Live in New York
New York EMS protocols,
New York EMS protocols,
in your pocket.
Offline, county-specific protocols for New York EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 62 counties in New York · Protocols current as of May 20, 2026
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Pocket Protocols showing New York's protocols, medications, and hospitals — searchable and fully offline.
What's covered in New York
The protocol sets serving New York right now.
NYC Collaborative Protocols
Effective 04/08/2025 ↗
Interactive + PDF
49
Protocols
450
Flashcards
149
Quiz questions
55
Medications
3
Resources
NYS Collaborative Protocols
Version 25.1, 07/01/2025 ↗
Interactive + PDF
114
Protocols
998
Flashcards
557
Quiz questions
65
Medications
82
Resources
Study tools for NYC Collaborative Protocols
A few real flashcards and quiz questions from New York's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Neonatal IO access site and best site for assessing heart rate
The proximal tibia is the only acceptable site for intraosseous access in a neonate. Heart rate is best assessed at the abdomen or the umbilical stump. Acrocyanosis (cyanosis of hands and feet) is a common normal finding—ensure the neonate is warm and dry.
Initial synchronized cardioversion energy for unstable atrial fibrillation/flutter
Perform initial synchronized cardioversion using 100 joules. Repeat as needed at escalating energy levels of 200, 300, and 360 joules.
Definition of Unstable Brady-Dysrhythmia (Adult)
An unstable brady-dysrhythmia is a ventricular rate less than 50 beats/minute AND signs of shock. This combination triggers the unstable treatment pathway.
Definition of an unstable dysrhythmia (Adult)
A dysrhythmia associated with ANY of the following: hypotension (SBP < 90 mmHg or MAP < 65 mmHg) or altered mental status. These signs of hypoperfusion distinguish unstable from stable dysrhythmias.
EMT actions for adult non-traumatic cardiac arrest before ALS arrival
Request ALS assistance, continue CPR and AED analysis with minimal interruption of chest compressions, and transport after a total of three (3) cycles of CPR and AED analysis.
Initial cardioversion energy for unstable adult SVT
For unstable SVT, perform initial synchronized cardioversion using 100 joules. Repeat synchronized cardioversion as needed at escalating energies of 200, 300, and 360 joules.
Initial cardioversion energy for unstable VT with a pulse (Adult)
For unstable ventricular tachycardia with a pulse, perform initial synchronized cardioversion at 100 joules. Repeat synchronized cardioversion as needed using 200, 300, and 360 joules.
Management of stable atrial fibrillation/atrial flutter (Paramedic level)
Consider contacting On-Line Medical Control (OLMC) for medication administration options before administering any medications.
Quiz questions
A CFR/EMT is treating a 58-year-old male with chest pain. What is the correct dose of aspirin to administer, if available and trained?
- 81 mg enteric-coated aspirin PO
- ✓ 324 mg chewable aspirin PO
- 650 mg chewable aspirin PO
- 324 mg enteric-coated aspirin PO
A patient presents with unstable atrial fibrillation. According to the protocol, what is the initial energy setting for synchronized cardioversion?
- 50 joules
- ✓ 100 joules
- 200 joules
- 360 joules
A 68-year-old patient presents with a ventricular rate of 42 beats/minute, hypotension, and altered mental status. According to the protocol, which interventions should the paramedic perform for this unstable brady-dysrhythmia?
- Contact OLMC for medication options before any treatment
- ✓ Administer Atropine Sulfate 1 mg IV, consider a 12-lead EKG, and begin transcutaneous pacing
- Begin a Dopamine infusion at 5 mcg/kg/min immediately
- Administer Epinephrine 2 mcg/min continuous IV infusion
An adult patient presents with a dysrhythmia and a systolic blood pressure of 82 mmHg. According to the protocol, how should this dysrhythmia be classified?
- Stable dysrhythmia
- ✓ Unstable dysrhythmia
- Asymptomatic dysrhythmia
- Compensated dysrhythmia
An EMT crew is managing an adult in non-traumatic cardiac arrest with an AED applied. ALS is delayed. According to the protocol, when should the EMT initiate transport?
- Immediately after the first AED shock is delivered
- ✓ After a total of three cycles of CPR and AED analysis
- Only once ALS arrives on scene
- After 20 minutes of CPR on scene
An EMT is assisting a patient with their prescribed sublingual nitroglycerin for chest pain. Which condition must be met before administering each dose?
- The patient's heart rate must be above 100 bpm
- ✓ The patient's systolic blood pressure must be greater than 120 mmHg
- A 12-lead EKG must show STEMI
- The patient must have already received aspirin
Sourced from New York's EMS authority
Pocket Protocols brings New York's EMS protocols into a faster, fully offline app.
New York protocols — FAQ
Are New York's EMS protocols available offline?
Yes. Download New York'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 York?
Yes. New York'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 York?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring New York's protocols into a faster, fully offline app and link the authority's own source for every set.
How do New York 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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