@DesertMedic66 already pointed out that appropriate protocols for Urban areas differ greatly from Rural areas.
There are also regional environmental problems:
Does Montana need a Marine Envenomation protocol?
Does Alaska need a Snakebite protocol?
Does Florida need a Frostbite Protocol?
Does Georgia need an AMS/HACE or HAPE protocols?
Does Alabama need an Avalanche Resuscitation protocol?
Protocols are need based and need is population and practice environment based.
In nursing, where the education is generalist and then specialization occurs, you see different protocols at every hospital and in every unit.
@Tigger How about a broad national scope? Not as long as EMS education is technician/skills based... how do you choose what skills and meds to put in it without running into the same population/environment problems?
Even nurses vary their scope... between RNs! They have such a broad scope as determined by population and practice environment, it is totally impractical to generate multipage lists of skills and medications like you find for EMS in each state. Scope is usually nonspecific, being more like "Is something in scope? Did you learn it in school or is it a best practice that you receive specialized training on? And does your agency allow it? If yes, then it is in YOUR scope." Here is an example from your state:
@michael150 : make sure you figure out what a "progressive protocol" really means.
Is it the longest list possible of no-call-in protocols and whizbang skills like central lines and pericardialcentesis?
Is it appropriate evidenced based guidelines and independence matched to the provider skillset, patient population, and practice environment location?
Is "most progressive" for one agency really the "most progressive" for everyone?