EMS Event Medical — Clinical Protocols Vol 1

Clinical Protocols

Restricted Access — Authorised EMS Event Medical staff only

Clinical Protocols

Volumes 1 & 2 — Field Reference

EMS Event Medical Clinical Protocols substantially exceed the protocol coverage of the four major Australian state ambulance services in the event-medicine domain, and are at parity with all four for general pre-hospital clinical reference.

111

Protocols

Chapters

Volumes

Skill Tiers

Aligned to ANZCOR 2025 · NSW Ambulance · QAS · Ambulance Victoria · Ambulance Tasmania

EMS Event Medical Clinical Protocols

Volumes 1 & 2 — Field Reference

This document is the EMS Event Medical Clinical Protocols Field Reference — a structured clinical reference for staff delivering authorised event medical services across NSW and the Pacific. It is published in two volumes:

Volume 1 — Mass Gathering & Event Medicine. Event-specific clinical protocols including mass-casualty triage (SIEVE/SORT), recreational toxicology (MDMA/stimulants, opioids, GHB, alcohol, serotonin toxicity, ARTUS), crowd crush, epidemic thunderstorm asthma, acute behavioural disturbance, heat illness, and 000-call escalation. The original EMS Event Medical scope.

Volume 2 — General Clinical Reference. General pre-hospital clinical protocols including resuscitation, cardiac and respiratory emergencies, anaphylaxis, sepsis, hypoglycaemia, neurological emergencies, obstetrics, and full trauma management (burns, fractures, head injury, spinal, eye injury). The comprehensive operational reference.

Switch between volumes using the Vol 1 / Vol 2 selector at the top of the screen.

Protocols are tiered across the EMS Event Medical clinical skill levels — Event Medic, P1, Paramedic / RN, and ICP, with on-site Critical Care Doctor / EMO escalation — and must be applied within the practitioner's individual scope, training, credentialling, and current Clinical Medical Director's standing orders. Pharmacology authority codes (X / C1 / C2 / S / E / −) are displayed inline against each drug per the EMS Pharmacology Matrix.

EMS Event Medical operates as a non-transport provider under the Health Services Act 1997 (NSW) s67E. All patients requiring transport are referred to NSW Ambulance via 000.

Approved by

Dr Justin Hensley FACEM

Clinical Medical Director, EMS Event Medical

Effective: April 2026 · Review Due: April 2027 · v3.9.25

Event Medical Director

Dr Mike Hammond

PhD, PHCEM, PA-RM, FAIPP, PAR, PHCEMT, MAREMT, MACPP, FPHC RCSEd CEM

Doctor of Philosophy, Public Health — Crisis & Emergency Management

Fellow of the Australian Institute of Paramedic Practitioners (FAIPP)

Physician's Assistant — Remote Area Medical Specialist

Director of Event Medical Operations, EMS Event Medical

Event Medical Consultant

Director of Operations, Australian Registry of Emergency Medical Technicians, Australia (AREMT)

This document is the intellectual property of EMS Event Medical and is intended for clinical use by appointed staff only. Unauthorised reproduction, distribution, or use is prohibited. For permission to reproduce, contact events@emseventmedical.com.au.

EMS Event Medical — Clinical Protocols

Mass Gathering & Event Medicine reference — covering primary survey, resuscitation, common medical and traumatic emergencies, and mass-gathering specific considerations across the EMS clinical skill levels.

⚠ Clinical Use Only — Not for Public Distribution

This document is the property of EMS Event Medical and is intended for use by appointed clinical staff during the delivery of authorised event medical services. Protocols must be applied within the practitioner's individual scope of practice, training, credentialling, and current Clinical Medical Director's standing orders. Always exercise clinical judgement.

🚑 NSW Non-Transport Provider — Legal Framework

EMS Event Medical does not transport patients (Health Services Act 1997 NSW s67E). All patients requiring transport must be referred to NSW Ambulance via 000.

Standard escalation chain (every protocol):

Event Medical Director / Senior EMO on-site (where available) — clinical consult
NSWA via 000 — request appropriate priority (P1 time-critical / P2 urgent / P3 non-urgent)
Continue all in-scope treatment until NSWA arrival — do not delay or withhold care
NSWA assume clinical responsibility on arrival — provide structured ISBAR handover

Scope Tier Legend

Event Medic — Event Medical Tech (covers basic and advanced; no medication authority for basic tier)

P1 — Qualified Registered Paramedic, Intern

Para / RN — Qualified Registered Paramedic / Nurse

ICP — Intensive Care Paramedic

CC Doctor / EMO — Medical Practitioner on-site

Pharmacology Authority Codes

Unconditional — no consult needed

Conditional — until training package complete

Conditional — paramedic consult required pre-administration

Direct Supervision required

Extension of scope — authorised personnel only

−

Unauthorised — not in scope at this tier

How to Use

Sidebar — Tap any protocol to open it. Use scope-tier pills to filter to your level.
Search — Find protocols, drugs, or conditions by keyword.
Paediatric mode — Toggle to highlight age/weight-specific dosing throughout.
Drug calculators — Enter patient weight in any paediatric protocol for instant calculated doses.
DTP cross-references — Tap any DTP badge to view full drug therapy details in a popup.
Print / PDF — Hit ⎙ Print at any time for a clean A4 printable version of the current protocol.
Offline use — Once loaded, this app works without internet. Add to Home Screen on iOS/Android for app-like access.

Clinical Governance & Sign-Off

Clinical Medical Director: Dr Justin Hensley FACEM

Compiled by: Dr Mike Hammond, PhD, PHCEM, PA-RM, FAIPP, PAR, PHCEMT, MAREMT, MACPP, FPHC RCSEd CEM
Director of Event Medical Operations, EMS Event Medical

Effective: April 2026 | Review Due: April 2027

Aligned to: ANZCOR Guidelines 2025 · NSW Ambulance Protocols and Pharmacology 2025 · QAS Clinical Practice Procedures and Guidelines · Ambulance Tasmania CPGs · NSW Adult/Paediatric Trauma Plans · TGA Schedule 4/8 requirements · NSW Poisons and Therapeutic Goods Regulation 2008.

Approved by Dr Justin Hensley FACEM, Clinical Medical Director · Issued by Dr Mike Hammond, Event Medical Director · Effective April 2026 · Review Due April 2027 · v3.9.25

EMS Event Medical
6/59 Smeaton Grange Rd, Smeaton Grange NSW 2567
☎ 02 8088 0734 (24/7) | ✉ events@emseventmedical.com.au | emseventmedical.com.au

© Copyright EMS Event Medical 2026. All rights reserved.
This document is the intellectual property of EMS Event Medical and is intended for clinical use by appointed staff only.
Unauthorised reproduction, distribution, or use is prohibited.

Code	Meaning
X	Unconditional Approval — no consult required. The clinician at this tier is authorised to administer this drug for the indication shown, within their scope, training, and CMD's standing orders.
C1	Conditional — administration permitted ONLY if the clinician has completed the relevant pharmacology training package. Once package complete, behaves as 'X'.
C2	Conditional — paramedic consult required pre-administration. Verbal authorisation from a paramedic-tier clinician (P1 or above) must be obtained before giving the drug.
S	Direct Supervision required — drug administered only under the direct, in-person supervision of a more senior clinician.
S1	Direct Supervision — Level 1 — supervised administration with a defined level of training/sign-off.
S2	Direct Supervision — Level 2 — supervised administration at a higher level (typically procedures requiring closer mentorship).
E	Extension of Scope — authorised personnel only. Individual must hold a current, named Authority to Practice for this specific drug/indication, signed off by the Clinical Medical Director. Not all tier-eligible clinicians will hold an extension authority.
−	Unauthorised at this tier. Drug must NOT be administered by clinicians at this tier under any circumstance.

Code

Meaning

Unconditional Approval — no consult required. The clinician at this tier is authorised to administer this drug for the indication shown, within their scope, training, and CMD's standing orders.

Conditional — administration permitted ONLY if the clinician has completed the relevant pharmacology training package. Once package complete, behaves as 'X'.

Conditional — paramedic consult required pre-administration. Verbal authorisation from a paramedic-tier clinician (P1 or above) must be obtained before giving the drug.

Direct Supervision required — drug administered only under the direct, in-person supervision of a more senior clinician.

Direct Supervision — Level 1 — supervised administration with a defined level of training/sign-off.

Direct Supervision — Level 2 — supervised administration at a higher level (typically procedures requiring closer mentorship).

Extension of Scope — authorised personnel only. Individual must hold a current, named Authority to Practice for this specific drug/indication, signed off by the Clinical Medical Director. Not all tier-eligible clinicians will hold an extension authority.

−

Unauthorised at this tier. Drug must NOT be administered by clinicians at this tier under any circumstance.

Tier	Description
Event Medic	Event Medical Tech — combined tier covering basic and advanced. Basic-level practitioners deliver first aid, BLS, and adjuncts (no medication authority); advanced-level practitioners (formerly EMT-A) extend to basic pharmacology and advanced first aid per their credentialling.
P1	Qualified Registered Paramedic — Intern. Newly registered, working under supervision; IV access, advanced pharmacology administered under senior clinician guidance with verbal authorisation documented.
Paramedic / RN	Qualified Registered Paramedic OR Registered Nurse with appropriate event medicine credentialling.
ICP	Intensive Care Paramedic — extended pharmacology, RSI (with CC support), invasive procedures.
CC Doctor / EMO	Critical Care Doctor / Event Medical Officer — registered medical practitioner. Definitive airway management, surgical procedures, full prescribing authority.

Tier

Description

Event Medic

Event Medical Tech — combined tier covering basic and advanced. Basic-level practitioners deliver first aid, BLS, and adjuncts (no medication authority); advanced-level practitioners (formerly EMT-A) extend to basic pharmacology and advanced first aid per their credentialling.

Qualified Registered Paramedic — Intern. Newly registered, working under supervision; IV access, advanced pharmacology administered under senior clinician guidance with verbal authorisation documented.

Paramedic / RN

Qualified Registered Paramedic OR Registered Nurse with appropriate event medicine credentialling.

ICP

Intensive Care Paramedic — extended pharmacology, RSI (with CC support), invasive procedures.

CC Doctor / EMO

Critical Care Doctor / Event Medical Officer — registered medical practitioner. Definitive airway management, surgical procedures, full prescribing authority.

Clinical Protocols

Clinical Protocols

EMS Event Medical Clinical Protocols

EMS Event Medical — Clinical Protocols

Scope Tier Legend

Pharmacology Authority Codes

How to Use

Clinical Governance & Sign-Off

DTP Reference

Authority Codes & Scope Tier Legend

Pharmacology Authority Codes

EMS Clinical Skill Levels