These are the 2024 CHEMS protocols effective March 8, 2024

Procedure Guides

Skill Sheets

Procedure Videos

Protocols by Category

MEDICAL PROTOCOLS

General Medical Care Guideline

Patient Refusals

Abdominal Pain

Abuse/Maltreatment and Human Trafficking

Agitated/Behavioral Emergencies

Allergic Reaction/Anaphylaxis

Altered Mental Status/Behavioral

Back Pain

Bronchospasm

Chest Pain/Coronary Syndrome/STEMI

CHF/Pulmonary Edema

End of Life/Hospice

Glucose Emergencies

Hyperkalemia

LVAD – Left Ventricular Assist Device

Nausea-Vomiting

Pain Management

Seizures

Sepsis

Shock/Hypotension (Medical)

Sickle Cell Pain Crisis

Stroke/TIA

Syncope

Transition Home

CARDIOVASCULAR PROTOCOLS

Medical Cardiac Arrest

Cardiac Arrest Algorithm

Pit Crew CPR

ROSC (Return of Spontaneous Circulation)

Termination of Resuscitation

DNR/Advance Directives

Bradycardia with a Pulse

Narrow Complex Tachyarrhythmia

Wide Complex Tachyarrhythmia with a Pulse

Withholding Resuscitation

TRAUMA PROTOCOLS

Trauma Management

Burns

Crush Injury

Drowning/Submersion

Lift Assist/Fall

High Threat Considerations/Active Shooter Scenario/Care under Fire

Traumatic Arrest

TOXICOLOGY PROTOCOLS

Poisoning/Overdose

Acetylcholinesterase Inhibitors (Carbamates, Nerve Agents, Organophosphates) Exposure

Airway/Respiratory Irritants

Beta-Blocker Overdose

Calcium Channel Blocker Overdose

Carbon Monoxide/Smoke Inhalation

Cyanide

Opioid Overdose – EPICC Referral

Opioid Withdrawal

Radiation Exposure

Riot Control Agents

Stimulant Overdose

TASER Injuries

Topical Chemical Burn

ENVIRONMENTAL PROTOCOLS

Bites/Envenomation

Electrical Injuries

Diving Injuries

Hyperthermia

Hypothermia

Lightning Injuries

OB PROTOCOLS

Labor and Childbirth

Eclampsia/Pre-Eclampsia

OB Emergencies

PEDIATRIC SPECIFIC PROTOCOLS

Pediatric Respiratory Distress – Bronchiolitis

Pediatric – BRUE (Brief Resolved Unexplained Event)

EVENT MEDICINE PROTOCOLS

Event Medicine (First Aid Tent)

MEDICATIONS

Medication Cards

All Protocols in Alphabetical order

Abdominal Pain

Abuse/Maltreatment and Human Trafficking

Acetylcholinesterase Inhibitors (Carbamates, Nerve Agents, Organophosphates) Exposure

Agitated/Behavioral Emergencies

Airway/Respiratory Irritants

Allergic Reaction/Anaphylaxis

Altered Mental Status/Behavioral

Back Pain

Beta-Blocker Overdose

Bites/Envenomation

Bradycardia with a Pulse

Bronchospasm

Burns

Calcium Channel Blocker Overdose

Carbon Monoxide/Smoke Inhalation

Cardiac Arrest Algorithm

Chest Pain/Coronary Syndrome/STEMI

CHF/Pulmonary Edema

Crush Injury

Cyanide

Diving Injuries

DNR/Advance Directives

Drowning/Submersion

Eclampsia/Pre-Eclampsia

Electrical Injuries

End of Life/Hospice

General Medical Care Guideline

Glucose Emergencies

High Threat Considerations/Active Shooter Scenario/Care under Fire

Hyperkalemia

Hyperthermia

Hypothermia

Labor and Childbirth

Lift Assist/Fall

Lightning Injuries

LVAD – Left Ventricular Assist Device

Medical Cardiac Arrest

Narrow Complex Tachyarrhythmia

Nausea-Vomiting

OB Emergencies

Opioid Overdose – EPICC Referral

Opioid Withdrawal

Pain Management

Patient Refusals

Pediatric – BRUE (Brief Resolved Unexplained Event)

Pediatric Respiratory Distress – Bronchiolitis

Pit Crew CPR

Poisoning/Overdose

Radiation Exposure

Riot Control Agents

ROSC (Return of Spontaneous Circulation)

Seizures

Sepsis

Shock/Hypotension (Medical)

Sickle Cell Pain Crisis

Stimulant Overdose

Stroke/TIA

Syncope

TASER Injuries

Termination of Resuscitation

Topical Chemical Burn

Transition Home

Trauma Management

Traumatic Arrest

Wide Complex Tachyarrhythmia with a Pulse

Withholding Resuscitation

(Effective July 1, 2022) 2022 CHEMS Protocols

• CARDIAC ARREST CHECKLIST (MEDICAL ONLY)
• Click Here For Updates To Field Treatment Guidelines
• EXTRAS
• WORD DOCUMENT COPY OF FIELD TREATMENT GUIDELINES
• PATIENT SAFETY/QUALITY IMPROVEMENT REPORTS
• SCOPE OF PRACTICE
  • FIRST RESPONDER/EMERGENCY MEDICAL RESPONDER
  • BLS
  • ALS EMRA
  • ALS CHRISTIAN HOSPITAL
• PROCEDURE GUIDES
  • SKILL SHEETS
  • PROCEDURE VIDEOS
• UNIVERSAL CARE
  • DEFINITION OF A PATIENT
  • UNIVERSAL CARE GUIDELINE
  • FUNCTIONAL NEEDS
  • PATIENT REFUSALS
• CARDIOVASCULAR
  • ADULT AND PEDIATRIC SYNCOPE AND PRESYNCOPE
  • CHEST PAIN/ACUTE CORONARY SYNDROME (ACS)/ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION (STEMI)
  • BRADYCARDIA
  • IMPLANTABLE VENTRICULAR ASSIST DEVICES
  • TACHYCARDIA WITH A PULSE
  • SUSPECTED STROKE/TRANSIENT ISCHEMIC ATTACK
• GENERAL MEDICAL
  • ABDOMINAL PAIN
  • ABUSE AND MALTREATMENT
  • AGITATED OR VIOLENT PATIENT/BEHAVIORAL EMERGENCY
  • ANAPHYLAXIS AND ALLERGIC REACTION
  • ALTERED MENTAL STATUS
  • BACK PAIN
  • END-OF-LIFE CARE/PALLIATIVE CARE
  • HYPERGLYCEMIA
  • HYPOGLYCEMIA
  • NAUSEA-VOMITING
  • PAIN MANAGEMENT
  • SEIZURES
  • SHOCK
  • SICKLE CELL PAIN CRISIS
• RESUSCITATION
  • CARDIAC ARREST CHECKLIST (Medical Only)
  • CARDIAC ARREST (VF/VT/ASYSTOLE/PEA)
  • ADULT POST-ROSC (RETURN OF SPONTANEOUS CIRCULATION) CARE
  • DETERMINATION OF DEATH/WITHHOLDING RESUSCITATIVE EFFORTS
  • DO NOT RESUSCITATE STATUS/ADVANCE DIRECTIVES/HEALTHCARE POWER OF ATTORNEY (POA) STATUS
  • TERMINATION OF RESUSCITATIVE EFFORTS
• PEDIATRIC-SPECIFIC GUIDELINES
  • BRIEF RESOLVED UNEXPLAINED EVENT (BRUE)
  • PEDIATRIC RESPIRATORY DISTRESS (BRONCHIOLITIS)
  • PEDIATRIC RESPIRATORY DISTRESS (CROUP)
  • NEONATAL RESUSCITATION
• OB/GYN
  • CHILDBIRTH
  • ECLAMPSIA/PRE-ECLAMPSIA
  • OBSTETRICAL AND GYNECOLOGICAL CONDITIONS
• RESPIRATORY
  • AIRWAY MANAGEMENT
  • BRONCHOSPASM (DUE TO ASTHMA AND OBSTRUCTIVE LUNG DISEASE)
  • PULMONARY EDEMA
• TRAUMA
  • GENERAL TRAUMA MANAGEMENT
  • BLAST INJURIES
  • BURNS
  • CRUSH INJURY/RHABDOMYOLYSIS
  • EXTREMITY TRAUMA/EXTERNAL HEMORRHAGE MANAGEMENT
  • FACIAL/DENTAL TRAUMA
  • HEAD INJURY
  • HIGH THREAT CONSIDERATIONS/ACTIVE SHOOTER SCENARIO
  • SPINAL CARE
• TOXINS AND ENVIRONMENTAL
  • POISONING/OVERDOSE UNIVERSAL CARE
  • ACETYLCHOLINESTERASE INHIBITORS (CARBAMATES, NERVE AGENTS, ORGANOPHOSPHATES) EXPOSURE
  • RADIATION EXPOSURE
  • TOPICAL CHEMICAL BURN
  • STIMULANT POISONING/OVERDOSE
  • CYANIDE EXPOSURE
  • BETA BLOCKER POISONING/OVERDOSE
  • BITES AND ENVENOMATION
  • CALCIUM CHANNEL BLOCKER POISONING/OVERDOSE
  • CARBON MONOXIDE/SMOKE INHALATION
  • OPIOID POISONING/OVERDOSE
  • AIRWAY RESPIRATORY IRRITANTS
  • RIOT CONTROL AGENTS
  • HYPERTHERMIA/HEAT EXPOSURE
  • HYPOTHERMIA/COLD EXPOSURE
  • DROWNING
  • DIVE (SCUBA) INJURY/ACCIDENTS
  • CONDUCTED ELECTRICAL WEAPON INJURY (E.G. TASER®)
  • ELECTRICAL INJURIES
  • LIGHTNING/LIGHTNING STRIKE INJURY
• APPENDICES
  • Appendix III – UNIVERSAL DOCUMENTATION GUIDELINE
  • Appendix IV – MEDICATIONS
  • Appendix V – APPROVED ABBREVIATIONS
  • Appendix VI – BURN AND BURN FLUID CHARTS
  • Appendix VII – NEUROLOGIC STATUS ASSESSMENT
  • Appendix VIII – ABNORMAL VITAL SIGNS
  • Appendix X – TCD Trauma Algorithms
  • Appendix XI – COVID
  • Appendix XII – COVID interfacility transport