West Virginia Office of Emergency Medical Services

Certified EMSA-Intermediates may perform all procedures and administer all medications contained in the current 5000 series WV EMS System Protocols.

All Intermediate level drugs and procedures require contact with Medical Command or the Medical Command Physician prior to performance except for establishment of an IV or in extreme cases such as certain cardiac arrest or airway management procedures.

If contact with Medical Command is not possible, ONLY the following specific procedures may be carried out to save life or reduce morbidity:

• SQ Epinephrine
• SL Nitroglycerin
• IV D⁵⁰w or D²⁵W
• IM Glucagon
• Albuterol aerosol
• Needle decompression of tension pneumothorax in a non-awake patient

EMSA Intermediates may also perform any procedure or administer any drug contained in the current 6000 (EMT-B), 7000 (First Responder) or 9000 (Special Operational) series protocols.

EMSA-Intermediates must have current practice privileges at a licensed West Virginia EMS Advanced Life Support (ALS) Agency to perform this Scope of Practice.

9/1/07