Our medical protocol document is known as the Wake County EMS System Standards and Practice, which is a set of written orders from the medical director that outline patient treatment options for use by our paramedics and EMTs. The protocols consist of “standing orders,” meaning paramedics and EMTs can directly begin treatments based on criteria outlined in the document. 

Our protocols are continuously reviewed, and formal revisions are made on an annual basis or more frequently as required. All changes must be approved by the Wake County Peer Review Committee and the North Carolina Office of EMS prior to implementation.