offered by
Office of Emergency Medical Services
Bureau of Health Care Safety and Quality
Department of Public Health
related to
About the Office of Emergency Medical Services
Massachusetts Ambulance Services

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.

Skip table of contents

Table of Contents

Updated 2019 EMS Statewide Treatment Protocols Version 2019.2 – Effective October 1, 2019

Updated Emergency Medical Services Pre-hospital Treatment Protocols Version 2019.2 – Effective 10/1/19 (PDF) (PDF 15.18 MB)
Updated Emergency Medical Services Pre-hospital Treatment Protocols Version 2019.2 – Effective 10/1/19 (Accessible Version) (DOCX 9.51 MB)
Updated Statewide Treatment Protocols Version 2019.2 Change Chart (DOCX 48.58 KB)
Updated Memo: 2019.2 Emergency Protocol Change to Statewide Treatment Protocols (DOCX 43.35 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 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 Patient At Risk for Coronavirus Disease 2019 (COVID-19) – March 20 (PDF 141.9 KB)
Emergency release of 1.2 Patient At Risk for Coronavirus Disease 2019 (COVID-19) – March 20 (DOCX 17.06 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

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 
Feedback