EMS clinical protocols paramedics actually want to open at 3 a.m.
PriorityU EMS Protocols replaces the binder, the dosing wheel, and the two-page ePCR form with one offline-first decision flow — so the first thing you reach for in the back of the rig isn't a PDF.
Protocol
ACLS — Adult Cardiac Arrest
CPR initiated · 30:2 compressions
04:17:22 · Cycle 1
Rhythm check · VF confirmed
04:19:04 · LP15 lead II
Defibrillate · 200 J biphasic
Now · zero charge time
Epinephrine 1mg IV/IO
Auto-calculated · pt. 82 kg
Trusted in the field by
Built for the rig, not the boardroom
Three things every other ePCR vendor refuses to fix.
Offline-first by design
Every protocol, every drug, every weight-based calc is cached on-device. Underpass with no LTE? It still works.
Zero-math dosing
Enter weight once. Every subsequent dose — pediatric, adult, drips, rebolus — is pre-computed and route-aware.
Documentation that writes itself
Every tap you make on a protocol is logged as a NEMSIS 3.5-compliant timestamp. End-of-run narrative drafted by AI in 9 seconds.
Guided clinical flow
Decision trees that branch with the patient — not the chart.
The cardiac arrest protocol doesn't ask you to scroll. It asks you one question, then the next. Each tap auto-stamps your narrative.
- 8 life-threatening protocols ship day one
- Every node signed by your state medical director
- Branch logic supports rebolus, ROSC, refractory paths
Zero-math dosing
The dosing wheel is dead. Long live the autocalculator.
Tap a medication. Enter weight once at scene arrival. Every subsequent dose — pediatric Epi 1:10k, Midaz 0.1 mg/kg IM, push-dose pressors — is pre-rendered with route, concentration, and volume.
- 8 high-acuity drugs preloaded (incl. Naloxone, Amio, Fentanyl)
- Pediatric & adult side-by-side, no toggles
- Min/max guardrails block lethal misdose at the input
Documentation, automated
By the time the gurney hits the ER door, your run report is 92% drafted.
Every node you cleared, every drug you pushed, every rhythm check — it's already a timestamped narrative. You review, sign, transmit. Total medic time: 90 seconds.
- NEMSIS 3.5-compliant export, no remapping
- Auto-narrative powered by your agency's preferred LLM
- QA dashboard for medical directors — instant audit trail
The PriorityU moat
State Protocol Licensing Engine.
We don't compete with state EMS offices. We partner with them. Every state's medical director signs the protocols — PriorityU ingests their PDFs, generates the decision trees, and ships them back as licensed software. The state earns royalty per ambulance. The medics get a binder that talks back.
6
Active states
$1.2M
Annual royalties paid
14d
Avg. ingest → live
Jurisdiction
Texas
Director
Dr. Karina Reyes
Protocols
147 signed
Agencies
28 covered
Royalty
$48 / ambulance / mo
What ships day one
Eight life-threatening protocols. Pre-signed. Pre-cached.
ACLS Cardiac Arrest
Acute Stroke (BE-FAST)
Opioid Overdose
Severe Asthma
Pediatric Seizure
Multi-System Trauma
Chest Pain / STEMI
Anaphylaxis
Honest comparison
Why medics keep switching to us.
Handtevy excluded — they serve pediatrics only and we love them for it.
Pricing
Per-seat, per-month. No "call sales" for line 1.
Built around how EMS budgets actually flow: SAFER grants, district levies, and reimbursable per-medic line items.
Individual
For freelance medics, flight programs, and instructors.
- All 8 ship-day protocols
- Offline-first decision flow
- Zero-math dosing for adult & pediatric
- Personal run log (synced)
- NEMSIS 3.5 export
Small Agency
Volunteer departments, private services, fire-EMS hybrids.
- Everything in Individual
- Agency dashboard & QA reviews
- Custom protocols + state overlays
- Shift-level run analytics
- Slack + Teams notifications
- Onboarding for med director
Enterprise
Municipal services, regional fire, hospital-based EMS.
- Everything in Small Agency
- State licensing co-management
- On-prem cache appliance
- SOC 2 Type II compliance pack
- 24/7 medical director hotline
- Custom NEMSIS field mapping
Need 500+ seats or a state-wide license?
Email our State Partnerships team.
From the field
What medics say after the shift.
"We swapped the binder for PriorityU on a Tuesday. By Friday our average ROSC time-to-Epi dropped from 4 min 12 to 2 min 38. I don't say this often — it changed the way we run codes.
Cpt. Marcus Holloway
EMS Division Chief, Austin-Travis County
"I review every run from 28 services. PriorityU is the only platform where the narrative writes itself in plain English and my QA spreadsheet is already exported when I open it Monday.
Dr. Karina Reyes, MD
State EMS Medical Director, Texas
"Handtevy got our peds dosing right. PriorityU got the rest of medicine right. Now we use both — but only PriorityU ships with our state's signed protocols.
Lt. Sasha Brennan
Paramedic FTO, LAFD
Honest answers
Common questions from medical directors.
Does PriorityU EMS Protocols replace our ePCR?+
Not yet — and not on purpose. PriorityU is the clinical decision layer; we export NEMSIS 3.5 packets that drop straight into ESO, ImageTrend, or your homegrown system. Most agencies run us alongside their billing-focused ePCR for 6 months before switching off the old narrative editor.
What happens if I lose signal?+
Nothing changes. Every protocol, every dose, every weight calc lives on-device. Runs sync the moment you're back on LTE. Cleveland Clinic EMS averages 11.4 minutes of pure offline operation per shift — we tested for it.
Who actually signs the protocols?+
Your state's appointed EMS medical director. We don't write medicine — we write software. The state office sends us their protocols, our team renders them into decision trees, and the director signs each one before it goes live. State retains royalty per active ambulance.
Is this HIPAA-compliant?+
HIPAA-aware out of the box (BAA available), SOC 2 Type II audit completing 2026-Q3. Patient data is encrypted at rest and in transit; we never train on PHI.
Can I trial it solo before bringing my agency?+
Yes — that's the whole point of the $19/mo Individual tier. Trial free for 30 days, run a few shifts, then bring it to your medical director with real data.
Put the binder away.
Open PriorityU.
30-day free trial. No credit card. No procurement meeting. Just the fastest path between an arriving patient and the right treatment.