Government Affiliation Disclaimer
IMPORTANT NOTICE:
Pocket Protocols is an independent, third-party application developed by Rappasoft LLC. It is not affiliated with, endorsed by, sponsored by, or officially connected to any federal, state, provincial, or local government agency or emergency medical services authority.
Every protocol set in Pocket Protocols is based on publicly available documents published by the relevant EMS authority. The official source for each set is listed below. Pocket Protocols provides the software, organization, search, and offline access on top of this public information — always verify clinical decisions against the current official protocols issued by your own medical director and agency.
Alabama Statewide Protocols
Alabama · United States
- Rules & protocols page — https://www.alabamapublichealth.gov/ems/rules-and-protocols.html
Alameda County Protocols
California · United States
Arizona Statewide Guidance
Arizona · United States
Arkansas Adopted Statewide Guidelines
Arkansas · United States
- NASEMSO National Model Guidelines — https://nasemso.org/content.aspx?page_id=22&club_id=157064&module_id=701974
- National Adopted Protocols — https://healthy.arkansas.gov/wp-content/uploads/EMS_National_Guidelines.pdf
Boulder County EMS Protocols
Colorado · United States
- Boulder County EMS Protocols — https://www.bocofire.org/BCFFA/ems/Protocols/index.php
Central California EMS Agency
California · United States
- Central California EMS Agency — https://www.fresnocountyca.gov/Departments/Public-Health/Emergency-Services/Emergency-Medical-Services-EMS/CCEMSA-Policies-and-Procedures
- Special Memorandums — https://www.fresnocountyca.gov/Departments/Public-Health/Emergency-Services/Emergency-Medical-Services-EMS/CCEMSA-Policies-and-Procedures/Special-Memorandums
Central Ohio (OHEMS) Protocols
Ohio · United States
- Central Ohio (OHEMS) Protocols — https://www.ohiohealthems.com/wp-content/uploads/2015/02/OHEMS-Protocol-Manual-2014-11-24_Interactive.pdf
Chicago EMS System (Region 11) ALS
Illinois · United States
- Chicago EMS System (Region 11) ALS — https://chicagoems.org/wp-content/uploads/2026/06/ALS-Protocols_6_1_26.pdf
Chicago EMS System (Region 11) BLS
Illinois · United States
- Chicago EMS System (Region 11) BLS — https://chicagoems.org/wp-content/uploads/2026/06/BLS-Protocols_6_1_26.pdf
Coastal Valleys EMS Agency (CVEMSA)
California · United States
- Coastal Valleys EMS Agency (CVEMSA) — https://www.coastalvalleysems.org/filelink/fileman-files/Policy_Manual/treatment%20and%20Procedural%20Guidelines/2025%20CVEMSA%20Treatment%20Guidelines%20%281%29.pdf
- EMS Special Memos — https://www.coastalvalleysems.org/policies-plans/ems-special-memos
- Treatment guidelines page — https://www.coastalvalleysems.org/policies-plans/treatment-guidelines
Connecticut Statewide Protocols
Connecticut · United States
- Connecticut Statewide — https://portal.ct.gov/DPH/Emergency-Medical-Services/EMS/Statewide-EMS-Protocols?language=en_US
Contra Costa EMS
California · United States
Delaware Advanced Life Support Protocols
Delaware · United States
- Delaware Advanced Life Support Protocols — https://dhss.delaware.gov/wp-content/uploads/sites/12/dph/pdf/2024ALSProtocolsFINAL122024update.pdf
- DHSS medical direction page (ALS) — https://dhss.delaware.gov/dph/homepage/about/sections/emsps/ems/medical-direction/
Delaware Basic Life Support Protocols
Delaware · United States
- Delaware Basic Life Support Protocols — https://dhss.delaware.gov/wp-content/uploads/sites/12/dph/pdf/2024BLSProtocols.pdf
- DHSS medical direction page (BLS) — https://dhss.delaware.gov/dph/homepage/about/sections/emsps/ems/medical-direction/
Denver Metropolitan Prehospital Protocols
Colorado · United States
- Denver Metropolitan Prehospital Protocols — https://dmemsmd.org
District of Columbia EMS Manual
District of Columbia · United States
- District of Columbia EMS Manual — https://fems.dc.gov/sites/default/files/dc/sites/fems/page_content/attachments/DC%20Fire%20%20EMS%20Protocols%2003172026.pdf
- EMS protocols page — https://fems.dc.gov/page/ems-protocols
East Central Illinois EMS System Adult Protocol Manual
Illinois · United States
- East Central Illinois EMS System Adult Protocol Manual — https://osf-p-001.sitecorecontenthub.cloud/api/public/content/6f922b4b2cde4735af04ddd214b3c55c?v=db8d35a1
El Dorado County EMS
California · United States
Hawaii Adult & Pediatric Standing Orders
Hawaii · United States
- Hawaii Adult & Pediatric Standing Orders — https://health.hawaii.gov/emsipsb/files/2025/06/2025_STANDING-ORDERS_23June2025_NoHyperlinks2.pdf
- Standing orders page — https://health.hawaii.gov/ems/home/standing-orders-for-hawaiis-mobile-intensive-care-technicians-micts/
Imperial County EMS
California · United States
- Imperial County EMS Policy & Protocol Manual — https://www.icphd.org/emergency-medical-services/policy-protocol-manual
Indianapolis EMS Protocols
Indiana · United States
- IEMS — 2026 Protocols — https://iemsmobile.org/2026-protocols
Inland Counties EMS Agency (ICEMA)
California · United States
- Inland Counties EMS Agency (ICEMA) — https://icema.sbcounty.gov/resources/policies-and-protocols/
Iowa County EMS
Iowa · United States
- Iowa County EMS — https://iowacounty.iowa.gov/files/ems/icas_protocals_94835.pdf
Johnson County EMS System
Kansas · United States
- Johnson County EMS System — https://jocoemsmd.jocogov.org/pluginfile.php/294/mod_resource/content/2/2026%20Final%20Protocols.pdf
Kansas City (MO) EMS System
Missouri · United States
- Kansas City (MO) EMS System — https://www.kcmo.gov/home/showpublisheddocument/11312/639258619401230000
Kentucky Patient Care Guidelines
Kentucky · United States
- Patient Care Guidelines — https://kbems.ky.gov/Medical-Direction/Documents/Kentucky_EMS_State_Protocols_2025-04-30.pdf
- Protocols & destination guidance page — https://kbems.ky.gov/Medical-Direction/Pages/Protocols-Destination-Guidance.aspx
Kern County EMS
California · United States
- EMS policies page — https://www.kernpublichealth.com/emergency-medical-services/policies
- Kern County EMS — https://www.kernpublichealth.com/emergency-medical-services/policies
- Upcoming Provider Protocols — https://www.kernpublichealth.com/emergency-medical-services/policies
Kissimmee Fire Department & St. Cloud Fire Rescue
Florida · United States
- Kissimmee Fire Department & St. Cloud Fire Rescue — https://www.kissimmee.gov/My-Government/City-Departments-Offices/Fire-Department/EMS-Protocols
Los Angeles County EMS Agency
California · United States
- LA County EMS Prehospital Care Manual (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=25
Lucas County EMS Protocols
Ohio · United States
- Lucas County EMS Protocols — https://www.co.lucas.oh.us/420/Lucas-County-EMS-Protocols
Maine Prehospital Treatment Protocols
Maine · United States
- Maine Prehospital Treatment Protocols — https://www.maine.gov/ems/sites/maine.gov.ems/files/inline-files/2025-Maine-EMS-Prehospital-Protocols-20250906.pdf
Marin County EMS
California · United States
- Marin County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=14
Massachusetts Statewide Treatment Protocols
Massachusetts · United States
- Massachusetts Statewide Treatment Protocols — https://www.mass.gov/lists/emergency-medical-services-statewide-treatment-protocols
Merced County EMS
California · United States
- Merced County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=15
Miami-Dade Fire Rescue
Florida · United States
- Miami-Dade Fire Rescue — https://mdfrems.miamidade.gov/mobi/fullmomlibrary
Michigan EMS Protocol Suite — State Templates
Michigan · United States
- Michigan protocols page — https://www.michigan.gov/mdhhs/inside-mdhhs/legislationpolicy/ems/protocols/michigan-protocols
Montana ECP Clinical Guidelines and Scope of Practice
Montana · United States
- Montana Pre-Hospital Treatment Protocols — https://boards.bsd.dli.mt.gov/_docs/med/mt-protocol-.pdf
Montgomery County Hospital District (MCHD) EMS
Texas · United States
- Montgomery County Hospital District (MCHD) EMS — https://www.mchd-tx.org/media/protocols/MCHD_Protocols.pdf
Mountain Counties EMS Agency (MCEMSA/MVEMSA)
California · United States
- Mountain Counties EMS Agency (MCEMSA/MVEMSA) — https://mcemsa.org/policies/p500-facilities-critical-care/554-00-555-88-als-treatment-protocols
Napa County EMS
California · United States
- Napa County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=270
Nebraska Patient Care Protocols
Nebraska · United States
- EMS page — https://dhhs.ne.gov/Pages/EHS-Emergency-Medical-Services.aspx
- Nebraska Patient Care Protocols — https://dhhs.ne.gov/OEHS%20Program%20Documents/EMS%20Model%20Protocols.pdf
New Hampshire Patient Care Protocols
New Hampshire · United States
- New Hampshire Patient Care Protocols — https://www.fstems.dos.nh.gov/ems-systems/patient-care-protocols
New Mexico EMS Guidelines
New Mexico · United States
- New Mexico EMS Guidelines — https://www.nmhealth.org/publication/view/policy/1892/
NJ EMS Clinical Practice Protocols & Guidelines
New Jersey · United States
- CPG document (2025) — https://www.nj.gov/health/ems/documents/NEWJERSEYEMSCLINICALPRACTICEPROTOCOLS_GUIDELINES_FINAL8.21.2025v1.pdf
- NJ State Protocols — https://www.nj.gov/health/ems/
Nor-Cal EMS
California · United States
- Nor-Cal EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=132
North Coast EMS
California · United States
- North Coast Disaster/MCI index — https://www.northcoastems.com/disastermci/
- North Coast policy index — https://www.northcoastems.com/policies/table-of-contents/
North Dakota EMS Treatment Guidelines/Protocols
North Dakota · United States
- North Dakota EMS Treatment Guidelines/Protocols — https://www.hhs.nd.gov/health/epr/north-dakota-ems-treatment-guidelinesprotocols
Northeast Ohio Regional EMS Protocols
Ohio · United States
- Northeast Ohio Regional EMS Protocols — https://cecoms.cuyahogacounty.gov/pdf/RegionalEMSProtocol.pdf
- Regional protocol page — https://cecoms.cuyahogacounty.gov/EMSProtocol.html
NYC Collaborative Protocols
New York · United States
- REMAC advisories index — https://nycremsco.org/remac-advisories/
- REMAC Unified Protocols — https://nycremsco.org/protocols/
NYS Collaborative Protocols
New York · United States
- NYS Collaborative Protocols — https://www.health.ny.gov/professionals/ems/protocol.htm
- NYS EMS Policy Statements — https://www.health.ny.gov/professionals/ems/policy/policy.htm
Oklahoma State Protocols
Oklahoma · United States
Ontario ALS Patient Care Standards
Ontario · Canada
- Ontario Advanced Life Support Patient Care Standards — https://www.ontario.ca/files/2025-04/moh-advanced-life-support-als-patient-care-standards-pcs-5.4-en-2025-04-23.pdf
- Patient care documents reference (ALS row) — https://www.ontario.ca/document/patient-care-documents-reference
Ontario BLS Patient Care Standards
Ontario · Canada
- Ontario BLS Patient Care Standards — https://files.ontario.ca/moh_2/moh-standards-basic-life-support-patient-care-standards-v3-4-en-2023-03-10.pdf
- Patient care documents reference (BLS row) — https://www.ontario.ca/document/patient-care-documents-reference
Orange County EMS
California · United States
- Orange County EMS Policies public listing — https://www.ochealthinfo.com/providers-partners/emergency-medical-services/ems-policies-procedures-standing-orders/ems-policies
- Orange County EMS Procedures public listing — https://www.ochealthinfo.com/providers-partners/emergency-medical-services/ems-policies-procedures-standing-orders/ems
- Orange County EMS Standing Orders public listing — https://www.ochealthinfo.com/providers-partners/emergency-medical-services/ems-policies-procedures-standing-orders/ems-standing
Pennsylvania ALS Protocols
Pennsylvania · United States
- EMS regulations page (ALS) — https://www.pa.gov/agencies/health/healthcare-and-public-health-professionals/ems/ems-regulations
- Pennsylvania ALS Protocols — https://www.pa.gov/content/dam/copapwp-pagov/en/health/documents/topics/documents/ems/2023v1-2%20PA%20ALS%20Protocols.pdf
Pennsylvania BLS Protocols
Pennsylvania · United States
- EMS regulations page (BLS) — https://www.pa.gov/agencies/health/healthcare-and-public-health-professionals/ems/ems-regulations
- Pennsylvania BLS Protocols — https://www.pa.gov/content/dam/copapwp-pagov/en/health/documents/topics/documents/ems/2023v1-2%20PA%20BLS%20Protocols.pdf
Rhode Island Statewide Protocols
Rhode Island · United States
- Current statewide protocols (PDF) — https://health.ri.gov/sites/g/files/xkgbur1006/files/2026-02/StatewideEmergencyMedicalServices.pdf
Riverside County EMS Agency (REMSA)
California · United States
- REMSA Policy Manual (4000 Series) — https://emd.rivco.gov/remsa/policy-manual
San Benito County EMS
California · United States
- San Benito County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=168
San Diego County EMS Office
California · United States
- San Diego County EMS Office — https://www.sandiegocounty.gov/content/sdc/ems/prehospital_systemv2.html
San Francisco EMS Agency
California · United States
- San Francisco EMS Agency (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=1
San Joaquin EMS Agency ALS
California · United States
- San Joaquin EMS Agency Policies & Protocols — https://www.sjgov.org/department/ems/policies
San Joaquin EMS Agency BLS
California · United States
- San Joaquin EMS Agency Policies & Protocols — https://www.sjgov.org/department/ems/policies
Santa Barbara County EMS Agency
California · United States
Santa Cruz County EMS Agency
California · United States
- Santa Cruz County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=40
Saskatchewan Paramedic Clinical Practice Protocols
Saskatchewan · Canada
- Protocol manuals page — https://collegeofparamedics.sk.ca/professional-practice/protocol-manuals/
- Saskatchewan Paramedic Clinical Practice Protocols — https://collegeofparamedics.sk.ca/wp-content/uploads/2026/01/Protocol-Manual-Fall-Jan-2026-9.0-v2.pdf
Shared Health EMS
Manitoba · Canada
- Shared Health EMS — https://healthproviders.sharedhealthmb.ca/services/ers/
Sierra-Sacramento Valley EMS Agency (S-SV EMS)
California · United States
- S-SV EMS Field Manual — https://www.ssvems.com/section-viii/
Solano County EMS Agency
California · United States
- Solano County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=11
South Carolina EMS Clinical Operating Guidelines
South Carolina · United States
- EMS protocols & forms page — https://dph.sc.gov/professionals/healthcare-quality/ems-and-trauma/ems-protocols-forms
- South Carolina EMS Clinical Operating Guidelines — https://dph.sc.gov/sites/scdph/files/2025-11/EMS_Clinical_Operating_Guidelines_202511.pdf
South Dakota State BLS Guidelines
South Dakota · United States
- SD EMS laws & regulations page (BLS Patient Care Guidelines PDF removed from DOH site by 2026-10; watching for re-post) — https://doh.sd.gov/healthcare-professionals/ems-trauma/ems-laws-regulations/
Southwest Florida Regional Common Treatment Guidelines (Lee County EMS)
Florida · United States
- Southwest Florida Regional Common Treatment Guidelines (Lee County EMS) — https://production.api.acidremap.com/api/v1/set/?setMeta=105
Southwest Ohio Regional EMS Protocols
Ohio · United States
- Cincinnati EMS Protocols — https://www.academyofmedicine.org/aws/AOMC/asset_manager/get_file/937559?ver=5
- EMS/PHCOC page — https://www.academyofmedicine.org/aws/AOMC/pt/sp/ems-phcoc
Stanislaus County EMS Agency
California · United States
- Stanislaus EMS policies page — https://oes.stancounty.gov/divisions/emergency-medical-services-agency/ems-policies
Tennessee State Guidelines
Tennessee · United States
- Tennessee State Guidelines — https://www.tn.gov/content/dam/tn/health/events/TN%20State%20Guidelines%202024-2025%2009.11.2025.pdf
The Maryland Medical Protocols for Emergency Medical Services
Maryland · United States
- EMS clinician protocols page — https://www.miemss.org/home/ems-providers/protocols
- The Maryland Medical Protocols for Emergency Medical Services — https://www.miemss.org/home/Portals/0/Docs/Guidelines_Protocols/MD-Medical-Protocols-2026-Hyperlinked-20260720.pdf
Tuolumne County EMS Agency
California · United States
- Tuolumne County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=93
Utah EMS Protocol Guidelines
Utah · United States
- Medical direction & guidelines page — https://ems.utah.gov/operations-and-response/medical-directionems-protocol-guidelines/
- Utah EMS Protocol Guidelines — https://bemsp.utah.gov/wp-content/uploads/2025/12/2025-Utah-EMS-Protocol-Guidelines-3.pdf
Ventura County EMS Agency
California · United States
- Ventura County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=24
Vermont EMS Protocols
Vermont · United States
- Policies & documents page — https://www.healthvermont.gov/emergency/emergency-medical-services/policies-documents-forms-and-meeting-minutes
- Vermont EMS Protocols — https://www.healthvermont.gov/sites/default/files/document/eprip-2025-EMS-Protocols_0.pdf
Virginia Region 2 (Western Virginia EMS Council)
Virginia · United States
- Virginia Region 2 (Western Virginia EMS Council) — https://drive.usercontent.google.com/download?id=1COHt8Zz0Vq7t__e9PR_4ke_3zCrgUNcN&export=download&confirm=t
Virginia Region 3 South (Central Shenandoah EMS)
Virginia · United States
- Virginia Region 3 South (Central Shenandoah EMS) — https://drive.usercontent.google.com/download?id=1LLGPuXkDzLLE-7p4oxa06WtqrOrJB42e&export=download&confirm=t
Virginia Region 7 (Tidewater EMS Council)
Virginia · United States
- Virginia Region 7 (Tidewater EMS Council) — https://www.tidewaterems.org/resources/protocols
West Virginia Statewide EMS Pre-Hospital Protocols
West Virginia · United States
- 2026 protocol PDF (direct) — https://dhhr.wv.gov/oems/medicaldirection/Documents/Protocols/2026/2026%20Protocol%20Booklet%20Final%20April%202026%20-%20INTERACTIVE.pdf
- DHHR protocols page — https://dhhr.wv.gov/oems/medicaldirection/Pages/Protocols.aspx
Wyoming Statewide Protocols
Wyoming · United States
- Wyoming Statewide Protocols — https://health.wyo.gov/wp-content/uploads/2025/04/National_Model_EMS_Clinical_Guidelines_Version_3.pdf
Yolo County EMS Agency
California · United States
- Yolo County EMS (Acid Remap) — https://production.api.acidremap.com/api/v1/set/?setMeta=359