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Emergency Medical Services Statewide Treatment Protocols

The Statewide Treatment Protocols are the standard of EMS patient care in Massachusetts.
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2022 EMS Statewide Treatment Protocols

Emergency Medical Services Statewide Treatment Protocols Version 2022.1 – Effective June 1, 2022 (PDF 9.03 MB)
Emergency Medical Services Statewide Treatment Protocols Version 2022.1 – Effective June 1, 2022 (DOCX 10.66 MB)
Memo and Change Chart 2022.1 Statewide Treatment Protocols (DOCX 42.66 KB)

2022 EMS Police Dog Treatment Protocols

Information for EMS to assess, treat and transport police K9s who are injured in the line of duty.

Emergency Medical Services Statewide Police Dog Protocols – Effective no later than February 10, 2023 (PDF 618.86 KB)
Emergency Medical Services Statewide Police Dog Protocols – Effective no later than February 10, 2023 (DOCX 1.01 MB)

Emergency Statewide Treatment Protocol Updates

Emergency Release of 6.13 Leave Behind Naloxone – Updated December 2020 (PDF 342.38 KB)
Emergency Update to Appendix A2: Interfacility Transfer Guidelines and Protocols, IFT Guidelines and Protocols (DOCX 16.41 KB)
Emergency Update to Protocol 7.3: Medical Orders for Life Sustaining Treatment (MOLST) and Comfort Care/ Do Not Resuscitate (DNR) Order Verification (DOCX 18.65 KB)
Emergency release of 2.20 Home Hemodialysis Emergency Disconnect Protocol (PDF) (PDF 384.72 KB)
Emergency release of 2.20 Home Hemodialysis Emergency Disconnect Protocol (Accessible Version) (DOCX 2.05 MB)
Memo: Emergency release of Protocol 2.20, Home Hemodialysis Emergency Disconnect (DOCX 42.35 KB)
Emergency update to 2.13 Pain and Nausea Management Protocol (PDF 90.8 KB)
Emergency update to 2.13 Pain and Nausea Management Protocol (DOCX 59.08 KB)
Emergency update to Protocol A3, the ALS Interfacility Transfer Protocol, for pediatric transport update (clarification) (PDF 535.6 KB)
Emergency update to Protocol A3, the ALS Interfacility Transfer Protocol, for pediatric transport update (clarification) (DOCX 591.3 KB)
Emergency update to Update Medical Director Options 6.0 (PDF 86.16 KB)
Emergency update to Update Medical Director Options 6.0 (DOCX 28.71 KB)
Emergency update to Add Medical Director Option 6.6, for Use of Tranexamic Acid (TXA) for some trauma patients (PDF 189.2 KB)
Emergency update to Add Medical Director Option 6.6, for Use of Tranexamic Acid (TXA) for some trauma patients (DOCX 29.45 KB)

Advisories, Memos and Notices

Memo: Emergency update for Non-Opioid Choices for Pain Management (PDF 35.21 KB)
Memo: Emergency update for Non-Opioid Choices for Pain Management (DOC 62 KB)
Additional Advisories, Notices, and Memos 

Devices

Left Ventricular Assist Device (LVAD) Resource Document (PDF 3.58 MB)

More information

Training Program Overviews 
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