Protocols

BLS protocols: The Commonwealth of Pennsylvania utilizes common Basic Life Support protocols for all regions of Pennsylvania. This ensures consistency and limits confusion for personnel who may work in multiple EMS regions. BLS protocols are applicable to ALL levels of EMS personnel. All First Responders, EMTs, Paramedics and PHRNs as well as medical command physicians and service medical directors should be well versed in the BLS protocols. Personnel should also be familiar with the scope of practice of EMS personnel at not just their level but all levels.

The Commonwealth of Pa ALS protocols may be adopted by regional councils or may serve as a template for regional protocols. The EMMCO West Regional Medical Advisory Committee and Board of Directors has chosen to elaborate on the Commonwealth template to better guide the ALS practitioner with medications and procedures which may be optional at the state level but may have been or not been adopted at the regional level. The EMMCO West ALS protocols include some additional protocols and procedural guidelines.

The EMMCO West ALS Interfacility treatment protocols provide direction on the administration of approved infusions which may not be covered in the general ALS protocols.

The EMMCO West Regional ALS medication list includes those medications from the Commonwealth ALS medication list which are included in the Regional ALS protocols.

The Commonwealth ALS medication list includes all of the medications which may be administered by ALS personnel if those medications are included in regional protocol or if the medication is used in an interfacility transfer and the ALS service medical director has approved the use of the medication for an interfacility transfer and has trained the ALS personnel in the use of the medication.

Out of hospital DNR orders allow EMS personnel to honor the wishes of terminally ill patients.

Facility Trauma STEMI Stroke 24/7 CT 24/7 Neuro
Grove City Medical Center Level IV X
LECOM – Millcreek Community Primary
Meadville Medical Center PCI Primary X On call coverage
Sharon Regional Health PCI Primary X Cleveland Clinic
St. Vincent Hospital PCI Primary X Cleveland Clinic
UPMC Hamot Level II PCI Comprehensive X In house
UPMC Northwest Primary X UPMC Presby
Adjacent Regional Facility Trauma STEMI Stroke 24/7 CT 24/7 Neuro
Armstrong Memorial Hospital PCI X Telemedicine
Butler Memorial Hospital PCI Primary X
Dubois – Penn Highlands PCI X Telemedicine
Forbes Regional Hospital Level II PCI Primary X In house
St. Elizabeth, Ohio Level II
Interventional Centers Trauma STEMI Stroke 24/7 CT 24/7 Neuro
Allegheny General Hospital Level I PCI Comprehensive X Yes
UPMC Presbyterian Hospital Level I PCI Comprehensive X Yes
UPMC Mercy Hospital Level I PCI Comprehensive X Yes
UPMC Children’s Hospital Level I
St. Elizabeth, Ohio Level II