Live in New York
New York EMS protocols,
New York EMS protocols,
in your pocket.
Offline, county-specific protocols for New York EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 62 counties in New York · Protocols current as of August 24, 2026
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Pocket Protocols showing New York's protocols, medications, and hospitals — searchable and fully offline.
What's covered in New York
The protocol sets serving New York right now.
NYC Collaborative Protocols
2026-01, Effective 08/01/2026 ↗
Interactive + PDF
67
Protocols
496
Flashcards
255
Quiz questions
45
Medications
3
Resources
NYS Collaborative Protocols
Version 25.1, 07/01/2025 ↗
Interactive + PDF
114
Protocols
998
Flashcards
557
Quiz questions
61
Medications
82
Resources
Study tools for NYC Collaborative Protocols
A few real flashcards and quiz questions from New York's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Inspiratory stridor: anatomical significance
Inspiratory stridor typically indicates an upper airway problem, which may be a physiologic or mechanical obstruction. This finding helps localize the source of respiratory distress during assessment.
AED re-analysis interval during CPR
During non-traumatic cardiac arrest, CPR should be continued and the AED should re-analyze the rhythm every two (2) minutes, with shocks delivered as indicated. Interruptions to chest compressions must be minimized throughout.
Pediatric Severe Bradycardia: Defining Criteria
Pediatric severe bradycardia requires ALL of the following: heart rate less than 60 beats/min, AND signs of shock OR altered mental status. Both criteria must be present to apply this protocol.
What are the first steps in the Adult Dysrhythmia protocol assigned to CFR and All Provider Levels?
The first steps are: (1) assess ABCs and obtain vital signs, and (2) provide airway management and appropriate oxygen therapy. These steps apply to all provider levels before any further interventions.
Initial synchronized cardioversion energy for unstable Afib/Aflutter
The initial synchronized cardioversion for unstable atrial fibrillation or atrial flutter is performed at 200 joules. If unsuccessful, repeat cardioversion is performed at 300 joules, then 360 joules as needed.
Unstable Brady-Dysrhythmia: Definition and Initial Treatment
Defined as a ventricular rate < 50 beats/minute WITH signs of shock. Initial treatment is Atropine Sulfate 1 mg IV, followed by consideration of a 12-lead EKG and initiation of transcutaneous pacing.
Pediatric Unstable Dysrhythmia: Definition
A pediatric dysrhythmia is considered unstable if associated with ANY of the following: depressed mental status AND absent peripheral pulses, OR hypotension (systolic BP < 70 mmHg + [2 × age in years]). This distinction drives the treatment pathway.
Unstable SVT: Initial synchronized cardioversion energy (Adult)
For unstable SVT, perform initial synchronized cardioversion at 100 joules. If unsuccessful, repeat at 200, 300, and then 360 joules as needed.
Quiz questions
According to the protocol, when should an EMT consider performing advanced airway management (e.g., supraglottic airway) during a non-traumatic cardiac arrest?
- Immediately upon arrival if BVM ventilation has not yet been attempted
- ✓ Only if unable to provide effective BVM ventilation, after the second rhythm analysis, if available and trained
- After the first rhythm analysis, regardless of BVM effectiveness
- After initiating transport, once ALS has been requested
You are an EMT caring for a 58-year-old male with chest pain and a blood pressure of 108/70 mmHg. His wife hands you his prescribed nitroglycerin. What is the correct action?
- Assist the patient with one dose of nitroglycerin since he has a prescription
- ✓ Withhold nitroglycerin because his SBP is not greater than 120 mmHg
- Administer nitroglycerin and reassess blood pressure after 5 minutes
- Contact medical control before making any nitroglycerin decision
According to the Adult Dysrhythmia protocol, which of the following correctly defines an UNSTABLE dysrhythmia?
- Any dysrhythmia with a heart rate greater than 100 bpm
- ✓ A dysrhythmia associated with hypotension (SBP < 90 mmHg or MAP < 65 mmHg) or altered mental status
- A dysrhythmia requiring more than one synchronized cardioversion attempt
- Any dysrhythmia that does not respond to medication within 5 minutes
You are treating an adult patient in atrial fibrillation with a rapid ventricular response who is hemodynamically unstable. What is the correct initial energy setting for synchronized cardioversion?
- 100 joules
- ✓ 200 joules
- 300 joules
- 360 joules
A patient presents with a ventricular rate of 44 beats/minute and signs of shock. According to the Brady-Dysrhythmia protocol, what is the FIRST intervention a Paramedic should perform?
- Begin transcutaneous pacing immediately
- ✓ Administer Atropine Sulfate 1 mg IV
- Administer Dopamine 5 mcg/kg/min IV infusion
- Contact OLMC for medication administration options
According to the pediatric dysrhythmia protocol, which of the following correctly defines an UNSTABLE dysrhythmia in a pediatric patient?
- Any tachycardia with a heart rate greater than 180 bpm
- ✓ A dysrhythmia associated with depressed mental status and absent peripheral pulses, OR hypotension (systolic BP < 70 mmHg + [2 × age in years])
- Any dysrhythmia requiring adenosine administration
- A dysrhythmia with a heart rate less than 60 bpm regardless of symptoms
Sourced from New York's EMS authority
Pocket Protocols brings New York's EMS protocols into a faster, fully offline app.
New York protocols — FAQ
Are New York's EMS protocols available offline?
Yes. Download New York's protocol set once and every protocol, medication, and hospital is available with no signal — built for basements, rural calls, and dead zones.
Are the protocols specific to my county in New York?
Yes. New York's protocols are scoped by county and region, so every provider sees exactly the set that governs where they respond. You can add more than one if you run in multiple areas.
Is Pocket Protocols official, or affiliated with New York?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring New York's protocols into a faster, fully offline app and link the authority's own source for every set.
How do New York protocol updates reach the app?
When the EMS authority publishes a new version and it goes live in Pocket Protocols, the app refreshes automatically — crews are never working from a stale copy. We monitor official sources for changes every day.
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