2022 CHEMS Protocols

These are the 2022 CHEMS protocols effective July 1, 2022

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

Shock/Hypotension (Medical)

Sickle Cell Pain Crisis

Stroke/TIA

Syncope

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

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

2022 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

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

Shock/Hypotension (Medical)

Sickle Cell Pain Crisis

Stimulant Overdose

Stroke/TIA

Syncope

TASER Injuries

Termination of Resuscitation

Topical Chemical Burn

Trauma Management

Traumatic Arrest

Wide Complex Tachyarrhythmia with a Pulse

Withholding Resuscitation