Manitoba Health, Seniors and Active Living

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Emergency Medical Services

Emergency Treatment Guidelines

The Emergency Treatment Guidelines provide a framework and reference point for EMS personnel. The intent is to establish an acceptable standard for managing patients who are ill or injured. The Guidelines have been reviewed by a variety of physicians, EMS personnel, and others involved in the care of patients in the EMS environment. While every effort has been made to ensure the Guidelines are current and medically sound, it is inevitable that medical care will evolve. Every effort will be made to maintain these Guidelines so they reflect sound paramedical practice. If inconsistencies or other irregularities are noted, please forward them to Emergency Medical Services Branch, Manitoba Health using the form in Appendix 16.

Special Update 2009: M10 Obstetrical Emergencies

Emergency Treatment Guideline M-10 Obstetrical Emergencies has been updated to include a section on management of a neonate. This section was removed from Emergency Treatment Guideline G-13 Cardiopulmonary Resuscitation when the guideline was revised to a flowchart format in 2008.

Please note that the neonate information has remained unchanged from the 2008 G-13 guideline.

Introduction and Table of Contents - October 2008

Summary of Changes to Treatment Guidelines - December 2010


1. Code of Ethics
2. Scope and Function
3. Scene Assessment
4. Triage
5. Primary Survey
6. Shock
7. Load and Go
8. Secondary Survey
9. Unconscious Patient
10A. Obstructed Airway Adult & Child
10B. Obstructed Airway Infant
11. Airway Management
12. Dyspnea and Respiratory Distress
13. Cardiopulmonary Resuscitation
14. Refusal of Care
15. Determination of Death
16. Emergency Vehicle Operations
17. Medical First Response
18. not assigned
19. Infectious and Communicable Diseases
20. Controlled Substances
21. Response to an Expected Death at Home
22. Automated External Defibrillation
23. Other Professional at Scene
24. Operation of Ambulance by Fire Fighter


1. Chest Pain
2. Congestive Heart Failure
3. contents incorporated into other guidelines
4. Chronic Respiratory Diseases
5. Cerebrovascular Accident

Acute Stroke Management
Acute Stroke Management - Thrombolytic Therapy for Ischemic Stroke Work Sheet

6. Seizures
7. Diabetic Emergencies
8. Anaphylaxis
9. Abdominal Pain
10. Obstetrical Emergencies
(see note about update to M10 Obstetrical Emergencies)
11. Poisoning
12. Drug and Alcohol Abuse
13. Mental Health Emergencies
14. Obstetrical Triage


1. Soft Tissue Injuries and Wounds
2. External and Internal Bleeding
3. Amputations
4. Fractures and Dislocations
5. Central Nervous System Injuries
6. Eye, Ear, Nose, and Throat Injuries
7. Chest Injuries
8. Abdominal Injuries
9. Genital Injuries
10. Burns
11. Sexual Assault
12. Trauma Triage

Environmental Emergencies

1. Cold Related
2. Heat Related
3. Near Drowning


1. EMS Drug Formulary
2. Routes for Drug Administration
3. Splinting and Immobilization
4. Glasgow Coma Scale
5. APGAR Scoring Scale
6. Normal Vital Signs
7. Age-appropriate Weights
8. Fleetnet Radio Identification Numbers
9. Priority for Patient Transport
10. Personal Health Information Act
11. Health Care Directives Act
14. Medical Abbreviations
15. Metric Conversion
16. Process for Revision of Treatment Guidelines
17. Tubes Maintenance
18. End of Life Directive
19. Pulse Oximetry

The Treatment Guidelines were disseminated to all EMS providers in Manitoba in July 2001 and became the standard of care in Manitoba on January 1, 2002. The Treatment Guidelines have since been reviewed and revised.

The information on this page was updated on April 27, 2010.

For more information, please contact:
Manitoba Health, Seniors and Active Living - Emergency Medical Services
Unit #7 - 1680 Ellice Avenue
Winnipeg MB R3H 0Z2
E-mail: emergserv@gov.mb.ca
Phone: 204-945-5300