EMS Protocol Reference Guide for FiveM RP
Complete EMS protocol reference for FiveM roleplay. Covers patient assessment, triage categories, treatment protocols, transport procedures, and medical terminology.
Emergency Medical Services play a critical role in FiveM roleplay communities. Whether responding to traffic collisions, medical emergencies, or crime scenes, EMS personnel need standardized protocols to deliver realistic and organized medical care. This reference guide covers the essential EMS protocols used in most FiveM RP servers.
Triage Categories
Red - Immediate
Life-threatening conditions requiring immediate intervention. Includes cardiac arrest, severe hemorrhaging, airway compromise, and tension pneumothorax. These patients receive treatment first.
Yellow - Delayed
Serious injuries that are not immediately life-threatening. Includes fractures, moderate burns, and non-critical bleeding. These patients can wait while red patients are stabilized.
Green - Minor
Walking wounded with minor injuries. Includes minor cuts, bruises, sprains, and minor burns. These patients can wait or self-treat until resources are available.
Black - Deceased/Expectant
Patients who have died or whose injuries are incompatible with survival given available resources. These patients receive no treatment during mass casualty incidents.
Patient Assessment Protocol
Scene Safety Assessment
Before approaching any patient, ensure the scene is safe. Check for ongoing threats, hazardous materials, traffic dangers, and structural hazards. Request law enforcement if the scene is not secure.
Primary Survey (ABCDEs)
Airway: Is it clear? Breathing: Adequate? Circulation: Pulse present? Severe bleeding? Disability: Level of consciousness (AVPU scale)? Exposure: Examine for hidden injuries.
Secondary Survey
A systematic head-to-toe examination after the primary survey. Check for injuries, deformities, tenderness, and swelling. Obtain vital signs including blood pressure, heart rate, respiratory rate, SpO2, and temperature.
SAMPLE History
Signs/Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events leading up to the incident. This structured approach ensures critical patient information is captured.
Vital Signs Monitoring
Monitor and document vital signs at regular intervals. Every 5 minutes for critical patients, every 15 minutes for stable patients. Track trends in all measurements and Glasgow Coma Scale.
Treatment Protocols
Cardiac Arrest Protocol
Begin CPR immediately (30 compressions to 2 breaths). Apply AED/defibrillator as soon as available. Continue CPR until return of spontaneous circulation or medical direction to cease efforts. Transport to nearest hospital.
Trauma Protocol
Control bleeding with direct pressure, tourniquets for extremity hemorrhage. Stabilize fractures with splints. Maintain spinal immobilization if mechanism of injury suggests spinal cord damage.
Medical Emergency Protocol
Assess for common medical emergencies: stroke (FAST assessment), heart attack (12-lead ECG), diabetic emergency (blood glucose check), allergic reaction (epinephrine administration).
Overdose Protocol
Assess airway and breathing. Administer naloxone (Narcan) for suspected opioid overdose. Provide ventilatory support as needed. Monitor for re-sedation as naloxone effect may wear off.
Transport and Documentation
Transport Decision
Determine the appropriate receiving facility based on patient condition, facility capabilities, and transport time. Trauma centers for major trauma, stroke centers for stroke symptoms.
En Route Care
Continue monitoring and treatment during transport. Maintain communication with receiving hospital via radio. Provide updates on patient condition changes and estimated time of arrival.
Patient Handoff (SBAR)
Use SBAR format for hospital handoff: Situation (what is happening), Background (relevant history), Assessment (clinical findings), Recommendation (what the patient needs).
Patient Care Report
Complete the PCR documenting all assessments, treatments, vital signs, medications administered, and patient condition changes. File in the CAD system for permanent medical records.
Common Medical Terminology
ROSC (Return of Spontaneous Circulation)
When a patient in cardiac arrest regains a pulse after CPR and defibrillation efforts. A critical milestone in resuscitation.
GCS (Glasgow Coma Scale)
A neurological scale assessing consciousness based on eye opening, verbal response, and motor response. Scores range from 3 (unresponsive) to 15 (fully alert).
ALS (Advanced Life Support)
Higher level prehospital care including IV access, medication administration, advanced airway management, and cardiac monitoring. Requires paramedic certification.
BLS (Basic Life Support)
Foundational prehospital care including CPR, AED use, basic wound care, splinting, and oxygen administration. Provided by EMT-level personnel.