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Current Maine EMS Statewide Protocols (Dec 1, 2019) are located here
Maine EMS 2021 Statewide Protocol Development
Currently, the MDPB is reviewing and providing updates the Maine EMS Protocols for a planned delivery date of December 1, 2021.
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
The MDPB has released the current working draft protocols for proposed implementation on December 1, 2021. The protocols below are not for clinical use until 12:01 a.m. December 1, 2021. The Education Committee, MDPB, and Education Manager Chris Azevedo are finalizing education for the updates, and a schedule will be forthcoming. We anticipate a live zoom meeting in each region by the regional medical director and availability on MEMSEd (you will only need to take one session). 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.
2021 Protocols - NOT for use until December 1, 2021
Intro and Tabe of Contents (PDF)
Brown Section (PDF)
Purple Section (PDF)
Blue Section (PDF)
Red Section (PDF)
Gold Section (PDF)
Green Section (PDF)
Yellow Section (PDF)
Pink Section (PDF)
Orange Section (PDF)
Grey Section (PDF)
Black Section (PDF)
OD Green (K-9) Section (PDF)
Pandemic Section (PDF)
An Index is also being developed for pages 175-179
Maine EMS and the MDPB will also be providing updated change documents during the education of the December 1, 2021 protocols.
| Protocol Section | MDPB Authors | Education Authors |
Draft Change Document |
|---|---|---|---|
| Brown / Purple / Grey / Black |
Brown Changes (DOC) Grey Changes (DOC) Purple Changes (DOC) |
||
| Blue | Blue Changes (DOC) | ||
| Red | Red Changes (DOC) | ||
| Gold | Gold Changes (DOC) | ||
| Green | Green Changes (PDF) | ||
| Yellow | Dr. Kate Zimmerman | Yellow Changes (PDF) | |
| Pink | Pink & Other Pediatric Changes (PDF) | ||
| Orange | Orange Changes (PDF) | ||
| PIFT | |||
| General Comments | Dr. Matt Sholl | Chris Azevedo |
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 - Reference only, not for clinical use