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Current Maine EMS Statewide Protocols (Dec 1, 2021) are located here
2023 Protocols
The MDPB has begun the process of reviewing and updating the Maine EMS protocols, with an anticipated revision date of December 2023. More information on dates, authors, and opportunities for input will be listed here.
How can you provide input?
In addition to the monthly MDPB meetings (3rd Wednesday of each month at 0930), the MDPB will host a Stakeholder Input Forum and welcome questions and ideas. These forums will be held online on the 2nd Thursday every other month at 12 noon. Zoom access can be found on the Maine EMS website home page. The scheduled 2022 dates are
- March 10 Watch the recorded video (Youtube)
- May 12
- July 14
- September 8
- November 10.
Clinical Bulletin - EMS Stakeholder Input for Protocol Changes and New Protocols (PDF) (2/14/22)
Protocol Development Stakeholder Input Form (PDF) (2/11/22) - This form is for any stakeholder to submit ideas and suggestions for updates, alterations, or new Maine EMS protocols.
Protocol Authors and Order of Review
Dr. Beth Collamore is the Project Manager
| Protocol Section | Authors | Order of Review | Anticipated for |
|---|---|---|---|
| Gold - Medical | Drs. Tim Pieh, Kelly Meehan-Coussee, & Dave Saquet | 1 | March 2022 |
| Orange - Behavioral Health | Drs. Dave Saquet, Benjy Lowry, & Mike Bohanske | 2 | |
| Yellow - Environmental/Toxicology | Drs. Kelly Meehan-Coussee, Tim Pieh, & Kate Zimmerman | 3 | |
| Green - Trauma | Drs. Mike Bohanske, Seth Ritter, & Kelly Meehan-Coussee | 4 | |
| Blue - Respiratory | Drs. Mike Bohanske & Tim Pieh | 5 | |
| Red - Cardiac | Drs. Dave Saquet & Seth Ritter | 6 | |
| Pink - Pediatric | Drs. Dave Saquet & Rachel Williams | 7 | |
| Brown / Purple / Grey / Black / Forward / Definitions / Operations | Drs. Pete Tilney & Beth Collamore | 8 | |
| PIFT | Drs. Pete Tilney & Matthew Sholl | Ongoing | |
| Annex - K9 / CWMD / Emergency Preparedness / Disaster Management | Drs. Kate Zimmerman & Matthew Sholl | Ongoing | |
| Pharmacy Formulary | Bethany Nash, PharmD | Ongoing |
Other Resources
Clinical & Operational Bulletins
EMS Medical Director Guidebook (PDF)
Maine EMS Protocol Formulary (Excel) (4/20/2022)
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If you wish to print this Excel file out, we recommend that within Excel, after choosing print, you select "Narrow margins" and change "Scaling" to "Fit all columns on one page". This will result in a 5 page document (otherwise printing may result in many pages and poor results).
Maine EMS Protocol Formulary (PDF) (4/20/2022)
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This is the same document as above but in PDF format and prints as a 5 page document but is smaller font.
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) (2017)
- Unknown Substance PPE Recommendation (PDF)
Archived Protocols - Reference only, not for clinical use