Multnomah County Emergency Medical Services provides medical oversight and overall coordination of the Multnomah County EMS system and is the EMS medical control authority for the county.

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Patient Treatment Protocols

(Effective December 17, 2012)
The following are patient treatment protocols for Multnomah County and participating agencies in Clackamas County.

• Section 00: Contents, Preface, Advance Directives, Death in Field, Medical Control for Drugs and Procedures
• Section 10: Treatment
• Section 20: Drugs
• Section 30: Procedures
• Section 40: Communications
• Section 50: Operations
• Section 60: Trauma Protocol ATAB-1
• Section 70: Special Operations Treatment

EMS Policies and Procedures

The following documents provide additional guidance and/or answer questions regarding various operational and patient care issues.

• Advanced Airway Issues (120897-OPS)
• Ambulance Diversion FAQ (0401-FAQ)
• Awake End-Tidal CO2 (011504-ADM)
• Clarification of 2006 Protocols (020106-OPS)
• Destination of Sexual Assault Patients (0892-OPS)
• EMS Equipment & Supplies Exchange (100105-OPS)
• ETCO2 Waveform and Esophageal Detector Device (010104)
• Gang Related Activities (070198)
• Greater Portland Metropolitan Area Hospitals and Ambulance Providers - Ambulance Diversion Guidelines (revised June 9, 2006)
• Need for Third Person During Transport (101b95-OPS)
• PDX Public Health Investigation Plan (120103-OPS)
• Rapid Sequence Intubation Guidelines (011504)
• SARS Precautions and Notification (040403-OPS)
• Trauma System Entry (100195-OPS)
• Unrecognized PEA: An Update (020705-OPS)

Patient Treatment

EMS Rules and Statutes

• Oregon State ORS and OAR
• ORS 682: Regulation of Ambulance Service and Emergency Medical Personnel
• Multnomah County Code Chapter 21 (Health), 21.400 (EMS)

Responder Resources

Certification, Accreditation, Training

• State of Oregon EMS & Trauma Systems
  EMT certification, schools and training, reciprocity, general information
• The National Association of EMS Educators
• National Registry of Emergency Medical Technicians

Regional Fire Departments & EMS

• American Medical Response
• Cascade Locks Fire & EMS
• Gresham Fire & Emergency Services
• Multnomah County Rural Fire Protection District 14 (Corbett Fire)
• Portland Fire & Rescue
• Portland Airport Fire & Rescue
• Sauvie Island Volunteer Fire District 30
• Scappoose Rural Fire District (Columbia County)
• Washington County EMS

Regional 911

• CRESA 911: Clark Regional Emergency Services Agency
• BOEC 911: Bureau of Emergency Communications (Multnomah County)
• C-Com 911: Clackamas County
• WCCCA 911: Washington County Consolidated Communications Agency

Professional

• State of Oregon EMS & Trauma Systems
  EMS agencies, ambulance companies, magazines, resources
• Oregon Paramedic Association
• National Association of EMTs
• National EMS Management Association
• EMS State of the Sciences Conference (Eagles)

Publications

• EMS Magazine
• Journal of Emergency Medical Services

Research Studies and Articles

• Pre-hospital Emergency Care
• Public Access Defibrillation (PAD)
• Rapid Early Action for Coronary Treatment REACTS
• Resuscitation Outcomes Consortium

Staff

Jon Jui, MD, MPH, FACEP, Medical Director
jui@ohsu.edu

Associate Medical Directors
Liz Hatfield-Keller MD, FACEP
Mike Murray MD, FACEP
Gregory Lorts MD, FACEP

Darrell Knott, EMS Administrator
darrell.c.knott@multco.us

Mary Orr, EMS Coordinator
mary.c.orr@multco.us

Cesilee Fidler, Administrative Specialist
cesilee.fidler@multco.us

Karen Garber, Data Analyst
karen.m.garber@multco.us