Michigan State Protocols
Updated:11/18/25
Sec. 4: Obstetrics and Pediatrics
4 01 Pediatric Medication Emergency Dosing and Intervention Cards
4 02 Childbirth and Related Obstetrical Emergencies
4 03 Newborn Neonatal Assessment and Resuscitation
4 04 Pediatric Altered Mental Status
4 05 Pediatric Respiratory Distress Failure or Arrest
Sec. 7: Procedures
7 02 Child Abuse and Neglect Suspected
7 04 Vulnerable Adult Abuse Neglect or Exploitation Suspected
7 06 Dead on Scene and Termination of Resuscitation
7 09s Nasal Intubation Procedure Supplement
7 15 Documentation and Patient Care Records
7 17 Patient Procedural Sedation
7 19 Refusal of Care; Adult and Minor
7 21 Blood Glucose Level Testing
7 23 Vascular Access and IV Fluid Therapy
7 24 End Tidal Carbon Dioxide Monitoring
7 25 Michigan Physician Orders for Scope of Treatment MI-Post
Sec. 8: System
8 02 Patient Prioritization and Use of Lights and Sirens
8 03 Transport Destination & Diversion Guidelines
8 10 Infection Control and Communicable Disease
8 13 Electronic Records and EMS Information System
8 14 Protected Health Information
8 15 Inter-facility Patient Transfers
8 17 Medical Control Privileges
8 18 Responsibilities of the Participants in the Medical Control Authority System
8 19 On-Scene Physician Interaction
8 21 Violent/Chemical/Hazardous Scene
8 22 Medical Examiner Notification and Body Disposition
8 23 Safe Delivery of Newborns
8 24 Complaint Investigation and Resolution
8 25 Disciplinary Action Appeal
Sec. 10: Special Operations
10 01 General CBRNE Identification Agents
10 03 Nerve Agent/Organophosphate Pesticide Exposure Treatment
10 06 Mass Casualty Incidents (MCI)
10 07 Pre-hospital (EMS) MCA Mutual Aid During Disaster
10 08 Hazard Contaminated Patient
10 10 SPRN Transport and Destination Guideline (Optional)
10 11 SPRN Patient Contamination Algorithm (Optional)
10 12 SPRN Transport Supplies (Optional)
10 13 SPRN Transport Procedure (Optional)
10 14 SPRN Patient Care During Transport of Suspected Highly Infectious Agent (Optional)
10 15 SPRN Ambulance Cleaning and Disinfection (Optional)
10 16 SPRN Medical Isolation Device Transport Device (Optional)
10 17 SPRN Team Selection Procedure (Optional)
10 18 SPRN Death During Transport
10 21 Hydrocarbons and Halogenated Hydrocarbons
Sec. 11: Community Paramedicine
11 01 Community Paramedicine Program Policy
11 02 CPU Treatment Capabilities
11 03 CPMP Medical Director Roles/Responsibilities
11 04 CPPV Required Equipment List
11 05 CPU Medication Box Contents-Exchange Procedure-Use / Replacement Form
11 07 No Protocol at this time
11 08 No Protocol at this time
11 09 No Protocol at this time
11 10 General Protocol for all CPU Patient Assessments
11 11 Asthma/COPD Treatment and Management
11 12 Congestive Heart Failure
11 13 CPAP/BiPAP/Sleep Apnea/Oxygen Sat Checks
11 24 Upper Respiratory Infection
11 28 Skin Infection (Cellulitis)
11 32 Alternative Destination & Alternative Transport
11 41 Naloxone Medication Kit Contents and Distribution Procedure (Optional)
Sec. 12: Mobile Intensive Care Unit (M.I.C.U.) Treatment
12 02 MICU Transport Capabilities
12 03 MICU Medical Director Roles/Responsibilities
12 04 MICU Required Equipment List
12 05 MICU Medication Box Contents Exchange Procedure and Replacement Form
12 06 General Protocol for MICU Transports
12 09 Hypotension (Non-Hypovolemic)
12 11 Acetycysteine (Mucomyst)
12 20 Glycoprotein IIb/IIIa Receptor Antagonist for Acute Coronary Syndromes
12 25 Labetolol (Normodyne, Trandate)
12 28 Milrinone (Corotrope, Primacor)
12 33 Nitroprusside (Nitropress)
12 34 Norepinephrine (Levophed)
12 35 Oxytocin (Pitocin) and Related Medications
12 36 Paralytics: Non-Depolarizing Neuromuscular Blockers (NDMB)
12 37 Phenylephrine (Neosynephrine)
12 38 Dexmedetomidine (precedex)