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Indiana EMS protocols,
Indiana EMS protocols,
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Offline, county-specific protocols for Indiana EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Covering 1 county in Indiana · Protocols current as of September 10, 2026
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Indianapolis EMS Protocols
2026 Protocols ↗
Interactive
141
Protocols
1,276
Flashcards
686
Quiz questions
30
Medications
20
Resources
Study tools for Indianapolis EMS Protocols
A few real flashcards and quiz questions from Indiana's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
What is a PICC line and where is it inserted?
A peripherally inserted central catheter (PICC) is a long catheter inserted in the upper arm or antecubitally, threaded into the subclavian vein or superior vena cava. It may be accessed through the injection cap.
Suprapubic Pressure: Anatomical Landmark
Pressure is applied above the pubic symphysis, which is the midline cartilaginous joint at the anterior pelvis. This location allows force to be directed against the impacted anterior shoulder of the fetus.
Primary needle decompression landmark: anatomical location
The primary site for needle decompression is the 2nd intercostal space at the midclavicular line. The needle is inserted over the superior border of the 3rd rib to avoid the neurovascular bundle that runs along the inferior border of each rib.
Defining 'Torso' in Non-Compressible Torso Trauma
The torso, for the purposes of this protocol, includes the chest, abdomen, and back. Penetrating injuries to any of these regions qualify as non-compressible torso trauma when accompanied by severe shock within 60 minutes.
EtCO2 threshold for evaluating CPR quality during cardiac arrest
If EtCO2 is less than 10 mmHg during cardiac arrest, CPR quality must be evaluated to ensure proper rate, depth, and recoil are being provided. This applies whether capnography is attached to a BVM (BLS) or an advanced airway (ALS).
Bradycardia Definition: Heart Rate Thresholds by Age
Bradycardia is defined as a heart rate < 60/min in children (1–15 years) and adults, and < 80/min in infants. In newborns, bradycardia is managed per the newborn resuscitation protocol rather than this protocol.
Indication for Alternate Vector Defibrillation
Alternate Vector Defibrillation is indicated for any patient with refractory ventricular fibrillation or pulseless ventricular tachycardia that has not responded to 3 or more standard defibrillation attempts with no break in VF/VT. All standard cardiac arrest interventions, including high-quality CPR and amiodarone administration, must have been applied prior to initiating this technique.
Cardiogenic Shock: Diagnostic Criteria
Cardiogenic shock is defined in this protocol as symptomatic hypotension due to a suspected cardiac event with a heart rate between 60–150 beats per minute. Both the hemodynamic finding and the suspected cardiac etiology must be present to meet criteria.
Quiz questions
According to the cardiac arrest protocol, what action should be taken immediately after a defibrillation shock is delivered?
- Pause to check for a pulse before resuming compressions
- ✓ Immediately resume chest compressions
- Analyze the rhythm for 10 seconds to confirm conversion
- Administer epinephrine before resuming compressions
According to the Bradycardia protocol, which of the following best defines symptomatic bradycardia requiring escalation of care?
- Heart rate < 60/min with nausea and diaphoresis
- ✓ Bradycardia with signs of poor perfusion, altered mentation, chest pain or dyspnea with associated hypotension
- Any bradycardia in a patient over 65 years of age with a history of cardiac disease
- Heart rate < 50/min with complaint of fatigue and weakness
Alternate Vector Defibrillation is indicated when a patient has refractory ventricular fibrillation or pulseless ventricular tachycardia that has not responded to how many standard defibrillation attempts?
- At least 1 standard defibrillation attempt
- At least 2 standard defibrillation attempts
- ✓ At least 3 standard defibrillation attempts
- At least 5 standard defibrillation attempts
According to the Cardiogenic Shock protocol, which of the following heart rate ranges defines the criteria for this presentation?
- 40–100 beats per minute
- ✓ 60–150 beats per minute
- 50–120 beats per minute
- 80–160 beats per minute
You arrive on scene to find a patient who is apneic and pulseless. The patient's skin shows dependent lividity and the body is rigid. What is the most appropriate action?
- Begin CPR immediately and reassess after 2 minutes
- ✓ Withhold CPR, contact appropriate authorities, and complete a patient care report
- Begin CPR and contact medical direction for guidance
- Withhold CPR only if a valid DNR is also present
According to the external pacemaker protocol, which of the following best describes the criteria for a patient to be a candidate for transcutaneous pacing?
- Any patient with a heart rate below 60 bpm regardless of blood pressure or symptoms
- ✓ A patient 18 years or older with non-traumatic, atropine-refractory symptomatic bradycardia, HR < 60/min, SBP < 90 mmHg, and signs/symptoms of shock
- A patient of any age with traumatic bradycardia unresponsive to atropine
- A patient 18 years or older with symptomatic bradycardia that responded partially to atropine
Sourced from Indiana's EMS authority
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Indiana protocols — FAQ
Are Indiana'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 Indiana?
Pocket Protocols covers Marion County in Indiana 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 Indiana?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Indiana's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Indiana 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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