Live in New Hampshire
New Hampshire EMS protocols,
New Hampshire EMS protocols,
in your pocket.
Offline, county-specific protocols for New Hampshire EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 10 counties in New Hampshire · Protocols current as of June 18, 2026
See it in the field
Pocket Protocols showing New Hampshire's protocols, medications, and hospitals — searchable and fully offline.
What's covered in New Hampshire
The protocol set serving New Hampshire right now.
New Hampshire Patient Care Protocols
Version 9.3 ↗
PDF document
1,281
Flashcards
250
Quiz questions
54
Medications
Study tools for New Hampshire Patient Care Protocols
A few real flashcards and quiz questions from New Hampshire's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Anatomical predictors of difficult intubation
Patients may be difficult to intubate if they have a short neck, cannot open their mouth at least three finger-widths, have a large tongue or high-arched palate, less than three finger-widths of thyromental distance, reduced atlanto-occipital movement, obesity, or evidence of obstruction such as drooling or stridor.
Precordial lead placement: V1 through V4
V1 is placed at the 4th intercostal space at the right sternal border; V2 at the 4th intercostal space at the left sternal border; V3 directly between V2 and V4; V4 at the 5th intercostal space at the midclavicular line.
Anatomical landmarks for percutaneous cricothyrotomy
The key landmarks are the thyroid cartilage (Adam's apple) and the cricoid cartilage (solid ring below the thyroid cartilage). The cricothyroid membrane lies between these two cartilages and is the target insertion site.
Vertical Incision Landmarks for Surgical Cricothyrotomy
A vertical incision of approximately 3 cm is made through the skin and fascia using the dominant hand while the non-dominant hand stabilizes the anatomy. The incision starts just above the thyroid cartilage and extends below the cricoid cartilage, after which the provider uses a finger to dissect tissue and locate the cricothyroid membrane.
Precordial lead placement: V5 and V6
V5 is placed level with V4 at the left anterior axillary line. V6 is placed level with V5 at the left midaxillary line.
Rule of Nines: adult vs. pediatric head & neck and legs
In adults, the head & neck represents 9% BSA and each leg represents 18% BSA. In pediatric patients, the head & neck is 18% BSA and each leg is 13.5% BSA, reflecting the proportionally larger head size in children.
Pyriform Sinus Lodging: Recognition and Correction
If resistance is encountered during nasotracheal intubation, the tube may have lodged in the pyriform sinus, which may cause visible tenting of the skin on either side of the thyroid cartilage. The corrective action is to slightly withdraw the ETT, rotate it toward the midline, and reattempt advancement on the next inspiration.
Tactile 'clicking' sign during Bougie advancement
A tactile sensation of 'clicking' may be felt as the Bougie tip is advanced downward over the rigid cartilaginous tracheal rings. This is one of the signs of tracheal placement.
Quiz questions
You are an EMT treating an adult patient with upper abdominal pain and a chief complaint of 'indigestion.' According to Protocol 2.0A, what additional intervention should you consider performing?
- Administer oral glucose immediately
- ✓ Acquire and transmit a 12-Lead ECG per Protocol 6.0
- Initiate pain management per Protocol 2.18A
- Refer directly to Obstetrical Emergencies Protocol 2.16
A paramedic is treating a hemodynamically unstable adult patient with symptomatic bradycardia. According to protocol 3.1A, what is the maximum total dose of atropine that may be administered IV?
- 2 mg
- ✓ 3 mg
- 4 mg
- 0.5 mg per dose, up to 1.5 mg total
An EMT is treating an adult patient in respiratory distress suspected to have congestive heart failure (pulmonary edema). The patient's systolic BP is 148 mmHg and symptoms persist. Which of the following actions is within the EMT's standing orders?
- Administer nitroglycerin 0.4 mg SL from the unit's drug supply
- ✓ Facilitate administration of the patient's own nitroglycerin every 5 minutes
- Start an IV nitroglycerin infusion at 50 mcg/min
- Withhold nitroglycerin because BP is below 160 mmHg
According to Protocol 3.2A, during the first 4 cycles (8 minutes) of resuscitation, when should an advanced airway be considered by an EMT?
- Immediately upon arrival to establish a definitive airway
- After the second 2-minute cycle of chest compressions
- ✓ Only if airway patency cannot be maintained using basic maneuvers and adjuncts
- Whenever BVM ventilation is being used
You are an EMT responding to a 68-year-old male with chest pain and diaphoresis. His systolic BP is 110 mmHg and O2 saturation is 97% on room air. He denies taking any medications. Which of the following best describes your oxygen and aspirin management per protocol?
- Administer oxygen at 15 LPM via NRB and aspirin 324 mg chewable.
- ✓ Do not administer oxygen; administer aspirin 324 mg chewable.
- Administer oxygen only if SpO2 drops below 94%; withhold aspirin until an IV is established.
- Do not administer oxygen; withhold aspirin until a 12-lead ECG confirms STEMI.
A hypothermic patient in cardiac arrest has a confirmed core temperature of 29°C. The AED has analyzed and advised a shock. You have already delivered three shocks across the resuscitation. According to Protocol 2.12, what should you consider regarding further defibrillation?
- Continue defibrillating every 2 minutes per standard AED guidance regardless of temperature.
- Stop all defibrillation attempts permanently, as three shocks is the absolute maximum.
- ✓ Limit further defibrillation attempts until the core temperature is known to be > 30°C (86°F).
- Deliver one additional shock, then transport without further defibrillation.
Sourced from New Hampshire's EMS authority
Pocket Protocols brings New Hampshire's EMS protocols into a faster, fully offline app.
New Hampshire protocols — FAQ
Are New Hampshire's EMS protocols available offline?
Yes. Download New Hampshire'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 Hampshire?
Yes. New Hampshire'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 Hampshire?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring New Hampshire's protocols into a faster, fully offline app and link the authority's own source for every set.
How do New Hampshire 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 New Hampshire's protocols on every call.
Download Pocket Protocols and keep your county's complete protocol set in your pocket — online or off.