Clinical Operating Guidelines Draft 

Please email all suggestions, recommendations, and corrections to protocols@dhec.sc.gov. This email is only for comments on the clinical operating guidelines revisions. These are only drafts. 

Section 100: General 
Section 200: Adult Medical
Section 300:  Adult Trauma
Section 400: OG-GYN-Newborn
Section 500: Pediatric
Section 600: Toxic Environmental
Section 700: Special Situations

Updated Scope of Practice and Formulary 2024

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Additional Approved Formulary Drugs

• Levetiracetam (Keppra) 
• Hydrocortisone (Solu-Cortef; Cortef) 
• Haldol (Haloperidol) 
• Rocuronium  
  -The dosing range has been changed to 06-1.0mg/kg for the RSI protocol. 
• Intravenous Nitroglycerin.   
  -Approved for use in certain patients with Congestive Heart Failure.  
  -Current dosing is recommended to be 1mg IV initially and may be repeated to 1mg dosing every 5 minutes to a maximum of three doses. 

Additional Approved Protocols

TXA

• Service must have an approval letter from their primary receiving trauma center. 
• Service must review 100% of TXA administrations. 
• TXA Protocol
• Supplemental Documents

Nitrous Oxide

• Pain Control Protocol
• Supplemental Documents

Blood and Blood Components

• Blood Administration Protocol
• Supplemental Documents

Protocols

Pediatric Head Trauma Protocols-(pdf)

Pediatric Multiple Trauma Protocols-(pdf)

Pediatric Trauma Triage and Transport Protocols-(pdf)

State Approved Protocols

Automatic Implantable Cardio-Defibrillator (AICD) Deactivation (pdf)

Forms

• Interfacility Transport Form: Part A - Drug Report; Part B - Device Report (DHEC 3485) (pdf)
• Do Not Resuscitate (DNR) Form 3462 (pdf)
• EMS Medical Control Change Form (pdf)
• Vehicle Permit Return (pdf)
• SC EMS Request for Change Form (pdf)