The guidelines for the Northwest Ohio EMS Consortium are designed to be both a practical guide for the treatment of patients, and a teaching document to be used by prehospital providers. These guidelines are broad guidelines for multiple department / agencies in both the rural and urban environment. Not all components of these guidelines are appropriate for the individual department. These guidelines provide a decision tree, referring to more specific guidelines in the other sections.
The sections (Tabs) within the guidelines are: Administrative, Cardiac, Adult Medical, Obstetric / Gynecologic, Pediatric Medical, Environmental, Trauma and medication guidebook.
The guidelines are updated throughout the year based upon current literature and advances in medicine. These guidelines are put out in PDF format and can be accessed on mobile devices through the PPP Agency App.
***Protocols Updated***
6/6/2025
Protocol Updates as follows:
Combined ALS/BLS
OneDose changes/updates published 6/6/2025
OneDose Link: https://www.onedose-admin.com/sites/northwestohioemsconsortium
PPP Updates as soon as vendor can process
Website updated with same PDF file (see below)
Updates by Tab:
1. ResQgard removed from protocols – obsolete
a. 3-10, 3-14, 3-21, 6-5, 8-28
2. Nitrous oxide added to pain protocols
a. 3-28, 5-20
3. Synchronized Cardioversion changes 100-200 Narrow complex 100, Wide complex 200
a. 2-5, 2-6, 2-7
4. Rocuronium added to MAI – ONLY FOR DIALYSIS/HYPERKALEMIA RISK
a. 8-12
5. Vector change and DSED in refractory Vfib
a. 8-34
6. Glide Go added
a. 8-17
7. Transport medicine and Island Caveat protocols added 10 and 11
8. (one dose calculator) Anaphylaxis Epi dosing – calculation to include Intermediate/medic dosing
9. Toradol for Adults 15mg IV and 30 mg IM
a. 3-28
10. Adult tachycardia algorithms added back to current AHA algorithms
a. 2-5, 2-6, 2-7
11. Afib protocol lidocaine removed
a. 2-5
12. Vtach Lido changed to 1.0 to 1.5 mg/kg with repeat . 5 - .75mg/kg up to 3.0mg/kg
a. 2-7
13. Adult Bradycardia algorithm added back to AHA algorithm
a. 2-8
14. Peds bradycardia algorithms added back to protocol
a. 2-12
15. Peds tachycardia algorithms added back to protocol
a. 2-11
16. Notification to MD list updated
a. 8-1
17. Cyanokit prioritized in algorithm over amyl Nitrite
a. 5-11, 3-16
18. Review Legend instructions
a. Tab -0
*Video file may not play on all computers, we are working through this issue and appreciate your patience*
YouTube Link:
- Replacement for I-gel and King LTD
YouTube Link - https://youtu.be/WCwhfLkIKrY
COVID 19 Respiratory Protocols