Protocols & Destination Guidance

​​Protocols and Destination Guidance

State Protocols

! Kentucky State Protocol Update - January 2023 !

KBEMS is proposing changes to the current KY State Protocols.:

Comments are currently being accepted regarding the above ​updated draft of the KY State Protocol set. All comments will be reviewed, but due to volume most will not be directly responded to.  Comment period will be open until February 1, 2023.  To make comments, please fill out the above 'comment form' and email to .​


The protocols/procedures listed below are RESTRICTED and require specific authorization from KBEMS, for each individual protocol, prior to use:

Protocol Update Log - Updated September 2021 : (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