Protocol Status: PUBLISHED
Protocol:
Version: 2026.01
Effective Date:
Last Reviewed:
Medical Director Approval:
Clinical Note: This content reflects current GCEMS clinical guidelines as of the dates listed above. If content appears inconsistent with current policy, use the most recent approved guideline and notify leadership for correction.

Adult Hospital Destination Guidelines

 

Greenville Memorial

 

  • All Trauma Alert Levels
  • Uncooperative/Violent adult patients
  • STEMI Alerts
  • ACS
  • Post Cardiac Arrest
  • Sexual Assault Patients
  • Dialysis patients w/dialysis related complaint
  • Suspicion of leaking Aortic Aneurysm; Determined by age, presentaion, & physical exam.
  • Stroke Alerts with R.A.C.E score ≥ 4 Comprehensive Stroke Center.
  • Stroke, TIA (R.A.C.E score < 4)
  • OB patients greater than 14 weeks; w/OB complaint

 

SFH Downtown

 

  • Uncooperative/Violent adult patients
  • STEMI Alerts
  • ACS
  • Post Cardiac Arrest
  • Sexual Assault Patients
  • Dialysis patients w/dialysis related complaint
  • Suspicion of leaking Aortic Aneurysm; Determined by age, presentaion, & physical exam.
  • Stroke, TIA (R.A.C.E score < 4)

 

Any Prisma , St. Franics Facility or PMC

 

  • ACS Patients
  • Stroke, TIA (R.A.C.E score < 4)

 

Any Prisma, or St. Francis Facility

  • ACS
  • Sexual Assault Patients

 

Greenville Memorial, SFH Eastside, or Greer Memorial

 

  • OB patients greater than 14 weeks with OB complaint

 

PEARLS:

 

  • With With a R.A.C.E score of ≥ 4 recommend transport to a comprehensive stroke center
  • Any acute coronary syndrome patient that presents a high suspicion for need of intervention should be transported to a PCI capable hospital.
  • Once the destination hospital has been determined, the EMS crew must call the receiving facility via a recorded line as soon as possible. The report should include Age, Sex, Chief complaint, & Vital signs.
  • A more complete report should be given for higher acuity patients.
  • Any deviation of this Hospital Destination Guideline should be made by the diverting physician on a recorded line.
  • Behavioral patients should be evaluated on a one-by-one basis by the EMS crew and will be transported to the nearest, most appropriate facility.
  • Every attempt should be made to transport all OB patients to the hospital in which their OB physician is located.
  • The patient retains the right to refuse a diversion. In these cases notify the receiving hospital that the diversion was refused by patient, and have the patient sign a refusal declining the recommendation to divert to a more appropriate facility.