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Vermont EMS protocols,
Vermont EMS protocols,
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Offline, county-specific protocols for Vermont EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 14 counties in Vermont · Protocols current as of June 18, 2026
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What's covered in Vermont
The protocol set serving Vermont right now.
Vermont EMS Protocols
2025 ↗
PDF document
2,308
Flashcards
1,192
Quiz questions
65
Medications
83
Resources
Study tools for Vermont EMS Protocols
A few real flashcards and quiz questions from Vermont's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Location of the cricothyroid membrane
The cricothyroid membrane is located immediately below the thyroid cartilage. It is the target site for surgical cricothyrotomy and is identified by palpation with the non-dominant index finger while immobilizing the trachea with the thumb and middle finger.
Mallampati Class I oropharyngeal view
Class I view reveals the uvula, soft palate, hard palate, and pillars — the most favorable view, indicating the least anticipated difficulty with laryngoscopy and intubation.
Mallampati Class IV oropharyngeal view
Class IV view reveals only the hard palate — the least favorable oropharyngeal classification, suggesting a potentially difficult airway and intubation.
Anatomical Location of the Cricothyroid Membrane
The cricothyroid membrane is located at the inferior portion of the thyroid cartilage. With the head in a neutral position, it is approximately 3 finger widths above the sternal notch. It may be difficult to locate in obese patients.
Cormack-Lehane Grade I laryngoscopy view
Grade I view shows the full vocal cords, representing the best glottic view and predicting the highest likelihood of successful orotracheal intubation.
Rule of Nines: Genital/perineal region BSA
The genital/perineal region accounts for 1% BSA in both adults and pediatric patients. This value is the same across both age groups.
Cormack-Lehane Grade III laryngoscopy view
Grade III view shows only the epiglottis, with no part of the vocal cords visible. This indicates a difficult laryngoscopy view and increases the risk of a failed intubation attempt.
Adult NDT preferred insertion site
The preferred adult NDT site is the lateral site at the 4th or 5th intercostal space (ICS) at the anterior axillary line (AAL). An alternative anterior site is the 2nd ICS at the mid-clavicular line (MCL).
Quiz questions
According to the Vermont Statewide EMS Protocols 2025, which section covers both adult AND pediatric patients for Cardiac Arrest management?
- Section 3.2A only
- Section 3.2P only
- ✓ Both Section 3.2A and Section 3.2P
- Section 3.6 Team Focused CPR only
According to the Vermont EMS ACS Adult protocol, which of the following is a contraindication to administering aspirin to a patient with suspected Acute Coronary Syndrome?
- The patient already took aspirin at home prior to EMS arrival
- ✓ The patient has a history of anaphylaxis to NSAIDs
- The patient's blood pressure is greater than 180 mmHg systolic
- The patient is over 65 years of age with a history of diabetes
According to the Vermont EMS Acute Coronary Syndrome Adult protocol (3.0), what is the purpose of the blank page included in this section?
- To document patient care interventions performed on scene
- ✓ To insert the agency's local STEMI transport determination plan
- To record 12-lead ECG findings and rhythm interpretations
- To outline contraindications for aspirin administration
A paramedic is treating an adult patient with a heart rate of 42 bpm, hypotension, and altered mental status. Atropine has been administered twice without improvement. What is the most appropriate next intervention per protocol?
- Administer a third dose of atropine 1 mg IV/IO
- ✓ Transition to transcutaneous pacing
- Immediately start an epinephrine infusion at 10 mcg/min
- Administer glucagon 2–5 mg IV/IO
According to the Vermont EMS Adult Cardiac Arrest protocol, what is the correct BVM ventilation rate during high-performance CPR?
- 1 breath every 5 chest compressions
- ✓ 1 breath every 10 chest compressions without interrupting compressions
- 2 breaths every 30 chest compressions with a compression pause
- 1 breath every 15 chest compressions during recoil
An AEMT is managing an adult patient in cardiac arrest with a non-shockable rhythm. According to the protocol, when should epinephrine 1 mg IV/IO be administered?
- After the first 2-minute CPR cycle
- ✓ As soon as possible
- After the second defibrillation attempt
- Only after 4 cycles (8 minutes) of CPR
Sourced from Vermont's EMS authority
Pocket Protocols brings Vermont's EMS protocols into a faster, fully offline app.
Vermont protocols — FAQ
Are Vermont's EMS protocols available offline?
Yes. Download Vermont'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 Vermont?
Yes. Vermont'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 Vermont?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Vermont's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Vermont 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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