Live in Virginia
Virginia EMS protocols,
Virginia EMS protocols,
in your pocket.
Offline, county-specific protocols for Virginia EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Protocols current as of September 30, 2026
See it in the field
Pocket Protocols showing Virginia's protocols, medications, and hospitals — searchable and fully offline.
What's covered in Virginia
The protocol sets serving Virginia right now.
Virginia Region 2 (Western Virginia EMS Council)
2026 (v260107) ↗
PDF document
1,037
Flashcards
508
Quiz questions
54
Medications
5
Resources
Virginia Region 3 South (Central Shenandoah EMS)
Revised Dec 31, 2025 ↗
PDF document
1,575
Flashcards
800
Quiz questions
47
Medications
9
Resources
Virginia Region 7 (Tidewater EMS Council)
July 1, 2025 (rev. 6/26/26) ↗
PDF document
1,348
Flashcards
688
Quiz questions
50
Medications
8
Resources
Study tools for Virginia Region 2 (Western Virginia EMS Council)
A few real flashcards and quiz questions from Virginia's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Elevated ICP: Cushing's Triad
Hypertension, bradycardia, irregular respirations.
Hypertension: indications
Systolic over: Adult (14+) 240 mmHg; Child (1-13) 220 mmHg; Infant (< 1) 200 mmHg.
Bradycardia: indications
Pulse under: Adult (14+) 60 /min; Child (1-13) 70 /min; Infant (< 1) 80 /min.
Tachycardia: indications
Pulse over: Adult (14+) 100 /min; Child (1-13) 130 /min; Infant (< 1) 160 /min.
Medical CODE: indications
No Pulse; No Obvious Death; No DNR/POST.
Medical ROSC: indication and Stabilize box
Indication: Return of Pulse. Stabilize: Establish Airway; Provide Breathing; Treat Circulation.
Chest Pain: Minor severity criteria
Minor: Mild Discomfort; Cardiac History.
Vasopressors: hypotension thresholds (entry criteria)
Systolic under: Adult (14+) 90 mmHg; Child (1-13) 70 mmHg; Infant (< 1) 60 mmHg. Or MAP: 65 mmHg adult; 50 mmHg child; 40 mmHg infant.
Quiz questions
What systolic BP meets the Hypertension protocol indication for an adult (14+)?
- Over 220 mmHg
- Over 160 mmHg
- ✓ Over 240 mmHg
- Over 200 mmHg
An adult has a Critical Arrhythmia with adequate perfusion and a QRS of 120 ms or less. Which Intermediate-level medication is on this branch?
- Amio
- Magnesium
- ✓ Adenosine
- Atropine
Per the CODE Imperatives, compressions start in place. Which patient should be transported ASAP?
- Any patient with an OPA in place
- ✓ A pregnant patient
- Any patient without IV or IO access
- Any adult after the first AED analysis
A patient with acute CHF exacerbation has rales, orthopnea, HTN and JVD. Which interventions does the Pulmonary Edema flowchart route to?
- Vasopressors first
- Lasix only, no Nitro
- ✓ Nitro Drip and Lasix
- Treat as Dyspnea only
What initial pacing rate does the Cardiac Procedures page list for adults?
- 60 bpm
- ✓ 80 bpm
- 120 bpm
- 100 bpm
A BLS crew is working an unwitnessed adult medical arrest (not a special case). The AED has never advised a shock, no ALS has arrived and there is no ROSC after 15 min. Per the Termination Policy, what should the crew do?
- Continue resuscitation on scene indefinitely until ALS arrives
- Stop resuscitation without contacting anyone
- ✓ Call Medical Control
- Begin emergent transport regardless of distance
Sourced from Virginia's EMS authority
Pocket Protocols brings Virginia's EMS protocols into a faster, fully offline app.
Virginia protocols — FAQ
Are Virginia's EMS protocols available offline?
Yes. Download the protocol set for your area 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 Virginia?
Pocket Protocols covers selected areas in Virginia today, not the whole state. Protocol sets are scoped by county, so a provider in a covered county gets exactly the set that governs where they respond, and you can add more than one if you work across areas. Other counties are added as their EMS authorities come on board.
Is Pocket Protocols official, or affiliated with Virginia?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Virginia's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Virginia 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.
Carry Virginia's protocols on every call.
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