Universal Patient Protocol


  • Scene Safety
  • Bring all necessary equipment to patient's side
  • Demonstrate Professionalism and Courtesy
  • PPE (Consider Airborne or Droplet if indicated)


Initial Assessment

  • Pediatric Assessment Procedure
  • Adult Assessment Procedure
  • Consider Spinal Immobilization
  • (< 12 years old or < 55 kg defines the pediatric patient)
  • Airway Protocol (Adult or Pediatric)
  • Vital Signs (Temperature if appropriate)
  • Pulse Oximetry
  • Consider Glucose Measurement
  • Consider Supplemental Oxygen
  • Consider 12 Lead ECG
  • Consider Cardiac Monitor
  • Go to Appropriate Protocol



  • Recommended Exam: Minimal exam if not noted on the specific protocol is vital signs, mental status, GCS, and location of injury or complaint.
  • Required vital signs on every patient include blood pressure, pulse, respirations, pain/severity
  • Pulse oximetry and temperature documentation is dependent on the specific complaint.
  • A pediatric patient is defined by < 12 years old or < 55 kg.
  • Timing of transport should be based on patient's clinical condition and the transport policy.
  • Never hesitate to contact medical control for patient who refuses transport.
  • Orthostatic vital signs procedure should be performed  in situations where volume status is in question.