(Click here to return to the Medical Direction & Practices Board Home Page)
Current Maine EMS Statewide Protocols (Dec 1, 2021) are located here
2023 Protocols
The MDPB has spent the past two years reviewing and updating the Maine EMS protocols, with an implementation date of January 31, 2024. On this date, the previous statewide Maine EMS protocols (December 1, 2021) will sunset and no longer be used. Clinicians must complete a protocol update. More information 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.
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)
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)
- Ketamine (PDF) (2017)
- Ketamine for the Patient with Excited Delirium (PDF)
- 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 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