Who is primarily responsible for governing and updating the medical treatment protocols?

• A. The Medical Director.
• B. The EMS Chief.
• C. The Protocol Committee.
• D. The City Council.

Answer: (A)

The essential idea is that medical treatment protocols are governed and updated under medical oversight, led by the Medical Director. This person holds the clinical authority to establish, approve, and revise protocols to ensure they’re evidence-based, reflect current best practices, and fit the local EMS system’s scope of practice. They also oversee quality assurance and ensure changes are implemented consistently across the service. The Protocol Committee typically supports this work by drafting and reviewing updates and making recommendations, but they don’t have final authority to approve changes. The EMS Chief focuses on operational leadership and resource management, not the medical content of protocols. The City Council handles funding and broad policy decisions but delegates the clinical governance to medical leadership. So, the Medical Director is the primary person responsible for governing and updating medical treatment protocols.