Harris County EMS Protocols
Local or regional protocol source.
588 protocol sections indexed from this source.
Consult medical direction / follow your agency's protocols.
Local or regional EMS protocols for education and reference. Always confirm against your medical director's current protocols.
Study published EMS protocol material for Harris County, Texas by keyword or topic. Protocol Guide is an education and reference tool for EMS clinicians, students, and educators, not for bedside care.
Consult medical direction / follow your agency's protocols.
References in Houston Fire Department EMS
198 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 5
- PAGE-738.02 Cardiac Arrest Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III-3Search in appSource link
- PAGE-75guidelines describe the steps which should be taken in the initial stages of a cardiac arrest priorSearch in appSource link
- PAGE-838.02 E. Cardiac Arrest Resuscitation : NotesSearch in appSource link
- PAGE-85F. Post-Cardiac Arrest Care 8.02Search in appSource link
- PAGE-203Procedure for Transmitting Cardiac Arrest Download (Plan A) and 12-Lead For DataSearch in appSource link
General 9
- PAGE-36I-34Search in appSource link
- PAGE-70II-30Search in appSource link
- PAGE-86III-16Search in appSource link
- PAGE-94III-24Search in appSource link
- PAGE-156VIII. DurationSearch in appSource link
- PAGE-167D. Wolff-Parkinson-White (WPW) SyndromeSearch in appSource link
- PAGE-200IV-50Search in appSource link
- PAGE-2029.04 Procedure for Downloading AED and LifePak 15 DataSearch in appSource link
- PAGE-204IV-54Search in appSource link
Medical 4
- PAGE-27patients WITHOUT capacity ref. 6.16 C. Adult without Medical Decision Making Capacity.Search in appSource link
- PAGE-391. To establish and maintain a system in which certain types of medical errors are viewed asSearch in appSource link
- PAGE-878.03 Medical Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III-17Search in appSource link
- PAGE-205All patients transported by HFD are presumed to have apparent or suspected medical emergencies thatSearch in appSource link
Neurological 1
Other references 169
- PAGE-10SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-11means, and the dangers from actions of those who have used the substances. Controlled substancesSearch in appSource link
- PAGE-12I-10Search in appSource link
- PAGE-134.00 SCOPESearch in appSource link
- PAGE-14I-12Search in appSource link
- PAGE-16I-14Search in appSource link
- PAGE-176.06 DocumentationSearch in appSource link
- PAGE-18I-16Search in appSource link
- PAGE-196.08 Equipment and Actions on Each RunSearch in appSource link
- PAGE-20I-18Search in appSource link
- PAGE-21C. If:Search in appSource link
- PAGE-22I-20Search in appSource link
- PAGE-24I-22Search in appSource link
- PAGE-25Unable toSearch in appSource link
- PAGE-26I-24Search in appSource link
- PAGE-28I-26Search in appSource link
- PAGE-29the Base Station by the EMS Apparatus, BLS unit or ALS unit prior to the non-transportSearch in appSource link
- PAGE-30I-28Search in appSource link
- PAGE-31termination of resuscitative efforts should be documented.Search in appSource link
- PAGE-32I-30Search in appSource link
- PAGE-336.18 Patient BelongingsSearch in appSource link
- PAGE-34I-32Search in appSource link
- PAGE-35OEC with the nature of the request for assistance and shall also contact the Base Station for interimSearch in appSource link
- PAGE-375. The EOP is responsible for the complete and accurate documentation of EMS recordsSearch in appSource link
- PAGE-38I-36Search in appSource link
- PAGE-40I-38Search in appSource link
- PAGE-417.00 SKILLSSearch in appSource link
- PAGE-427.09 Eye Irrigation [BLS/ALS]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II-28Search in appSource link
- PAGE-437.01 Patient Assessment [BLS/ALS]Search in appSource link
- PAGE-44neonatal). Make sure the reservoir bag fills with oxygen and use a flow rate of 15 LPM.Search in appSource link
- PAGE-463. Past History: Obtain an “AMPLE” history (see Table 7-4).Search in appSource link
- PAGE-48process. Passive warming (multiple sheets or blankets) techniques are frequently necessarySearch in appSource link
- PAGE-49•Have bougie tube introducer available, along with other ET tube sizes as needed.Search in appSource link
- PAGE-503. Examine nostrils and select correct size endotracheal tube.Search in appSource link
- PAGE-51•With a BVM bag, ventilate the patient and ensure equal and adequate chest rise.Search in appSource link
- PAGE-52•Repeat cycles of chest compressions and ventilations at 30:2 ratio until either ventilation isSearch in appSource link
- PAGE-53•Position the airway and attempt to ventilate; if unable to ventilate, continue chestSearch in appSource link
- PAGE-54c. Prior to initiation of the mask CPAP treatment, the patient must be informed of the purposeSearch in appSource link
- PAGE-554. TechniqueSearch in appSource link
- PAGE-56value will decrease. Too much PEEP can be detrimental however, worsening oxygenation.Search in appSource link
- PAGE-57Table 7-8 : Oxygen Therapy GuidelineSearch in appSource link
- PAGE-58bougie.Search in appSource link
- PAGE-59through the skin and up to but not into the bone. At this point, the 5 mm mark (black lineSearch in appSource link
- PAGE-60e. Insert the needle set into the skin at the insertion site until you feel the needle set tipSearch in appSource link
- PAGE-61reflex in conscious patients.Search in appSource link
- PAGE-62e. Connect the electrodes to the AED.Search in appSource link
- PAGE-63everybody’s clear” while visually verifying that you and all other persons are clear of theSearch in appSource link
- PAGE-64thumbs on the lower third of the sternum just below the nipple line.Search in appSource link
- PAGE-652. Position the patient face-up on a flat, firm surface and open the airway using a gentle head tilt-Search in appSource link
- PAGE-669. Once an advanced airway is placed (ET Tube or Supraglottic Airway), convert to continuousSearch in appSource link
- PAGE-676. Elevate the limb such that the wound is above the level of the heart.Search in appSource link
- PAGE-68simply returned to a normal appearing neutral position.Search in appSource link
- PAGE-69C. TechniqueSearch in appSource link
- PAGE-718.00 GUIDELINES / STANDING ORDERSSearch in appSource link
- PAGE-72III-2Search in appSource link
- PAGE-74III-4Search in appSource link
- PAGE-76III-6Search in appSource link
- PAGE-77B. Unresponsive PatientSearch in appSource link
- PAGE-78III-8Search in appSource link
- PAGE-79*a The primary site for pad placement shall be anterior-posterior, Refer to 7.04 A.4.d.Search in appSource link
- PAGE-80III-10Search in appSource link
- PAGE-81*a The primary site for pad placement shall be anterior-posterior, Refer to 7.04 A.4.d.Search in appSource link
- PAGE-82III-12Search in appSource link
- PAGE-84III-14Search in appSource link
- PAGE-88III-18Search in appSource link
- PAGE-89B. Abdominal Pain / Acute AbdomenSearch in appSource link
- PAGE-90III-20Search in appSource link
- PAGE-91If anaphylaxis criteria not met, treat for Allergic Reaction and monitor the patientSearch in appSource link
- PAGE-92III-22Search in appSource link
- PAGE-93F. Aortic Aneurysm / Dissection, Suspected - ADULT ONLYSearch in appSource link
- PAGE-95SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-96III-26Search in appSource link
- PAGE-97SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-98III-28Search in appSource link
- PAGE-100III-30Search in appSource link
- PAGE-101BLS/ALSSearch in appSource link
- PAGE-102III-32Search in appSource link
- PAGE-103Childbirth procedure as per "Childbirth -Search in appSource link
- PAGE-104III-34Search in appSource link
- PAGE-106III-36Search in appSource link
- PAGE-107SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-108III-38Search in appSource link
- PAGE-109U. Hemorrhage - Non-TraumaticSearch in appSource link
- PAGE-110III-40Search in appSource link
- PAGE-111SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-112III-42Search in appSource link
- PAGE-113SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-114III-44Search in appSource link
- PAGE-115SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-116III-46Search in appSource link
- PAGE-1178.03 BB. DuoDote Antidote Auto-InjectorSearch in appSource link
- PAGE-118III-48Search in appSource link
- PAGE-119SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-120III-50Search in appSource link
- PAGE-121SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-122III-52Search in appSource link
- PAGE-123FF. Stroke (Acute) - ADULT ONLY 8.03Search in appSource link
- PAGE-124III-54Search in appSource link
- PAGE-125SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-126III-56Search in appSource link
- PAGE-127SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-128III-58Search in appSource link
- PAGE-129SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-130III-60Search in appSource link
- PAGE-131possible. Utilize the patient’s caretaker for assistance, as they are the VAD experts on scene. Listen toSearch in appSource link
- PAGE-132III-62Search in appSource link
- PAGE-134III-64Search in appSource link
- PAGE-135BLS / ALSSearch in appSource link
- PAGE-136III-66Search in appSource link
- PAGE-137O2 via O2 Therapy Guideline (7.02 M.)Search in appSource link
- PAGE-138III-68Search in appSource link
- PAGE-1398.04 E. Burns NotesSearch in appSource link
- PAGE-140III-70Search in appSource link
- PAGE-141SUBJECT : PATIENT CARE GUIDELINES AND STANDING ORDERS FOR BLS AND ALS UNITSSearch in appSource link
- PAGE-142III-72Search in appSource link
- PAGE-143O2 via O2 Therapy Guideline (7.02 M.)Search in appSource link
- PAGE-144III-74Search in appSource link
- PAGE-146III-76Search in appSource link
- PAGE-147O2 via O2 Therapy Guideline (7.02 M.)Search in appSource link
- PAGE-148III-78Search in appSource link
- PAGE-149Unable toSearch in appSource link
- PAGE-150III-80Search in appSource link
- PAGE-1519.00 REFERENCE SECTIONSearch in appSource link
- PAGE-1529.01 Pharmacology GuideSearch in appSource link
- PAGE-153A. Adenosine (Adenocard®)Search in appSource link
- PAGE-155B. Albuterol Sulfate (Proventil®, Ventolin®)Search in appSource link
- PAGE-157C. Amiodarone (Cordarone®)Search in appSource link
- PAGE-158prior and after administration should avert this reaction.Search in appSource link
- PAGE-159D. AspirinSearch in appSource link
- PAGE-160E. Atropine SulfateSearch in appSource link
- PAGE-161•0.02 mg/kg IV/IO (Maximum overall dose 0.04 mg/kg).Search in appSource link
- PAGE-162F. Calcium ChlorideSearch in appSource link
- PAGE-163G. Dexamethasone (Decadron®)Search in appSource link
- PAGE-164H. Dextrose-Oral (Oral Glucose)Search in appSource link
- PAGE-165I. Dextrose in Water (D 10Search in appSource link
- PAGE-166J. Diltiazem (Cardizem®)Search in appSource link
- PAGE-168K. Diphenhydramine (Benadryl®)Search in appSource link
- PAGE-169L. Epinephrine Hydrochloride (Adrenalin®)Search in appSource link
- PAGE-170E. Certadose Epinephrine Convenience Kit [BLS]Search in appSource link
- PAGE-171Table 9-1 : Epinephrine Concentration ChartSearch in appSource link
- PAGE-172M. FentanylSearch in appSource link
- PAGE-173N. Hydroxocobalamin (Cyanokit®)Search in appSource link
- PAGE-174VI. AdministrationSearch in appSource link
- PAGE-175O. Ipratropium Bromide (Atrovent®)Search in appSource link
- PAGE-176P. Labetalol (Trandate®, Normodyne®)Search in appSource link
- PAGE-177Q. Lidocaine Hydrochloride (Xylocaine®)Search in appSource link
- PAGE-178VI. Adult Administration [by on-line physician order only]Search in appSource link
- PAGE-179R. Magnesium SulfateSearch in appSource link
- PAGE-180S. Midazolam (Versed®)Search in appSource link
- PAGE-181T. Naloxone Hydrochloride (Narcan®)Search in appSource link
- PAGE-182A. Naloxone will not reverse narcotic induced hypotension. Monitor the pulse quality and bloodSearch in appSource link
- PAGE-183U. NitroglycerinSearch in appSource link
- PAGE-184VIII. DurationSearch in appSource link
- PAGE-185V. Norepinephrine (Levophed®)Search in appSource link
- PAGE-186W. Ondansetron (Zofran®)Search in appSource link
- PAGE-187X. OxygenSearch in appSource link
- PAGE-188Table 9-3 : Oxygen AdministrationSearch in appSource link
- PAGE-189Y. Sodium BicarbonateSearch in appSource link
- PAGE-190tubing before and after administration of sodium bicarbonate.Search in appSource link
- PAGE-191Z. Sodium Chloride (0.9%) (Normal Saline)Search in appSource link
- PAGE-192AA. Tranexamic Acid (TXA)Search in appSource link
- PAGE-1959.02 Common AbbreviationsSearch in appSource link
- PAGE-196P Hx past historySearch in appSource link
- PAGE-1979.03 Equipment RequirementsSearch in appSource link
- PAGE-198From time to time the drugs on the equipment/supply/medication list may be supplied in concentrationsSearch in appSource link
- PAGE-199From time to time the drugs on the equipment/supply/medication list may be supplied in concentrationsSearch in appSource link
- PAGE-201C. Medication Shortage / Substitution ReportSearch in appSource link
- PAGE-206Specialized Facility DescriptionsSearch in appSource link
- PAGE-2079.06 Revisions to GuidelineSearch in appSource link
Pediatric 6
- PAGE-47Table 7-7 : Glasgow Coma Scale : Adult and PediatricSearch in appSource link
- PAGE-99L. Breathing Difficulty : Wheezes (Asthma/Bronchiolitis) - PEDIATRIC ONLY 8.03Search in appSource link
- PAGE-105Q. Croup / Inspiratory Stridor - PEDIATRIC ONLYSearch in appSource link
- PAGE-154B. Pediatric [by on-line physician order only]:Search in appSource link
- PAGE-193BB. Pediatric Dosing Guidelines - MedicationSearch in appSource link
- PAGE-194CC. Pediatric Dosing Guidelines - Equipment / TherapiesSearch in appSource link
Trauma 4
- PAGE-15When all Trauma Centers of a specific level (e.g. Level I/II) are on diversion, choose hospitalSearch in appSource link
- PAGE-232. Level III Trauma Centers are willing to accept trauma patients who meet ‘mechanism of injury’Search in appSource link
- PAGE-1338.04 Trauma Emergencies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III-63Search in appSource link
- PAGE-145J. Spinal Motion Restriction in Blunt TraumaSearch in appSource link
Frequently asked questions
Which EMS protocols are loaded for Harris County, Texas?
The source is Houston Fire Department EMS, a local or regional EMS book.
How is search scoped?
Search for Harris County is scoped to the loaded protocols of Houston Fire Department EMS.
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.