Protocols & Destination Guidance

​​​​​​​​​​​​Protocols and Destination Guidance

State Protocols

! Kentucky State Protocol Update - April 2023 !

Below are the new state protocols, adopted April 13th, 2023. Find the most updated copy below:
KY State Protocols 2023 6.8.23.pdf

If you have comments for future updates, please email them to .​

The Memorandum regarding ​​2023 State Protocol Update can be found here: (KBEMS State Protocol Memo 4.21.23.pdf) and has been sent to the emails on KEMSIS for Service Directors and Medical Directors. Please read the memo for more information including timeframe for allowing agencies to transition and directions on how. 

Change list for KY state protocols 7.20.23.pdf


Protocol Change Log-Updated June 20th, 2023 : (this document lists any edits made during recent KY State Protocol updates)

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Adoption of State Protocols

Licensed ambulance agencies wishing to adopt the approved Kentucky State EMS Protocols should choose one of the following based upon their wishes to adopt the Kentucky State EMS Protocols completely, or with omissions.

Any licensed ground or air EMS agency in Kentucky that wishes to make ANY amendments to the agency's KBEMS approved medical protocol must receive written approval from the office of the Kentucky Board of Emergency Medical Services PRIOR to implementation of any change.

Patient Destination Guidance