Public Comment Form

2026 Field Manual

Alameda County EMS Agency

Additional protocol changes were made based on initial public feedback. A shorter comment period is now open to review these updates:

Thursday, May 22nd, 2025 - Friday, May 30th, 2025

2026 Field Manual Updates

Below is a list of proposed changes for the 2026 Field Manual. Please provide feedback, suggested edits, and any additional recommendations. Each text field has a 4000-character limit.


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Patient Care Policy (General)

  • Added a Rule of 1s definition earlier in the protocol
  • Updated pediatric fluid resuscitation guidance from drops per minute to drops per second
  • Additional language clarifies that cool running water is not expected to continue during transport

Patient Care Policy (General)

  • Added an Adult and Pediatric column in the Burn Center Destination table to clarify that St. Francis does not accept pediatric burn patients
  • Updated the St. Francis phone number

Patient Care Policy (Adult)

  • Added 'avoid unnecessary handling of the umbilical cord'

Patient Care Policy (Adult).

  • Removed the 'preferred' transport destination language for Bridge facilities


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