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New Mexico EMS protocols,
New Mexico EMS protocols,
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Offline, county-specific protocols for New Mexico EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 33 counties in New Mexico · Protocols current as of June 18, 2026
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New Mexico EMS Guidelines
Updated September 20, 2022 ↗
Interactive + PDF
52
Protocols
383
Flashcards
197
Quiz questions
38
Medications
Study tools for New Mexico EMS Guidelines
A few real flashcards and quiz questions from New Mexico's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Why should VF/pulseless VT patients be resuscitated on scene rather than during transport?
Chest compressions during transport are less effective regarding hands-on time, depth, recoil, and rate. Additionally, providers performing compressions in a moving vehicle are at risk for personal injury. Therefore, the New Mexico EMS guidelines state patients should be resuscitated as close to the scene as operationally possible.
Medical Cardiac Arrest: Signs and Symptoms
The patient is unconscious and unresponsive with agonal or absent respiratory effort and no palpable pulses. These findings together confirm cardiopulmonary arrest and should trigger immediate resuscitation efforts.
Signs of hemodynamic instability in narrow complex tachycardia
Patients are considered unstable if they present with hemodynamic instability, evidence of poor perfusion, chest pain, altered level of consciousness, shortness of breath, cyanosis, or evidence of congestive heart failure. Intervention should be implemented per the narrow complex tachycardia protocol when any of these findings are present.
Asystole: ECG confirmation criteria
Asystole is confirmed by the absence of electrical activity on the cardiac monitor, verified by 10-second strips in at least two consecutive leads when possible. This guideline applies to normothermic patients only.
Exception to the 'resuscitate on scene' rule for VF/pulseless VT
Chest compressions during transport are permissible if a mechanical chest compression device is utilized. Without such a device, on-scene resuscitation is required to ensure both patient care quality and provider safety.
Hypothermia cardiac arrest: How many defibrillation attempts are made when core temp is < 30°C (86°F)?
Only one defibrillation attempt should be made. If unsuccessful and core temperature is below 30°C (86°F), no further defibrillation attempts should be made until the core temperature rises above 30°C (86°F).
Contraindication for narcotic analgesia (morphine/fentanyl) in chest pain
Both morphine and fentanyl are contraindicated when the patient's systolic blood pressure is less than 100 mmHg. Administration may only proceed if SBP ≥ 100.
Manual defibrillation energy — Adult vs. Pediatric
Adults should receive defibrillation at the maximum defibrillator output, up to 360 joules, for initial and subsequent attempts. Pediatric patients receive 4 J/kg for initial and subsequent attempts. Manual defibrillation is a Paramedic-only intervention.
Quiz questions
A 58-year-old male presents with chest pain and a blood pressure of 94/60 mmHg. He is nauseated and requesting pain relief. Which of the following is the most appropriate action per the New Mexico EMS Chest Pain guidelines?
- Administer Morphine 2 mg IV and titrate to effect
- Administer Fentanyl 50 mcg IV and titrate every 5 minutes
- ✓ Withhold narcotic analgesia due to systolic BP less than 100
- Administer Ondansetron 4 mg IV and then reassess for narcotic administration
According to the New Mexico EMS Medical Cardiac Arrest protocol, what should be done BEFORE attempting advanced airway management?
- Establish IV/IO access and administer epinephrine
- ✓ Perform 2 minutes of CPR while ventilating with a BVM using 100% oxygen
- Attach the AED and deliver up to three stacked shocks
- Obtain a 12-lead ECG to identify the underlying rhythm
You arrive on scene to find an unconscious adult patient in cardiac arrest. Your partner is performing CPR. According to the protocol, which of the following is the MOST appropriate concern regarding endotracheal intubation during CPR?
- Endotracheal intubation is contraindicated in all cardiac arrest patients
- ✓ Attempts at endotracheal intubation during CPR have been associated with unrecognized tube misplacement and prolonged interruptions in chest compressions
- Endotracheal intubation is only appropriate after ROSC is achieved
- Endotracheal intubation during CPR requires a Special Skill endorsement for all patients
According to the New Mexico EMS Treatment Guidelines for VF & VT (without a pulse), under what condition is it acceptable to perform chest compressions during transport?
- When the transport time to the hospital is less than 5 minutes
- ✓ When a mechanical chest compression device is utilized
- When two providers are available to alternate compressions
- When the patient has a witnessed cardiac arrest
You are treating an adult patient with a hemodynamically stable, regular narrow complex tachycardia who has not responded to Valsalva maneuvers. What is the correct initial adenosine dose and administration technique?
- 6.0 mg slow IV push over 30 seconds, followed by a 10cc normal saline flush
- ✓ 6.0 mg rapid IV push over 1-2 seconds, followed by a 20cc normal saline flush
- 12.0 mg rapid IV push over 1-2 seconds, followed by a 20cc normal saline flush
- 0.1 mg/kg rapid IV push, followed by a 20cc normal saline flush
You arrive on scene to find a severely hypothermic patient in cardiac arrest with ventricular fibrillation. You deliver one shock, but defibrillation is unsuccessful. Your monitor confirms the patient's core temperature is 28°C (82°F). What is the MOST appropriate next action per protocol?
- Continue to attempt defibrillation every 2 minutes following standard ACLS protocols.
- ✓ Withhold further defibrillation attempts and focus on CPR and rewarming until core temperature exceeds 30°C (86°F).
- Administer vasoactive medications immediately to support perfusion.
- Stop CPR and monitor only, as hypothermic patients rarely respond to resuscitation.
Sourced from New Mexico's EMS authority
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New Mexico protocols — FAQ
Are New Mexico's EMS protocols available offline?
Yes. Download New Mexico'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 Mexico?
Yes. New Mexico'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 Mexico?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring New Mexico's protocols into a faster, fully offline app and link the authority's own source for every set.
How do New Mexico 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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