OC MEDIC / FIELD RESOURCES
Standing orders
Find the official standing order by condition, patient population, or document number.
Clinical guides
Suspected sepsis
Recognize suspected sepsis, support perfusion, and know when to contact base.
Adult / adolescent · ALSNeurologicStroke: recognition, treatment & routing
Capture last known well, check stroke-triage findings, treat reversible problems, and coordinate destination.
Adult / adolescent · ALSBLSBLS naloxone: 4 mg nasal spray
Use the preloaded 4 mg NARCAN device for suspected opioid overdose under SO-B-002.
See source criteria · BLSBLSBLS oral glucose: gel / paste
Confirm the patient can swallow, give small portions, and reassess at 5 minutes.
See source criteria · BLSCardiacChest pain & suspected ACS
Obtain an early 12-lead, check medication exclusions, and coordinate a cardiac destination.
Adult / adolescent · ALSCardiacSymptomatic bradycardia
Treat poor perfusion, prepare pacing, and obtain required base contact.
Adult / adolescent · ALSCardiacRegular narrow-complex tachycardia
Distinguish a compensatory fast rate from the adenosine or urgent-cardioversion pathway.
Adult / adolescent · ALSMedicalAllergic reaction & anaphylaxis
Separate rash-only reactions from angioedema and systemic anaphylaxis.
Adult / adolescent · ALSRespiratoryRespiratory distress
Use the wheeze, suspected CHF, or stridor pathway and reassess ventilation.
Adult / adolescent · ALSNeurologicAltered mental status
Support the airway, check glucose, assess stroke criteria, and treat poor perfusion or suspected opioid toxicity.
Adult / adolescent · ALSNeurologicSeizure / convulsions
Treat active or recurrent seizures, monitor ventilation, and check for hypoglycemia.
Adult / adolescent · ALSMedicalOverdose & poisoning
Support ventilation first, then identify the opioid, stimulant, cholinergic, or smoke-exposure pathway.
Adult / adolescent · ALSMedicalNausea, vomiting & dehydration
Manage airway risk, assess perfusion, and use the adult or pediatric antiemetic pathway.
Adult & pediatric · ALSTraumaTrauma: bleeding, limb injury & TBI
Control hemorrhage, protect perfusion and ventilation, and recognize destination needs.
Adult / adolescent · ALSTraumaBurns & smoke inhalation
Support oxygenation, address pain and perfusion, and recognize burn-center referral criteria.
Adult / adolescent · ALSPediatricPediatric respiratory distress
Distinguish wheeze, croup-like cough, anaphylaxis, and poor perfusion.
Pediatric · ALSPediatricPediatric allergic reaction & anaphylaxis
Use weight-based epinephrine first for anaphylaxis, then treat airway, breathing, and perfusion.
Pediatric · ALSPediatricPediatric seizure / convulsions
Use weight-based seizure treatment, monitor ventilation, and contact base for every patient.
Pediatric · ALSPediatricPediatric cardiac arrest
Follow the pediatric shockable and non-shockable pathways, with weight-based medication and early base contact.
Pediatric · ALSPediatricPediatric bradycardia
Correct oxygenation and ventilation first; escalate persistent bradycardia with poor perfusion.
Pediatric · ALSPediatricPediatric altered mental status
Protect ventilation, assess perfusion, check glucose, and treat the identified cause.
Pediatric · ALSPediatricPediatric shock / hypotension
Reassess after each weight-based fluid bolus and obtain base direction for pediatric push-dose epinephrine.
Pediatric · ALSPediatricPediatric overdose / poisoning
Support breathing, identify the exposure, and use the toxin-specific pediatric pathway.
Pediatric · ALSPediatricPediatric nausea / vomiting
Treat dehydration, protect the airway, and use ondansetron only within its age-specific pediatric order.
Pediatric · ALSPediatricPediatric burns
Assess inhalation injury, treat pain and poor perfusion, and coordinate the burn destination.
Pediatric · ALSPediatricPediatric non-fatal drowning
Prioritize ventilation, reassess for deterioration, and obtain the required pediatric destination direction.
Pediatric · ALSPediatricPediatric injury / trauma
Control hemorrhage, reassess perfusion, and keep pediatric analgesia and head-injury targets distinct.
Pediatric · ALSPediatricPediatric heat illness / hypothermia
Separate cooling from warming pathways and recognize when altered mental status or arrest changes the response.
Pediatric · ALSCardiacAdult cardiac arrest
Use the OCEMS arrest sequence, track medication totals, and coordinate post-ROSC destination.
Adult / adolescent · ALSCardiacWide-complex tachycardia with a pulse
Separate stable transport from unstable synchronized cardioversion and medication steps.
Adult / adolescent · ALSMedicalAdult shock / hypotension
Identify poor perfusion, reassess fluid response, and recognize the cardiogenic branch.
Adult / adolescent · ALSMedicalAdult hyperglycemia / suspected DKA
Use glucose together with mental status, breathing, vital signs, and comorbidity to choose support and transport.
Adult / adolescent · ALSMedicalAdult abdominal / flank pain
Treat perfusion, pain, and nausea while screening for cardiac or aortic emergencies.
Adult / adolescent · ALSEnvironmentalAdult non-fatal drowning
Support oxygenation and ventilation, assess associated trauma, and use CPAP only in the appropriate conscious patient.
Adult / adolescent · ALSEnvironmentalAdult heat illness / hyperthermia
Move promptly to cooling and escalate when mental status or perfusion is abnormal.
Adult / adolescent · ALSEnvironmentalAdult hypothermia
Warm, handle the slow pulse deliberately, and follow the hypothermic-arrest pathway when indicated.
Adult / adolescent · ALS