The State of Maine uses statewide EMS protocols for the care of patients in the pre-hospital environment. Protocols are developed by the Maine EMS Medical Direction & Practices Board (MDPB) and are reviewed/updated on a 2-year cycle.
Maine EMS protocols are available via a free app for smartphones. It can be found in the App Store (iPhones) or Google Play (Android) as the "Maine EMS Protocol App" from Maine Emergency Medical Services. Statewide. protocols are no longer printed by Maine EMS but can be viewed, saved, and printed via the PDF link (below).
2021 Protocols
Maine EMS is currently developing updated protocols for planned implementation on December 1, 2021.
To see draft protocols and the schedule of work efforts, please visit the MDPB Resources Page by clicking here
Additional Maine EMS Pre-Hospital Care Protocol Documents
- Maine EMS 2019 Pre-Hospital Care Protocols (PDF) (12/1/2019) - Note: This does not contain pandemic protocols
- Maine EMS 2020 Pandemic Statewide Protocol Update (PDF) (7/28/2020)
- Printable "Leave Behind Sheets" (PDF) (updated 7/28/2020)
- Physician OLMC Quick Sheet (PDF) (4/8/2020)
- Guidance for Follow Up & Documentation for Home Care (PDF) (4/15/2020)
- Out of Hospital Cardiac Arrest during Pandemic White Paper (PDF) (4/30/2020)
- Pandemic Protocol FAQ (PDF) (4/10/2020)
- Please note the following protocols are replaced by the July 28,2020 protocol update as directed in Maine EMS Clinical Bulletin 2020-07-28-01
- Maine EMS 2020 Pandemic Phase 1 Protocol (PDF) (3/26/2020)
- Maine EMS 2020 Pandemic Phase 2 Protocol (PDF) (4/8/2020)
- Pandemic Protocol for Out of Hospital Cardiac Arrest (PDF) (updated 5/12/2020)
- Please note the following protocols are replaced by the July 28,2020 protocol update as directed in Maine EMS Clinical Bulletin 2020-07-28-01
- Maine EMS 2019 Pre-Hospital Care Protocols FAQ (PDF) (Weblinks updated 5/20/2020)
- Maine EMS 2019 Pre-Hospital Care Protocols Change Reference (PDF)
- Maine EMS 2019 Protocol Update Course (redirects to MEMSEd)
- Maine EMS 2019 Pre-Hospital Care Protocols Update Slides (Powerpoints)
- Maine EMS 2019 Pre-Hospital Care Protocols Lesson Plans
- Instructor Guide (PDF)
- Stable Tachycardia Decision Tree (PDF)
- Forward/Brown/Purple Sections (PDF)
- Blue Section (Airway) (PDF)
- Red Section (Cardiac) (PDF)
- Gold Section (Medical) (PDF)
- Green Section (Trauma) (PDF)
- Yellow Section (Environmental) (PDF)
- Pink Section (Pediatrics) (PDF)
- Orange Section (Behavioral) (PDF)
- Final Thoughts (PDF)
- White Papers Specific to 2019 Protocols
- Other White Papers Produced by the MDPB
- Lifeflight of Maine Protocols
- Shortage Protocol - Fentanyl (PDF)
- Shortage Protocol - Fentanyl & Morphine (PDF)
- Shortage Protocol - Metoprolol (PDF)
- Shortage Protocol - Midazolam (PDF)
Archived Protocols