Emergency Treatment Protocols

The Manitoba Emergency Services Medical Advisory Committee (MESMAC) has approved the Emergency Treatment Protocols, commonly referred to as Transfers of Function, for use by Manitoba licensed EMS personnel under their Medical Director’s authority and direction.

Emergency Treatment Guideline G2, Scope and Function, outlines the skills progression for EMS providers.

Summary of Changes to Treatment Protocols - October 2008

1.	Acetaminophen 2008
2.	Airway Obstruction with Foreign Body 2008
3.	Anaphylaxis (Technician) 2008
4.	Anaphylaxis (Technician-Paramedic) 2007
5.	Antiemetic 2008
6.	Acetylsalicylic Acid (ASA) for Suspected Acute Myocardial Infarction 2008
7.	Bradycardia (Unstable) 2008
8.	Bradycardia (Unstable) pediatric 2008
9.	Bronchospasm 2008
10.	Cardiac Arrest - Asystole 2008
11.	Cardiac Arrest - Asystole pediatric 2008
12.	Cardiac Arrest - Discontinuing Resuscitation at scene 2008
13.	Cardiac Arrest – Dialysis Patient 2008
14.	Cardiac Arrest - Hypothermia 2008
15.	Cardiac Arrest – Pulseless Electrical Activity 2008
16.	Cardiac Arrest – Pulseless Electrical Activity  pediatric 2008
17.	Cardiac Arrest – Trauma 2008
18.	Cardiac Arrest – Trauma Discontinuation of Resuscitation at Scene 2008
19.	Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia  2008
20.	Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Pediatric 2008
21.	C-Spine Clearance 2008
22.	Double Lumen Airway Protocol Using Esophageal Tracheal Combitube 2008
23.	Drug Infusion Maintenance (Adult) 2008
24.	End Tidal CO2 Detection 2008
25.	Hypoglycemia (EMR) 2008
26.	Hypoglycemia (EMT) 2008
27.	Infusion Pump Maintenance 2008
28.	Intraosseous Cannulation and Infusion 2008
29.	Intraosseous Cannulation and Infusion with Bone Injection Gun (B.I.G) 2008
30.	Intravenous Cannulation and Infusion 2008
31.	Midazolam Administration 2008
32.	Morphine Administration 2008
33.	Nitroglycerine for Ischemic Chest Pain 2008
34.	Nitrous Oxide – Oxygen Administration 2008
35.	Suspected Opioid Overdose Management Protocol using Naloxone 2008
36.	Obstretrical Triage 2008
37.	Oxytocin for Postpartum Hemorrhage 2008
38.	Pulmonary Edema 2008
39.	Pulmonary Edema Nitroglycerine 2008
40.	Seizure Management 2008
41.	Tachycardia - unstable 2008
42.	Taser Dart removal 2008
43.	Tension Pneumothorax 2007
44.	Tracheal Intubation (Adult) 2008
45.	Tracheal Intubation (Child) 2008
46.	Twelve Lead 12/15 Lead ECG 2008

A Procedure for Revision form has been designed to permit feedback regarding Protocols in a structured way. Please click here for the revision form.

Most Protocols have undergone change, ranging from minor to significant since their initial approval. All EMS services and personnel should take time to review the Protocols to ensure they are aware of all revisions.

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The information on this page was updated on January 2009.