These protocols have been developed specifically for the communities that are served by TECHS Inc. The protocols express TECHS Inc. commitment to being responsive to our patients and communities. The process, which has been initiated in the construction of this revised set of protocols, will remain in place. The authors will continue to edit and revise the protocols to be innovative in our responsiveness to the changing healthcare environment. We wish to acknowledge the contributions of all members of the EMS community who, through their dedication ensure that we will be the leading provider of emergency medical service