What is necessary before proceeding with treatment outside of established protocols?

Before proceeding with treatment outside of established protocols, it is essential to obtain direct communication with medical control. This step ensures that any deviations from the standard protocols are guided by a qualified medical professional. Medical control can provide specialist advice tailored to the specific clinical scenario, ensuring that patient safety remains the top priority. It also ensures that the treatment decisions are documented and that the clinician remains accountable for their actions.

Additionally, communicating with medical control offers the opportunity to discuss the reasoning behind the need for alternative treatment. This engagement allows for an informed decision-making process that considers both the patient's unique situation and any potential risks associated with straying from established protocols.

In contrast, contacting the patient's family, ensuring additional paramedic support, or evaluating the patient's response to current treatment, while important aspects of patient care, do not establish the necessary framework for authority and guidance in modifying treatment plans.