Updated: June 1, 2026

Updated Approvals

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. 

Approved Clinical Operating Guidelines

• SC EMS Clinical Operating Guidelines (pdf)
• Automatic Implantable Cardio-Defibrillator (AICD) Deactivation (pdf)

 Forms

• State CEP Recertification Form for Paramedic (2025 NCCR) (DPH 2353A) (pdf)
• State CEP Recertification Form for Emergency Medical Technician (2025 NCCR) (DPH 2358) (pdf)
• Interfacility Transport Form (DPH 3485) (pdf)
• Do Not Resuscitate (DNR) (DPH 3462) (pdf)
• SC POST Form (DPH 4061) (pdf)
• Medical Control Physician - Change (DPH 0965) (pdf)
• Preliminary Handoff Form (DPH 4484) (pdf)
• Request for Change Form (DPH 4483) (pdf)
• Vehicle Permit Return (DPH 0947) (pdf)
• SC R.A.C.E. Form (pdf)
• DEA Lost or Stolen Drugs (pdf)

Manuals

• Guidelines for Training Officers and Continuing Education Programs (updated Dec. 2024) (pdf)
• EMT Training Program Manual (TPM) (updated Aug. 2025) (pdf)
  • EMT Training Institution Application & Re-Application (pdf)
  • Re-Authorization of EMT Training Centers Application (pdf)
  • Authorization & Re-Authorization of Advanced Training Centers Application (pdf)
  • Emergency Medical Technician (EMT) - New Instructor Application (pdf)
  • Advanced/Paramedic EMT Instructor Application (pdf)
  • Emergency Medical Technician (EMT) - Instructor Re-Authorization Application (pdf)
  • AEMT Paramedic Instructor Re-Authorization Application (pdf)
  • EMT Course Statement of Understanding (pdf)
  • AEMT Course Statement of Understanding (pdf)
  • Paramedic Course Statement of Understanding (pdf)
  • EMT Course Evaluation (pdf)
  • EMT/CEP Course - Minimum Required Equipment (pdf)
  • EMT Skills Competency Form (pdf)
  • Out of State EMT Course Clinical Requirements with South Carolina (pdf)