(b) Initiate resuscitation.

1. (1) BLS interventions (establishment of patent airway, hemorrhage control, spinal immobilization, fracture immobilization, etc.) will be initiated by the EMS provider following established state protocols.
2. (2) If there are no state-mandated protocols established, the agencies shall follow local protocols.

(c)

1. (1) Rapid transport to the most appropriate trauma center, following contact with the ATCC when appropriate.
2. (2) Patient transport will be initiated by the EMS provider following established guidelines using the Field Triage Decision Scheme: The Arkansas Trauma Triage Protocol.

(d)

1. (1) Notify the receiving trauma center.
2. (2) Contact with the receiving trauma center shall be made at least fifteen (15) minutes prior to patient arrival.
3. (3) If transport time is less than fifteen (15) minutes, contact shall be made as far in advance of arrival as possible.
4. (4) An accurate description of the incident, injuries, current medical interventions based upon established protocols, and patient status will be relayed to the trauma center.
5. (5) Further management guidance will be requested from the receiving hospital medical control as required during transport.
6. (6) The trauma center shall monitor the state-mandated EMS channel and EMS unit in a timely manner.

(f)

1. (1) EMS providers shall not initiate transport procedures as set forth in the Field Triage Decision Scheme: The Arkansas Trauma Triage Protocol when the following patient conditions occur:

   1. (A) Decomposition;
   2. (B) Rigor mortis; or
   3. (C) Normothermic asystole secondary to trauma (as determined by ALS providers only; does not apply to BLS providers).
2. (2) These patients may be transported according to local protocol.