OCEMS RELEASE PREPARATION

Prepare for the OCEMS transition.

18 findings checked: 9 source-resolved, 5 partly resolved and 4 unresolved. Nine findings still have explicit source or implementation questions; all revised teaching awaits clinical sign-off. See the clinical review results.

New: adult and pediatric drug-guide comparison and site-wide safety-check coverage →

46 released transition documents. Two immediately effective data policies. Agency adoption must be checked.

Prepare in four steps

Confirm the source version and implementation plan with agency medical direction. Record the adoption date and any exceptions.
Compare the complete old and released documents. Review BLS/ALS scope, base contact, pediatric criteria, medication tables, equipment and destination requirements together.
Complete training and equipment readiness, then reconcile the affected guides, diagrams and saved copies. Do not treat an index check as clinical approval.
Record qualified reviewer approval before publishing revised clinical summaries. Verify links and refresh downloaded references after an approved release.

Review first

Prioritize the adult and pediatric drug guides (I-15/I-20), general standing orders, base contact and trauma triage, push-dose epinephrine, pediatric guidance, needle thoracostomy and intraosseous infusion. New TXA procedures and new treatment-guideline pages need a coverage review as well as edits to existing guides.

The new Treatment Guideline format combines condition-specific standing orders and base-hospital guidance. Compare the complete document rather than copying a single changed paragraph.

Effective immediately

Training and official release resources

Released documents and review queue

Index checked November 14, 2026. I-15 and I-20 have completed source comparison and still need clinical review. The other 44 entries remain in the source-reconciliation queue. Related-guide matches are an aid to review, not a complete dependency analysis. Earlier source versions remain identified on guide pages.

090.00 · Definitions
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
305.00 · Prehospital Leave Behind Naloxone Program
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
309.00 · Transport of Public Safety Working Dogs
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
310.00 · 911 ALS Base Contact, Standing Order, Hospital Contact, and Transport
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Base contact: common triggers, Pediatric assessment triangle, Pediatric respiratory distress, Stroke & intracerebral hemorrhage, HazMat response (draft)
310.30 · Trauma Triage
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
310.31 · Trauma Triage Algorithm
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
315.00 · OCEMS EMT Scope of Practice
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: OCEMS BLS scope of practice
315.00 · OCEMS EMT Scope of Practice: Field Reference Guide
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: OCEMS BLS scope of practice
325.00 · Advanced Life Support (ALS) Provider Unit Minimum Inventory ***UPCOMING 04/01/2027***
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: DuoDote (atropine / pralidoxime), Hydroxocobalamin (Cyanokit), Naloxone (Narcan)
B-003 · Pediatric Vital Signs
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
B-009 · Public Working Dog Transport
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
BH-AMA · BH-AMA (10/2026)
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
C-010 · Cardiac Arrest
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Adult cardiac arrest, Amiodarone, Epinephrine, Sodium bicarbonate
E-005 · Burns
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Burns & smoke inhalation, Fentanyl, Morphine sulfate, Oxygen
E-010 · Decompression Sickness
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
E-015 · Drowning
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Adult non-fatal drowning
E-025 · Thermal Disorders
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Adult heat illness / hyperthermia, Adult hypothermia
E-030 · Snake Envenomation
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
I-10 · Abbreviations and Definitions
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
I-15 · Adult / Adolescent Standing Order Drug Guide
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Dextrose 10% (D10), Diphenhydramine (Benadryl), Epinephrine, Fentanyl, Glucagon, Ketamine, Ketorolac (Toradol), Lidocaine, Midazolam (Versed), Morphine sulfate, Naloxone (Narcan), Nitroglycerin, Normal saline (0.9% sodium chloride), Ondansetron (Zofran), Oral glucose, Oxygen, Sodium bicarbonate
Source comparison complete; clinical review pending. Review chart changes, contraindications and unresolved questions.
I-20 · Pediatric Medication Volume Dose by Weight
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Pediatric respiratory distress, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Dextrose 10% (D10), Diphenhydramine (Benadryl), Epinephrine, Fentanyl, Glucagon, Hydroxocobalamin (Cyanokit), Ketamine, Ketorolac (Toradol), Lidocaine, Midazolam (Versed), Morphine sulfate, Naloxone (Narcan), Nitroglycerin, Normal saline (0.9% sodium chloride), Ondansetron (Zofran), Sodium bicarbonate
Source comparison complete; clinical review pending. Review chart changes, contraindications and unresolved questions.
M-005 · Abdomen Pain
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Adult abdominal / flank pain
M-010 · Diabetic Emergencies
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Adult hyperglycemia / suspected DKA
M-015 · Allergic Reaction
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Allergic reaction & anaphylaxis, Diphenhydramine (Benadryl), Epinephrine
O-010 · Hypertensive Disorders of Pregnancy
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
O-015 · Vaginal Bleeding
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
P-005 · BRUE
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
P-015 · Ped General Injury
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Pediatric injury / trauma, Fentanyl, Morphine sulfate
P-060 · Ped Allergic Reaction
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Pediatric allergic reaction & anaphylaxis, Pediatric respiratory distress, Albuterol, Diphenhydramine (Benadryl), Epinephrine
P-065 · Ped Altered Mental Status
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Pediatric altered mental status, Pediatric assessment triangle, Dextrose 10% (D10), Glucagon, Oral glucose
P-075 · Ped Seizure
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Pediatric seizure / convulsions, Dextrose 10% (D10), Glucagon, Midazolam (Versed)
P-100 · Ped Drowning
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Pediatric non-fatal drowning
P-115 · Ped Stroke
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
PR-006 · Pediatric Vital Signs
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
PR-060 · Needle Thoracostomy
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Needle thoracostomy: adult & pediatric (draft)
PR-065 · Needle Thoracostomy - Pediatric
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Needle thoracostomy: adult & pediatric (draft)
PR-080 · TXA
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
PR-081 · TXA - Pediatric
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
PR-115 · Intraosseous Infusion
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Intraosseous infusion (draft), Adenosine, Lidocaine
PR-130 · Hydroxocobalamin
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Burns & smoke inhalation, Pediatric overdose / poisoning, Hydroxocobalamin (Cyanokit), HazMat response (draft)
PR-205 · Push Dose Epinephrine - Pediatric
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Base contact: common triggers, Pediatric shock / hypotension, Epinephrine, Normal saline (0.9% sodium chloride)
PR-230 · Push Dose Epinephrine
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Adult cardiac arrest, Base contact: common triggers, Symptomatic bradycardia, Suspected sepsis, Adult shock / hypotension, Epinephrine
SO-ALS · ALS General Standing Orders - OCEMS Accredited Paramedic
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
SO-AMA · Signing Against Medical Advice (AMA) in the Field
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: No directly matched guide; review library coverage.
SO-BLS · Basic Life Support Standing Orders
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: OCEMS BLS scope of practice, CPAP: adult & pediatric
T-005 · General Injury & Trauma
Open released county document ↗
Review pending. Agency adoption not confirmed. County index label: April 1, 2027; memo #6032 full-implementation deadline: April 27, 2027, subject to express exceptions.
Related guide review: Glasgow Coma Scale, Trauma: bleeding, limb injury & TBI, Fentanyl, Morphine sulfate, Normal saline (0.9% sodium chloride)

Download the structured transition register · Publication and review standards

Prepare for the OCEMS transition.

Prepare in four steps

Review first

Effective immediately

Training and official release resources

Released documents and review queue

090.00 · Definitions

305.00 · Prehospital Leave Behind Naloxone Program

309.00 · Transport of Public Safety Working Dogs

310.00 · 911 ALS Base Contact, Standing Order, Hospital Contact, and Transport

310.30 · Trauma Triage

310.31 · Trauma Triage Algorithm

315.00 · OCEMS EMT Scope of Practice

315.00 · OCEMS EMT Scope of Practice: Field Reference Guide

325.00 · Advanced Life Support (ALS) Provider Unit Minimum Inventory ***UPCOMING 04/01/2027***

B-003 · Pediatric Vital Signs

B-009 · Public Working Dog Transport

BH-AMA · BH-AMA (10/2026)

C-010 · Cardiac Arrest

E-005 · Burns

E-010 · Decompression Sickness

E-015 · Drowning

E-025 · Thermal Disorders

E-030 · Snake Envenomation

I-10 · Abbreviations and Definitions

I-15 · Adult / Adolescent Standing Order Drug Guide

I-20 · Pediatric Medication Volume Dose by Weight

M-005 · Abdomen Pain

M-010 · Diabetic Emergencies

M-015 · Allergic Reaction

O-010 · Hypertensive Disorders of Pregnancy

O-015 · Vaginal Bleeding

P-005 · BRUE

P-015 · Ped General Injury

P-060 · Ped Allergic Reaction

P-065 · Ped Altered Mental Status

P-075 · Ped Seizure

P-100 · Ped Drowning

P-115 · Ped Stroke

PR-006 · Pediatric Vital Signs

PR-060 · Needle Thoracostomy

PR-065 · Needle Thoracostomy - Pediatric

PR-080 · TXA

PR-081 · TXA - Pediatric

PR-115 · Intraosseous Infusion

PR-130 · Hydroxocobalamin

PR-205 · Push Dose Epinephrine - Pediatric

PR-230 · Push Dose Epinephrine

SO-ALS · ALS General Standing Orders - OCEMS Accredited Paramedic

SO-AMA · Signing Against Medical Advice (AMA) in the Field

SO-BLS · Basic Life Support Standing Orders

T-005 · General Injury & Trauma

325.00 · Advanced Life Support (ALS) Provider Unit Minimum Inventory UPCOMING 04/01/2027