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Offline, county-specific protocols for Oregon EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Protocols current as of October 27, 2026
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Multnomah County EMS Protocols
January 2026 ↗
PDF document
1,110
Flashcards
585
Quiz questions
55
Medications
10
Resources
Study tools for Multnomah County EMS Protocols
A few real flashcards and quiz questions from Oregon's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Abdominal Pain (10.010): differential diagnosis for RUQ and epigastric pain
RUQ: cholecystitis, hepatitis, pancreatitis. Epigastric: peptic ulcer, pancreatitis, gastritis.
Abdominal Pain (10.010): differential diagnosis for RLQ and LLQ pain
RLQ: appendicitis, kidney stone, PID, ovarian cyst, cystitis. LLQ: diverticulitis, kidney stone, PID, ovarian cyst, cystitis.
10.078 Eye exam: visual acuity
Assess visual acuity in each eye separately.
Cardiac Arrest (10.050): adult CPR rate, interruptions, ventilation ratio and pad placement
Initiate CPR at 100-120 compressions per minute; any interruption should ideally be < 5 seconds. Ventilate adults at 30:2 (30 compressions to 2 breaths). Use anterior-posterior placement for the initial set of pads; place the second set anterior-lateral when available.
Cardiac Arrest (10.050): rhythms listed under Pulseless Electrical Activity
Electromechanical dissociation, idioventricular rhythm, ventricular escape rhythm, pulseless bradycardic rhythm, and post defibrillation idioventricular rhythm.
Cardiac Dysrhythmias (10.060): adult stable tachycardia, narrow QRS (≤ 0.12 sec) regular rhythm
Consider Valsalva or modified Valsalva maneuver, then adenosine 6 mg rapid IV/IO, then adenosine 12 mg rapid IV/IO, then adenosine 12 mg rapid IV/IO.
Adenosine drug page (20.020): adult PSVT dose sequence
6 mg, 12 mg, 12 mg rapid IV, IO via a large proximal IV line with fluid bolus flush.
Amiodarone drug page (20.040): adult V-fib/pulseless V-tach dose
300 mg IV, IO bolus. If VF/VT persists, repeat once with 150 mg IV/IO push.
Quiz questions
Per 00.020, a medical cardiac arrest patient in PEA has an EtCO2 below 10 after 20 minutes of ACLS resuscitation. What does the protocol allow?
- Resuscitation must continue regardless of EtCO2
- Only the medical examiner may stop resuscitation
- ✓ Death in the field may be determined
- The patient must be treated and transported
Per the 10.050 Paramedic/EMT-Intermediate VF/pulseless VT algorithm, which drugs are given after the 2nd shock?
- Esmolol 500 mcg/kg IV/IO
- Amiodarone 150 mg IV/IO only
- ✓ 1:10,000 epinephrine 1 mg IV/IO and amiodarone 300 mg IV/IO
- Lidocaine 1.5 mg/kg IV/IO
Adenosine drug page (20.020): What is the adult adenosine dose sequence for PSVT?
- 12 mg, 12 mg, 12 mg
- 0.1 mg/kg then 0.2 mg/kg x 2
- ✓ 6 mg, 12 mg, 12 mg
- 6 mg, 6 mg, 12 mg
Amiodarone drug page (20.040): An adult in V-fib remains in V-fib after amiodarone 300 mg. What repeat dose is listed?
- ✓ 150 mg once
- 5 mg/kg
- No repeat is allowed
- 300 mg
Aspirin drug page (20.050): A patient with ischemic chest pain already took one baby aspirin this morning. What does the drug page say?
- Aspirin is contraindicated
- ✓ Give 324 mg PO; it can be given even if the patient has taken ASA that day
- Give 81 mg only
- Contact OLMC before any aspirin
Atropine drug page (20.060): What is the maximum adult atropine dose for bradycardia?
- 5 mg
- 1 mg
- ✓ 3 mg
- 0.5 mg
Sourced from Oregon's EMS authority
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Oregon protocols — FAQ
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How do Oregon 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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