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EMS Standing Orders

 

Orange County EMS Standing Orders - Sections

 

ALS Standing Orders - Table of Contents

 

General ALS Standing Orders

SO                  Title                                                                                                                                                                                                       Updated
I-10 Abbreviations and Definitions 09/03/2019
I-15 Adult / Adolescent Standing Order Drug Guide 07/01/2021
I-20 Pediatric Medication Volume Dose by Weight 06/19/2023
SO-AEMT Advanced EMT Standing Orders 10/01/2018
SO-ALS ALS General Standing Orders - OCEMS Accredited Paramedic 04/01/2022
SO-AMA Signing Against Medical Advice (AMA) in the Field 04/01/2019
SO-REL Evaluation without EMS Treatment or Transport (Release in Field) 04/01/2019

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Cardiac - ALS Standing Orders

SO                  Title                                                                                                                                                                                                    Updated
SO-C-010 Cardiopulmonary Arrest - Adult / Adolescent Non-Traumatic 02/18/2021
SO-C-015 Chest Pain of Suspected Cardiac Origin or Suspected Angina Equivalent Symptoms 07/15/2021
SO-C-020 Symptomatic Bradycardia - Adult/Adolescent 02/18/2021
SO-C-025 Narrow Complex QRS Complex Tachycardia 04/01/2017
SO-C-030 Narrow QRS Complex Tachycardia - Irregular Rhythm - Adult/Adolescent 10/01/2017
SO-C-040 Wide QRS Complex Tachycardia with a Pulse - Adult/Adolescent 05/01/2016
SO-C-045 Cardiac Arrest with Left Ventricular Assist Device (LVAD) 10/01/2017

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Environmental - ALS Standing Orders

SO Title                                                                                                                                                                                                  Updated
SO-E-005 Burn (Thermal, Electrical, Chemical) - Adult 01/28/2020
SO-E-010 Diving - Decompression Sickness / Air Embolism - Adult / Adolescent 09/27/2021
SO-E-015 Non-Fatal Drowning 04/01/2017
SO-E-025 Thermal 04/01/2017
SO-E-030 Snake Envenomation 07/01/2018

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Medical - ALS Standing Orders

SO Title                                                                                                                                                                                                     Updated
SO-M-005 Abdominal or Flank Pain, Non-Traumatic 01/02/2019
SO-M-010 Hyperglycemia - Adult / Adolescent 10/01/2019
SO-M-015 Allergic Reaction / Anaphylaxis 04/01/2023
SO-M-020 Altered Mental Status 10/01/2019
SO-M-025 Suspected Acute Stroke or Intracranial Hemorrhage (Stroke Triage Criteria) ***CURRENT*** 04/01/2019
SO-M-025 Suspected Acute Stroke or Intracranial Hemorrhage (Stroke Triage Criteria) ***UPCOMING 04/01/2024*** 10/01/2023
SO-M-030 Psychiatric / Behavioral Emergencies 10/01/2017
SO-M-035 Respiratory Distress 05/01/2016
SO-M-040 Seizure / Convulsions - Adult / Adolescent 07/01/2021
SO-M-045 Shock (Symptomatic Hypotension) 04/01/2017
SO-M-050 Substance Overdose / Poisoning - Adult / Adolescent 10/01/2021
SO-M-055 Suspected Sepsis 04/01/2017
SO-M-060 Nausea / Vomiting 04/01/2019
SO-M-080 Sedation for Endotracheal or LMA Intubation - Adult / Adolescent 10/01/2022

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OB - ALS Standing Orders

SO Title                                                                                                                                                                                     Updated
SO-O-010 Hypertensive Disorders of Pregnancy 10/01/2021
SO-O-015 Vaginal Bleeding During Pregnancy 11/01/2016

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Pediatrics - ALS Standing Orders

SO Title                                                                                                                                                                                        Updated
SO-P-010 Newborn Care 04/01/2023
SO-P-015 General Injury and Trauma - Pediatric 04/01/2020
SO-P-020 Traumatic Cardiopulmonary Arrest - Pediatric 04/01/2023
SO-P-025 Amputation Injuries - Pediatric 10/01/2020
SO-P-030 Crush Injury - Pediatric 10/01/2020
SO-P-035 Acute Respiratory Distress - Pediatric 04/01/2020
SO-P-040 Cardiopulmonary Arrest - Pediatric 03/05/2021
SO-P-045 Bradycardia - Pediatric 04/01/2022
SO-P-060 Allergic Reaction / Anaphylaxis - Pediatric 04/01/2023
SO-P-065 Altered Mental Status - Pediatric 04/01/2020
SO-P-075 Seizure / Convulsion - Pediatric 10/19/2022
SO-P-080 Shock (Symptomatic Hypotension) - Pediatric 04/01/2020
SO-P-085 Substance Overdose / Poisoning - Pediatric ***CURRENT*** 10/01/2020
SO-P-085 Substance Overdose / Poisoning - Pediatric ***UPCOMING 04/01/2023*** 10/01/2023
SO-P-090 Nausea / Vomiting - Pediatric 04/01/2020
SO-P-095 Burn (Thermal, Electrical, Chemical) - Pediatric 10/01/2020
SO-P-100 Non-Fatal Drowning - Pediatric 04/01/2017
SO-P-105 Thermal Disorders - Pediatric 04/01/2020
SO-P-110 Left Ventricular Assist Device (LVAD) - Pediatric 04/01/2020

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Special Deployment - ALS Standing Orders

SO Title                                                                                                                                                                                             Updated
SPC-SO-001 Special Deployment (Fireline) Tactical Medical / ALS Air Rescue SO 11/17/2021

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Trauma - ALS Standing Orders

SO Title                                                                                                                                                                        Updated
SO-T-005 General Injury and Trauma - Adult / Adolescent 04/01/2019
SO-T-010 Traumatic Cardiopulmonary Arrest - Adult / Adolescent ***CURRENT*** 04/01/2023
SO-T-010 Traumatic Cardiopulmonary Arrest - Adult / Adolescent ***UPCOMING 04/01/2023*** 10/01/2023
SO-T-015 Amputation Injuries - Adult / Adolescent 10/01/2017
SO-T-020 Crush Injury - Adult / Adolescent 05/01/2016
SO-T-025 Taser - Adult / Adolescent 04/01/2017

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BLS Standing Orders

SO Title                                                                                                                                                                      Updated
SO-B-001 Basic Life Support Standing Orders 10/01/2017
SO-B-002 Naloxone Administration 10/01/2017
SO-B-003 Glucose Oral Administration 10/01/2017
SO-B-004 Snake Envenomation - Adult / Adolescent 10/01/2018
SO-B-REL Evaluation without Treatment or EMS Transport (Release in Field) 10/01/2022

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First Responder Standing Orders

SO Title                                                                                                                                                                    Updated
SO-FR-001 First Responder: Naloxone Administration 10/01/2022
SO-FR-002 Oxygen Administration 10/01/2017
SO-FR-003 Automated External Defibrillator (AED) 03/18/2021
SO-FR-004 Oropharyngeal Airway (OPA) 11/15/2017
SO-FR-005 Nasopharygeal Airway (NPA)  04/20/2018

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Fire Service ARN Standing Orders

SO Title                                                                                                                                                       Updated
SO-F-01 Diarrhea or Nausea/Vomiting 04/01/2017
SO-F-02 Over the Counter (OTC) Medications 04/01/2017
SO-F-03 Rehabilitation / Rehydration 04/01/2017
SO-F-04 Eye Irrigation 04/01/2017
SO-F-05 Wound Irrigation 04/01/2017
SO-F-06 Carbon Monoxide Evaluation 04/01/2017

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