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OC MEDIC / FIELD RESOURCES

Standing orders

Find the official standing order by condition, patient population, or document number.

Clinical guides

Medical

Suspected sepsis

Recognize suspected sepsis, support perfusion, and know when to contact base.

Adult / adolescent · ALS
Neurologic

Stroke: recognition, treatment & routing

Capture last known well, check stroke-triage findings, treat reversible problems, and coordinate destination.

Adult / adolescent · ALS
BLS

BLS naloxone: 4 mg nasal spray

Use the preloaded 4 mg NARCAN device for suspected opioid overdose under SO-B-002.

See source criteria · BLS
BLS

BLS oral glucose: gel / paste

Confirm the patient can swallow, give small portions, and reassess at 5 minutes.

See source criteria · BLS
Cardiac

Chest pain & suspected ACS

Obtain an early 12-lead, check medication exclusions, and coordinate a cardiac destination.

Adult / adolescent · ALS
Cardiac

Symptomatic bradycardia

Treat poor perfusion, prepare pacing, and obtain required base contact.

Adult / adolescent · ALS
Cardiac

Regular narrow-complex tachycardia

Distinguish a compensatory fast rate from the adenosine or urgent-cardioversion pathway.

Adult / adolescent · ALS
Medical

Allergic reaction & anaphylaxis

Separate rash-only reactions from angioedema and systemic anaphylaxis.

Adult / adolescent · ALS
Respiratory

Respiratory distress

Use the wheeze, suspected CHF, or stridor pathway and reassess ventilation.

Adult / adolescent · ALS
Neurologic

Altered mental status

Support the airway, check glucose, assess stroke criteria, and treat poor perfusion or suspected opioid toxicity.

Adult / adolescent · ALS
Neurologic

Seizure / convulsions

Treat active or recurrent seizures, monitor ventilation, and check for hypoglycemia.

Adult / adolescent · ALS
Medical

Overdose & poisoning

Support ventilation first, then identify the opioid, stimulant, cholinergic, or smoke-exposure pathway.

Adult / adolescent · ALS
Medical

Nausea, vomiting & dehydration

Manage airway risk, assess perfusion, and use the adult or pediatric antiemetic pathway.

Adult & pediatric · ALS
Trauma

Trauma: bleeding, limb injury & TBI

Control hemorrhage, protect perfusion and ventilation, and recognize destination needs.

Adult / adolescent · ALS
Trauma

Burns & smoke inhalation

Support oxygenation, address pain and perfusion, and recognize burn-center referral criteria.

Adult / adolescent · ALS
Pediatric

Pediatric respiratory distress

Distinguish wheeze, croup-like cough, anaphylaxis, and poor perfusion.

Pediatric · ALS
Pediatric

Pediatric allergic reaction & anaphylaxis

Use weight-based epinephrine first for anaphylaxis, then treat airway, breathing, and perfusion.

Pediatric · ALS
Pediatric

Pediatric seizure / convulsions

Use weight-based seizure treatment, monitor ventilation, and contact base for every patient.

Pediatric · ALS
Pediatric

Pediatric cardiac arrest

Follow the pediatric shockable and non-shockable pathways, with weight-based medication and early base contact.

Pediatric · ALS
Pediatric

Pediatric bradycardia

Correct oxygenation and ventilation first; escalate persistent bradycardia with poor perfusion.

Pediatric · ALS
Pediatric

Pediatric altered mental status

Protect ventilation, assess perfusion, check glucose, and treat the identified cause.

Pediatric · ALS
Pediatric

Pediatric shock / hypotension

Reassess after each weight-based fluid bolus and obtain base direction for pediatric push-dose epinephrine.

Pediatric · ALS
Pediatric

Pediatric overdose / poisoning

Support breathing, identify the exposure, and use the toxin-specific pediatric pathway.

Pediatric · ALS
Pediatric

Pediatric nausea / vomiting

Treat dehydration, protect the airway, and use ondansetron only within its age-specific pediatric order.

Pediatric · ALS
Pediatric

Pediatric burns

Assess inhalation injury, treat pain and poor perfusion, and coordinate the burn destination.

Pediatric · ALS
Pediatric

Pediatric non-fatal drowning

Prioritize ventilation, reassess for deterioration, and obtain the required pediatric destination direction.

Pediatric · ALS
Pediatric

Pediatric injury / trauma

Control hemorrhage, reassess perfusion, and keep pediatric analgesia and head-injury targets distinct.

Pediatric · ALS
Pediatric

Pediatric heat illness / hypothermia

Separate cooling from warming pathways and recognize when altered mental status or arrest changes the response.

Pediatric · ALS
Cardiac

Adult cardiac arrest

Use the OCEMS arrest sequence, track medication totals, and coordinate post-ROSC destination.

Adult / adolescent · ALS
Cardiac

Wide-complex tachycardia with a pulse

Separate stable transport from unstable synchronized cardioversion and medication steps.

Adult / adolescent · ALS
Medical

Adult shock / hypotension

Identify poor perfusion, reassess fluid response, and recognize the cardiogenic branch.

Adult / adolescent · ALS
Medical

Adult hyperglycemia / suspected DKA

Use glucose together with mental status, breathing, vital signs, and comorbidity to choose support and transport.

Adult / adolescent · ALS
Medical

Adult abdominal / flank pain

Treat perfusion, pain, and nausea while screening for cardiac or aortic emergencies.

Adult / adolescent · ALS
Environmental

Adult non-fatal drowning

Support oxygenation and ventilation, assess associated trauma, and use CPAP only in the appropriate conscious patient.

Adult / adolescent · ALS
Environmental

Adult heat illness / hyperthermia

Move promptly to cooling and escalate when mental status or perfusion is abnormal.

Adult / adolescent · ALS
Environmental

Adult hypothermia

Warm, handle the slow pulse deliberately, and follow the hypothermic-arrest pathway when indicated.

Adult / adolescent · ALS

Standing orders

74 references
SO-C-010Standing orders

Cardiopulmonary Arrest - Adult / Adolescent Non-Traumatic

Adult / adolescentALSSource updated Feb 18, 2021
SO-P-040Standing orders

Cardiopulmonary Arrest - Pediatric

PediatricALSSource updated Oct 30, 2025
SO-M-025Standing orders

Suspected Acute Stroke or Intracranial Hemorrhage (Stroke Triage Criteria)

All / see sourceALSSource updated Oct 01, 2023
SO-M-055Standing orders

Suspected Sepsis

All / see sourceALSSource updated Oct 01, 2024
SO-M-035Standing orders

Respiratory Distress

All / see sourceALSSource updated Oct 01, 2025
SO-M-015Standing orders

Allergic Reaction / Anaphylaxis

All / see sourceALSSource updated Apr 01, 2023
SO-T-005Standing orders

General Injury and Trauma - Adult / Adolescent

Adult / adolescentALSSource updated Apr 01, 2024
SO-ALSStanding orders

ALS General Standing Orders - OCEMS Accredited Paramedic

All / see sourceALSSource updated Apr 01, 2022
I-10Standing orders

Abbreviations and Definitions

All / see sourceALSSource updated Sep 03, 2019
SO-M-005Standing orders

Abdominal or Flank Pain, Non-Traumatic

All / see sourceALSSource updated Jan 02, 2019
SO-P-035Standing orders

Acute Respiratory Distress - Pediatric

PediatricALSSource updated Oct 01, 2025
SO-AEMTStanding orders

Advanced EMT Standing Orders

All / see sourceAEMTSource updated Oct 01, 2018
SO-P-060Standing orders

Allergic Reaction / Anaphylaxis - Pediatric

PediatricALSSource updated Apr 01, 2023
SO-M-020Standing orders

Altered Mental Status

All / see sourceALSSource updated Oct 01, 2019
SO-P-065Standing orders

Altered Mental Status - Pediatric

PediatricALSSource updated Apr 01, 2020
SO-T-015Standing orders

Amputation Injuries - Adult / Adolescent

Adult / adolescentALSSource updated Oct 01, 2017
SO-P-025Standing orders

Amputation Injuries - Pediatric

PediatricALSSource updated Oct 01, 2020
SO-FR-003Standing orders

Automated External Defibrillator (AED)

All / see sourceFirst responderSource updated Mar 18, 2021
SO-B-001Standing orders

Basic Life Support Standing Orders

All / see sourceBLSSource updated Oct 01, 2017
SO-P-045Standing orders

Bradycardia - Pediatric

PediatricALSSource updated Apr 01, 2022
SO-E-005Standing orders

Burn (Thermal, Electrical, Chemical) - Adult

Adult / adolescentALSSource updated Apr 01, 2024
SO-P-095Standing orders

Burn (Thermal, Electrical, Chemical) - Pediatric

PediatricALSSource updated Apr 01, 2024
SO-F-06Standing orders

Carbon Monoxide Evaluation

All / see sourceARNSource updated Apr 01, 2017
SO-C-045Standing orders

Cardiac Arrest with Left Ventricular Assist Device (LVAD)

All / see sourceALSSource updated Oct 01, 2017
SO-C-015Standing orders

Chest Pain of Suspected Cardiac Origin or Suspected Angina Equivalent Symptoms

All / see sourceALSSource updated Jul 15, 2021
SO-T-020Standing orders

Crush Injury - Adult / Adolescent

Adult / adolescentALSSource updated May 01, 2016
SO-P-030Standing orders

Crush Injury - Pediatric

PediatricALSSource updated Oct 01, 2020
SO-F-01Standing orders

Diarrhea or Nausea/Vomiting

All / see sourceARNSource updated Apr 01, 2017
SO-E-010Standing orders

Diving - Decompression Sickness / Air Embolism - Adult / Adolescent

Adult / adolescentALSSource updated Sep 27, 2021
SO-RELStanding orders

Evaluation without EMS Treatment or Transport (Release in Field)

All / see sourceALSSource updated Apr 01, 2019
SO-B-RELStanding orders

Evaluation without Treatment or EMS Transport (Release in Field)

All / see sourceBLSSource updated Oct 01, 2022
SO-F-04Standing orders

Eye Irrigation

All / see sourceARNSource updated Apr 01, 2017
SO-FR-001Standing orders

First Responder: Naloxone Administration

All / see sourceFirst responderSource updated Oct 01, 2022
SO-P-015Standing orders

General Injury and Trauma - Pediatric

PediatricALSSource updated Apr 01, 2024
SO-B-003Standing orders

Glucose Oral Administration

All / see sourceBLSSource updated Oct 01, 2017
SO-M-010Standing orders

Hyperglycemia - Adult / Adolescent

Adult / adolescentALSSource updated Oct 01, 2019
SO-O-010Standing orders

Hypertensive Disorders of Pregnancy

All / see sourceALSSource updated Oct 01, 2021
SO-P-110Standing orders

Left Ventricular Assist Device (LVAD) - Pediatric

PediatricALSSource updated Apr 01, 2020
SO-B-002Standing orders

Naloxone Administration

All / see sourceBLSSource updated Oct 01, 2017
SO-C-025Standing orders

Narrow Complex QRS Complex Tachycardia

All / see sourceALSSource updated Apr 01, 2017
SO-C-030Standing orders

Narrow QRS Complex Tachycardia - Irregular Rhythm - Adult/Adolescent

Adult / adolescentALSSource updated Oct 01, 2017
SO-FR-005Standing orders

Nasopharygeal Airway (NPA)

All / see sourceFirst responderSource updated Apr 20, 2018
SO-M-060Standing orders

Nausea / Vomiting

All / see sourceALSSource updated Apr 01, 2019
SO-P-090Standing orders

Nausea / Vomiting - Pediatric

PediatricALSSource updated Apr 01, 2020
SO-P-010Standing orders

Newborn Care

PediatricALSSource updated Apr 01, 2023
SO-E-015Standing orders

Non-Fatal Drowning

All / see sourceALSSource updated Apr 01, 2017
SO-P-100Standing orders

Non-Fatal Drowning - Pediatric

PediatricALSSource updated Apr 01, 2017
SO-FR-004Standing orders

Oropharyngeal Airway (OPA)

All / see sourceFirst responderSource updated Nov 15, 2017
SO-F-02Standing orders

Over the Counter (OTC) Medications

All / see sourceARNSource updated Apr 01, 2017
SO-FR-002Standing orders

Oxygen Administration

All / see sourceFirst responderSource updated Oct 01, 2017
SO-P-120Standing orders

Pre-Existing Endotracheal Intubation Requiring Sedation - Pediatric

PediatricALSSource updated Oct 01, 2025
SO-M-030Standing orders

Psychiatric / Behavioral Emergencies

All / see sourceALSSource updated Oct 01, 2025
SO-P-070Standing orders

Psychiatric / Behavioral Emergencies - Pediatric

PediatricALSSource updated Mar 27, 2026
SO-F-03Standing orders

Rehabilitation / Rehydration

All / see sourceARNSource updated Apr 01, 2017
SO-M-080Standing orders

Sedation for Endotracheal or LMA Intubation - Adult / Adolescent

Adult / adolescentALSSource updated Oct 01, 2022
SO-P-075Standing orders

Seizure / Convulsion - Pediatric

PediatricALSSource updated Oct 19, 2022
SO-M-040Standing orders

Seizure / Convulsions - Adult / Adolescent

Adult / adolescentALSSource updated Jul 01, 2021
SO-M-045Standing orders

Shock (Symptomatic Hypotension)

All / see sourceALSSource updated Apr 01, 2017
SO-P-080Standing orders

Shock (Symptomatic Hypotension) - Pediatric

PediatricALSSource updated Apr 01, 2025
SO-AMAStanding orders

Signing Against Medical Advice (AMA) in the Field

All / see sourceALSSource updated Nov 01, 2025
SO-E-030Standing orders

Snake Envenomation

All / see sourceALSSource updated Jul 01, 2018
SO-B-004Standing orders

Snake Envenomation - Adult / Adolescent

Adult / adolescentBLSSource updated Oct 01, 2018
SPC-SO-001Standing orders

Special Deployment (Fireline) Tactical Medical / ALS Air Rescue SO

All / see sourceALSSource updated Nov 17, 2021
SO-M-050Standing orders

Substance Overdose / Poisoning - Adult / Adolescent

Adult / adolescentALSSource updated Oct 01, 2021
SO-P-085Standing orders

Substance Overdose / Poisoning - Pediatric

PediatricALSSource updated Oct 01, 2023
SO-C-020Standing orders

Symptomatic Bradycardia - Adult/Adolescent

Adult / adolescentALSSource updated Apr 16, 2024
SO-T-025Standing orders

Taser - Adult / Adolescent

Adult / adolescentALSSource updated Apr 01, 2017
SO-E-025Standing orders

Thermal

All / see sourceALSSource updated Apr 01, 2017
SO-P-105Standing orders

Thermal Disorders - Pediatric

PediatricALSSource updated Apr 01, 2020
SO-T-010Standing orders

Traumatic Cardiopulmonary Arrest - Adult / Adolescent

Adult / adolescentALSSource updated Oct 01, 2023
SO-P-020Standing orders

Traumatic Cardiopulmonary Arrest - Pediatric

PediatricALSSource updated Apr 01, 2023
SO-O-015Standing orders

Vaginal Bleeding During Pregnancy

All / see sourceALSSource updated Nov 01, 2016
SO-C-040Standing orders

Wide QRS Complex Tachycardia with a Pulse - Adult/Adolescent

Adult / adolescentALSSource updated Oct 01, 2025
SO-F-05Standing orders

Wound Irrigation

All / see sourceARNSource updated Apr 01, 2017