| Date | Link topreviousversion | Description of change |
|---|
| 11/29/13 | pdf | Added consider Tourniquet to BLS. |
| 01/29/14 | | Added cold pack and dressings from orthopedic injury CMH policy. |
| 12/12/14 | pdf | Made Intubation a DELIBERATE ACTION. Added weight-based dose for greater than 65 yr for Fentanyl. Considered making crush injury a separate protocol, but then decided against it. |
| 12/26/14 | pdf | Added TXA. |
| 04/14/15 | | Added consider to limb leads. |
| 05/31/15 | | Re-worded indications for TXA for better clarity. |
| 09/16/15 | | Added by request of Dr. Merk to TXA indications that signs of shock must still be present after 1 L fluid bolus. |
| 07/22/16 | pdf | Moved fluid bolus to AEMT section. |
| 07/29/16 | | Added comment under EMR to not release cursh injury until directed by ALS. |
| 06/15/17 | pdf | Added comment to consider giving pain meds to all possible fractures. |
| 09/22/17 | | Added locations for tourniquet placement. |
| 10/16/17 | | Added comment to stop all active bleeding before LR bolus. |
| 12/19/17 | pdf | Added comment to consider pelvic binder. |
| 03/01/19 | pdf | Changed targeted SBP from 80 to 100 based on PHTLS ver 9 recommendation. |
| 07/23/19 | | Added link to new hemorrhage protocolremoved tourniquetsTXA. |
| 04/17/20 | pdf | Added content (without substantive modification) from old Protocol 5-050 - Extremity Trauma. |
| 06/06/21 | pdf | Moved to emsprotocols.online |
| 11/30/21 | | Updated link to Albuterol. |
| 02/28/22 | | Updated link for Sodium Bicarb. |
| 03/15/23 | pdf | Clarified RN and medic roles. Added CP. |
| 03/17/23 | | Changed link to NS. |
| 03/19/23 | | Changed link for LR. |
| 03/20/23 | | Changed link for Dextrose. |
| 03/20/23 | | Changed link to Calcium. |
| 09/14/23 | pdf | Removed last 4 bullet points under Contact Medical Control |
| 01/09/24 | pdf | Added open long fracture under RN section, |
| 02/02/24 | pdf | Removed long bone from open long bone fracture |
