MDFR • Medical Operations Manual • Adult Protocols
01 Initial Assessment
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
02 Consent/Refusal of Care
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
03 Care of Minors
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
04 Patient Treatment and Transport
Published on Thursday December 15, 2022
MDFR • Medical Operations Manual • Adult Protocols
05 Trauma Alert Criteria
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
06 Medical Communications
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
07 Airway Management
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
08 Respiratory Emergencies
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
09 Cardiac Arrest/ Cardiac Dysrythmia
Published on Friday July 01, 2022
MDFR • Medical Operations Manual • Adult Protocols
10 Cardiac Event
Published on Friday September 29, 2023
MDFR • Medical Operations Manual • Adult Protocols
11 ST-Elevation Myocardial Infarction (STEMI)
Published on Friday September 29, 2023
MDFR • Medical Operations Manual • Adult Protocols
12 Hypertensive Emergencies
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
13 Stroke Alert
Published on Friday September 29, 2023
MDFR • Medical Operations Manual • Adult Protocols
14 Firefighter Rehabilitation
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
15 Drug Overdose/Poisoning
Published on Friday September 29, 2023
MDFR • Medical Operations Manual • Adult Protocols
16 Seizures
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
17 Systemic Reactions
Published on Saturday October 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
18 Pain Management
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
19 OB Emergencies
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
21 Trauma Management
Published on Friday July 01, 2022
MDFR • Medical Operations Manual • Adult Protocols
22 Abdominal Pain
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
23 Water Related Incidents
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
24 Envenomation Bites and Stings
Published on Friday May 14, 2021
MDFR • Medical Operations Manual • Adult Protocols
25 Hazardous Materials Toxicology
Published on Thursday December 31, 2020
MDFR • Medical Operations Manual • Adult Protocols
26 Environmental Emergencies
Published on Friday May 14, 2021
MDFR • Medical Operations Manual • Adult Protocols
27 Withholding Resuscitation
Published on Thursday December 15, 2022
MDFR • Medical Operations Manual • Adult Protocols
28 Do Not Resuscitate Orders
Published on Thursday December 15, 2022
MDFR • Medical Operations Manual • Adult Protocols
29 Abuse and Neglect Reporting
Published on Wednesday January 15, 2020
MDFR • Medical Operations Manual • Adult Protocols
30 Surrendered Newborns
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Adult Protocols
32 Automatic Implantable Cardioverter/Defribrillator
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Adult Protocols
33 Conducted Electrical Weapons
Published on Monday February 06, 2017
MDFR • Medical Operations Manual • Adult Protocols
34 Sickle Cell Crisis
Published on Friday May 14, 2021
MDFR • Medical Operations Manual • Adult Protocols
35 Hypotension/Shock
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Adult Protocols
36 Diabetic Emergencies
Published on Friday September 09, 2022
MDFR • Medical Operations Manual • Adult Protocols
37 Smoke Inhalation
Published on Friday April 01, 2022
MDFR • Medical Operations Manual • Adult Protocols
38 Tactical Paramedic
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Adult Protocols
39 Behavioral Emergencies
Published on Friday November 20, 2020
MDFR • Medical Operations Manual • Adult Protocols
40 Spinal Motion Restriction
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Adult Protocols
42 Sepsis Management
Published on Monday April 16, 2018
MDFR • Medical Operations Manual • Appendix
01 Approved Abbreviations
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Appendix
02.1 Hospital Capability Chart
Published on Monday April 15, 2024
MDFR • Medical Operations Manual • Appendix
03 Adult Trauma Alert Criteria
Published on Monday April 16, 2018
MDFR • Medical Operations Manual • Appendix
04 Pediatric Trauma Alert Criteria
Published on Monday April 16, 2018
MDFR • Medical Operations Manual • Appendix
05 Adult Glasgow Coma Score
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Appendix
06 Pediatric Glasgow Coma Score
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Appendix
07 Rule of Nines
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Appendix
08 APGAR Score
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Appendix
09.1 Dopamine Infusion
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Appendix
09.2 Epinephine Infusion
Published on Wednesday July 08, 2020
MDFR • Medical Operations Manual • Appendix
09.3 Lidocaine Infusion
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Appendix
09.4 Magnesium Sulfate Infusion
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Appendix
09.5 Sodium Thiosulfate Infusion
Published on Friday April 01, 2022
MDFR • Medical Operations Manual • Appendix
09.6 Amiodarone Infusion
Published on Monday February 06, 2017
MDFR • Medical Operations Manual • Appendix
09.7 Cyanokit (Hydroxocobalamin)
Published on Friday April 01, 2022
MDFR • Medical Operations Manual • Appendix
09.8 Diltiazem Infusion
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Appendix
09.9 Dextrose 10% Infusion
Published on Monday October 30, 2017
MDFR • Medical Operations Manual • Appendix
10.1 Epinephrine 1:10,000 (1mg/mL) Temporary Protocol
Published on Wednesday March 02, 2022
MDFR • Medical Operations Manual • Appendix
10.2 Trial Ultrasound Temporary Protocol
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Appendix
10.3 Dopamine Temporary Protocol
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Appendix
10.4 Super Bowl LIV Temporary Procedure
Published on Wednesday January 29, 2020
MDFR • Medical Operations Manual • Appendix
10.5 Suspected COVID-19 Response Procedure
Published on Wednesday November 03, 2021
MDFR • Medical Operations Manual • Appendix
10.6 Interim Cadiac Arrest Care Algorithms for Suspected or Confirmed COVID-19
Published on Friday September 09, 2022
MDFR • Medical Operations Manual • Appendix
10.7 Interim Pediatric Cadiac Arrest Care Algorithms for Suspected or Confirmed COVID-19
Published on Friday September 09, 2022
MDFR • Medical Operations Manual • Appendix
11 ECG and 12 Lead Interpretation
Published on Tuesday August 06, 2019
MDFR • Medical Operations Manual • Medications
01 Adenosine
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
02 Albuterol
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
03 Amiodarone
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Medications
04 Amyl Nitrite
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
05 Aspirin
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
06 Atropine Sulfate
Published on Friday July 01, 2022
MDFR • Medical Operations Manual • Medications
07 Brevibloc
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
08 Calcium Chloride
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Medications
09 Calcium Gluconate
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
10 Dextrose
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
11 Diltiazem
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Medications
12 Diphenhydramine
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
13 Dopamine
Published on Friday September 09, 2022
MDFR • Medical Operations Manual • Medications
14 Epinephrine (1:1.000) 1mg/mL
Published on Friday April 01, 2022
MDFR • Medical Operations Manual • Medications
15 Epinephrine (1:10,000) 1mg/10 mL
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Medications
16 Fentanyl
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
17 Glucagon
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
18 Ipatropium (Atrovent)
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
19 Labetalol HCL
Published on Friday July 01, 2022
MDFR • Medical Operations Manual • Medications
20 Furosemide (Lasix)
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
21 Lidocaine
Published on Thursday December 15, 2022
MDFR • Medical Operations Manual • Medications
22 Magnesium Sulfate
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
23 Methylene Blue
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
24 Midazolam HCL
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Medications
25 Morphine Sulfate
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
26 Naloxone (Narcan)
Published on Friday September 29, 2023
MDFR • Medical Operations Manual • Medications
27 Nitroglycerin
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
29 Sodium Bicarbonate
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Medications
30 Sodium Nitrite
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
31 Sodium Thiosulfate
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
32 Tetracaine
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
33 Zofran
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
34 Ketamine
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
35 Etomidate
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
36 Succinylcholine
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
37 Cyanokit
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Medications
38 Tranexamic Acid (TXA)
Published on Tuesday June 27, 2023
MDFR • Medical Operations Manual • Pediatric Protocols
01P Pediatric Initial Assessment
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Pediatric Protocols
07P Pediatric Airway Management
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Pediatric Protocols
08P Pediatric Respiratory Emergencies
Published on Wednesday November 03, 2021
MDFR • Medical Operations Manual • Pediatric Protocols
09P Pediatric Cardiac Arrest/ Cardiac Dysrhythmia
Published on Friday July 01, 2022
MDFR • Medical Operations Manual • Pediatric Protocols
15P Pediatric Drug Overdose/Poisoning
Published on Friday September 29, 2023
MDFR • Medical Operations Manual • Pediatric Protocols
16P Pediatric Seizures
Published on Monday October 30, 2017
MDFR • Medical Operations Manual • Pediatric Protocols
17P Pediatric Systemic Reactions
Published on Friday November 20, 2020
MDFR • Medical Operations Manual • Pediatric Protocols
18P Pediatric Pain Management
Published on Wednesday January 04, 2017
MDFR • Medical Operations Manual • Pediatric Protocols
20P Newborn Resuscitation
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Pediatric Protocols
21P Pediatric Trauma Management
Published on Tuesday June 27, 2023
MDFR • Medical Operations Manual • Pediatric Protocols
25P Pediatric Hazardous Materials Toxicology
Published on Thursday December 31, 2020
MDFR • Medical Operations Manual • Pediatric Protocols
36P Pediatric Diabetic Emergencies
Published on Friday September 09, 2022
MDFR • Medical Operations Manual • Pediatric Protocols
37P Pediatric Smoke Inhalation
Published on Friday April 01, 2022
MDFR • Medical Operations Manual • Procedures
01 Oxygen Administration
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
02 Nebulizer Therapy
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
03 Confirmation of ET Tube Placement
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
04 Endotracheal Medication Administration
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
05 Chest Needle Decompression
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Procedures
06 Open Chest/Neck Wounds
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
07 Nasotracheal Intubation
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
08 Cricothyrotomy
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
09 Wound Packing
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Procedures
10 Oxygen Saturation
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
11 End-Tidal CO2 Assessment
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
12 NG Tube Placement
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
13 IV Access
Published on Friday January 05, 2018
MDFR • Medical Operations Manual • Procedures
14 Intraosseous Access
Published on Friday September 23, 2016
MDFR • Medical Operations Manual • Procedures
15 Stretcher Restraints
Published on Friday July 31, 2020
MDFR • Medical Operations Manual • Procedures
16 Field Amputation/Blood Transfusion
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Procedures
17 IM Injection
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
18 Epinephrine Auto Injector
Published on Monday February 06, 2017
MDFR • Medical Operations Manual • Procedures
19 Glucose Testing
Published on Monday February 06, 2017
MDFR • Medical Operations Manual • Procedures
20 Homestead Miami Speedway Care Centers
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Procedures
21 Blood Draw for Law Enforcement
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
22 In-Line Airway Device Filter
Published on Monday April 27, 2020
MDFR • Medical Operations Manual • Procedures
23 Transcutaneous Pacing
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
24 Lifepak Battery Maintenance
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
25 Lifepak Daily Checkout
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
26 Lucas Chest Compression System
Published on Monday April 16, 2018
MDFR • Medical Operations Manual • Procedures
27 Patient Restraint
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Procedures
28 Amputations
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
29 Avulsed Tooth
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
30 Visual/ Video Laryngoscopy
Published on Friday July 01, 2022
MDFR • Medical Operations Manual • Procedures
31 Morgan Lens
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
32 Ventricular Assist Device (V.A.D)
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
33 Antivenin Bank
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
34 Multiple Casualty Incidents
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Procedures
35 S.T.A.R.T Triage
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Procedures
36 Florida EMS Report
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
37 Controlled Substance eLog
Published on Friday May 14, 2021
MDFR • Medical Operations Manual • Procedures
38 DuoDote Auto Injector
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
39 Mucosal Atomizing Device (M.A.D)
Published on Monday February 06, 2017
MDFR • Medical Operations Manual • Procedures
40 EMS Electronic Patient Care Report (ePCR)
Published on Friday May 03, 2024
MDFR • Medical Operations Manual • Procedures
41 Free Standing Emergency Department
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
42 Helmet Removal
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
44 Masimo Rad 57
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
45 Scoop Stretcher
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
46 Bougie Stylette
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
47 Animal Oxygen Masks
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
48 Tourniquet Application
Published on Tuesday August 13, 2019
MDFR • Medical Operations Manual • Procedures
49 iGel Airway Device
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
50 Infrared Thermometer
Published on Monday May 02, 2016
MDFR • Medical Operations Manual • Procedures
51 Hospice and Palliative Care
Published on Saturday October 31, 2020
MDFR • Medical Operations Manual • Procedures
52 Continuous Positive Airway Pressure (CPAP)
Published on Thursday November 09, 2017
MDFR • Medical Operations Manual • Procedures
53 Alternate Care & Transport Facilities
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Procedures
54 Airway Suctioning
Published on Monday February 28, 2022
MDFR • Medical Operations Manual • Procedures
55 Sensory Bags for Nonverbal/Autistic Patients
Published on Wednesday August 16, 2023
MDFR • Medical Operations Manual • Quick Reference
12 Lead Interpretation (Appendix 11)
Published on Tuesday August 06, 2019 • Page 1
MDFR • Medical Operations Manual • Quick Reference
Air Rescue AW139 Passenger Briefing Card
Published on Thursday July 14, 2022
MDFR • Medical Operations Manual • Quick Reference
Asystole (Protocol 09)
Published on Wednesday July 13, 2022 • Page 10
MDFR • Medical Operations Manual • Quick Reference
Bariatric Patient Transports ASOM 07-19-468
Published on Tuesday May 16, 2023
MDFR • Medical Operations Manual • Quick Reference
BLS CPR (With AED) (Protocol 09)
Published on Wednesday July 13, 2022 • Page 4
MDFR • Medical Operations Manual • Quick Reference
Bradycardia (Protocol 09)
Published on Wednesday July 13, 2022 • Page 20
MDFR • Medical Operations Manual • Quick Reference
Chest Pain / Stemi (Protocol 11)
Published on Thursday May 17, 2018 • Page 4
MDFR • Medical Operations Manual • Quick Reference
Definition of a Patient and SafetyPad ePCR Dispositions
Published on Thursday April 18, 2024
MDFR • Medical Operations Manual • Quick Reference
Handtevy - MDFR Binder
Published on Monday January 31, 2022
MDFR • Medical Operations Manual • Quick Reference
Handtevy Badge Buddy
Published on Thursday January 20, 2022
MDFR • Medical Operations Manual • Quick Reference
Hospital Communication Cards for Autistic Patients (EN/CR)
Published on Monday August 28, 2023
MDFR • Medical Operations Manual • Quick Reference
Hospital Communication Cards for Autistic Patients (EN/SP)
Published on Monday August 28, 2023
MDFR • Medical Operations Manual • Quick Reference
LVAD Field Reference Guide
Published on Thursday May 17, 2018
MDFR • Medical Operations Manual • Quick Reference
MCI Field Operations Guides
Published on Thursday July 14, 2022
MDFR • Medical Operations Manual • Quick Reference
MDFR Infusions
Published on Thursday May 17, 2018
MDFR • Medical Operations Manual • Quick Reference
MetroPCR - Frequently asked questions
Published on Monday February 05, 2024
MDFR • Medical Operations Manual • Quick Reference
MetroPCR Cheat Sheet
Published on Tuesday January 09, 2024
MDFR • Medical Operations Manual • Quick Reference
Narrow Complex Tachyardia (Protocol 09)
Published on Wednesday July 13, 2022 • Page 13
MDFR • Medical Operations Manual • Quick Reference
Paper EMS Report Guide
Published on Thursday April 18, 2024
MDFR • Medical Operations Manual • Quick Reference
Spinal Motion Restriction (Protocol 40)
Published on Thursday May 17, 2018 • Page 7
MDFR • Medical Operations Manual • Quick Reference
V-Fib / Pulseless Ventricular Tachycardia (Protocol 09)
Published on Wednesday July 13, 2022 • Page 8
MDFR • Medical Operations Manual • Quick Reference
Wide Complex Tachycardia w/pulse (Protocol 09)
Published on Wednesday July 13, 2022 • Page 13