Bay County Medical Control Authority  ·  Michigan EMS Protocols

Bay County Medical Control Authority
EMS Protocol Reference

Official clinical protocols for prehospital emergency medical services in Bay County, Michigan. Click any protocol below to open the official PDF document.

10Sections
80+Protocols
Clinical Reference
Protocol Index

Click any protocol title to open the official Bay County MCA PDF document. The PDF will open directly to that protocol's page.

01
General Treatment Protocols
1-1General Pre-Hospital Care↗1-2Abdominal Pain (Non-Traumatic)↗1-3Nausea & Vomiting↗1-4Syncope↗1-5Shock↗1-6Anaphylaxis / Allergic Reaction↗1-7Adrenal Crisis↗1-8Behavioral Health Emergencies↗1-9Opioid Overdose Treatment & Prevention↗1-10Foreign Body Airway Obstruction↗
02
Trauma & Environmental
2-1Adult/Pediatric Trauma Triage↗2-2General Trauma↗2-3Burns↗2-4General Crush Injury↗2-5Soft Tissue & Orthopedic Injuries↗2-6Spinal Injury Assessment↗2-7Traumatic Arrest↗2-8Drowning / Submersion Injury↗2-9Poisoning / Overdose / Environmental Exposure↗2-10Heat Emergencies↗2-11Hypothermia / Frostbite↗2-12Head Injury – Moderate & Severe TBI↗2-13Bleeding Control (BCON)↗2-14Hemorrhagic Shock↗2-15Sexual Assault↗
03
Adult Medical Treatment
3-1Altered Mental Status↗3-2Stroke / Suspected Stroke↗3-3Respiratory Distress↗3-4Seizures↗3-5Sepsis↗3-6Hyperactive Delirium Syndrome with Severe Agitation↗3-7Crashing Adult / Impending Arrest↗
04
Obstetrics & Pediatrics
4-1Pediatric Medication Emergency Dosing (MI MEDIC Cards)↗4-2Childbirth & Related Obstetrical Emergencies↗4-3Newborn & Neonatal Assessment and Resuscitation↗4-4Pediatric Altered Mental Status↗4-5Pediatric Respiratory Distress, Failure or Arrest↗4-6Pediatric Fever↗4-7Pediatric Seizures↗4-8Safe Transportation of Children in Ambulances↗4-9Pediatric Crashing Patient / Impending Arrest↗
05
Adult Cardiac
5-1Cardiac Arrest – General↗5-2Bradycardia↗5-3Tachycardia↗5-4Pulmonary Edema / Cardiogenic Shock↗5-5Chest Pain / Acute Coronary Syndrome↗5-6Return of Spontaneous Circulation (ROSC)↗
06
Pediatric Cardiac
6-1Pediatric Cardiac Arrest – General↗6-2Pediatric Symptomatic Bradycardia↗6-3Pediatric Tachycardia↗6-4Pediatric Return of Spontaneous Circulation (ROSC)↗
07
Procedures
7-112-Lead ECG↗7-2Child Abuse & Neglect (Suspected)↗7-3Crime Scene Management↗7-4Vulnerable Adult Abuse / Neglect (Suspected)↗7-5CPAP Administration↗7-6Dead on Scene & Termination of Resuscitation↗7-7Do-Not-Resuscitate (DNR)↗7-8Electrical Therapy↗7-8SElectrical Therapy (Supplemental)↗7-9Airway Management↗7-10Helmet Removal↗7-11Impedance Threshold Device (ITD)↗7-12Oxygen Administration↗7-13Pain Management↗7-14Patient Assessment↗7-15Documentation & Patient Care Records (PCR)↗7-16Patient Restraint↗7-17Patient Procedural Sedation↗7-18Pleural Decompression↗7-19Refusal of Care; Adult and Minor↗7-20Spinal Precautions↗7-21Blood Glucose Level Testing↗7-22Tourniquet Application↗7-23Vascular Access & IV Fluid Therapy↗7-24End Tidal CO₂ Monitoring (Capnography)↗7-25Michigan Physician Orders (MI-POST)↗7-26Interfacility High Flow Nasal Oxygen (HNFO)↗7-27Transport of Adult Ventilator-Dependent Patient↗7-28Left Ventricular Assist Device (LVAD)↗7-29Mechanical Chest Compression Device↗7-30Active Compression-Decompression (ACD) Device↗
08
Systems
8-1Downgrade of Response↗8-2Patient Prioritization & Use of Lights and Sirens↗8-3Transport Destination & Diversion↗8-4OB High-Risk Delivery Transport Guidelines↗8-5ALS & LALS Intercept / Transfer of Care↗8-6Dispatch↗8-7ALS to BLS Transfer of Care↗8-8Air Ambulance Personnel Scope of Practice↗8-9Helicopter Utilization↗8-10Infection Control & Communicable Disease↗8-11Special Operations↗8-12Communications Failure↗8-13Electronic Records & Documentation↗8-14Protected Health Information (PHI)↗8-15Inter-Facility Patient Transfers↗8-16Licensure Level Requirement of Attendant↗8-17Medical Control Privileges↗8-18Responsibilities of the Participants in the EMS System↗8-19On-Scene Physician Interaction↗8-20Protocol Deviation↗8-21Violent / Chemical / Hazardous Scene↗8-22Medical Examiner Notification & Body Disposition↗8-23Safe Delivery of Newborns↗8-24Complaint Investigation & Resolution↗8-25Disciplinary Action Appeal↗8-27Quality Improvement Program↗8-28Evidentiary Blood Draw Protocol↗
09
Medications
9-1Medication Administration Procedures↗9-2Medication Substitution↗9-3Medication Shortage↗9-4Personal Metered Dose Inhaler Use↗9-5EMS: Medication and IV Supply Requirements↗9-6Pharmacy and MCA: Medication and IV Supply Requirements↗9-7Epinephrine Auto-Injector Procedure↗9-8Naloxone Leave Behind Medication Kit Contents and Distribution Procedure↗9-9RMedications (General)↗9-10RAcetaminophen↗9-11RAdenosine↗9-12RAlbuterol↗9-13RAmiodarone↗9-14RAspirin↗9-15RAtropine↗9-17RCefazolin↗9-18RCeftriaxone↗9-19RDextrose↗9-20RDiazepam↗9-21RDiltiazem↗9-22RDiphenhydramine↗9-23REpinephrine↗9-24RFentanyl↗9-25RGlucagon↗9-29RKetamine↗9-31RLidocaine↗9-34RMidazolam↗9-36RNaloxone↗9-37RNitroglycerin↗9-38ROndansetron↗9-42RRacepinephrine↗9-43RTetracaine↗9-44RTranexamic Acid (TXA)↗9-45RVerapamil↗
10
Special Operations
10-1General CBRNE Identification of Agents↗10-2Chemical Exposure↗10-3Nerve Agent / Organophosphate Pesticide Exposure↗10-4CHEMPACK / MEDDRUN Activation↗10-5Cyanide Exposure↗10-6Mass Casualty Incidents (MCI)↗10-7Pre-hospital MCA Mutual Aid During Disaster↗10-8Hazard Contaminated Patient↗10-9Suspected Pandemic Response↗10-10SPRN Transport & Destination Guidelines↗10-11SPRN Patient Containment & Transport↗10-12SPRN Ambulance Cleaning & Disinfection↗10-13SPRN Team Selection Procedure↗10-14SPRN Death During Transport↗
Meetings & Events
Upcoming Calendar

Scheduled meetings and events for the Bay County Medical Control Authority.

Sep
3
2025

Bay Medical Control Advisory Meeting

📍 MyMich Health Park, 3051 Kiesel Road – Conference Room  ·  2:00 PM

Board Meeting
Nov
5
2025

Bay Medical Control Advisory Meeting

📍 McLaren Hospital – Administration Building  ·  2:00 PM

Board Meeting
Effective September 1, 2026
Upcoming Protocols

The following protocols are approved and will take effect September 1, 2026. Click any title to open the updated protocol document.

2026
Updated Protocols — Effective September 1
1-3Nausea & Vomiting↗2-4General Crush Injury↗3-8Adult Fever↗4-5Pediatric Respiratory Distress, Failure or Arrest↗5-5Chest Pain / Acute Coronary Syndrome↗6-3Pediatric Tachycardia↗7-5CPAP Administration↗7-7Do-Not-Resuscitate (DNR)↗7-12Oxygen Administration↗7-13Pain Management↗7-17Patient Procedural Sedation↗7-25Michigan Physician Orders (MI-POST)↗8-25Disciplinary Action Appeal↗