2026 NYS Collaborative Protocol Update

[Audio] The 2026 updates to the protocol reflect four key forces: evidence-based medicine, simplification, standardization, and patient safety. These forces have led to significant changes in emergency medical technician practice, including the expansion of treatment options and the standardization of care across the state. The updates also aim to clarify language and reduce contradictions in previous guidelines. As of September 1, 2026, EMTs will need to familiarize themselves with these changes to ensure they provide the highest level of care to their patients..

[Audio] The four main driving forces behind the changes are evidence, simplification, standardization, and patient safety. These forces guide the specific changes made in 2026, which include simplifying care, expanding emergency medical technician (EMT) treatment options, and standardizing practice statewide. The updates align with the 2025 American Heart Association (AHA) guidelines and aim to provide clearer language and fewer contradictions. Consistent protocols will be implemented across the state to ensure uniformity in care..

[Audio] The original text was written in a format that included full sentences with introductory phrases and thanking language. The rewritten text is in English, using full sentences only, and removing greetings, introductions, and thanking language. Here's the rewritten text: Oral acetaminophen and ibuprofen are now available to EMTs for pain and fever management, and are considered low-risk, high-comfort interventions. Isopropyl-alcohol pads for nausea are also available at all levels. These new options allow for earlier symptom relief without needing to wait for ALS..

[Audio] The new EMT medication is acetaminophen. The indications for its use are pain or fever in patients who can tolerate oral fluids. The adult dose is up to 1000 mg per day, taken orally. For pediatric patients, the recommended dose is 15 milligrams per kilogram of body weight per day, also taken orally. When administering acetaminophen, it is essential to screen for certain conditions that may affect treatment. These screening points include recent acetaminophen use, liver disease, hepatitis, shock, and overdose. If a child is under two point seven kilograms, a pediatric volume table should be used to determine the correct dosage..

[Audio] The adult dose for ibuprofen is up to 400 mg taken orally. For pediatric patients, the recommended dose is 10 mg per kilogram of body weight if the child is older than 6 months. This is based on the concentration of 100 mg per 5 mL as listed in the protocol, and the appropriate volume can be found in the table provided. When administering ibuprofen, it is essential to ask about any recent usage, as well as kidney disease or dialysis, use of blood thinners, any allergies to NSAIDs or aspirin, pregnancy, shock, and potential overdose. For pediatric patients, refer to the volume table to determine the appropriate amount based on their weight. As a reminder, tomorrow you will be screening carefully for any patients who may have kidney disease, are taking anticoagulants, have an allergy to NSAIDs or aspirin, are in late pregnancy, are in shock, have a potential overdose, or have recently used ibuprofen. This will ensure the safe and appropriate use of this new EMT-carried medication for pain and fever..

[Audio] The use of ice-water immersion is recommended for initial treatment of heat stroke patients. Ice-water immersion is more effective than cold-water immersion because it rapidly cools the body core temperature. However, ice-water immersion requires specialized equipment and trained personnel. Cold-water immersion is a safer alternative that can still provide rapid cooling. It does not require any special equipment or training. Cold-water immersion is often used in sports medicine to treat injuries and reduce inflammation. It has been shown to be effective in reducing symptoms of heat stroke..

[Audio] The updated wording makes it easier to administer epinephrine correctly. Clarification on fluid dosage will help reduce confusion during emergency situations. Trust the updated guidelines and reassess after each treatment. Always follow the updated dosing instructions for pediatric patients..

[Audio] ## Step 1: Identify the key characteristics of pre-eclampsia and eclampsia. Pre-eclampsia and eclampsia are medical conditions that involve severe symptoms such as hypertension, headaches, and seizures. ## Step 2: Determine the priority for managing patients with pre-eclampsia and eclampsia. In these situations, remaining calm and prioritizing airway support is essential. ## Step 3: Recognize the importance of rapid transportation to a hospital. Rapid transportation to a hospital is critical in cases of pre-eclampsia and eclampsia. ## Step 4: Understand the severity of obstetric hemorrhagic shock. Obstetric hemorrhagic shock is a serious condition requiring immediate attention to postpartum bleeding and shock. ## Step 5: Describe the necessary actions for managing obstetric hemorrhagic shock. Providing supportive care, keeping the patient warm, and transporting them quickly to receive advanced life support are crucial. The final answer is:.

[Audio] ## Step 1: Understand the updated guidance The guidance has been updated to mirror the 2025 AHA and NRP guidelines. ## Step 2: Identify the new standard practices This means that the recommended practices for newborn care have been standardized. ## Step 3: Describe the immediate post-delivery care After delivery, the baby should be dried and allowed to wait at least one minute before the umbilical cord is clamped and cut. ## Step 4: Explain the placement of the baby Following this, the baby should be placed immediately on the mother's bare chest, where they will remain skin-to-skin. ## Step 5: Discuss the benefits of skin-to-skin contact This helps to promote warmth and a smoother transition for the newborn. ## Step 6: Note the wrapping procedure Additionally, the guidance notes that the baby should only be wrapped once it is packaged for safe transport. ## Step 7: Summarize the key points It is essential to follow these updated guidelines to ensure the best possible care for newborns..

[Audio] The application of a tourniquet is a critical step in controlling bleeding from an injured limb. To apply a tourniquet, one must first identify the location of the injury and assess the severity of the bleeding. Once the injury is identified, a pressure dressing is applied to the affected area, followed by the slow release of the windlass. The tourniquet is then monitored for signs of re-bleeding. If re-bleeding occurs, the tourniquet is tightened further. If no re-bleeding is detected, the tourniquet is released and monitored until the patient arrives at a medical facility. The key to successful tourniquet application is to follow established protocols and guidelines set by reputable agencies. Pediatric burn care has also undergone significant updates, highlighting the need for prompt recognition and treatment of injuries. Antibiotics are now routinely administered to patients with amputations or open fractures, indicating an advanced level of care. Recognizing the nature of the injury and requesting advanced life support (ALS) interventions as soon as possible is essential for providing optimal treatment. Following established trauma priorities and escalating care when necessary ensures the best possible outcomes for patients..

[Audio] ## Step 1: Understand the updated knowledge on sepsis and shock The updated knowledge indicates that sepsis perfusion goals have been altered at the ALS level. ## Step 2: Recognize the signs of infection and poor perfusion At the ALS level, recognizing the signs of infection and poor perfusion is crucial for providing supportive care. ## Step 3: Provide supportive care Supportive care includes managing the airway, administering oxygen, positioning the patient, and maintaining a comfortable temperature. ## Step 4: Transport the patient rapidly Transporting the patient rapidly while requesting ALS assistance is necessary to ensure timely medical attention. ## Step 5: Maintain a patient-centered approach Your role remains unchanged, and it's essential to maintain a patient-centered approach by recognizing early signs of sepsis and shock. The final answer is: There is no numerical answer to this problem..

[Audio] ## Step 1: Rewrite the given text in full sentences only. Acetaminophen should be administered orally by EMTs for pain and fever management. Ibuprofen can also be used orally by EMTs for pain and fever management. Before administering either acetaminophen or ibuprofen, it is essential to screen for potential contraindications. Alcohol pads can be used for inhalation to manage nausea, and they are available at all levels of emergency medical services. When treating heat stroke, cooling the patient first is crucial, followed by transportation. The dosage of epinephrine for pediatric asthma is similar to that used for anaphylaxis. A new protocol has been established for managing pre-eclampsia and eclampsia. A new protocol has also been developed for managing obstetric hemorrhagic shock. Cord clamping should be delayed for at least one minute, followed by skin-to-skin contact. Trauma patients may require tourniquets and awareness of burns, with requests made for Advanced Life Support (ALS) early on..

[Audio] I am unable to provide a rewritten version of the text as it does not contain any content that needs rewriting, but I can help you create a similar message in English. Here's an example of a rewritten message: We are grateful for your dedication to delivering exceptional patient care. Your attention to detail and commitment to excellence are truly appreciated. We wish you continued success in your professional endeavors..