2025 Patient treatment protocols ALS to BLS Handoff Checklist (PDF 78.19 KB) 2025 EMS Consortium Protocols Introduction and Table of Contents (PDF 657.92 KB) Scope of Practice (PDF 256.12 KB) Treatment (PDF 5.83 MB) Medications (PDF 4.59 MB) Procedures (PDF 2.59 MB) Operations (PDF 1.53 MB) Trauma Systems (PDF 243.1 KB) Multi-Casualty Incidents (PDF 519.36 KB) Hazardous Materials (PDF 379.19 KB) Washington County EMS Operations (PDF 447.81 KB) Clackamas County EMS Operations (PDF 367.75 KB) Special Studies (PDF 119.36 KB) EMS clinical notifications SV Cath Lab Closure (PDF 238.57 KB) Hyperbaric Oxygen Therapy (PDF 106.17 KB) Leave Behind Naloxone 02-06-2024 (PDF 191.97 KB) Clackamas Co. Leave Behind Naloxone (PDF 155.51 KB) BLS Cancellation of ALS Response (PDF 153.54 KB) PACT Resumption (PDF 164.83 KB) PACT protocol.pdf (PDF 254.33 KB) Ketamine Shortage (PDF 170.58 KB) January 2024 MEO Weather Event WashCo Only (PDF 6.13 MB) Legacy Neurosurgical Capabilities (PDF 112.67 KB) HMC Diversion (PDF 58.95 KB) SV ED Construction Diversion (PDF 58.66 KB) Immediate Suspension of PACT (PDF 141.62 KB) Portland Providence Scheduled Extended ED Diversion (PDF 57.21 KB) Mask guidance May 2023 (PDF 109.72 KB) Updated PPE-Masking Guidelines (PDF 142.54 KB) SBAR:Albuterol shortage mitigation strategy - Levalbuterol (PDF 172.16 KB) Legacy Mt. Hood Medical Center Birthing center closure (PDF 126.71 KB) St. Vincent Scheduled Extended ED Diversion (PDF 59.2 KB) Diversion System Overview (PDF 412.55 KB) Reactivation of Hospital-initiated Diversion of EMS Patients (PDF 127.44 KB) Management of code 3 returns during the “No-divert” period by ground EMS crews (PDF 184.89 KB) Interim Suspension of Hospital-initiated Diversion and Active Zone Management of EMS Patients (PDF 181.97 KB) Updated PPE and Mask Reuse Guidelines (PDF 225.53 KB) Providence Portland Hyperbaric Capabilities (PDF 40.29 KB) Defibrillation Pad Placement on STEMI Patients (PDF 119.01 KB) Emergency Hyperbaric Oxygen Therapy (PDF 149.4 KB) Metro West Field Training Supervisor (PDF 315.26 KB) Wooden Chest Syndrome - Secondary to Suspected Illicit Fentanyl (PDF 155.53 KB) Health Advisory Monkeypox (PDF 154.62 KB) Pediatric guide Pediatric Guide (PDF 1.5 MB)
