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Current Maine EMS Statewide Protocols (Dec 1, 2019) are located here

Maine EMS 2021 Statewide Protocols

Maine EMS and the Medical Direction & Practices Board (MDPB) have developed new statewide EMS protocols with an implementation date of December 1, 2021.  

The MDPB has spent countless hours researching, drafting, and revising these EMS protocols.  In addition to monthly public meetings and volunteering many work hours, the MDPB held six statewide public protocol discussion forums.

The protocols below are not for clinical use until 12:01 a.m. December 1, 2021. 

The Education Committee, MDPB, and Maine EMS have released the following information regarding protocol updates:

All EMS clinicians are required to attend a 2021 protocol update course and this can be accomplished through 2 options:

1. Complete the protocol update via MEMSEd (now available)

2. Or have attended one of the seven live, virtual, protocol update sessions listed below, 

  • Region 1 was held on October 27, 2021
  • Region 2 was held on October 12, 2021
  • Region 3 was held on October 25, 2021
  • Region 4 was held on October 19, 2021
  • Region 5 was held on October 18, 2021
  • Region 6 was held on October 28, 2021
  • An additional session was held on November 15, 2021

EMS clinicians only need to do one of the above options.

2021 Protocols - NOT for use until December 1, 2021

Note - These files were updated on October 10, 2021, with various editorial and technical changes.  If you downloaded these files prior to 2200 hours on October 10, 2021, please update your files to the ones below.

COMPLETE 2021 Maine EMS Protocols (PDF) (11/23/21) Note - This is a large file

  • Please note that the existing smartphone apps will also be updated, but they cannot be updated until December 1, as it will override current Maine EMS protocols in effect prior to December 1, 2021. Users should manually update the apps on or after December 1, 2021.  Maine EMS does not print protocol books.
  • Correction: On November 23, 2021, the entire 2021 protocol file was updated to a corrected version.  Two formatting issues were noted and corrected:

    • Red 12: Under Amiodarone, the dose read "Can repeat in 3-5 minutes up to a total dose of".  It should have read "Can repeat in 3-5 minutes up to a total dose of 15 mg/kg"

    • Yellow 3: Under PEARLS, "MSDS" was changed to "SDS"

  • 2021 Protocol Change Summary (PDF)

2021 Protocol Resources

Maine EMS 2021 Protocols By Section

Intro and Tabe of Contents (PDF) (10/10/21)
Purple Section (PDF) (10/10/21)
Blue Section (PDF) (10/10/21)
Red Section (PDF) (10/10/21)
Gold Section (PDF) (10/10/21)
Green Section (PDF) (10/10/21)
Yellow Section (PDF) (10/10/21)
Pink Section (PDF) (10/10/21)
Orange Section (PDF) (10/10/21)
Grey Section (PDF) (10/10/21)
Black Section (PDF) (10/10/21)
OD Green (K-9) Section (PDF) (10/10/21)
Pandemic Section (PDF) (10/10/21)

White Papers Specific to 2021 EMS Protocols

The MDPB has released several white papers surrounding decisions and changes that will go into effect with the December 1, 2021 protocol change.  These white papers are:


Clinical & Operational Bulletins

Emergency Shortage Protocols

Maine EMS 2019 Protocol Update Resources

EMS Medical Director Guidebook (PDF)

Medical Direction & Practices Board (MDPB) White Papers

Archived Protocols - Reference only, not for clinical use