EMS Protocols, Forms

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


  • 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


Pediatric Head Trauma Protocols-(pdf)

Pediatric Multiple Trauma Protocols-(pdf)

Pediatric Trauma Triage and Transport Protocols-(pdf)

State Approved Protocols

Automatic Implantable Cardio-Defibrillator (AICD) Deactivation (pdf)



Facilities Health Protocols Requirements