Live in Rhode Island
Rhode Island EMS protocols,
Rhode Island EMS protocols,
in your pocket.
Offline, county-specific protocols for Rhode Island EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 5 counties in Rhode Island · Protocols current as of June 18, 2026
See it in the field
Pocket Protocols showing Rhode Island's protocols, medications, and hospitals — searchable and fully offline.
What's covered in Rhode Island
The protocol set serving Rhode Island right now.
Rhode Island Statewide Protocols
Version 2024.01 ↗
PDF document
1,594
Flashcards
571
Quiz questions
70
Medications
39
Resources
Study tools for Rhode Island Statewide Protocols
A few real flashcards and quiz questions from Rhode Island's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Precordial lead V1 placement
V1 is placed at the 4th intercostal space at the right sternal border. It is one of six precordial leads used in a standard 12-lead ECG acquisition.
Precordial leads V4, V5, and V6 placement
V4 is placed at the 5th intercostal space at the midclavicular line. V5 is level with V4 at the anterior axillary line. V6 is level with V5 at the left mid-axillary line.
PICC line: anatomical insertion site and key flow restrictions
PICC lines are inserted into the distal superior vena cava or the right atrium via the antecubital vein. They will not tolerate rapid infusions or infusions under pressure, and blood pressure must never be measured in the same arm as an inserted PICC.
Why is proper depth of esophageal probe placement critical?
The distal tip of a properly placed esophageal temperature probe should be in proximity to the aorta and heart to obtain an accurate core temperature reading. If the probe is placed too high in the esophagus, the reading will be falsely affected by tracheal air.
Identifying the Umbilical Vein vs. Umbilical Arteries
The umbilical vein is the single large, thin-walled vessel typically located at the 12 o'clock position on the cut cord stump. The two umbilical arteries are smaller and thick-walled. The umbilical vein is the largest of the three vessels.
IO Approved Anatomic Insertion Sites
FDA-approved IO insertion sites may include the proximal or distal tibia, the proximal humerus, or the sternum. EMS professionals must follow the specific device manufacturer's recommendations for approved locations. Spring-loaded devices for sternal placement are NOT permitted.
Common types of tracheostomy tubes
Common types include cuffed with a disposable inner cannula (DIC), cuffed with a reusable inner cannula, cuffless with a DIC, cuffless with a reusable inner cannula, cuffed fenestrated, cuffless fenestrated, and metal tracheostomy tubes.
Anatomical Location of the Carotid Sinus
The carotid sinus is located at the midpoint between the angle of the mandible and the superior border of the thyroid cartilage. Accurate landmark identification is required before performing CSM.
Quiz questions
An AEMT arrives on scene to a patient in cardiac arrest with a confirmed non-shockable rhythm. Which epinephrine formulation and route is within the AEMT scope of practice for this situation?
- Epinephrine (1mg/1ml) IV/IO
- ✓ Epinephrine (1mg/10ml) IV/IO
- Epinephrine (1mg/1ml) IM
- Epinephrine (1mg/10ml) IM
You are treating a patient in cardiogenic shock who is hypotensive and complaining of shortness of breath with crackles in both lung fields. Per protocol 2.20, what is the correct approach to IV fluid administration?
- Administer Lactated Ringer's 500 ml IV and repeat up to 2L to achieve SBP ≥100
- ✓ Administer Lactated Ringer's 250 ml IV and do NOT administer IVF given the shortness of breath and evidence of pulmonary edema
- Administer Lactated Ringer's 250 ml IV and repeat x1 if needed to achieve SBP ≥100 or MAP ≥65
- Withhold all IV fluids and immediately initiate a Norepinephrine infusion
According to the Rhode Island Department of Health EMS cardiac protocols, which protocol number specifically addresses care for a patient experiencing Acute Decompensated Heart Failure and Pulmonary Edema?
- 03.02
- ✓ 03.01
- 03.04A
- 03.08
According to the Syncope Protocol, how should ALL syncope be initially regarded by EMS providers?
- As a vasovagal response until proven otherwise
- As a neurological emergency until proven otherwise
- ✓ As a cardiac origin until proven otherwise
- As a benign event unless the patient is still unconscious
You respond to a 68-year-old male in respiratory distress with bilateral crackles and an SpO2 of 88%. His SBP is 94 mmHg. Which intervention is most appropriate at this time?
- Administer Nitroglycerin 0.4 mg SL immediately
- ✓ Apply CPAP up to 10 cmH2O
- Administer Furosemide IV at the patient's daily dose
- Administer Enalaprilat 1.25 mg IV
According to the STEMI protocol, what is the maximum on-scene time when the ECG is suggestive of STEMI?
- 5 minutes
- ✓ 10 minutes
- 15 minutes
- 20 minutes
Sourced from Rhode Island's EMS authority
Pocket Protocols brings Rhode Island's EMS protocols into a faster, fully offline app.
Rhode Island protocols — FAQ
Are Rhode Island's EMS protocols available offline?
Yes. Download Rhode Island'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 Rhode Island?
Yes. Rhode Island'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 Rhode Island?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Rhode Island's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Rhode Island 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 Rhode Island's protocols on every call.
Download Pocket Protocols and keep your county's complete protocol set in your pocket — online or off.