Delaware EMS Protocols
Browse 3 Delaware county protocol reference pages. Each page labels local books, state-published sets, or national model guidelines. Protocol Guide is an education and reference tool, not for bedside care. Always confirm against your medical director's current protocols.
Every county page names its source set. Local and regional books appear where available; state-published sets and national model guidelines are labeled as fallbacks.
Consult medical direction / follow your agency's protocols.
References in Delaware Division of Public Health EMS (State Protocols)
190 references from this source book, grouped by indexed category. This index was exported 2026-09-30, not the book's publication date. Confirm the current source with your agency before use.
Cardiac 7
- PAGE-14Monitor cardiac rhythm and/or 12 lead ECG as appropriate.Search in appSource link
- PAGE-35GENERAL ADULT CARDIAC ARREST BUNDLE OF CARESearch in appSource link
- PAGE-37PEDIATRIC AND ADULT TRAUMATIC CARDIAC ARRESTSearch in appSource link
- PAGE-38CARDIAC ARREST (ADULT)Search in appSource link
- PAGE-40CARDIAC ARREST (PEDIATRIC)Search in appSource link
- PAGE-49Monitor cardiac rhythm and/or 12 lead ECG as appropriate.Search in appSource link
- PAGE-83Advanced Airway Management / Cardiac Arrest Considerations:Search in appSource link
General 8
- PAGE-37• For patients who do not meet the criteria for initiation of cardiopulmonary resuscitation,Search in appSource link
- PAGE-71Appendix ASearch in appSource link
- PAGE-75ALBUTEROL SULFATE /IPRATROPIUM BROMIDE (COMBIVENT)Search in appSource link
- PAGE-83LEVALBUTEROL (XOPENEX, LEVOLIN)Search in appSource link
- PAGE-84ONDANSETRON (ZOFRAN®)Search in appSource link
- PAGE-86NITROGLYCERINESearch in appSource link
- PAGE-95APPENDICIESSearch in appSource link
- PAGE-99Appendix ESearch in appSource link
Medical 7
- PAGE-15• On scene direction of medical care is provided by the on-duty Delaware EMS providerSearch in appSource link
- PAGE-35Contact Medical Control for suspected stroke patients. Early notification and prehospitalSearch in appSource link
- PAGE-40• Medical command facility nameSearch in appSource link
- PAGE-67MEDICAL TREATMENT FOR CHEMICAL EXPOSURESearch in appSource link
- PAGE-75After addressing and/or treating medical causes of aggressive or violent behavior, Consider theSearch in appSource link
- PAGE-92filled out at the receiving hospital or forwarded to the Chief Medical Examiner/Coroner asSearch in appSource link
- PAGE-100Delaware Medical Orders for Scope of Treatment (DMOST)Search in appSource link
Other references 141
- PAGE-7INTRODUCTIONSearch in appSource link
- PAGE-7INTRODUCTION AND EMT STANDARD OF CARESearch in appSource link
- PAGE-8All certified EMS providers, involved with patient care, are equally responsible for assuring theSearch in appSource link
- PAGE-8PARAMEDIC SCOPE OF PRACTICESearch in appSource link
- PAGE-9“Any person, agency, organization, or entity who knows or in good faith suspects child abuse orSearch in appSource link
- PAGE-10Considerations for requesting Advanced Life Support (ALS):Search in appSource link
- PAGE-1142. Application of Junctional Tourniquet (Optional)Search in appSource link
- PAGE-11Transport Requirements:Search in appSource link
- PAGE-12Documentation Requirements:Search in appSource link
- PAGE-12PARAMEDIC DOCUMENTATION RECORDS POLICYSearch in appSource link
- PAGE-13ADULT GENERAL PATIENT CARESearch in appSource link
- PAGE-13EMT/TELEPHONE REPORT GUIDELINESSearch in appSource link
- PAGE-14GENERAL PATIENT CARE (ADULT)Search in appSource link
- PAGE-15All IV bags that have been mixed with a medication must be labeled at time of EDSearch in appSource link
- PAGE-16ADULT NAUSEA / VOMITINGSearch in appSource link
- PAGE-17PULMONARY EDEMA DUE TO CONGESTIVE HEART FAILURESearch in appSource link
- PAGE-18monitoring equipment.Search in appSource link
- PAGE-18NON-INVASIVE MECHANICAL VENTILATION (NIMV)Search in appSource link
- PAGE-19"Any person, agency, organization or entity who knows or in good faith suspects child abuse orSearch in appSource link
- PAGE-19ALTERED MENTAL STATUSSearch in appSource link
- PAGE-20Opioid OverdoseSearch in appSource link
- PAGE-20REFUSAL OF SERVICESearch in appSource link
- PAGE-21BUPRENORPHINESearch in appSource link
- PAGE-21CHEST PAINSearch in appSource link
- PAGE-22HYPERTENSIVE CRISISSearch in appSource link
- PAGE-23SUSPECTED STROKESearch in appSource link
- PAGE-24NEBULIZERSearch in appSource link
- PAGE-24VAN is a screening tool to identify patients with stroke secondary to emergent large vesselSearch in appSource link
- PAGE-25ALBUTEROLSearch in appSource link
- PAGE-25SEIZURES (ACTIVE)Search in appSource link
- PAGE-26ALLERGIC/ADVERSE REACTIONS/DYSTONIC REACTIONSearch in appSource link
- PAGE-26CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)Search in appSource link
- PAGE-27ALLERGIC REACTIONSearch in appSource link
- PAGE-27AngioedemaSearch in appSource link
- PAGE-28NON-TRAUMATIC HYPOTENSIONSearch in appSource link
- PAGE-28Optional IM Draw Dose for EpinephrineSearch in appSource link
- PAGE-29ALTERED MENTAL STATUSSearch in appSource link
- PAGE-29SEPSISSearch in appSource link
- PAGE-30*Special Considerations for causes of Altered Mental Status:Search in appSource link
- PAGE-30ACUTE CORONARY SYNDROMES (ACS)Search in appSource link
- PAGE-31ST ELEVATION MYOCARDIAL INFARCTION (STEMI)Search in appSource link
- PAGE-31SUSPECTED OPIATE OVERDOSESearch in appSource link
- PAGE-32Considerations for refusal:Search in appSource link
- PAGE-32HEMODYNAMICALLY COMPROMISING BRADYCARDIASearch in appSource link
- PAGE-33SEPSIS (Adult)Search in appSource link
- PAGE-33STABLE TACHYCARDIASearch in appSource link
- PAGE-34SUSPECTED STROKESearch in appSource link
- PAGE-34UNSTABLE TACHYCARDIASearch in appSource link
- PAGE-36• Use of a mechanical CPR device is strongly recommended for transport ofSearch in appSource link
- PAGE-36INITIATION OF RESUSCITATIVE EFFORTSSearch in appSource link
- PAGE-38TERMINATION OF RESUSCITATIVE EFFORTS & TELEMETRICSearch in appSource link
- PAGE-39o Absence of HypothermiaSearch in appSource link
- PAGE-39VENTRICULAR ASSIST DEVICE (VAD OR LVAD)Search in appSource link
- PAGE-41DO NOT RESUSCITATE ORDERSSearch in appSource link
- PAGE-41GUIDELINES REGARDING DO NOT RESUSCITATE ORDERSSearch in appSource link
- PAGE-42their desire for transportSearch in appSource link
- PAGE-42VENTRICULAR FIBRILLATION (VF) and/orSearch in appSource link
- PAGE-43Compressions will not be interrupted for longer than 10 seconds for intubation or otherSearch in appSource link
- PAGE-44ASYSTOLE / PULSELESS ELECTRICAL ACTIVITY (PEA)Search in appSource link
- PAGE-44Patients with any of the above mechanisms should be transported preferentially to the highestSearch in appSource link
- PAGE-45GuidelinesSearch in appSource link
- PAGE-46PAIN MANAGEMENT (ADULT)Search in appSource link
- PAGE-46REFUSAL OF SERVICESearch in appSource link
- PAGE-47ALS RELEASE TO BLSSearch in appSource link
- PAGE-47SELECTIVE SPINAL MOTION RESTRICTIONSearch in appSource link
- PAGE-48Selective Spinal Motion RestrictionSearch in appSource link
- PAGE-49BURNSSearch in appSource link
- PAGE-50Patients should be taken to the approved facility’s emergency department, labor and deliverySearch in appSource link
- PAGE-50TRIAGE FOR MASS CASUALTYSearch in appSource link
- PAGE-51• If breathing resumes after the “jumpstart”, tag patient immediate and move on.Search in appSource link
- PAGE-51It should be noted that the protocol above is a guideline to be followed in as much as it aids in providingSearch in appSource link
- PAGE-52TASER PROBE REMOVALSearch in appSource link
- PAGE-53WATER RELATED EMERGENCIESSearch in appSource link
- PAGE-54EYE INJURIESSearch in appSource link
- PAGE-55BITES AND ENVENOMATIONSearch in appSource link
- PAGE-56HEAT EMERGENCIESSearch in appSource link
- PAGE-57COLD EMERGENCIESSearch in appSource link
- PAGE-58OBSTETRICSSearch in appSource link
- PAGE-59• Monitor newborn’s heart rate, respirations, and oxygen saturation. Consider blow-bySearch in appSource link
- PAGE-60Breech DeliverySearch in appSource link
- PAGE-61o Ensure complete recoil of the chest wall prior to the next compression.Search in appSource link
- PAGE-61PATIENT RESTRAINTSearch in appSource link
- PAGE-62• Restrained extremities should be monitored for color, sensory and motor function, pulseSearch in appSource link
- PAGE-63FIRE GROUND REHABILITATIONSearch in appSource link
- PAGE-64• Falls greater than 20 feet (adult)Search in appSource link
- PAGE-64NON-EMERGENCY / INTERFACILITY / DEVICE DEPENDENTSearch in appSource link
- PAGE-65For suspected unstable pelvic fractures, apply pelvic compression device per manufacturerSearch in appSource link
- PAGE-65o Swelling, redness, or increased pain at the site of the IV insertion.Search in appSource link
- PAGE-66Peritoneal Dialysis Catheters: approved for transport only. If it dislodges, apply sterile pressureSearch in appSource link
- PAGE-68ADULT BLOOD ADMINISTRATIONSearch in appSource link
- PAGE-68SUSPECTED EMERGING INFECTIOUS DISEASE (EID)Search in appSource link
- PAGE-69• General GuidelinesSearch in appSource link
- PAGE-69o Insert between with face mask and BVM if patient has not had an advanced airwaySearch in appSource link
- PAGE-70Note:Search in appSource link
- PAGE-72Appendix BSearch in appSource link
- PAGE-72POST RESUSCITATION CARE WITH TARGETED TEMPERATURE MANAGEMENTSearch in appSource link
- PAGE-73• Superior vena cava syndromeSearch in appSource link
- PAGE-73SELECTIVE SPINAL MOTION RESTRICTIONSearch in appSource link
- PAGE-74ACETAMINOPHEN (Tablet or Liquid)Search in appSource link
- PAGE-74PATIENT RESTRAINTSearch in appSource link
- PAGE-76ALBUTEROL SULFATE PROVENTIL, VENTOLIN, AEROLIN, VENTORUN, ASTHAUN,Search in appSource link
- PAGE-77ASPIRINSearch in appSource link
- PAGE-77DFI Preparation:Search in appSource link
- PAGE-78• A printout of the trend report with the patient’s heart rate, pulse oximetry andSearch in appSource link
- PAGE-78DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL®)Search in appSource link
- PAGE-79DUODOTESearch in appSource link
- PAGE-79Ventilator Management (device dependent):Search in appSource link
- PAGE-80EPINEPHRINESearch in appSource link
- PAGE-81Acetaminophen (Tylenol)Search in appSource link
- PAGE-81GLUCOSE, ORAL (lnsta-Glucose, Glutose)Search in appSource link
- PAGE-82HEMOSTATIC AGENTSearch in appSource link
- PAGE-82SUSPECTED EMERGING INFECTIOUS DISEASE (EID)Search in appSource link
- PAGE-84• Limit number of EMS personnel near patient while providing appropriate careSearch in appSource link
- PAGE-85MANDATORY ALS EQUIPMENT INVENTORYSearch in appSource link
- PAGE-85NALOXONE (NARCAN®)Search in appSource link
- PAGE-86MANDATORY ALS EQUIPMENT INVENTORY (cont.)Search in appSource link
- PAGE-87MEDICATION LISTSearch in appSource link
- PAGE-87OXYGENSearch in appSource link
- PAGE-88Appendix CSearch in appSource link
- PAGE-88MEDICATION LIST (cont.)Search in appSource link
- PAGE-89ALS INTER-FACILITY TRANSPORTSearch in appSource link
- PAGE-89Burn ScaleSearch in appSource link
- PAGE-914.2 VENTILATOR MANAGEMENTSearch in appSource link
- PAGE-91Appendix DSearch in appSource link
- PAGE-92PEEP: 5 mmHg. May increase up to 10 cmH2O for pulmonary edema, ARDS, and non-fatalSearch in appSource link
- PAGE-934.3 MANAGEMENT OF PREVIOUSLY INITIATED CONTINUOUS IV INFUSIONSSearch in appSource link
- PAGE-93COPY OF POTENTIAL EXPOSURE FORMSearch in appSource link
- PAGE-944.4 BLOOD PRODUCT ADMINISTRATIONSearch in appSource link
- PAGE-94DETAILED NARRATIVE: Describe the Incident and extent of exposure (Include exposed body part, exposure duration, and decontamination).Search in appSource link
- PAGE-95Appendix ESearch in appSource link
- PAGE-96Appendix BSearch in appSource link
- PAGE-96Appendix FSearch in appSource link
- PAGE-97Appendix CSearch in appSource link
- PAGE-97Appendix GSearch in appSource link
- PAGE-98Appendix DSearch in appSource link
- PAGE-98Appendix HSearch in appSource link
- PAGE-99DIRECTIONS FOR HEALTH CARE PROFESSIONALSSearch in appSource link
- PAGE-101APPENDIX FSearch in appSource link
- PAGE-101Appendix ISearch in appSource link
- PAGE-102Appendix JSearch in appSource link
- PAGE-1034. Child belted directly to backboard and/or cot in manner to prevent ramping or sliding in a frontSearch in appSource link
Pediatric 17
- PAGE-17GENERAL PATIENT CARE (PEDIATRIC)Search in appSource link
- PAGE-48PEDIATRIC GENERAL PATIENT CARESearch in appSource link
- PAGE-53PEDIATRIC ALTERED MENTAL STATUSSearch in appSource link
- PAGE-54PEDIATRIC SEIZURES (ACTIVE)Search in appSource link
- PAGE-55PEDIATRIC SHOCK and HYPOTENSIONSearch in appSource link
- PAGE-56PEDIATRIC ALLERGIC REACTIONSSearch in appSource link
- PAGE-57PEDIATRIC BRADYCARDIASearch in appSource link
- PAGE-58PEDIATRIC TACHYCARDIASearch in appSource link
- PAGE-59PEDIATRIC CARDIOPULMONARY RESUSCITATION GUIDELINESSearch in appSource link
- PAGE-60PEDIATRIC VENTRICULAR FIBRILLATION (VF) AND/OR PULSELESSSearch in appSource link
- PAGE-62PEDIATRIC ASYSTOLE / PULSELESS ELECTRICAL ACTIVITY (PEA)Search in appSource link
- PAGE-70PEDIATRIC BLOOD ADMINISTRATIONSearch in appSource link
- PAGE-71PEDIATRIC AND ADULT SMOKE INHALATIONSearch in appSource link
- PAGE-76PEDIATRIC AND ADULT AIRWAY MANAGEMENTSearch in appSource link
- PAGE-80PEDIATRIC AND ADULT PAIN MANAGEMENTSearch in appSource link
- PAGE-904.1 ADULT AND PEDIATRIC GENERAL PATIENT CARESearch in appSource link
- PAGE-90Pediatric Assessment Triangle (PAT)Search in appSource link
Procedures 2
Respiratory 4
Trauma 4
County protocol sources in Delaware
No county matches that name. Clear the filter to see all 3 counties.
- Kent CountyState-published set · Delaware Division of Public Health EMS (State Protocols)
- New Castle CountyState-published set · Delaware Division of Public Health EMS (State Protocols)
- Sussex CountyState-published set · Delaware Division of Public Health EMS (State Protocols)
Frequently asked questions
Which Delaware counties are on Protocol Guide?
3 Delaware county pages are listed on this page. Each one labels whether its source is a local book, a state-published set, or national model guidelines.
How is search scoped?
Search is scoped to the county and agency you pick, using the protocols loaded for that agency.
Can I use this at the bedside?
No. Protocol Guide is an education and reference tool. Consult medical direction. Always confirm against your medical director's current protocols and follow your agency's protocols.