INTRODUCTION

Emergency Medical Services (EMS) is the practice of emergency medicine in the out-of-hospital environment. September 2010 saw the official acceptance of EMS Medicine as a recognized sub-specialty within the House of Medicine. Therefore, we in EMS have a responsibility as never before to accept this recognition and to practice our craft with precision and dedication.

This year marks the 40th anniversary of the funding of the UTSW BioTel EMS System. This federation of partnering cities has shared a common purpose for all these many years - to relieve suffering of those who may call upon as for aid as best we can.

These Clinical Operating Guidelines – borne of the joint collaboration of the clinical practitioners of the UTSW BioTel EMS System – reflect the current state of evidence of EMS Medicine practice.

We join in mutual commitment to the betterment of the human condition. It is hoped that through these Guidelines – and with refinements to come with the passing years – we may achieve this goal.

UTSW/BioTel Treatment Guidelines Committee:

Dr. Paul Pepe
Dr. Gil Salazar
Dr. Marshal Isaacs
Dr. Philip Ewing
Dr. Ray Fowler
Dr. Scott Goldberg
Dr. Ronna Miller
Ms. Heidi Cardenas
Dr. Lynne Dees
Chief Steven Deustch
Mr. Ryan Dikes
Mr. Garret Evans
Chief George Gamez
Chief Charles Gore
Chief Scott Green
Lieutenant Everett Hamessley
Chief Steve Heath
Captain Laura Hillary
Mr. Robert Knowles
Ms. Shelley Lovato

Mr. Larry Martin
Ms. Lu Ann McKee
Dr. Denise Mitchell
Mr. Kenny Navarro
Chief Curtis Poovey
Fire Rescue Officer William Rippetoe
Dr. Paul Rosenberger
Chief Norman Seals
Chief Mike Thomson

Special Thanks:
Mr. Richard LaChance
Ms. Silvia Ramirez
Dr. Yong Lee
Dr. Evelina Alcalen
Dr. Myra Wyckoff
Ms. Victoria Doby