What should be done if a procedure is not addressed in the EMS Reference Manual?

• A. Refer to the EMS Reference Manual for the specific procedure.
• B. Contact Medical Control.
• C. Proceed with the closest available alternative.
• D. Document the gap and continue with care as usual.

Answer: (B)

When a procedure isn’t covered in the EMS Reference Manual, you turn to Medical Control for direction. Medical Control holds the authority to issue orders for unlisted situations, authorize deviations from standard protocols, and tailor guidance to the patient and local resources. This ensures care is safe, legally compliant, and aligned with system policies. Relying on a closest available alternative or continuing with care as usual without direction can lead to unsafe or inappropriate treatment. If immediate action is needed, provide care within your training while seeking Medical Control guidance as soon as possible, and document the orders or rationale you received.