2017 Protocols CoverOne of PEMS primary responsibilities to our regional EMS system is the development, publication and maintenance of a consistent set of patient care guidelines for all prehospital providers in the PEMS region.  These protocols are under a constant state of revision, with a new version published in the spring of each year.  While many people and committees are involved in this process, the Protocols, Policies & Procedures Committee carries out most of the research and development to keep our protocols current and relevant.  They provide a draft recommendation to the Medical Advisory Committee who approves new and changed protocols before publication. 

Click here to download the 2018 (Ch1) version of the PEMS Regional Patient Care Protocols, Policies & Procedures. This is a full-color, 8 1/2 x 11 inch version of the protocols for individuals and agencies desiring to print their own protocols.

Click here to download the 2018 initial change package (1 March 2018).

Or click here to download only the 2018 (Ch1) change package (2 April 2018).

Contact PEMS at 804-693-6234 for questions or clarification.

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Protocol tests for the 2018 PEMS Protocols, Policies, & Procedures are available through agency Operational Medical Directors (OMDs). Please contact your OMD to receive a current protocol test.

OMDs- please download a PEMS Protocol Test Authorization letter here. Sign and return to PEMS via fax or emal attachment to receive the current version of the test.

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2018 PEMS Protocols Available by Smartphone App Now!

For a long time now, providers throughout the PEMS region have been asking for a smartphone app with the PEMS Regional Patient Care Protocols, Policies & Procedures. 

In 2017, the Gloucester Rotary Club, Gloucester, VA learned of this need and agreed to sponsor a protocol app.  Through their generosity, every EMS provider, agency administrator and hospital staff member can download an app with the current version of the PEMS protocols free of charge! (2018 Protocols will update on 1 March.)

Providers will have the protocols with them on scene when they need them, rather than sitting under the bench seat outside on the truck or back in the office.  They will have them where they can read them in the dark with poor lighting and in the rain.  They will have them with them in the classroom and during drills and exercises.


Anyone involved in our regional EMS system can download the app at the following links for either iOS or Android.


iOS: https://www.acidremap.com/customAppDownload.php?bundleID=PPPPEMSPatientCareProtocols&platform=iOS

Android: https://www.acidremap.com/customAppDownload.php?bundleID=PPPPEMSPatientCareProtocols&platform=android

You may also find them by searching for PEMS Protocols on the iOS or Android application stores or by linking with our application contractor at:  https://www.acidremap.com and following the links for PEMS from there.

A website is available with the current protocols for desktop and laptop systems at:  https://www.acidremap.com/sites/PeninsulasEMS/

Again, there is no charge to the provider for the app.  Updates to the application or the protocols will take place automatically if connected to Wi/Fi, so you will never have to wonder if you have the most recent version.

In the near future we will be adding other functions to the app like MCI Position Checklists, regional EMS planning documents, resource contacts, and text notifications of critical information such as ED closures, medication shortages, etc.

Thanks again to the Gloucester Rotary Club for supporting this important project.   It wouldn't have happened without you!


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We are also providing a PEMS YouTube Link to the 2018 Protocol Rollout Training Video.  This video is the only training material necessary to provide rollout training for your agencies.  Please feel free to distribute the link to your providers and trainers.  Click here to see the 2018 PEMS Protocols Rollout Training Video.
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Protocol Changes (1)

Two Protocol Changes will go into effect today (2 April 2018) at 1000. Both are administrative changes which by policy do not require approval by the Medical Advisory Committee.

Change 1 is located in the Administrative Policies: STEMI Field Triage.

  • The "Acute Coronary Syndrome" protocol referenced in the Administrative Policies: STEMI Field Triage is incorrectly titled.  The correct title is "Medical: Chest Pain-Cardiac Suspected."

Change 2 is to the "Medical: Chest Pain- Cardiac Suspected" Protocol.

  • The correct oxygen saturation value is <94%. This corrects a typographical error and does not represent a change in  clinical guidance.

PEMS website links to protocol files have been updated.

Agencies with printed protocols be sure to download, print, and insert change pages.

All users of the protocol app will update automatically when connected to Wi-Fi.

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