Maryland EMS is so quirky sometimes it annoyed me. Basics couldn't do a simple BGL check in the field and the order was to just give oral glucose to all altered LOC for unknown causes.
Mike, the doc, and island are right, challenge those who make the protocols with evidence. Ask Dr. Alcorta and Dr. Bass why the protocols are the way they are.
They have taken out spinal immobilization for isolated penetrating trauma, where when I practiced, it was in the protocol to backboard penetrating injuries, so changes do occur.