VEMS 2020 vs EMS Pathfinder

We welcome you to the 2020 update to the Vermont Statewide EMS Protocols. These protocol updates are a significant step forward for EMS care in Vermont and represent the work of many people across the state. Specific feedback has been received from all 13 District Medical Advisors, numerous stakeholder groups, and a multitude of EMS providers, agencies and districts across the State. Whenever possible, protocol updates have been guided by the most recent and best evidence-based EMS literature. Of special note, Vermont has collaborated with all of the other New England states as a member of PEGASUS (Pediatric Evidence Based Guidelines: Assessment of EMS System Utilization in States) to incorporate the best evidence-based pediatric care into our protocols. The PEGASUS project offers Vermont and the other New England states an opportunity to better coordinate patient care over a large region and to bring each New England state’s protocols to a more uniform content. The PEGASUS project will create the largest US population cared for under common EMS protocols, will improve patient care and offer a unique opportunity to learn about the value and importance of prehospital medicine. Vermont’s Emergency Medical Services System (EMS) is composed of approximately 180 licensed First Response and Ambulance services staffed by 3,000 certified EMS providers. These pre-hospital emergency care providers include First Responders/Emergency Care Attendants, EMT Basics, EMT Intermediates and Paramedics. The majority of our EMS providers are volunteers. The Vermont Office of EMS and Injury Prevention is the state office responsible for EMS regulation and system development. The EMS Office licenses EMS organizations, provides ambulance inspections, administers certification exams for EMS providers and is active in system development and injury prevention programs.

Free statewide and regional EMS protocols, with a drug reference and clinical tools, in one app that works without signal. No subscription, and protocol updates are free. Every protocol is rebuilt for your phone screen, so there's no pinching and zooming around a printed page or PDF. Pick your state, region or agency once and everything downloads to your device, ready for the basement, the back road or the dead zone. Updates arrive on their own the next time you're online. PROTOCOLS BUILT FOR YOUR PHONE • Native mobile layouts, color-coded by provider level • Enter your patient's details once and every dose in the protocol is worked out for them • Tap any medication, tool or linked protocol to jump straight to it • Step through interactive flowcharts one decision at a time • AI-enhanced search that understands what you mean, even offline • Favorites for the protocols, meds and tools you reach for most MEDICATIONS AND DOSING • Searchable drug reference with indications, contraindications, mechanism and dosing • Cross-linked both ways: open a drug from any protocol, or see every protocol that uses it • Dose, volume, infusion and gravity drip calculators built from your protocols • Weight in lb or kg, or ideal body weight from height • Clinically rounded results, with maximum-dose and patient-age checks CLINICAL TOOLS • Pediatric length-based reference: weights, doses and defibrillation energies by zone • Burn calculator with TBSA and Parkland fluid rates • Stroke scales (Cincinnati/FAST, BE-FAST, RACE, LAMS, VAN, FAST-ED), plus GCS, APGAR, Sgarbossa and COWS • Tidal volume, shock index, pediatric ET tube size, oxygen tank duration and common home meds • Hospital Finder with capability filters (in select states) • CPR and incident timers with event logs, with incident times in a Live Activity on your Lock Screen • Home Screen widget that opens your favorite tools in one tap BUILT FOR THE FIELD • Fully offline once downloaded, with no hunting for signal • Keep several states or agencies on your phone at once • Adjustable text size and dark mode • No ads, and no account needed for public protocols FREE PUBLIC PROTOCOLS Statewide and regional sets from across the US, plus the NASEMSO National Model EMS Clinical Guidelines, and we add new sets regularly. Open the app to see every set; no account needed. Don't see yours? Request it in the app or at emspathfinderapp.com. FOR EMS AGENCIES Give every crew member your own protocols, medications, dosing, tools, contacts, documents and forms, updated live from a web editor. You control who sees what: members get in with an account, single sign-on or an access code. Agencies can also add barcode medication administration (BCMA) scanning. Learn more at emspathfinderapp.com. A NOTE ON SAFETY EMS Pathfinder is a reference and educational tool. It does not replace medical direction, your agency's guidelines or your clinical judgment. Always check the concentration on the packaging and confirm doses against local protocol before you give them. Each public protocol set shows its source and when we last updated it. Confirm with your state or regional EMS authority and your medical director. Questions or feedback? Tap Support in the app or visit emspathfinderapp.com.