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Massachusetts Ambulance Services

Emergency Medical Services Statewide Treatment Protocols

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

The 2019 Statewide Treatment Protocols will go into effect on June 17, 2019. Ambulance services licensed in Massachusetts may begin implementing the use of the 2019 Statewide Treatment Protocols prior to June 17, 2019, as soon as their EMS personnel are trained and equipped.

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Table of Contents

2019 EMS Statewide Treatment Protocols – Effective June 17, 2019

Emergency Medical Services Pre-hospital Treatment Protocols Version 2019 – Effective 6/17/19 (PDF) (PDF 10.76 MB)
Emergency Medical Services Pre-hospital Treatment Protocols Version 2019 – Effective 6/17/19 (Accessible Version) (DOCX 9.5 MB)
Statewide Treatment Protocols Version 2019 Change Chart (DOCX 53.79 KB)
Memo: 2019 Statewide Treatment Protocols (DOCX 43.61 KB)

2018 EMS Statewide Treatment Protocols

Emergency Medical Services Pre-hospital Treatment Protocols Version 2018 (PDF 10.32 MB)
Emergency Medical Services Pre-hospital Treatment Protocols Version 2018 (DOCX 10.42 MB)
Statewide Treatment Protocols Version 2018 Change Chart (PDF 154.01 KB)
Statewide Treatment Protocols Version 2018 Change Chart (DOCX 27.35 KB)
Memo: 2018 Statewide Treatment Protocols (PDF 191.26 KB)
Memo: 2018 Statewide Treatment Protocols (DOCX 43.29 KB)

Emergency Statewide Treatment Protocol Updates

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. 2019 – Effective 6/17/19 (DOCX 68.58 KB)
Required Medications on Ambulances Per Statewide Treatment Protocols v. 2018 (DOCX 68.71 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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