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The New York State EMS Collaborative Protocols are now available. These protocols are effective immediately for all Monroe-Livingston Regional EMS providers upon completion of the required training. Agencies are required to assure that their providers are updated to these standards no later than June 1, 2017 through the Cypherworx learning management system. Instructions on how to complete this process are included below.


Click Here to create your FREE Cypherworx account

The Collaborative Protocol App is available in both the Apple App Store and Marketplace under “NYS Collaborative EMS Protocols”


  • There are significant changes to the formatting of the protocols and providers must take time to familiarize themselves with these changes.


  • There is a smart phone application available for both Android and Apple users entitled “NYS Collaborative EMS Protocols”. It is encouraged that providers use this application when completing the training modules to help familiarize themselves with navigating through the application and protocols. Those applications can be found at the Apple App Store and the Android Marketplace by searching “NYS EMS Collaborative”.


  • Please note that the formulary included in the Collaborative Protocols is the comprehensive list. Based on the needs of our region we will not be using all of the medications approved. The regionally approved formulary is attached.


  • Patella Reduction is a procedure that has been added for EMTs and Paramedics.


BLS: All BLS providers must complete both the BLS Update and Patella Reduction educational modules.


Although included in the Collaborative Protocols, the Monroe-Livingston Region will NOT be adopting the following procedures for BLS providers:

  • 12-Lead Acquisition
  • Nitrous Oxide Administration
  • Continuous Positive Airway Pressure



ALS: All ALS providers must complete the ALS Update, Patella Reduction and Ketamine educational modules.


MLREMS is adopting the following changes to formulary:

  • Fentanyl increased to maximum of 200 mcg and based on weight
  • Phenergan has been removed
  • Procainamide has been removed
  • Decadron has replaced Solumedrol
  • Dextrose 10% has replaced Dextrose 50% and Dextrose 25%
  • Ketamine is available to all providers for limited applications




File NameUpload Date
SCT Protocols 6/20/2019 10:30:25 AM
NYS EMS Collaborative Protocols 4/4/2017 4:52:51 AM
CW Instructions Manual - Create Account 3/13/2017 12:16:16 PM
Monroe-Livingston Hospital Capabilities 07-14 7/28/2014 11:57:38 AM
NYS CFR Protocols 12/17/2013 10:21:18 AM
NYS BLS Protocols 12/17/2013 10:21:08 AM
8228 download(s) from 6 files