# OC Medic

> Independent clinical education and field-reference resources for Orange County EMS clinicians.

The guides are concise summaries with stated populations and scopes. Use the linked official OCEMS source and current notices for complete requirements. Source checks and summary update dates are distinct from clinical review.

## Main pages

- [About OC Medic](https://www.ocmedic.com/about/): Our mission to support Orange County EMTs and paramedics, especially clinicians starting out.
- [Quick guides](https://www.ocmedic.com/field-reference/): Short, source-linked clinical summaries.
- [Medication guides](https://www.ocmedic.com/medications/): Adult and pediatric sections for all core field medications, plus explicitly scoped special-use references.
- [Medication coverage](https://www.ocmedic.com/medications/coverage/): Reconciliation with the required and optional inventory.
- [Document library](https://www.ocmedic.com/library/): 282 official OCEMS document records.
- [Editorial approach](https://www.ocmedic.com/editorial/): Source selection, dates, review status, and corrections.

## Guide text

- [Suspected sepsis](https://www.ocmedic.com/guides/sepsis.md): Recognize suspected sepsis, support perfusion, and know when to contact base. Status: published.
- [Stroke: recognition, treatment & routing](https://www.ocmedic.com/guides/stroke.md): Capture last known well, check stroke-triage findings, treat reversible problems, and coordinate destination. Status: published.
- [CPAP: adult & pediatric](https://www.ocmedic.com/guides/cpap.md): Select an eligible patient, check exclusions, apply the correct pressure, and reassess for deterioration. Status: published.
- [Base contact: common triggers](https://www.ocmedic.com/guides/base-contact.md): A quick check for medical-control contact before transport or escalation. Status: published.
- [Pediatric assessment triangle](https://www.ocmedic.com/guides/pediatric-assessment.md): Use appearance, breathing, and skin circulation for a rapid first impression. Status: published.
- [Glasgow Coma Scale](https://www.ocmedic.com/guides/gcs.md): Score eye, verbal, and motor responses. Report each component and the total. Status: published.
- [BLS naloxone: 4 mg nasal spray](https://www.ocmedic.com/guides/bls-naloxone.md): Use the preloaded 4 mg NARCAN device for suspected opioid overdose under SO-B-002. Status: published.
- [BLS oral glucose: gel / paste](https://www.ocmedic.com/guides/bls-oral-glucose.md): Confirm the patient can swallow, give small portions, and reassess at 5 minutes. Status: published.
- [Chest pain & suspected ACS](https://www.ocmedic.com/guides/chest-pain.md): Obtain an early 12-lead, check medication exclusions, and coordinate a cardiac destination. Status: published.
- [Symptomatic bradycardia](https://www.ocmedic.com/guides/bradycardia.md): Treat poor perfusion, prepare pacing, and obtain required base contact. Status: published.
- [Regular narrow-complex tachycardia](https://www.ocmedic.com/guides/narrow-complex-tachycardia.md): Distinguish a compensatory fast rate from the adenosine or urgent-cardioversion pathway. Status: published.
- [Allergic reaction & anaphylaxis](https://www.ocmedic.com/guides/anaphylaxis.md): Separate rash-only reactions from angioedema and systemic anaphylaxis. Status: published.
- [Respiratory distress](https://www.ocmedic.com/guides/respiratory-distress.md): Use the wheeze, suspected CHF, or stridor pathway and reassess ventilation. Status: published.
- [Altered mental status](https://www.ocmedic.com/guides/altered-mental-status.md): Support the airway, check glucose, assess stroke criteria, and treat poor perfusion or suspected opioid toxicity. Status: published.
- [Seizure / convulsions](https://www.ocmedic.com/guides/seizures.md): Treat active or recurrent seizures, monitor ventilation, and check for hypoglycemia. Status: published.
- [Overdose & poisoning](https://www.ocmedic.com/guides/poisoning.md): Support ventilation first, then identify the opioid, stimulant, cholinergic, or smoke-exposure pathway. Status: published.
- [Nausea, vomiting & dehydration](https://www.ocmedic.com/guides/nausea-vomiting.md): Manage airway risk, assess perfusion, and use the adult or pediatric antiemetic pathway. Status: published.
- [Trauma: bleeding, limb injury & TBI](https://www.ocmedic.com/guides/trauma.md): Control hemorrhage, protect perfusion and ventilation, and recognize destination needs. Status: published.
- [Burns & smoke inhalation](https://www.ocmedic.com/guides/burns.md): Support oxygenation, address pain and perfusion, and recognize burn-center referral criteria. Status: published.
- [Pediatric respiratory distress](https://www.ocmedic.com/guides/pediatric-respiratory-distress.md): Distinguish wheeze, croup-like cough, anaphylaxis, and poor perfusion. Status: published.
- [Pediatric allergic reaction & anaphylaxis](https://www.ocmedic.com/guides/pediatric-anaphylaxis.md): Use weight-based epinephrine first for anaphylaxis, then treat airway, breathing, and perfusion. Status: published.
- [Tourniquet: uncontrolled extremity bleeding](https://www.ocmedic.com/guides/tourniquet.md): Apply an approved tourniquet, keep it visible, and communicate the placement time. Status: published.
- [Pediatric seizure / convulsions](https://www.ocmedic.com/guides/pediatric-seizures.md): Use weight-based seizure treatment, monitor ventilation, and contact base for every patient. Status: published.
- [Pediatric cardiac arrest](https://www.ocmedic.com/guides/pediatric-cardiac-arrest.md): Follow the pediatric shockable and non-shockable pathways, with weight-based medication and early base contact. Status: published.
- [Pediatric bradycardia](https://www.ocmedic.com/guides/pediatric-bradycardia.md): Correct oxygenation and ventilation first; escalate persistent bradycardia with poor perfusion. Status: published.
- [Pediatric altered mental status](https://www.ocmedic.com/guides/pediatric-altered-mental-status.md): Protect ventilation, assess perfusion, check glucose, and treat the identified cause. Status: published.
- [Pediatric shock / hypotension](https://www.ocmedic.com/guides/pediatric-shock.md): Reassess after each weight-based fluid bolus and obtain base direction for pediatric push-dose epinephrine. Status: published.
- [Pediatric overdose / poisoning](https://www.ocmedic.com/guides/pediatric-poisoning.md): Support breathing, identify the exposure, and use the toxin-specific pediatric pathway. Status: published.
- [Pediatric nausea / vomiting](https://www.ocmedic.com/guides/pediatric-nausea-vomiting.md): Treat dehydration, protect the airway, and use ondansetron only within its age-specific pediatric order. Status: published.
- [Pediatric burns](https://www.ocmedic.com/guides/pediatric-burns.md): Assess inhalation injury, treat pain and poor perfusion, and coordinate the burn destination. Status: published.
- [Pediatric non-fatal drowning](https://www.ocmedic.com/guides/pediatric-drowning.md): Prioritize ventilation, reassess for deterioration, and obtain the required pediatric destination direction. Status: published.
- [Pediatric injury / trauma](https://www.ocmedic.com/guides/pediatric-trauma.md): Control hemorrhage, reassess perfusion, and keep pediatric analgesia and head-injury targets distinct. Status: published.
- [Pediatric heat illness / hypothermia](https://www.ocmedic.com/guides/pediatric-temperature-emergencies.md): Separate cooling from warming pathways and recognize when altered mental status or arrest changes the response. Status: published.
- [Adult cardiac arrest](https://www.ocmedic.com/guides/adult-cardiac-arrest.md): Use the OCEMS arrest sequence, track medication totals, and coordinate post-ROSC destination. Status: published.
- [Wide-complex tachycardia with a pulse](https://www.ocmedic.com/guides/wide-complex-tachycardia.md): Separate stable transport from unstable synchronized cardioversion and medication steps. Status: published.
- [Adult shock / hypotension](https://www.ocmedic.com/guides/shock.md): Identify poor perfusion, reassess fluid response, and recognize the cardiogenic branch. Status: published.
- [Adult hyperglycemia / suspected DKA](https://www.ocmedic.com/guides/hyperglycemia.md): Use glucose together with mental status, breathing, vital signs, and comorbidity to choose support and transport. Status: published.
- [Adult abdominal / flank pain](https://www.ocmedic.com/guides/abdominal-pain.md): Treat perfusion, pain, and nausea while screening for cardiac or aortic emergencies. Status: published.
- [Adult non-fatal drowning](https://www.ocmedic.com/guides/drowning.md): Support oxygenation and ventilation, assess associated trauma, and use CPAP only in the appropriate conscious patient. Status: published.
- [Adult heat illness / hyperthermia](https://www.ocmedic.com/guides/heat-illness.md): Move promptly to cooling and escalate when mental status or perfusion is abnormal. Status: published.
- [Adult hypothermia](https://www.ocmedic.com/guides/hypothermia.md): Warm, handle the slow pulse deliberately, and follow the hypothermic-arrest pathway when indicated. Status: published.
- [OCEMS BLS scope of practice](https://www.ocmedic.com/guides/bls-scope-of-practice.md): A practical OCEMS BLS guide for Orange County EMTs: scope of practice, CPAP, medication assistance, ALS support, and transport limits. Status: published.
- [Adenosine](https://www.ocmedic.com/guides/adenosine.md): Regular narrow-complex tachycardia: adult treatment and pediatric base-order guidance. Status: published.
- [Albuterol](https://www.ocmedic.com/guides/albuterol.md): Nebulized treatment for bronchospasm, with adult and pediatric protocol distinctions. Status: published.
- [Amiodarone](https://www.ocmedic.com/guides/amiodarone.md): Separate cardiac-arrest dosing from treatment of unstable wide-complex tachycardia with a pulse. Status: published.
- [Aspirin](https://www.ocmedic.com/guides/aspirin.md): Adult suspected cardiac ischemia and the limits of pediatric and fire-service use. Status: published.
- [Atropine](https://www.ocmedic.com/guides/atropine.md): Symptomatic bradycardia and organophosphate poisoning require different doses and pediatric rules. Status: published.
- [Dextrose 10% (D10)](https://www.ocmedic.com/guides/dextrose.md): Treat hypoglycemia with a titrated adult dose or measured pediatric volume. Status: published.
- [Diphenhydramine (Benadryl)](https://www.ocmedic.com/guides/diphenhydramine.md): Allergic and dystonic reactions: weight-based pediatric dosing and adjunctive use in anaphylaxis. Status: published.
- [Epinephrine](https://www.ocmedic.com/guides/epinephrine.md): Anaphylaxis, cardiac arrest, and push-dose shock treatment: concentrations and age-specific rules. Status: published.
- [Fentanyl](https://www.ocmedic.com/guides/fentanyl.md): Adult and pediatric analgesia, route-specific doses, and the young-child base-contact requirement. Status: published.
- [Glucagon](https://www.ocmedic.com/guides/glucagon.md): IM hypoglycemia treatment when IV access cannot be established. Status: published.
- [Oral glucose](https://www.ocmedic.com/guides/oral-glucose.md): Adult and pediatric use depends on a safe swallow, intact airway reflexes, and the matching product. Status: published.
- [Hydroxocobalamin (Cyanokit)](https://www.ocmedic.com/guides/hydroxocobalamin.md): Adult and pediatric cyanide-antidote treatment with base authorization and a dedicated infusion line. Status: published.
- [Ketamine](https://www.ocmedic.com/guides/ketamine.md): OCEMS analgesia for eligible patients age 15 and older; pediatric exclusion is explicit. Status: published.
- [Ketorolac (Toradol)](https://www.ocmedic.com/guides/ketorolac.md): Non-opioid analgesia with strict age, renal, bleeding, and pregnancy exclusions. Status: published.
- [Lidocaine](https://www.ocmedic.com/guides/lidocaine.md): Separate antiarrhythmic dosing from preservative-free IO-infusion analgesia. Status: published.
- [Midazolam (Versed)](https://www.ocmedic.com/guides/midazolam.md): Seizure control and indication-specific sedation, with distinct adult and pediatric limits. Status: published.
- [Morphine sulfate](https://www.ocmedic.com/guides/morphine.md): Adult formulation-dependent doses and pediatric weight-based analgesia. Status: published.
- [Naloxone (Narcan)](https://www.ocmedic.com/guides/naloxone.md): Restore ventilation in suspected opioid toxicity; distinguish ALS routes from the BLS nasal-product pathway. Status: published.
- [Nitroglycerin](https://www.ocmedic.com/guides/nitroglycerin.md): Sublingual adult cardiac/pulmonary-edema treatment and separately authorized transport infusions. Status: published.
- [Normal saline (0.9% sodium chloride)](https://www.ocmedic.com/guides/normal-saline.md): Fluid resuscitation, pediatric bolus limits, and nebulized saline are different uses. Status: published.
- [Ondansetron (Zofran)](https://www.ocmedic.com/guides/ondansetron.md): Adult oral/IV treatment and the pediatric age-4-and-older ODT pathway. Status: published.
- [Oxygen](https://www.ocmedic.com/guides/oxygen.md): Adult and pediatric oxygen delivery, ventilation support, and condition-specific exceptions. Status: published.
- [Sodium bicarbonate](https://www.ocmedic.com/guides/sodium-bicarbonate.md): Indication-specific adult treatment and pediatric source-chart guidance. Status: published.
- [DuoDote (atropine / pralidoxime)](https://www.ocmedic.com/guides/duodote.md): Combination auto-injector for organophosphate/nerve-agent toxicity, with age and weight restrictions. Status: published.
- [Heparin infusion](https://www.ocmedic.com/guides/heparin.md): Monitoring a prescribed infusion during interfacility transport; not a field initiation protocol. Status: published.
- [Alteplase (tPA) infusion](https://www.ocmedic.com/guides/alteplase.md): Interfacility monitoring of a stroke thrombolytic infusion and its explicit stop criteria. Status: published.
- [Acetaminophen](https://www.ocmedic.com/guides/acetaminophen.md): OTC analgesic/antipyretic listed for the FS-ARN program. Status: published.
- [Ibuprofen](https://www.ocmedic.com/guides/ibuprofen.md): OTC NSAID listed for the FS-ARN program. Status: published.
- [Claritin / OTC antihistamine](https://www.ocmedic.com/guides/claritin.md): The non-prescription antihistamine example named in SO-F-02. Status: published.
- [Imodium A-D (loperamide)](https://www.ocmedic.com/guides/loperamide.md): The OTC antidiarrheal product listed in the fire-service source. Status: published.
- [Caladryl or equivalent](https://www.ocmedic.com/guides/caladryl.md): Topical OTC preparation listed for eligible firefighting personnel. Status: published.
- [Poison oak / sumac products](https://www.ocmedic.com/guides/poison-oak-products.md): OTC poison oak and sumac product-category guidance under SO-F-02. Status: published.
- [OTC cough preparations](https://www.ocmedic.com/guides/cough-products.md): Alcohol-free liquid or tablet cough preparations in the FS-ARN list. Status: published.
- [Moisturizing eye drops](https://www.ocmedic.com/guides/eye-drops.md): OTC ocular-lubrication products listed in SO-F-02. Status: published.
- [Body & foot powders](https://www.ocmedic.com/guides/body-foot-powders.md): Talcum/corn-starch body powders and foot powders in the FS-ARN list. Status: published.
- [Neosporin ointment](https://www.ocmedic.com/guides/neosporin.md): The topical OTC ointment product listed in the fire-service source. Status: published.
- [Bacitracin ointment](https://www.ocmedic.com/guides/bacitracin.md): Topical bacitracin listed in the FS-ARN OTC program. Status: published.
- [Antifungal powders & sprays](https://www.ocmedic.com/guides/antifungal-products.md): OTC antifungal product categories listed for fire-service personnel. Status: published.
- [Antacid preparations](https://www.ocmedic.com/guides/antacids.md): Liquid or tablet OTC antacids under SO-F-02. Status: published.
- [Mouthwash preparations](https://www.ocmedic.com/guides/mouthwash.md): Oral-care products listed in the fire-service OTC supply program. Status: published.
- [Influenza vaccine](https://www.ocmedic.com/guides/influenza-vaccine.md): Influenza vaccine: historical OCEMS program scope, adult/pediatric limits, and current-authorization requirements. Status: published.
- [COVID-19 vaccine](https://www.ocmedic.com/guides/covid-19-vaccine.md): COVID-19 vaccine: historical OCEMS program scope, adult/pediatric limits, and current-authorization requirements. Status: published.

## Structured indexes

- [Guides JSON](https://www.ocmedic.com/data/guides.json): Full guide text, scopes, citations, review status, and update dates.
- [Source directory JSON](https://www.ocmedic.com/data/references.json): Official document metadata.

## Products

- [OC Medic apps](https://www.ocmedic.com/apps/): OCMedic and BoxVitals.