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Current Maine EMS Statewide Protocols (Jan 31, 2024) are located here
Maine EMS Protocols
The MDPB reviews and updates the Maine statewide pre-hospital EMS protocols on a two-year cycle. More information on current protocols and resources can be found on the Protocols webpage.
How can you provide input to future protocols?
Clinical Bulletin - EMS Stakeholder Input for Protocol Changes and New Protocols (PDF) (2/14/22)
If you are interested in suggesting a future protocol change, please use the 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.
2025 Protocol Webinar Schedule
After two years of review and input, the new protocols will provide an updated set of guidelines and evidence-based care.
ALL Maine EMS licensed clinicians must complete the protocol update before responding to EMS calls on or after December 1, 2025. CEH credit will be awarded.
The update can be completed in one of two ways:
1. Attend one of the live virtual webinars. (You must pre-register; there is no cost). The schedule and registration links are below.
2. Complete the update on MEMSEd 24/7 by logging into your MEMSEd account. This will be available in the first weeks of September.
You do NOT need to do both (but are welcome to!). The schedule for live webinars and registration links are below and can also be found in the clinical bulletin below. You only need to attend one session.
Sept 15 0900-1200 Registration Link
Sept 23 1300-1600 Registration Link
Oct 21 1700-2000 Registration Link
Nov 15 0900-1200 Registration Link
More resources and information can be found on the Maine EMS Protocols webpage
The protocol app will be updated on the evening of November 30 with the updated protocols.
You cannot use the new protocols until December 1, 2025.
Maine EMS 2025 Prehospital Protocol Update Clinical Bulletin (PDF) (8/29/25)
Other Resources
- Clinical & Operational Bulletins
- Protocol references, resources, and archive
- EMS Medical Director Guidebook (PDF) (5/16)
- Approved Alternate Equipment List (PDF) (7/25/22)
- MDPB Alternate Equipment Policy (PDF) (7/25/22)
2024 Operational K9 Resources
- Operational Bulletin Operational K9 Protocols (PDF) (11/19/24)
- Maine EMS OpK9 2024 Protocols (PDF) (11/19/24)
- Vet After hours and 24 hour 7 day clinics (PDF) (11/19/24)
Operational EMS Physician Pilot
All Medical Direction & Practices Board (MDPB) White Papers
- 2021 MEMS Protocols and the 2019 National EMS Scope of Practice (PDF) (6/4/21)
- Acetaminophen (PDF) (6/4/21)
- Airway Management (PDF) (2019)
- Anaphylaxis (PDF) (3/18/15)
- Airway Management FAQ (PDF)
- Apparent Life-Threatening Event (ALTE) (PDF)
- Beta Blockers vs Calcium Channel Blockers (PDF) (2019)
- Bougie Use (PDF) (11/16/23)
- Brief Resolved Unexplained Events (BRUE) (PDF) (7/13)
- Burn Management (PDF) (9/13/19)
- CO Monitors (PDF) (9/13/19)
- Continuum of Care during the COVID-19 Pandemic (PDF) (5/8/20)
- Cuffed ET Tubes for Pediatrics (PDF) (9/13/19)
- Dexamethasone Update (PDF) (11/16/23)
- Dexamethasone PO (PDF) (9/13/19)
- Drowning (PDF) (7/13)
- EPIC Traumatic Brain Injury Protocol (PDF) (6/4/21)
- High-Threat Treatment (Active Shooter) (PDF) (11/20/13)
- Infusion Pumps (PDF) (10/3/13)
- IV Medication Preparation (PDF) (9/6/25)
- Ketamine (PDF) (2017)
- Ketamine for the Patient with Excited Delirium (PDF)
- Mandated Reporting Requirements for EMS Clinicians (PDF) (9/6/25)
- Magnesium Sulfate and the Treatment of Eclampsia (PDF) (11/16/23)
- Mechanical CPR (PDF) (9/13/19)
- Medical Shock (PDF) (6/4/21)
- Naloxone Dispensation (PDF) (11/16/23)
- Naloxone (PDF) (9/13/19)
- New 2023 Protocols (Trauma Triage, Strangulation & Fever) (PDF) (12/7/23)
- New England Donor Services Reporting (PDF) (11/16/23)
- Newborn Warmth Maintainence (PDF) (11/16/23)
- Obstetric / Gynecological Emergencies (PDF) (6/4/21)
- Out of Hospital Cardiac Arrest (PDF) (11/16/23)
- Out of Hospital Cardiac Arrest during COVID-19 Pandemic (PDF) (4/30/2020)
- Out-of-Hospital Traumatic Cardiac Arrest (PDF) (7/13)
- Overdose Treatment (PDF) (7/21/14)
- Oxytocin (PDF) (11/16/23)
- Pediatric Cardiac Arrest and Pediatric Post Cardiac Arrest (PDF) (11/16/23)
- Pediatric Pain Management (PDF) (7/13)
- Pediatric Evidence Based Guidelines (PEGASUS) (PDF) (3/18/15)
- Post Resuscitation Care - Therapeutic Hypothermia (PDF) (11/30/13)
- Posterior Circulation Stroke (PDF) (11/16/23)
- Pressors (PDF) (7/13)
- Pulmonary Hypertension and Ventricular Assist Devices (PDF) (2017)
- Refractory Ventricular Fibrillation/Pulseless Ventricular Tachycardia (PDF)
- Double-Sequential Defibrillation (PDF)
- Seizure Management (PDF) (10/17/13)
- 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