MEFIRS Bulletins are located here
2025 Bulletins
- 2025-03-26-01 Hospital Closure of OB Service (PDF) (3/26/25)
- 2025-03-17-01 Chapter 19: Community Paramedicine Rule Update (PDF) (3/17/25)
- 2025-03-07-01 Measles (PDF) (3/7/25)
- 2025-02-12-01 Clinical Bulletin re: Severe Cyanokit® Shortage (PDF) (2/12/25)
- 2025-01-23-01 Masking Guidance (PDF) (1/23/25)
2024 Bulletins
- 2024-12-18-01 Transition of EMS Regions (PDF) (12/18/24)
- 2024-11-19-01 Operational Bulletin Operational K9 Protocols (PDF) (11/19/24)
- 2024-10-22-01 Medical Director Authorization for EMD Protocols V14 (PDF) (10/28/24)
- 2024-09-26-01 2024 EMD Center Renewal Application (PDF) (09/26/24)
- 2024-08-07-01 Change to EMD License Expiration Practices (PDF) (8/7/24)
- 2024-07-15-01 HIPAA Clarification Regrading Law Enforcement Requests (PDF) (7/15/24)
- 2024-06-26-01 Need Assessment Changes to Maine EMS Rules Chapter 3: Ground Ambulance Service and Non-Transporting Service Licenses (PDF) (6/26/24)
- 2024-06-21 Naloxone Leave Behind Training Compliance (PDF) (6/21/24)
- 2024-06-03-01 Termination of the Notification Process of EMS Clinicians Contacting Presumed or Known Positive COVID-19 Patients (PDF) (6/3/24)
- 2024-03-22-01 Maine EMS Total Solar Eclipse Response Playbook (PDF) (3/22/24)
- Maine EMS Solar Eclipse Playbook (PDF) (3/22/24)
- 2024-01-10-01 Masking Agreement Guidance for the 2023 Amendments to Chapter 21 (PDF) (1/10/24)
- 2024-01-04-01 Notice of Change: MEFIRS transition to NEMSIS 3.5 (PDF) (1/4/24)
2023 Bulletins
- 2023-11-07-01 2023 EMS Protocol Update Education Webinars (PDF) (11/7/23)
- 2023-11-02-01 2023 EMS Protocol Update Education (PDF) (11/2/23)
- 2023-10-27-01 Scheduled Downtime and Updates to the Education Module of Maine EMS's eLicensing Portal (PDF) (10/27/23)
- 2023-09-28-01 2023 Maine EMS Protocols "Go-Live" Changes (PDF) (9/28/23)
- 2023-09-28 York Hospital OB Closure Memo (PDF) (9/28/23)
- 2023-09-19-01 Licensing Fee Payments (PDF) (9/19/23)
- 2023-09-13-01 Maine EMS Connectivity Project Launch (PDF) (9/13/23)
- 2023-09-08-01 School Bus Safety During Ambulance Operations (PDF) (9/8/23)
- 2023-08-24-01 Maine EMS Naloxone Leave-Behind Program (PDF) (8/24/23)
- 2023-07-31-01 Maine EMS SUD Care Ambassador Program (PDF) (7/31/23)
- 2023-06-08-01 Waiver Temporarily Postponing Ambulance Operator Licensure Requirement (PDF) (6/8/23)
- 2023-05-23-01 EMS Clinician & EMS Vehicle Operator (New & Reciprocity) Application (PDF) (5/23/23)
- 2023-05-11-01 Maine EMS Complaint Policy (PDF) (5/11/23)
- 2023-05-02-01 Interim Suspension of Use of Maine EMS K9 Protocols (PDF) (5/2/23)
- 2023-04-26-01 Ketamine Medication Shortage Update (PDF) (4/26/23)
- 2023-04-25-01 Masking Requirement Cessation (PDF) (4/25/23)
- 2023-03-20-01 Emergency Medical Dispatch Priority Reference System - Revised (PDF) (3/20/23)
- 2023-01-30-01 Required Equipment Rules Revisions and Inspections Forms Updated (PDF) (1/30/23)
- 2023-01-10-01 Bronchiolitis FAQ (PDF) (1/10/23)
- 2023-01-09-01 Use of Heated Humidified High Flow Nasal Cannulas by EMS during Inter Facility Transport (PDF) (1/9/23)
2022 Bulletins
- 2022-12-27-01 Midazolam Shortage Information (PDF) (12/27/22)
- 2022-10-25-01 Naloxone Administration and Dispensing (PDF) (10/25/22)
- 2022-10-17-02 Maine DHHS COVID-19 Antigen Test Kit Ordering (PDF) (10/17/22)
- 2022-09-14-01 Service Level Medical Director Requirement Bulletin (PDF) (9/14/22)
- 2022-09-02-01 Maine DHHS COVID-19 Antigen Test Kit Ordering (PDF) (9/2/22)
- NOTE: This bulletin was superseded on 10/17/22
- 2022-08-11-01 Monkeypox Virus Infection in the United States and other non-endemic countries-2022 (PDF) (8/11/22)
- 2022-07-25 MDPB Alternate Equipment Approval Process Policy (PDF) (7/25/22)
- 2022-07-21-01 Maine EMS Rules Chapter 21 - Immunizations Required (PDF) (7/21/22)
- Immunization Exemption Form (PDF) (7/21/2022)
- 2022-06-08-01 IV Fluid Shortages (PDF) (6/8/22)
- 2022-05-26-01 Expired License Reinstatement Opportunity (PDF) (5/26/22)
- 2022-02-14-01 EMS Stakeholder Input for Protocol Changes and New Protocols (PDF) (2/14/22)
- 2022-02-09-01 Pediatric AED/Defib Pad Incompatibility (PDF) (2/9/22)
- 2022-02-07-02 Masking During Highly Transmissible Variants (PDF) (2/7/22)
- 2022-02-07-01 Ketamine Concentrations (PDF) (2/7/22)
- 2022-02-04-01 Updated Quarantine and Isolation Guidance for EMS Professionals (PDF) (2/4/22)
- 2022-01-27-01 Maine EMS Naloxone Leave Behind Program (PDF) (1/31/222)
- 2022-01-11 MEMO Hospital Diversion and Parking of EMS (PDF) (1/11/22)
- 2022-01-06-01 Annual Service License Renewal Re-Alignment with Rules Adopted January 2021 (PDF)
2021 Bulletins
- 2021-12-16-01 Trauma Care at CMMC (PDF) (12/16/21)
- 2021-12-10-01 Operational Bulletin - CMMC Trauma Availability (PDF) (12/10/21)
- 2021-12-01-01 Waiver of Skills Hour Requirement for Clinician Licensing (PDF) (12/1/21)
- 2021-10-20-01 Use of Access Bio, Inc.CareStart COVID-19 Antigen Tests (PDF) (10/20/21)
- 2021-10-08-01 Vaccination Rule Compliance (PDF) (10/8/21)
- 2021-08-30-01 Service Level Safety Program (PDF) (8/30/21)
- 2021-08-13-01 Information Regarding Maine CDC's Emergency Rule on Immunization Requirements for Healthcare Workers (PDF) (8/15/21)
- 2021-07-19 MEMO - Language Line Access (PDF) (7/19/21)
- 2021-05-21 Masking and Updated CDC Guidance (PDF) (5/20/21)
- 2021-05-20-02 Retirement of Pandemic Response Low Risk Patient Disposition Protocol (PDF) (5/20/21)
- 2021-05-20-01 End of Life Orders (PDF) (5/20/21)
- 2021-05-07-01 Clarification on Contingency Staffing Options from Maine EMS COVID-19 Playbook (PDF) (5/7/21)
- 2021-05-05-01 Waiver of Skills Hour Requirement for Clinician Licensing (PDF) (5/5/21)
- 2021-04-02-01 Ebola Virus Disease and Travelers Received from West Africa Guidance for Emergency Medical Service Agencies and Clinicians (PDF) (4/2/21)
- 2021-04-02-01 Ebola Virus Disease and Travelers Received from West Africa Guidance for Emergency Medical Dispatchers and Dispatch Centers (PDF) (4/2/21)
- 2021-03-11-01 Clarification of US CDC's Guidance Regarding Those Who Are Fully Vaccinated (PDF) (3/11/21)
- 2021-02-08 Response to COVID Outbreaks within Fire and EMS Agencies Playbook Version 4.0 (PDF) (2/8/21)
- 2021-01-21-01 Temporary Suspension of BinaxNOW Use by Maine EMS and COVID+ Responder Playbook Version 3.0 (PDF) (1/21/21)
- Response to COVID Outbreaks within Fire and EMS Agencies Playbook Version 3.0 (PDF) (1/21/21) NOTE: This guidance was superseded on 2/8/2021
2020 Bulletins
- 2020-12-11-02 Waiver of Level of Response for AEMT and Paramedic Licensed Services (PDF) (12/11/20)
- 2020-12-11-01 Waiver of Skills Hour Requirement for Clinician Licensing (PDF) (12/11/20)
- 2020-12-04-01 Operational Changes to the Notification Process of EMS Clinicians Contacting Presumed Presumed or Known Positive COVID-19 Patients (PDF) (12/10/2020)
- 2020-11-25-01 Aerosol Generating Procedures in EMS (PDF) (11/25/2020)
- 2020-11-20-01 Operational Changes at the Togus VA Medical Center in Augusta, Maine (PDF) (11/20/2020)
- 2020-09-16-01 EMS Services Contracted with Long Term Care Facility COVID-19 Testing (PDF) (9/16/2020)
- 2020-08-21-01 Masks with Exhalation Valves (PDF) (8/21/2020)
- 2020-07-28-01 Update on all Pandemic Protocols Statewide (PDF) (7/28/2020)
- 2020-01-24-01U7 Novel Coronavirus Clinical Update (PDF) (updated 6/16/2020)
- 2020-06-16-01U1 Universal Masking for EMS Clinicians (PDF) (updated 6/29/2020)
- 2020-04-30-01U1 Out of Hospital Cardiac Arrest Pandemic Protocol Clinical Bulletin (PDF) (updated 12/2020)
- Pandemic Protocol for Out of Hospital Cardiac Arrest (PDF) (updated 5/12/2020)
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- Out of Hospital Cardiac Arrest during Pandemic White Paper (PDF) (4/30/2020)
- 2020-04-23-01 Reporting EMS Clinician and Dispatcher Information to Maine CDC (PDF) (4/23/2020)
- 2020-04-18-01 Counterfeit KN95 Mask Advisory (PDF) (4/18/2020)
- 2020-04-08-01 Response to Pandemic Phase 2 Clinical Bulletin (PDF) (4/8/2020)
- PLEASE NOTE: PHASE 2 WENT INTO EFFECT AT 0800 FRIDAY APRIL 10, 2020.
- Phase 2 Protocol (PDF)
- Phase 2 Printable "Leave Behind Sheets" (PDF)
- Phase 2 Physician OLMC Quick Sheet (PDF)
- Phase 2 Guidance for Follow Up & Documentation for Home Care (PDF) (4/15/2020)
- Pandemic Protocol FAQ (All Phases) (PDF) (4/10/2020)
- 2020-04-07-01 Out of Hospital Cardiac Arrest During COVID-19 (PDF) (4/7/2020)
- 2020-04-03-01 Use of Structural Firefighting Gear and SCBA During A COVID-19 Response (PDF) (4/3/2020)
- 2020-03-27-01 Guidance for EMS Services Regarding Continuity of Operations (PDF) (3/27/2020)
- Response Plan Guidance During COVID-19 Document (PDF) (4/2/2020)
- 2020-03-26-01 Response to Pandemic, Phase 1 Protocol (PDF) (3/26/2020)
- COVID-19 Novel Coronavirus Update (PDF) (5/4/2020) NOTE: This guidance was superseded on 6/16/2020
- COVID-19 Novel Coronavirus Update (PDF) (3/18/2020) NOTE: This guidance was superseded on 5/4/2020
- COVID-19 Novel Coronavirus Update (3/10/2020) NOTE: This guidance was superseded on 3/18/2020
- COVID-19 Novel Coronavirus Update (2/14/2020) NOTE: This guidance was superseded on 3/10/2020
- 2019-nCoV Novel Coronavirus Update (2/4/2020) NOTE: This guidance was superseded on 2/14/2020
- 2019-nCO-V Novel Coronavirus Outbreak (1/2020) NOTE: This guidance was superseded on 2/4/2020
Previous Bulletins (pre-2020)
- Medication Shortage Training (PPT) (9/2019)
- Medication Exchange Near Miss (PDF) (9/10/2019)
- Nasopharyngeal Airways Bulletin (PDF) (8/2/2019)
- Heat Packs Memo (PDF) (10/26/2016)
- Novel Opioids Memo (PDF) (10/28/2016)
- Mixing TXA in Fluid Memo (PDF) (2/2018)