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Current Maine EMS Statewide Protocols (Dec 1, 2019) are located here
Maine EMS 2021 Statewide Protocols
Currently, the MDPB is reviewing and providing updates the Maine EMS Protocols for a planned delivery date of December 1, 2021. Comments are welcome and appreciated and can be provided by submission to the respective section author listed below (which is the preferred method) or during MDPB meetings. It is helpful to have constructive suggestions combined with any evidence or research supporting the suggestion.
The MDPB held several public protocol discussion forums.
Meetings were conducted via zoom with participants from across the state and held:
- August 6, 2020 at 2:00 pm
- September 10, 2020 at 12:30 pm
- November 5, 2020 at 12:30 pm
- January 7, 2021 at 2:00 pm
- March 11, 2021 at 12:30 pm
- May 13, 2021 at 12:00pm
| Protocol Section | MDPB Authors | Education Authors |
Tentative Work Dates (subject to change) |
Draft Protocol (as available) |
Draft Change Document (as available) |
|---|---|---|---|---|---|
| Brown / Purple / Grey / Black | Feb / Mar 2020 |
Brown (PDF) Grey (PDF) Purple (PDF) |
Brown Changes (DOC) Grey Changes (DOC) Purple Changes (DOC) |
||
| Blue | June / July 2020 | Blue (PDF) | Blue Changes (DOC) | ||
| Red | July / Aug 2020 | Red (PDF) | Red Changes (DOC) | ||
| Gold | Sept / Oct 2020 | Gold (PDF) | Gold Changes (DOC) | ||
| Green | Oct / Nov 2020 | Green (PDF) | Green Changes (PDF) | ||
| Yellow | Dr. Kate Zimmerman | May / June 2020 | Yellow (PDF) | Yellow Changes (PDF) | |
| Pink | Dr. Dave Saquet | Dec 2020 / Jan 2021 | Pink & Other Pediatric Protocols (PDF) | Pink & Other Pediatric Changes (PDF) | |
| Orange | Feb 2021 | Orange (PDF) | Orange Changes (PDF) | ||
| PIFT | TBD | ||||
| General Comments | Dr. Matt Sholl | Chris Azevedo | Mar / Apr 2021 |
2021 White Papers
The MDPB has released several white papers surrounding decisions and changes that will go into effect with the next protocol change (anticipated as December, 2021). These white papers are:
- 2021 MEMS Protocols and the 2019 National EMS Scope of Practice (PDF) (June 4, 2021)
- Obstetric / Gynecological Emergencies (PDF) (June 4, 2021)
- EPIC Traumatic Brain Injury Protocol (PDF) (June 4, 2021)
- Acetaminophen (PDF) (June 4, 2021)
- Medical Shock (PDF) (June 4, 2021)
Clinical & Operational Bulletins
Maine EMS 2019 Protocol Update Resources
EMS Medical Director Guidebook (PDF)
Medical Direction & Practices Board (MDPB) White Papers
- 2021 MEMS Protocols and the 2019 National EMS Scope of Practice (PDF) (June 4, 2021)
- Acetaminophen (PDF) (June 4, 2021)
- Airway Management (2019) (PDF)
- Anaphylaxis (PDF)
- Airway Management FAQ (PDF)
- Apparent Life-Threatening Event (ALTE) (PDF)
- Beta Blockers vs Calcium Channel Blockers (2019) (PDF)
- Brief Resolved Unexplained Events (BRUE) (PDF)
- Burn Management (2019) (PDF)
- CO Monitors (2019) (PDF)
- Continuum of Care during the COVID-19 Pandemic" (PDF) (5/8/2020)
- Cuffed ET Tubes for Pediatrics (2019) (PDF)
- Dexamethasone PO (2019) (PDF)
- Drowning (PDF)
- EPIC Traumatic Brain Injury Protocol (PDF) (June 4, 2021)
- High-Threat Treatment (Active Shooter) (PDF)
- Infusion Pumps (PDF)
- Ketamine (PDF)
- Ketamine for the Patient with Excited Delirium (PDF)
- Mechanical CPR (2019) (PDF)
- Medical Shock (PDF) (June 4, 2021)
- Naloxone (2019) (PDF)
- Obstetric / Gynecological Emergencies (PDF) (June 4, 2021)
- Out of Hospital Cardiac Arrest during COVID-19 Pandemic (PDF) (4/30/2020)
- Out-of-Hospital Traumatic Cardiac Arrest (PDF)
- Overdose Treatment (PDF)
- Pediatric Pain Management (PDF)
- Pediatric Evidence Based Guidelines (PEGASUS) (PDF)
- Pulmonary Hypertension and Ventricular Assist Devices (PDF)
- Post Resuscitation Care - Therapeutic Hypothermia (PDF)
- Pressors (PDF)
- Refractory Ventricular Fibrillation/Pulseless Ventricular Tachycardia (PDF)
- Double-Sequential Defibrillation (PDF)
- Seizure Management (PDF)
- Spinal Management (PDF)
- Spine Management Update (PDF)
- Termination of Resuscitation (PDF)
- Tranexamic Acid (TXA) (PDF)
- Unknown Substance PPE Recommendation (PDF)
Archived Protocols - not for clinical use