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Emergency Medical Services Statewide Treatment Protocols

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

The 2020 Statewide Treatment Protocols will go into effect on April 1, 2020. Ambulance services licensed in Massachusetts may begin implementing the use of the 2020 Statewide Treatment Protocols prior to April 1, 2020, as soon as their EMS personnel are trained and equipped.

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Table of Contents

2021 EMS Statewide Treatment Protocols

Emergency Medical Services Out-of-Hospital Treatment Protocols Version 2021.1 – Effective June 1, 2021 (PDF 15.94 MB)
Emergency Medical Services Out-of-Hospital Treatment Protocols Version 2021.1 – Effective June 1, 2021 (DOCX 10.98 MB)
Memo and Change Chart 2021.1 Statewide Treatment Protocols (DOCX 41.75 KB)

2020 EMS Statewide Treatment Protocols – Effective April 1, 2020

Emergency Medical Services Pre-hospital Treatment Protocols Version 2020.2 – Effective 4/1/20 (PDF) (PDF 16.95 MB)
Emergency Medical Services Pre-hospital Treatment Protocols Version 2020.2 – Effective 4/1/20 (Accessible Version) (DOCX 16.48 MB)
Statewide Treatment Protocols Version 2020.2 Change Chart (DOCX 264.93 KB)
Memo: 2020.1 Statewide Treatment Protocols (DOCX 39.36 KB)
Required Medications on Ambulances Per Statewide Treatment Protocols v. 2020.1 – Effective 4/1/20 (DOC 100.5 KB)

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 1.3 Emergency Non-Transport (COVID-19) – March 29 (PDF) (PDF 214.45 KB)
Emergency release of 1.3 Emergency Non-Transport (COVID-19) – March 29 (DOC) (DOC 124.5 KB)
Emergency release of 1.2 Coronavirus Disease 2019 (COVID-19) Safety Precautions for All Patients – Updated October 2020 (PDF 89.74 KB)
Emergency release of 1.2 Coronavirus Disease 2019 (COVID-19) Safety Precautions for All Patients – Updated October 2020 (DOCX 20.16 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)

Required Medications on Ambulances

Required Medications on Ambulances Per Statewide Treatment Protocols v. 2021.1 – Effective 6/1/2021 (DOC 102 KB)
Update – Required Medications on Ambulances Per Statewide Treatment Protocols v. 2019.2 – Effective 10/1/19 (DOCX 41 KB)
Required Medications on Ambulances Per Statewide Treatment Protocols v. 2019 – Effective 6/17/19 (DOCX 68.58 KB)
Required Medications on Ambulances Per Statewide Treatment Protocols v. 2020.1 – Effective 4/1/20 (DOC 100.5 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

OEMS - Approved Devices List (PDF 301 KB)
OEMS - Approved Devices List (RTF 267.5 KB)
Left Ventricular Assist Device (LVAD) Resource Document (PDF 3.58 MB)

More information

Training Program Overviews 
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