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Emergency Management and Public Safety

The Maryland Institute for Emergency Medical Services Systems (MIEMSS) updated the Maryland Medical Protocols for Emergency Medical Services, effective August 1, 2020.  MIEMSS modified statewide EMS protocols to formally incorporate best practices for bleeding control, including wound packing and tourniquets.  The updated protocols also added recommendations for vented chest seals for open chest wounds.  Additionally, it includes an evidence-based practice limiting the amount of IV fluid given to trauma patients, as excess IV fluid can cause difficulty with blood clotting.

Resources listed in the next pages are intended for use by Emergency Management and Public Safety officials. Specifically, resources on the next pages are specifically focused on conducting threat assessments, planning for active assailant incidents, and conducting training and exercises related to active assailant incidents.