Paramedic Protocol Update
The Westchester Regional Emergency Medical Advisory Committee
is pleased to announce the rollout of updates to the New York State EMS
Collaborative Protocols used as the Westchester Region’s ALS protocols.
These updates, approved by the REMAC and State Emergency Medical
Advisory Committee reflect: improvements in prehospital medicine;
changes in the NYS standard of care; and consideration of provider
has designated March to be a
soft-transition month. Paramedics that
have completed the update requirements may practice under the new
the protocols as appropriate. April 15th 2017 is the
hard-deadline. Paramedics that have
not completed the update requirements by April 15th 2017 will be automatically
taken off-line and not allowed to practice in the Westchester Region
until their Primary Agency is notified by the Program Agency that the
update has been completed.
A paramedic credentialed in more than one Collaborative Protocol region
only needs to update in one region. If you update in a different
region, provide your agency proof of completion and the agency will
submit to the REMAC for verification.
2017 NYS Collaborative Protocols
*If a paramedic does not have access to the internet, arrangements
should be made with their Primary Agency to utilize a computer for this
- Paramedics must review all the mandatory update materials as
well as the updated protocols.
- Paramedics must successfully complete the update test.
Online Update Test:
An online test has been developed in cooperation with the Hudson Valley REMSCO.
Click here to access the online test
In order to receive credit for completion you must:
- Enter a current email address.
- Enter your full name (matching REMAC credential) and NYS EMT number.
- Enter your Primary ALS Agency.
- Complete all 25 questions.
- 84% and higher is required to pass. Upon completion the website will display your score.
- If you do not see a score you ended too early, your test has not been submitted.
- If you do not receive an 84% or higher, review the material and take the test again.
- Passing scores will be reported to your Primary Agency within 1 week.
- This is an open book test based on your self-study of the materials above and a review of the 2017 Collaborative Protocols.
- Paramedics that have
not successfully completed the online update test by midnight on
4/15/2017 will be automatically taken off-line and not allowed to
practice in the Westchester Region until their Primary Agency is
notified by the Program Agency that the update has been completed.
Optional Update Materials:
The two podcasts above were developed by the Collaborative Protocol
group to explain the reasoning behind some of the protocol changes.
The following topics are discussed:
- Page 5:
Patient care responsibilities
- Page 6:
Medical control agreement
will determine procedure for protocol deviations
General cardiac arrest
and maintenance of quality compressions
the precipitate of CaCl2 and NaHCO3
of amiodarone bolus
- (1-4): ROSC
patient condition prior to transport
need to intubate if ventilating effectively
of ASA, NTG, and 12-lead
between agitated patient and excited delirium protocols
of BDZ on standing order
of oxygen as a medication
of using 15 LPM via NC during RSI
in indication for epi based on history of true anaphylaxis
of “consider” in protocol
sucking chest wound
CC in protocols
indications for chest decompression
differences with statewide BLS protocols and what this means for the EMT
- Use of
of water intoxication
- Use of
General pain management
weight based dosing
and nitrous cautions
histamine reaction vs true allergy
chest syndrome with fentanyl
Post intubation management
for every intubated patient (not just for RSI providers)
of analgesia (vs. sedation)
for conscious IO
unnecessary IVs in children
center level destination based on CDC criteria