Policies, Procedures, and Protocols
Policies, procedures, and protocols define how emergency medical services are delivered across the County. These documents provide standardized guidance to support safe, consistent, and high-quality care.
- Clinical and operational protocols
- System policies and requirements
- Guidance for providers and system partners
- Updates to standards and procedures
These materials help ensure that care is coordinated and aligned across the emergency medical services system.
4000 Accreditation/Certification Program Approval
5000 Transportation/Patient Destination
- PP-5001 Equipment and Supply Shortages.pdf
- PP-5010.19-Paramedic AEMT to EMT Transfer of Care.pdf
- PP-5011 Paramedic AEMT to EMT Transfer of Care.pdf
- PP-5050 Destination.pdf
- PP-5052 Trauma Destination.pdf
- PP-5053 Trauma Triage Criteria.pdf
- PP-5055 Telehealth.pdf
- PP-5056-Mobile Integrated Health (MIH).pdf
- PP-5057 MIH Buprenorphine.pdf
- PP-5060 Hospital Status Change.pdf
- PP-5070 Hospital Transfer Agreements.pdf
- PP-5100 Interfacility Transfers-ALS-CCT Program Requirements.pdf
- PP-5101 Interfacility Transfers- Medical Control.pdf
- PP-5102 Interfacility Transfers.pdf
5500 Equipment/Supplies/Vehicles
6000 Critical Care Systems
- PP-6000.14-Trauma Care System-General Provsions.pdf
- PP-6001 STEMI Critical Care System General Provisions.pdf
- PP-6002 Stroke Critical Care System General Provisions.pdf
- PP-6003 ALS IFT Provider Hospital Requirements.pdf
- PP-6004 ALS IFT Provider.pdf
- PP-6005 ATV Utilization.pdf
- PP-6006 Blood Transfusion.pdf
- PP-6007 IV Infusion.pdf
7500 Disaster Medical Service
8000 Adult Treatment Policies
- PP-8001 Allergic Reaction Anaphylaxis 1.pdf
- PP-8002 Diabetic Emergencies.pdf
- PP-8003 Seizures.pdf
- PP-8004 Suspected Narcotic Overdose.pdf
- PP-8007 Abdominal Pain 1.pdf
- PP-8015 Trauma 1.pdf
- PP-8017 Dystonic Reaction 1.pdf
- PP-8018 Overdose and-or Poison Ingestion 1.pdf
- PP-8020 Respiratory Distress-Airway Management-Respiratory Failure.pdf
- PP-8024 Cardiac Dysrhythmias 1.pdf
- PP-8025.21 - Burns.pdf
- PP-8026 Respiratory Distress.pdf
- PP-8027 Nerve Agent Treatment.pdf
- PP-8028.16 - Enviromental Emergencies- Table as Image.pdf
- PP-8029 Hazardous Materials 1.pdf
- PP-8030 Discomfort-Pain of Suspected Cardiac Origin.pdf
- PP-8031 Non-Traumatic Cardiac Arrest.pdf
- PP-8032 Traumatic Cardiac Arrest.pdf
- PP-8038 Shock 1.pdf
- PP-8042.22 - Childbirth and Obstetric Emergencies- Table as image.pdf
- PP-8060.20 - Stroke- Table as Image.pdf
- PP-8062 Behavioral Crisis-Restraint 1.pdf
- PP-8063.12 - Nausea Vomiting.pdf
- PP-8065.13-Hemorrhage.pdf
- PP-8066 Pain Managment.pdf
- PP-8067 Sepsis-Septic Shock.pdf
- PP-8067.sp - Sepsis - Applies ONLY to the AlphaOne UCDMC Pilot Study.pdf
- PP-8068 General Medical Complaint.pdf
- PP-8069 Buprenorphine.pdf
8800 Skills
- PP-8805 Intubation- Stomal.pdf
- PP-8808.19-Vascular Access.pdf
- PP-8810 Transcutaneous Cardiac Pacing.pdf
- PP-8827.13-12-Lead ECG.pdf
- PP-8829 Noninvasive Ventilation (NIV).pdf
- PP-8830 Supraglottic Airway (iGel).pdf
- PP-8831 Intranasal Medication Administration.pdf
- PP-8833 Ventricular Assist Device (VAD).pdf
- PP-8837 Pediatric Airway Managment.pdf
- PP-8844.01-Spinal Motion Restriction (SMR).pdf
9000 Pediatric Treatment Policies
- PP-9001.18 Pediatric Airway Obstruction by Foreign Body and Respiratory Arrest.pdf
- PP-9002 Pediatric Allergic Reaction_Anaphylaxis.pdf
- PP-9003 Pediatric Respiratory Distress Reactive Airway Disease- Asthma-Bronchospasm-Croup or Stridor.pdf
- PP-9004 Pediatric Burns.pdf
- PP-9005 Pediatric Traumatic Cardiac Arrest.pdf
- PP-9007 Pediatric Diabetic Emergencies.pdf
- PP-9008 Pediatric Seizures.pdf
- PP-9008.01 - Pediatric Seizures - Applies ONLY to the Sacramento FD PediDOSE Trial Study CLEAN.pdf
- PP-9009 Pediatric Neonatal Resuscitation.pdf
- PP-9011.03 - Pediatric Overdose.pdf
- PP-9013.17 - Pediatric Shock.pdf
- PP-9014.25 - Pediatric Cardiac Dysrhythmias.pdf
- PP-9016.15-PediatricParameters.pdf
- PP-9017.26 - Pediatric Trauma.pdf
- PP-9018 Pediatric- Pain Managment.pdf
- PP-9019 Brief Resolved Unexplained Event (BRUE).pdf
- PP-9020 Pediatric Nausea and or Vomiting.pdf
- PP-9021.03PediatricBehavioralCrisis-Restraint.pdf
Trail Study Policies
- 5056.05 MIH.pdf
- 8067.sp - Sepsis - Applies ONLY to the AlphaOne UCDMC Pilot Study.pdf
- 9008.01 - Pediatric Seizures - Applies ONLY to the Sacramento FD PediDOSE Trial Study CLEAN.pdf
- PP- 2224 AEMT Scope of Practice.pdf
- PP- 5055 Telehealth.pdf
- PP-2521.sp-Ambulance Patient Offload Time (APOT)- UCDMC Pilot.pdf