Updated: Nov. 19, 2025

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.
• Supplemental Documents (pdf)

Nitrous Oxide

• Supplemental Documents (pdf)

Blood and Blood Components

• Supplemental Documents (pdf)

Protocols

• 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 (APM) (updated Aug. 2025) (pdf)