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**UPDATE - Use the Main Menu to navigate to the pages.**


This website is packed with information and quick references for the Orange County Paramedic.  Each section covers a group of related topics for reference in the field.

Use the Main Menu at the top of the page (Computer / iPad) or the Menu Button on the top right of your smart phone to navigate to the reference pages.


Any updates that are released will have the old policy and the new policy clearly defined until the new policies are completely adopted.

Use the Navigation Menu on your Phone


This section is packed with quick reference material for the Paramedic in the Field.  There is an Adult Drug Standing Orders page that references the I-15 chart set up by OCEMS.  The Pediatric Drug Calculators take you directly to the specific pharmacology pages that address the indications and contraindications of each drug.  This page will continue to grow as the site expands.

  • Base Contact

  • Adult Drug SO

  • PEDS Drug SO

  • ALS Standing Orders

  • MCI

  • MCI Org Chart

  • Hospital Information

  • **Kardex Guide**

Use the Main Menu to Navigate to the Quick Link Page


The Pharmacology section take a deep dive on each medication used by Orange County Paramedics.  Each drug page has a Standing Order section at the top, followed by Indications, Contraindications, and Special Circumstances.  The Adult and Pediatric sections are separated, including indications for each.  The bottom of each page has a Pediatric Drug calculator that gives the Dose and Volume of each drug.

  • Adenosine

  • Albuterol

  • Amiodarone

  • Aspirin

  • Atropine

  • Benadryl

  • D10 / NS

  • Epinephrine

  • Fentanyl

  • Glucagon

  • Glucose Preparation

  • Hydroxocobalamin

  • Lidocaine

  • Morphine

  • Narcan

  • Nitroglycerin

  • Normal Saline

  • Sodium Bicarbonate

  • Versed

  • Zofran

Use the Main Menu to Navigate to the PHARMACOLOGY Page


The Criteria section take a look at criteria set up by Orange County EMS for various situations you might deal with in the EMS field.

Each Page addresses specific situations that Paramedics and EMTs will deal with in the field.  Each page has a link to the related topic on the OCEMS website.

  • 12 Lead Interpretation

  • 12 Lead Review

  • Amputation / Re-Implant

  • Burn


  • Declared Dead

  • End of Life Options

  • Glasgow / APGAR

  • Inter-Facility Tranport

  • Pediatric Assessment

  • Sepsis

  • Stroke

  • Trauma

Use the Main Menu to Navigate to the Quick Link Page


The Algorithm section lays out a step by step process for different types of calls.  Drugs and Procedures are discussed in the order in which they are performed on the call.

These Algorithms are not a replacement for common sense, if a patient is presenting with unique signs and symptoms that do not fall within the normal call type, Base Hospital Contact could be warranted.

  • Allergic Reaction - Adult

  • Allergic Reaction - PEDS

  • Asystole - Adult

  • Asystole - PEDS

  • Bradycardia - Adult

  • Bradycardia - PEDS

  • Ebola Flow Chart

  • SVT - Adult

  • Trauma Triage

  • Hyperglycemia

  • V-Fib / V-Tach

  • V-Fib / V-Tach PEDS

Use the Main Menu to Navigate to the Algorithms Page


The Procedures section covers the Clinical Procedures set up by Orange County EMS.  Each topic has a video demonstration attached where appropriate.

  • 12 Lead Transmission

  • Capnography

  • Chemical Exposure

  • Combitube

  • CPAP

  • Cyanokit

  • Intraosseous / IO

  • Intubation

  • King Airway

  • Needle Thoracostmy

  • Neuromuscular Blockade

  • Pit Crew CPR (Updated 10/1/20)

  • Push Dose Epi

  • PVAD

  • Spinal Motion Restriction

  • Supraglottic Airway

  • START Triage

  • Jump Start Triage

  • Synchronized Cardioversion

  • Transcutaneous Pacing

  • VAD / Life Vest

Use the Main Menu to Navigate to the PROCEDURES Page


Communications are an important part of the Pre-Hospital setting.  This section gives the contact numbers of EMS personnel in the field.

  • Hospitals

  • MCI - PCCI

  • Failsafe

  • OCEMSA Links

Use the Main Menu to Navigate to the COMMUNICATIONS Page


The BLS section of the Kardex is uniquely set up to cover the BLS policies and procedures in Orange County.

These Policies and Procedures are those covered by the expanded scope in Orange County for EMTs.

  • Stroke / Aspirin

  • Nitro / Albuterol

  • Glucometer / Glucose

  • Epinephrine / Duo-Dotes

  • Narcan

Use the Main Menu to Navigate to the BLS KARDEX Page

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