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Missouri EMS protocols,
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Offline, county-specific protocols for Missouri EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Protocols current as of October 16, 2026
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Kansas City (MO) EMS System
2026.2.0 (Sept 2026) ↗
PDF document
593
Flashcards
367
Quiz questions
21
Medications
Study tools for Kansas City (MO) EMS System
A few real flashcards and quiz questions from Missouri's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Trauma In Pregnancy: fundal height landmarks
Per the page figure: at 12 weeks the fundus is just above the pubic bone; at 36-38 weeks the fundus is usually right up under the sternum; at 40 weeks (term) the fundus drops below the 38 week level as the presenting part drops down into the pelvis.
On-Scene AED Coordination: medical authority
The EMT-First Responder (EMT-FR) has medical authority over public access defibrillator (PAD) personnel at the scene until arrival of the transporting EMT-Paramedic. The transporting EMT-Paramedic has medical authority at scenes.
Valid Exclusion of Resuscitation: valid DNR Request Form
The DNR Request Form must be signed and dated by the patient or appropriate surrogate and the witness and the patient's physician. The revocation provision must remain unsigned for the form to remain in effect.
Hypothermia: arrest changes for asystole or VF/pulseless VT
Refer to the adult or pediatric cardiac arrest protocol with these changes: handle very gently; epinephrine 1 time only; 1 defibrillation attempt for VF/pulseless VT; use warm IV fluids; insulate patient. Green items are Paramedic.
Post Resuscitation Protocol: ROSC definition
ROSC = pulse and measurable BP with increasing ETCO2.
Tachycardia (HR >150): signs of poor perfusion
The protocol lists altered mental status, chest pain, CHF, shortness of air, syncope, and hypotension/shock as signs of poor perfusion. If present (YES), the pathway goes to synchronized cardioversion; if absent (NO), identify the rhythm. Torsade de Pointes may not synchronize for cardioversion; if signs of poor perfusion are present, proceed with unsynchronized defibrillation.
Adult Cardiac Arrest: compression standards
Initiate manual continuous chest compressions: push hard (2 inches), push fast (100-110/min), and change compressors every 2 minutes. Deploy a mechanical CPR device after 3 cycles (6 minutes) of manual compressions.
Termination of Resuscitation: age requirement
The patient must be 18 years of age or older for termination of resuscitation under this protocol.
Quiz questions
An EMT-FR arrives as PAD personnel are proceeding with a shock. What should the EMT-FR do?
- ✓ Wait until the shock is complete
- Stop the shock and apply the EMT-FR AED
- Begin manual defibrillation immediately
- Switch to the Zoll monitor before the shock
A patient with a valid DNR expires during transport. What must the paramedic do?
- Begin full resuscitation
- Return the patient to the residence
- ✓ Contact medical control for routing instructions
- Continue to the original destination without contact
Per the KCMO Hypothermia protocol, in hypothermic asystole or VF/pulseless VT, how many epinephrine doses are given?
- Every 3-5 minutes as usual
- ✓ 1 time only
- 2 doses maximum
- None
Per the KCMO Post Resuscitation Protocol, what ETCO2 range is targeted?
- 20-30mmHg
- ✓ 35-45mmHg
- 10-20mmHg
- 45-55mmHg
Per the KCMO Bradycardia protocol, what is the atropine dose for poor perfusion?
- 0.5 mg IV every 3-5 minutes, max 3mg
- 0.02 mg/kg IV, max 1mg
- ✓ 1 mg IV/IO every 3-5 minutes, max 3mg
- 1 mg IV every 5 minutes, max 2mg
Adult Cardiac Arrest: After how much manual compression time is the mechanical CPR device deployed?
- ✓ After 3 cycles (6 minutes)
- After 1 cycle (2 minutes)
- After 5 cycles (10 minutes)
- After 20 minutes of ACLS
Sourced from Missouri's EMS authority
Pocket Protocols brings Missouri's EMS protocols into a faster, fully offline app.
Missouri protocols — FAQ
Are Missouri's EMS protocols available offline?
Yes. Download the protocol set for your area 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 Missouri?
Pocket Protocols covers selected areas in Missouri today, not the whole state. Protocol sets are scoped by county, so a provider in a covered county gets exactly the set that governs where they respond, and you can add more than one if you work across areas. Other counties are added as their EMS authorities come on board.
Is Pocket Protocols official, or affiliated with Missouri?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Missouri's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Missouri 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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