Clinical Operating Guidelines Draft 

Please email all suggestions, recommendations, and corrections to protocols@dph.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 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. 

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 (pdf)
• Supplemental Documents (pdf)

Nitrous Oxide

• Pain Control Protocol (pdf)
• Supplemental Documents (pdf)

Blood and Blood Components

• Blood Administration Protocol (pdf)
• Supplemental Documents (pdf)

Protocols

• Pediatric Head Trauma Protocols-(pdf)
• Pediatric Multiple Trauma Protocols-(pdf)
• Pediatric Trauma Triage and Transport Protocols-(pdf)
• State Approved Protocols (pdf)
• Automatic Implantable Cardio-Defibrillator (AICD) Deactivation (pdf)

 Forms

• Interfacility Transport Form: Part A - Drug Report; Part B - Device Report (D-3485) (pdf)
• Do Not Resuscitate (DNR) Form (D-3462) (pdf)
• EMS Medical Control Change Form (D-0965) (pdf)
• Vehicle Permit Return (D-0947) (pdf)
• Formulary Request for Change Form (pdf)