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Oklahoma EMS protocols,
Oklahoma EMS protocols,
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Offline, county-specific protocols for Oklahoma EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 77 counties in Oklahoma · Protocols current as of June 18, 2026
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Pocket Protocols showing Oklahoma's protocols, medications, and hospitals — searchable and fully offline.
What's covered in Oklahoma
The protocol set serving Oklahoma right now.
Oklahoma State Protocols
2018 ↗
PDF document
486
Flashcards
248
Quiz questions
38
Medications
8
Resources
Study tools for Oklahoma State Protocols
A few real flashcards and quiz questions from Oklahoma's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Anatomical landmarks for cricothyrotomy
The key landmarks are the thyroid cartilage ('Adam's apple') and the cricoid cartilage. The cricothyroid membrane lies between these two cartilages in the neck midline and is the target site for the procedure.
Why can't you view a heart rhythm on ECG in a Total Artificial Heart (TAH) patient?
The electrical conduction system of the heart has been surgically removed when the TAH is implanted, so no native electrical activity exists to display. Because of this, the ECG will show asystole, and the patient should NOT be defibrillated.
Right-Sided 12-Lead ECG: When is it indicated and how is it performed?
It is obtained when a left ventricular inferior wall STEMI is suspected, to evaluate for right ventricular myocardial infarction. Four additional electrodes are placed on the right chest mirroring V3–V6, then leads are moved from V3–V6 to the right-sided mirror positions, creating V3R, V4R, V5R, and V6R.
TAH: What is the battery life of the Freedom Driver, and what is the preferred power source?
Each set of batteries lasts approximately 2 hours. The driver should be plugged into an electrical outlet as often as possible to conserve battery life and ensure continuous pump operation.
Adenosine: Indication and Required Criteria
Indicated for PSVT — a sustained, regular, narrow-complex tachycardia greater than 150 bpm in adults with a systolic BP ≥ 100 mmHg, after a failed valsalva maneuver. It is a Paramedic-level medication; OLMC order is required for use in pediatric patients.
Diltiazem: Contraindications
Contraindications include known hypersensitivity, 2nd/3rd degree AV blocks (may induce asystole), known Wolff-Parkinson-White Syndrome (may increase heart rate), known Sick Sinus Syndrome (may induce asystole), hypotension, and bradycardia. Use with caution in CHF (especially with concurrent beta-blockers), and in pregnancy/pediatrics as safety has not been established.
Epinephrine Autoinjector – ECG Monitoring Requirement
Pulsatile patients aged 35 years or greater, particularly those with known coronary artery disease, who receive epinephrine should have ECG monitoring initiated and continued as soon as an ECG monitor is available. This is due to the risk of adverse cardiac effects such as PVCs, tachycardia, and hypertension.
TAH: What alarm indicates the pump has stopped, and what is the immediate action?
A red fault alarm accompanied by a continuous audio tone will sound when the pump stops. The immediate corrective action is to switch to the back-up Freedom Driver without delay.
Quiz questions
According to the 2018 Oklahoma EMS Protocols preface, for which condition is it acceptable to prioritize on-scene interventions OVER initiating early transport?
- Stroke with active neurological deficits
- ✓ Non-traumatic cardiac arrest
- Major trauma with uncontrolled hemorrhage
- Hypovolemic shock
A paramedic is treating a stable adult patient with PSVT. After a Valsalva maneuver fails, the paramedic administers the first dose of Adenosine with no effect. What is the correct next step per protocol 5F?
- Administer Amiodarone 150 mg slow IVP over 10 minutes
- ✓ Repeat Adenosine at 12 mg rapid IVP
- Immediately perform synchronized cardioversion
- Contact OLMC for a Diltiazem order
A paramedic is acquiring a standard 12-lead ECG. After placing V2 to the left of the sternum in the 4th intercostal space, which lead should be placed NEXT according to the protocol?
- V3, in the middle of the line between V2 and V4
- ✓ V4, in the mid-clavicular line in the left 5th intercostal space
- V5, at the anterior axillary line in horizontal line with V4
- V6, at the mid-axillary line in horizontal line with V5
You are called to assist a patient with a Total Artificial Heart (TAH) who is unresponsive and has no palpable pulse. The TAH pump has stopped and a red fault alarm with a continuous audio tone is sounding. What is the MOST appropriate immediate action?
- Begin external chest compressions immediately
- Attempt defibrillation since the ECG will show asystole
- ✓ Switch immediately to the back-up Freedom Driver
- Manually operate the TAH using the hand-pump
A patient in cardiac arrest has no accessible peripheral veins. According to Protocol 9I, what is the FIRST-choice vascular access in this situation?
- External jugular vein cannulation
- ✓ Intraosseous (IO) access
- Central venous access
- Continue attempting peripheral IV for up to 5 minutes
A paramedic responds to a 45-year-old male with a history of Wolff-Parkinson-White Syndrome presenting with a sustained, regular narrow-complex tachycardia at 170 bpm and a BP of 118/76 mmHg. The valsalva maneuver has failed. Which of the following is the most appropriate next action regarding adenosine?
- Administer adenosine 12 mg rapid IVP followed by 10 mL saline flush, as indicated for PSVT with failed valsalva.
- ✓ Withhold adenosine because Wolff-Parkinson-White Syndrome is a contraindication, as it may increase heart rate.
- Administer adenosine 6 mg rapid IVP as a lower starting dose for this patient population.
- Contact OLMC for an order before administering adenosine, as narrow-complex tachycardia always requires OLMC order.
Sourced from Oklahoma's EMS authority
Pocket Protocols brings Oklahoma's EMS protocols into a faster, fully offline app.
Oklahoma protocols — FAQ
Are Oklahoma's EMS protocols available offline?
Yes. Download Oklahoma'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 Oklahoma?
Yes. Oklahoma'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 Oklahoma?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Oklahoma's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Oklahoma 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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