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Current Maine EMS Statewide Protocols (December 1, 2025) 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.
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)
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