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Adirondack - Appalachian Regional Emergency Medical Services Council

Regional ALS Protocols

The 2017 Collaborative New York Protocols are now available in PDF format for viewing or downloading. Click here!


If you are a currently credentialed AAREMS TEK you do not have to take a credentialing exam to practice under the 2017 protocols. However, you do have to complete training as noted below. For individuals seeking new TEK credentialing in the Region after the publication of the 2017 Protocols, the Paramedic, Critical Care and AEMT level credentialing exams have been updated and are now available online.

The credentialing exams are open book tests, and are designed to ensure that the TEK applicant is not only familiar with the content of the Collaborative Protocols, but is comfortable navigating them as well.

To access the credentialing exam for Paramedic level providers, click here.

To access the credentialing exam for Critical Care level providers, click here.

To access the credentialing exam for AEMT level providers, click here.


Agencies are allowed to implement the 2017 protocols as soon as all their TEKs have completed appropriate training, have completed an attestation to that effect, and the Regional office has been so advised. The attestation form is available by clicking here. February and March 2017 have been set as a time frame for currently credentialed TEKS to acquire their necessary training, and then for agencies to so notify the Region. Links are now (February 09, 2017) available to the three main training headings of Collaborative Topics, Simulation Videos and Podcasts. First, here is a link to a video overview of the 2017 protocols, by Dr. Michael Dailey:


Then, for the link to the Collaborative Topics, Click.

And, for the link to Simulation Videos, Click.

Finally, for the link to the two Podcasts, Click.


Please note that the 2015 protocols will remain in full effect as training goes forward.