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Wyoming EMS protocols,
Wyoming EMS protocols,
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Offline, county-specific protocols for Wyoming EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 23 counties in Wyoming · Protocols current as of June 18, 2026
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What's covered in Wyoming
The protocol set serving Wyoming right now.
Wyoming Statewide Protocols
NASEMSO Version 3.0 ↗
Interactive + PDF
71
Protocols
880
Flashcards
431
Quiz questions
51
Medications
5
Resources
Study tools for Wyoming Statewide Protocols
A few real flashcards and quiz questions from Wyoming's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Rule of Nines — adult TBSA values for the head, torso, and each leg
In an adult, the anterior head = 4.5% and posterior head = 4.5% (total head = 9%); anterior torso = 18% and posterior torso = 18%; each anterior leg = 9% and each posterior leg = 9% (total per leg = 18%). Genitalia/perineum = 1%.
TBSA estimation for an obese adult (≈80 kg) — key differences from a standard adult
In an obese adult (~80 kg), the head and neck account for only 2% TBSA, each leg = 20%, each arm = 5%, and anterior/posterior torso = 25% each. Notably, genitalia/perineum is listed as 0%, differing from the 1% assigned to standard adults.
Obturator: function and critical step after tracheostomy insertion
The obturator stiffens and provides shape to the tracheostomy tube to facilitate insertion into the stoma. It must be removed immediately after insertion before ventilation can be performed.
GCS Motor Score 2 vs. 3: What is the difference between extension and flexion to pain?
A motor score of 2 (Extension to pain) indicates the patient extends their extremities in response to a painful stimulus, also known as decerebrate posturing. A motor score of 3 (Flexion to pain) indicates the patient flexes their extremities in response to pain, also known as decorticate posturing. Both indicate significant neurological compromise.
What is the primary benefit of out-of-hospital 12-lead EKG acquisition in STEMI patients?
Out-of-hospital 12-lead EKG acquisition combined with advance hospital notification has been shown to benefit ST-segment elevation myocardial infarction patients. Evidence supports that it improves outcomes by enabling earlier identification and faster activation of definitive care pathways.
Definition of Syncope vs. Near Syncope
Syncope is defined by BOTH loss of consciousness AND loss of postural tone that resolves spontaneously without medical intervention, with abrupt onset and equally quick resolution. Near syncope is defined as the prodromal symptoms of syncope (e.g., pallor, sweating, lightheadedness, visual changes, weakness) lasting seconds to minutes, without actual loss of consciousness.
Bradycardia inclusion criteria (adult)
Heart rate less than 60 BPM with symptoms (AMS, chest pain, CHF, seizure, syncope, shock, pallor, diaphoresis) OR evidence of hemodynamic instability. Qualifying EKG rhythms include sinus bradycardia, second-degree AV block (Mobitz I & II), third-degree AV block, and ventricular escape rhythms.
Which four cardiac arrest rhythms does this resuscitation protocol cover?
The NASEMSO National Model EMS Clinical Guidelines Cardiac Arrest protocol covers four rhythms: Ventricular Fibrillation (VF), Ventricular Tachycardia (VT), Asystole, and Pulseless Electrical Activity (PEA). These represent the full spectrum of shockable and non-shockable cardiac arrest rhythms.
Quiz questions
According to research cited in the NASEMSO National Model EMS Clinical Guidelines, what is a key benefit of performing out-of-hospital 12-lead ECGs and providing advance notification in STEMI patients?
- It eliminates the need for in-hospital cardiac catheterization
- ✓ It has been shown through systematic review and meta-analysis to improve outcomes for STEMI patients
- It replaces the need for serial ECGs in the prehospital setting
- It is only beneficial for anterior STEMI, not inferior STEMI
You respond to a patient with an LVAD who is unresponsive. You confirm the pump has stopped and all troubleshooting efforts to restart it have failed. Which additional condition must be met before initiating CPR?
- The patient's VAD coordinator has given verbal authorization
- ✓ The patient is unresponsive and has no detectable signs of life
- A 12-lead EKG confirms ventricular fibrillation
- You have disconnected the controller and batteries from the device
You arrive on scene to find a 17-year-old male who collapsed while playing basketball. Bystanders report he lost consciousness briefly but is now awake and alert. He denies any prior cardiac history. According to the protocol, what does syncope occurring during strenuous exercise most likely indicate, and what is the appropriate next step?
- Likely vasovagal syncope; consult medical direction regarding non-transport
- ✓ An ominous cardiac cause; the patient should be evaluated in the emergency department
- Dehydration-related syncope; administer a fluid bolus and reassess on scene
- A seizure disorder; refer to the Altered Mental Status Guideline
You are treating a stable adult patient with a regular narrow complex tachycardia (SVT). Vagal maneuvers have failed. You administer adenosine 6 mg IV without conversion. What is your next step per protocol?
- Immediately perform synchronized cardioversion
- ✓ Administer adenosine 12 mg IV
- Administer diltiazem 0.35 mg/kg IV over 2 minutes
- Administer amiodarone 150 mg IV over 10 minutes
According to the NASEMSO National Model EMS Clinical Guidelines for Cardiac Arrest, which of the following rhythm types are addressed within this resuscitation protocol?
- SVT, Atrial Fibrillation, Atrial Flutter, and Heart Block
- ✓ VF, VT, Asystole, and PEA
- Bradycardia, Tachycardia, Heart Block, and WPW
- VF, SVT, Asystole, and Sinus Arrest
You arrive on scene to find a 58-year-old male in cardiac arrest with no bystander CPR in progress. Your partner is retrieving the defibrillator. According to the protocol, what is your MOST appropriate immediate action?
- Wait for the defibrillator to arrive before initiating any intervention.
- ✓ Begin chest compressions immediately while your partner sets up the defibrillator.
- Establish IV access and administer epinephrine before starting compressions.
- Place an advanced airway first to ensure oxygenation prior to compressions.
Sourced from Wyoming's EMS authority
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Wyoming protocols — FAQ
Are Wyoming's EMS protocols available offline?
Yes. Download Wyoming'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 Wyoming?
Yes. Wyoming'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 Wyoming?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Wyoming's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Wyoming 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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