Live in Delaware
Delaware EMS protocols,
Delaware EMS protocols,
in your pocket.
Offline, county-specific protocols for Delaware EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 3 counties in Delaware · Protocols current as of June 15, 2026
See it in the field
Pocket Protocols showing Delaware's protocols, medications, and hospitals — searchable and fully offline.
What's covered in Delaware
The protocol sets serving Delaware right now.
Delaware Advanced Life Support Protocols
Effective: November 1, 2024 ↗
Interactive + PDF
60
Protocols
423
Flashcards
215
Quiz questions
34
Medications
12
Resources
Delaware Basic Life Support Protocols
Effective: November 1, 2024 ↗
Interactive + PDF
37
Protocols
466
Flashcards
246
Quiz questions
14
Medications
9
Resources
Study tools for Delaware Advanced Life Support Protocols
A few real flashcards and quiz questions from Delaware's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Indications for the Unstable Tachycardia protocol
Wide complex tachycardia (QRS > 0.12 sec) presumed to be VT at a rate exceeding 150 BPM, OR narrow complex tachycardia (QRS < 0.12 sec) other than sinus tachycardia at a rate exceeding 150 BPM. There should be no evidence of trauma, hypovolemia, fever, or sepsis.
Definition of 'Stable' in the Stable Tachycardia protocol
A patient is considered stable if their systolic blood pressure is greater than 90 mmHg. Additionally, there should be no evidence of trauma, hypovolemia, fever, or sepsis.
Protocol definition of 'UNSTABLE' tachycardia
Systolic blood pressure less than 90 mmHg OR bilaterally absent radial pulses with clinical evidence of shock. Patients with altered mentation and clinical evidence of shock are also considered UNSTABLE even if systolic BP is greater than 90 mmHg.
Rhythm check interval and maximum pause duration during CPR
Compressions should be paused to check rhythm every two minutes for no more than 5–10 seconds. The defibrillator should be charged prior to the rhythm check to minimize the pause.
STEMI protocol: When must an IV be established BEFORE giving NTG?
An IV must be established prior to NTG administration when the patient's systolic BP is less than 120 mmHg. NTG should also be used cautiously in patients not currently prescribed NTG.
Defibrillation energy setting and timing for VF/Pulseless VT
Defibrillate using 360 joules every 2 minutes, with CPR performed between each defibrillation attempt. Pads must have adequate contact and seal, with firm pressure applied before each shock. Biphasic devices may use FDA-approved/recommended energy settings.
What is the indicated use of Valsalva maneuvers per the minimum skills list?
Valsalva maneuvers (item #29) are listed specifically to control supraventricular tachycardia (SVT). This non-pharmacologic vagal maneuver is a required minimum skill for paramedics.
ACS: IV establishment requirement before NTG
An IV must be established prior to NTG administration for patients with a systolic BP less than 120 mmHg. NTG should also be used cautiously for patients not currently prescribed NTG.
Quiz questions
You are treating a patient with suspected ACS who has a systolic BP of 108 mmHg. According to the protocol, what must be done BEFORE administering nitroglycerin?
- Administer 324 mg aspirin PO first, then give NTG without any further requirements
- ✓ Establish an IV prior to NTG administration
- Obtain a 12-lead ECG and transmit it to the receiving facility
- Contact Medical Control for permission to administer NTG
You are treating a stable patient with a wide complex tachycardia at a rate of 165 BPM, presumed to be ventricular tachycardia. The patient's systolic BP is 102 mmHg. Which intervention is indicated per protocol?
- Administer 6 mg adenosine IV rapidly
- ✓ Administer 150 mg amiodarone IV over 10 minutes
- Administer 0.25 mg/kg diltiazem IV over 2 minutes
- Perform synchronized cardioversion immediately
You arrive on scene to a 58-year-old male complaining of chest pain. Your 12-lead confirms STEMI. He tells you he took his own aspirin (325 mg) about 45 minutes ago. Per protocol, what should you do regarding aspirin administration?
- Administer 324 mg aspirin because it has been less than 60 minutes since his last dose
- ✓ Withhold aspirin because he has already taken an equivalent dose within the last 60 minutes
- Administer 162 mg aspirin as a half-dose since he recently self-administered
- Contact Medical Control before making any aspirin decision
You arrive on scene to find a patient with a narrow complex tachycardia at 170 BPM, a systolic BP of 78 mmHg, absent radial pulses bilaterally, and clinical signs of shock. You have IV access established. Per protocol, what is the FIRST intervention you should perform?
- Administer adenosine IV immediately
- ✓ Obtain a 12-lead EKG as soon as practicable
- Perform synchronized cardioversion at 100 joules
- Administer 150 mg amiodarone IV over 10 minutes
According to the General Adult Cardiac Arrest Bundle of Care, how long should compressions be paused to check the cardiac rhythm, and what should be done prior to that pause?
- Pause for no more than 15 seconds; confirm IV access before the check
- ✓ Pause for no more than 5-10 seconds; charge the defibrillator before the check
- Pause for no more than 5-10 seconds; place an advanced airway before the check
- Pause for no more than 30 seconds; obtain a 12-lead ECG before the check
A cardiac arrest patient is receiving BVM ventilation that is working effectively. Your team has been on scene for 4 minutes. When should you consider placing an advanced airway according to this protocol?
- Immediately, to secure the airway before starting compressions
- After the first rhythm check, regardless of BVM effectiveness
- ✓ After at least three two-minute cycles of compressions and rhythm checks, vascular access is obtained, and medications are administered (generally at least six minutes)
- Only after 20 minutes of resuscitation have been completed on scene
Sourced from Delaware's EMS authority
Pocket Protocols brings Delaware's EMS protocols into a faster, fully offline app.
Delaware protocols — FAQ
Are Delaware's EMS protocols available offline?
Yes. Download Delaware'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 Delaware?
Yes. Delaware'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 Delaware?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Delaware's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Delaware 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 Delaware's protocols on every call.
Download Pocket Protocols and keep your county's complete protocol set in your pocket — online or off.