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Alabama EMS protocols,
Alabama EMS protocols,
in your pocket.
Offline, county-specific protocols for Alabama EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 67 counties in Alabama · Protocols current as of June 4, 2026
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Pocket Protocols showing Alabama's protocols, medications, and hospitals — searchable and fully offline.
What's covered in Alabama
The protocol set serving Alabama right now.
Alabama Statewide Protocols
11th Edition, Effective August 1st, 2025 ↗
Interactive + PDF
38
Protocols
657
Flashcards
365
Quiz questions
74
Medications
6
Resources
Study tools for Alabama Statewide Protocols
A few real flashcards and quiz questions from Alabama's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
What hormones do the adrenal glands produce, and why are they important?
The adrenal glands make the steroids cortisol and aldosterone. Both are necessary for the body's response to physiologic stress such as acute illness or injury.
What are the three components of the Glasgow Coma Scale (GCS)?
The GCS assesses three areas: Eye Opening Response (max 4 points), Verbal Response (max 5 points), and Motor Response (max 6 points). The maximum total score is 15 and the minimum possible score is 3.
GCS Eye Opening Response scoring
Eyes open spontaneously = 4 points; eyes open to verbal command, speech, or shout = 3 points; eyes open to pain (not applied to face) = 2 points; no eye opening = 1 point.
GCS Verbal Response scoring
Oriented = 5 points; confused conversation but able to answer questions = 4 points; inappropriate responses, words discernible = 3 points; incomprehensible sounds or speech = 2 points; no verbal response = 1 point.
GCS Motor Response scoring
Obeys commands for movement = 6 points; purposeful movement to painful stimulus = 5 points; withdraws from pain = 4 points; abnormal (spastic) flexion/decorticate posture = 3 points; extensor (rigid) response/decerebrate posture = 2 points; no motor response = 1 point.
How does the leg TBS percentage differ between adult, child, and infant?
Each leg (groin to toes) accounts for 18% in an adult, 14% in a child, and 16% in an infant. The lower extremities take up relatively less surface area in younger patients.
What are the most critical elements of adult cardiac arrest resuscitation?
High-quality chest compressions at a rate of 100-120 compressions/minute and 2 inches depth allowing for full chest recoil, combined with early defibrillation. Consider using a metronome to ensure proper compression rate.
Definition of 'unstable' bradycardia per Alabama protocol
A bradycardic patient is considered unstable when there is hypotension, altered mental status, signs of shock, ischemic chest discomfort, or acute heart failure. Cardiac dysrhythmias with signs of impaired perfusion require immediate field treatment, while patients without signs of impaired perfusion may not require immediate treatment.
Quiz questions
A patient with suspected cardiac chest pain is being treated by an EMT. Which medication is the EMT specifically authorized to administer for this presentation according to the EMT scope of practice?
- Nitroglycerin
- ✓ Aspirin
- Morphine
- Epinephrine
An AEMT is performing ECG monitoring during an emergency call and recognizes a lethal rhythm. According to the protocol, what must the AEMT do?
- Begin manual defibrillation immediately
- ✓ Switch the monitor to AED mode only
- Continue interpreting the rhythm and treat accordingly
- Administer an antiarrhythmic from the AEMT formulary
According to the protocol, what is the recommended depth and rate for high-quality chest compressions in an adult cardiac arrest?
- At least 2.5 inches deep at 80-100 compressions/minute
- ✓ 2 inches deep at 100-120 compressions/minute
- 1.5 inches deep at 120-140 compressions/minute
- 2 inches deep at 60-80 compressions/minute
A 68-year-old patient presents with a heart rate of 42 and is alert with a blood pressure of 128/80, no chest pain, and no signs of shock. According to the Adult Bradycardia protocol, what is the most appropriate management approach?
- Immediately begin external cardiac pacing
- ✓ The patient may not require immediate treatment since there are no signs of impaired perfusion
- Administer atropine 1 mg IV regardless of symptoms
- Start a dopamine infusion at 5-20 mcg/kg/min
A 58-year-old patient presents with a stable, regular, narrow QRS tachycardia. After attempting vagal maneuvers without success, what is the correct first dose of adenosine?
- 3 mg rapid IV push
- ✓ 6 mg rapid IV push
- 12 mg rapid IV push
- 150 mg slow IV push
A 58-year-old man with chest pain has a blood pressure of 88/56. According to the protocol, which intervention is contraindicated based on his vital signs?
- Aspirin 324 mg PO
- ✓ Nitroglycerin 0.4 mg SL
- Obtaining a 12 lead ECG
- Placing him on a cardiac monitor
Sourced from Alabama's EMS authority
Pocket Protocols brings Alabama's EMS protocols into a faster, fully offline app.
Alabama protocols — FAQ
Are Alabama's EMS protocols available offline?
Yes. Download Alabama'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 Alabama?
Yes. Alabama'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 Alabama?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Alabama's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Alabama 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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