The WVEMS Regional Medical Direction Committee is gearing up for the next round of protocol updates. The RMDC will appoint a “Protocol Workgroup” to begin work very soon. This workgroup will consist of several OMDs with broad experience in protocol development, and will also include nine providers from across the region as advisory members who will play an important role in the process. We are seeking three experienced EMS providers (ALS level preferred) from each of our three planning districts (Roanoke-Alleghany, Piedmont, and New River Valley), for a total of nine providers to serve on this workgroup. The workgroup will meet regularly (probably monthly),  with a combination of day and evening meetings. A conference call line will be available for these meetings, however in-person attendance is encouraged whenever possible. This is a very important commitment. If you have interest in serving on the Protocol Workgroup for the coming 12 months (or longer), please send an email to This email address is being protected from spambots. You need JavaScript enabled to view it. with your contact information and a brief background including your level of certification and length of EMS service no later than Friday, February 21. The Regional Medical Direction Committee will announce the selections no later than March 15.


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Include your name and contact information, EMS background, and any other information that you feel would make you a good candidate for this appointment.

On behalf of the WVEMS Medical Directors, we are happy to release the 2019 WVEMS Operational Protocols.  The protocol update consists of an informational video, a 25 question assessment and a schematic of the new drugs and their placement in the WVEMS drug boxes. 

WVEMS Field Coordinators will begin updating the drug boxes on December 9th with anticipated completion no later than mid-January.  During this transition period, please note that some medications may not be available.  Should you have any questions about patient care, contact “online medical direction”. 

Drug boxes that have been updated will have the following label:

2019 Protocol Update

Please keep in mind that you are NOT allowed to practice under the new protocol guidelines until your Operational Medical Director has cleared you to do so. 

The WVEMS Protocol Roll-Out Video can be accessed at:

Protocol Assessment can be access at:

2019 Protocols:

  pdf Click here for the 2019 Drug Box Schematic (239 KB)

  pdf Click Here for the 2019 PDF Protocols (19.00 MB)

Some hospital pharmacies within the WVEMS region are currently experiencing a shortage of Lidocaine pre-filled syringes. As a substitute, pharmacies will provide a 100mg/5ml vial of Lidocaine during the shortage. Boxes will be appropriately marked.

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