Washington EMS Protocols
Browse 39 Washington 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 Washington State DOH EMS & Trauma (State Protocols)
120 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-31Cardiac Arrest – AdultSearch in appSource link
- PAGE-32Cardiac Arrest –Adult Return of Spontaneous Circulation (ROSC)Search in appSource link
- PAGE-33Cardiac Arrest – PediatricSearch in appSource link
- PAGE-34Cardiac Arrest –Pediatric Return of Spontaneous Circulation (ROSC)Search in appSource link
- PAGE-118Prehospital Cardiac Triage Destination ProcedureSearch in appSource link
General 3
Medical 2
Medications 1
Neurological 2
Other references 94
- PAGE-8Administrative SectionSearch in appSource link
- PAGE-9d. O2 administration by Nasal cannula, Non-rebreather Mask.Search in appSource link
- PAGE-10e. Humidifiers with O2 administrationSearch in appSource link
- PAGE-11f. Suctioning tracheostomy and tracheal bronchial of an intubated patient (W*).Search in appSource link
- PAGE-122. Fetal DemiseSearch in appSource link
- PAGE-136. OtherSearch in appSource link
- PAGE-145. Discreetly inform patients that the situation is potentially lethal and remind them battering is aSearch in appSource link
- PAGE-157. EMS providers should not disturb the scene unless absolutely necessary to perform critical patientSearch in appSource link
- PAGE-16e. The adult patient or his/her caregiver meets all elements of the County Decision-MakingSearch in appSource link
- PAGE-17Decision-Making Capacity ChecklistSearch in appSource link
- PAGE-18DocumentationSearch in appSource link
- PAGE-194. List and describe measures used to attempt to create safety.Search in appSource link
- PAGE-207. TreatmentSearch in appSource link
- PAGE-21Transfer of Care / RendezvousSearch in appSource link
- PAGE-223. If necessary, insert the airway adjunct.Search in appSource link
- PAGE-23CirculationSearch in appSource link
- PAGE-24c) Deformity/crepitusSearch in appSource link
- PAGE-25o In these patients, as well as all adult patients, reduced medication dosages may apply toSearch in appSource link
- PAGE-27Allergic Reaction / AnaphylaxisSearch in appSource link
- PAGE-28Altered Mental StatusSearch in appSource link
- PAGE-30Bites / EnvenomationSearch in appSource link
- PAGE-35Chest pain/Acute coronary syndrome (ACS) / MI / STEMISearch in appSource link
- PAGE-36Diabetic EmergencySearch in appSource link
- PAGE-37Drowning / SubmersionSearch in appSource link
- PAGE-38General IllnessSearch in appSource link
- PAGE-39Hyperthermia / Heat InjuriesSearch in appSource link
- PAGE-41Hypothermia / Cold EmergenciesSearch in appSource link
- PAGE-42• Patients with low core temperatures will not respond to ALS druginterventions. Maintain warmingSearch in appSource link
- PAGE-43Implantable Ventricular Assist DevicesSearch in appSource link
- PAGE-44DOH 530-281 August 2024Search in appSource link
- PAGE-45Nausea / VomitingSearch in appSource link
- PAGE-46Newborn Resuscitation / Post Delivery CareSearch in appSource link
- PAGE-48Obstetrical / Gynecological Emergencies / Childbirth /PostpartumSearch in appSource link
- PAGE-49Abnormal Childbirth:Search in appSource link
- PAGE-52Pain ManagementSearch in appSource link
- PAGE-55• Transport via ALS to an emergency department even if the infant currently appears in noSearch in appSource link
- PAGE-57Pulmonary EdemaSearch in appSource link
- PAGE-58Sepsis (Adult)Search in appSource link
- PAGE-59Seizures / Febrile SeizureSearch in appSource link
- PAGE-60Sickle Cell Pain CrisisSearch in appSource link
- PAGE-61Shock (non-traumatic) / HypotensionSearch in appSource link
- PAGE-62o Hypotensive – 20 mL/kg IV/IO in 250-500 mL increments (maximum 2 liters), reassess after eachSearch in appSource link
- PAGE-64Syncope / Dizziness / WeaknessSearch in appSource link
- PAGE-66o Immobilize suspected fractures and dislocations. In the case of severe deformity with distalSearch in appSource link
- PAGE-68Blast InjuriesSearch in appSource link
- PAGE-69EMT with IV endorsement / AEMTSearch in appSource link
- PAGE-70BurnsSearch in appSource link
- PAGE-71EMT with IV endorsement / AEMTSearch in appSource link
- PAGE-72Conducted Electrical Weapon Injury (I.E., TASER®)Search in appSource link
- PAGE-73EMT / AEMTSearch in appSource link
- PAGE-74Crush Injury / Crush SyndromeSearch in appSource link
- PAGE-75Electrical Injuries / Lightning Strike InjurySearch in appSource link
- PAGE-77o Dress open wounds associated with fractures with saline-moistened gauze.Search in appSource link
- PAGE-79o Recover tissue, if possible.Search in appSource link
- PAGE-81Spinal Motion Restriction (SMR) GuidelinesSearch in appSource link
- PAGE-82• Consider extremes of age during assessment and utilize caution:Search in appSource link
- PAGE-83Traumatic Brain Injury (TBI)Search in appSource link
- PAGE-85Continuous Positive Airway Pressure (CPAP)Search in appSource link
- PAGE-87EZ-IOSearch in appSource link
- PAGE-88Nasal AtomizerSearch in appSource link
- PAGE-89Physical RestraintSearch in appSource link
- PAGE-90Supraglottic Device / I-GelSearch in appSource link
- PAGE-91Taser Dart RemovalSearch in appSource link
- PAGE-92Tourniquet ApplicationSearch in appSource link
- PAGE-93Uncooperative Patients / Unsecured Scenes ProcedureSearch in appSource link
- PAGE-94that their and other responder’s personal safety is paramount and cannot always rely on LESearch in appSource link
- PAGE-956. Describe the reasons why safety could not be established.Search in appSource link
- PAGE-97Medication SectionSearch in appSource link
- PAGE-98Acetaminophen (Tylenol)Search in appSource link
- PAGE-99Albuterol (Proventil/Ventolin)Search in appSource link
- PAGE-100Aspirin (Acetylsalicylic Acid)Search in appSource link
- PAGE-101Atropine (Auto Injector)Search in appSource link
- PAGE-102Cetirizine (Zyrtec)Search in appSource link
- PAGE-103Dextrose - Oral GlucoseSearch in appSource link
- PAGE-104Dextrose 5% (D5W), 10% (D10W), 25% (D25W), 50% (D50W)Search in appSource link
- PAGE-105Diphenhydramine (Benadryl)Search in appSource link
- PAGE-106DuoNeb (Ipratropium-albuterol)Search in appSource link
- PAGE-107Epinephrine (Adrenaline)Search in appSource link
- PAGE-108IbuprofenSearch in appSource link
- PAGE-109Ipratropium bromide (Atrovent)Search in appSource link
- PAGE-110Naloxone (Narcan)Search in appSource link
- PAGE-111NitroglycerinSearch in appSource link
- PAGE-112Nitrous OxideSearch in appSource link
- PAGE-113Ondansetron (Zofran)Search in appSource link
- PAGE-114OxygenSearch in appSource link
- PAGE-115Oxymetazoline (Afrin)Search in appSource link
- PAGE-116Pralidoxime Chloride (2Pam Chloride)Search in appSource link
- PAGE-117State Triage ToolsSearch in appSource link
- PAGE-119Prehospital Stroke Triage Destination ProcedureSearch in appSource link
- PAGE-120AppendixSearch in appSource link
- PAGE-121dead on scene DOS no known drug allergies NKDASearch in appSource link
- PAGE-123MARCHHSearch in appSource link
- PAGE-130Normal Vital SignsSearch in appSource link
- PAGE-132Standard Reporting ExampleSearch in appSource link
Pediatric 4
- PAGE-51• Pediatric Charcoal dose is 1 gm/kg PO. Minimum dose is 10 gm. Maximum dose is 50 gm. RecommendSearch in appSource link
- PAGE-53Pediatric Pain Assessment ConsiderationsSearch in appSource link
- PAGE-54Pediatric - Brief Resolved Unexplained Event - BRUESearch in appSource link
- PAGE-131Pediatric ReferencesSearch in appSource link
Procedures 1
Respiratory 2
Toxicology 1
Trauma 5
- PAGE-65Trauma SectionSearch in appSource link
- PAGE-67• For transport follow Prehospital Trauma Triage Destination ProcedureSearch in appSource link
- PAGE-76Extremity Trauma / External Hemorrhage ManagementSearch in appSource link
- PAGE-78Facial/Dental/Head TraumaSearch in appSource link
- PAGE-80Pelvis TraumaSearch in appSource link
County protocol sources in Washington
No county matches that name. Clear the filter to see all 39 counties.
- Adams CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Asotin CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Benton CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Chelan CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Clallam CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Clark CountyLocal or regional book · Clark County EMS
- Columbia CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Cowlitz CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Douglas CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Ferry CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Franklin CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Garfield CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Grant CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Grays Harbor CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Island CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Jefferson CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- King CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Kitsap CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Kittitas CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Klickitat CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Lewis CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Lincoln CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Mason CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Okanogan CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Pacific CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Pend Oreille CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Pierce CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- San Juan CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Skagit CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Skamania CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Snohomish CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Spokane CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Stevens CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Thurston CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Wahkiakum CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Walla Walla CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Whatcom CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Whitman CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
- Yakima CountyState-published set · Washington State DOH EMS & Trauma (State Protocols)
Frequently asked questions
Which Washington counties are on Protocol Guide?
39 Washington 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.