December 1, 2025

The 2026 Protocol Rollout brings a major shift in how EMS providers access clinical guidance, beginning with the transition to OneDoseTM as the primary—and only—hyperlinked digital protocol source. While a PDF version will still be published for printing needs, only OneDose will feature live links and interactive navigation going forward. Providers will also notice that the platform is significantly more streamlined than previous years, including color-coding across sections (Adult, Peds, OB, Admin, Procedures/Appendix) to mirror the PDF layout and support rapid visual recognition in the field.

The OneDose app has also received important safety enhancements. The “Remember Me” function now reduces login delays, and protocols with strict age or weight limitations will automatically lock out access when a patient falls outside the appropriate range—a safeguard designed to minimize dosing or protocol-selection errors. Additionally, hospital contacts inside the app now include searchable tags, allowing crews to quickly identify Trauma Centers, STEMI Centers, SANE programs, Burn Centers, Pediatric Trauma facilities, and more.

Communication is another major area of improvement. System-wide correspondence will now be distributed through in-app notifications, flagged by an on-screen bell icon, with optional device push notifications for those who enable them. This ensures that protocol updates, medication shortages, and urgent advisories reach crews in real time.

Finally, providers should be aware of a short-term hydromorphone shortage affecting the specific concentration carried in the field. Boxes will be stickered to indicate supply disruption, and fentanyl should be used instead. Since this shortage is anticipated to resolve early next year, morphine is not being added to the formulary at this time.

Thank you, 

Scott Wildenheim, Paramedic, EMSI

Operations Manager

University Hospitals

Critical Care Transport LLC.