aarems menu


Adirondack - Appalachian Regional Emergency Medical Services Council

Regional ALS Protocols

The 2015 Collaborative New York Protocols are now available in PDF format for viewing or downloading. Click here!


Please note that currently credentialed TEKs are not able to practice under the 2015 protocols until completion of a protocol review with their agency as noted below. For individuals seeking new TEK credentialing in the Region after the publication of the 2015 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 2015 protocols as soon as all their TEKs have completed a protocol review and the agency has submitted a completed implementation request to the regional office. The request (copies of which have already been made available to all ALS agencies) must be signed by both the agency chief operating officer and the agency medical director.