 1317.29 01/01/2020
        Nitroglycerin 1317.31 09/01/2019
        Ondansetron 1317.33 01/01/2020
        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 07/01/2020
Pediatric Patients 1350 01/01/2020
Perfusion Status 1355 06/01/2018
Protection Against Potential Communicable Diseases 1357 06/29/2020
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 01/01/2020
Vascular Access 1375 04/01/2019
Vital Signs 1380 06/01/2018