The Advanced Protocols for Medical Emergencies in the OMS Office (APME) course curriculum covers emergencies that OMS assistants may encounter in the office setting and helps prepare them to provide assistance. While the APME course material is designed for assistants who have taken the Anesthesia Assistants Review Course, having done so is not a prerequisite to attend. Topics covered include cardiovascular distress, respiratory distress and allergic reactions. Each topic contains examples presented in detail. This course provides instruction to ensure the OMS team is well-prepared to manage office emergencies.