Clinical Operating Guidelines Draft
Please email all suggestions, recommendations, and corrections to protocols@dhec.sc.gov. This email is only for comments on the clinical operating guidelines revisions. These are only drafts.
Section 100: General
Section 200: Adult Medical
Section 300: Adult Trauma
Section 400: OG-GYN-Newborn
Section 500: Pediatric
Section 600: Toxic Environmental
Section 700: Special Situations
Updated Scope of Practice and Formulary 2024
Additional Approved Formulary Drugs
- Levetiracetam (Keppra)
- Hydrocortisone (Solu-Cortef; Cortef)
- Haldol (Haloperidol)
- Rocuronium
-The dosing range has been changed to 06-1.0mg/kg for the RSI protocol. - Intravenous Nitroglycerin.
-Approved for use in certain patients with Congestive Heart Failure.
-Current dosing is recommended to be 1mg IV initially and may be repeated to 1mg dosing every 5 minutes to a maximum of three doses.
Additional Approved Protocols
TXA
- Service must have an approval letter from their primary receiving trauma center.
- Service must review 100% of TXA administrations.
- TXA Protocol
- Supplemental Documents
Nitrous Oxide
Blood and Blood Components
Protocols
Pediatric Head Trauma Protocols-(pdf)
Pediatric Multiple Trauma Protocols-(pdf)
Pediatric Trauma Triage and Transport Protocols-(pdf)
Automatic Implantable Cardio-Defibrillator (AICD) Deactivation (pdf)
Forms
- Interfacility Transport Form: Part A - Drug Report; Part B - Device Report (DHEC 3485) (pdf)
- Do Not Resuscitate (DNR) Form 3462 (pdf)
- EMS Medical Control Change Form (pdf)
- Vehicle Permit Return (pdf)
- SC EMS Request for Change Form (pdf)