Coronavirus (COVID-19) EMS Resource Page

Maine EMS is working on behalf of the EMS providers and people of Maine by closely monitoring and working with best available information about the dynamic evolution of the Novel Coronavirus (COVID19). We are working with partners at the Maine CDC, Federal CDC, Governors Office and a variety of healthcare experts.

We urge Maine people to practice good hand hygiene, wear a face covering, cover coughs and sneezes, and stay home if you are sick. If you are concerned that you have been exposed to COVID-19, call your health care provider, who will determine whether you should be tested and, as appropriate, submit a sample for testing.

CURRENT COVID-19 EMS CLINICAL GUIDELINES (PDF) (updated 6/16/2020)
CURRENT COVID-19 EMD DISPATCH GUIDELINES (PDF) (updated 4/15/2021)

CLICK HERE FOR COVID EXPOSED EMS CLINICIAN OR DISPATCHER RESOURCES

REPORT EXPOSURE TO THE CDC HERE
- Operation Bulletin for Reporting Exposed EMS Clinician and Dispatcher Information to Maine CDC (PDF) (4/23/2020)
- Response to COVID Outbreaks within Fire and EMS Agencies Playbook Version 4.0 (PDF) (2/8/21)

COVID-19 Protocols +

Maine EMS COVID-19 Pandemic Protocol Resources
Clinical Bulletin Updating All Pandemic Protocols Statewide (PDF) (7/28/2020)
The bulletin above outlines the current pandemic guidelines and includes the updated protocols. Below are the 3 pandemic protocols (Pandemic response, low risk patients during surge, and cardiac arrest during pandemic) and any supporting resources. The following three protocols are the same as in the overall bulletin listed above.
Pandemic Response Protocol (PDF) (7/28/2020)
On Line Medical Control during COVID (for Physicians, PAs, and NPs) (YouTube video) (4/2/2020)
Low Risk Patient Disposition During Hospital Surge Pandemic Protocol (PDF) (7/28/2020)
- Low Risk On Line Medical Control Quick Sheet (PDF)
- Printable "Leave Behind Sheets" (PDF) (updated 7/28/2020)
- Guidance For Follow Up & Documentation for Home Care (PDF) (4/15/2020)
Cardiac Arrest Response Protocol During Pandemic (PDF) (7/28/2020)
- Out of Hospital Cardiac Arrest During Pandemic White Paper (PDF) (4/30/2020)
- Notification of Medical Examiner for Out of Hospital Deaths During COVID (PDF) (4/7/2020)
Pandemic Protocol FAQ (PDF) (4/10/2020)
Note: Phase 1 of the Pandemic Protocol went into effect March 26,2020 and Phase 2 went into effect at 0800 on April 10,2020. Both "Phases" were replaced by the July 28,2020 protocol update.
Clinical Bulletin - Aerosol Generating Procedures in EMS (PDF) (11/25/2020)
Visit MEMSEd for the Pandemic training program (found under Specialty > Protocols) (3/26/2020)

Operational Resources +

Guidance for EMS Services on Continuity of Operations (3/27/2020) (PDF)
- Waiver of Level of Response for AEMT and Paramedic Licensed Services (PDF) (12/11/20)
- Maine EMS Medical Direction & Practices Board white paper on "Standards of Care Continuum during the COVID-19 Pandemic" (PDF) (5/8/2020)
- Response Plan Guidance During COVID-19 Document (PDF) (4/2/2020)
- Notification of Medical Examiner (OCME) for Out of Hospital Cardiac Arrests During COVID-19 Pandemic (PDF) (4/7/2020)
EMS Services Contracted with Long Term Care Facility COVID-19 Testing (PDF) (9/16/2020)
Maine Hospital websites and COVID-19 web links (XLS) (5/11/2020)
Multisystem Inflammatory Syndrome in Children during COVID (MIS-C)
1. Youtube video of May 29, 2020 presentation from Massachusetts General Hospital for Children
2. Maine Medical Center/Barbara Bush MIS-C Clinical Guidelines (PDF)

COVID Testing and Vaccine Resources +

Where can I get a COVID test in Maine?
Swabbing / Screening
Operational Bulletin on Temporary Suspension of BinaxNOW Use by Maine EMS and COVID+ Responder Playbook Version 3.0 (PDF) (1/21/21)
Guidance for Maine EMS Services applying to perform COVID-19 Swabbing (PDF) (8/26/2020)
EMS Service Spreadsheet for Documenting EMS Employee Screening (XLS) (updated 3/15/2020)
Model EMS Employee Screening Guidelines (PDF) (updated 3/15/2020)
Vaccines
Maine EMS Public Safety Vaccination Plan (PDF) (12/16/2020)
The Maine EMS Medical Direction & Practices Board held a series of statewide Town Hall virtual meetings to discuss the COVID vaccine for EMS clinicians. A virtual meeting was held in every region and hosted by the regional medical director, with other regional and state medical directors assisting. The goal was to provide a better understanding of the medication, to use to help guide you in your decision to receive this vaccine administration. These meetings were recorded and are available on the Maine EMS YouTube channel.
The Maine EMS "Ready, Check and Vaccinate!" and "Maine EMS COVID-19 Vaccine Training" courses can be found by logging into licensed clinicians MEMSEd account.
Maine EMS Vaccine Declination Form (DOC) (12/23/2020)
MDPB COVID vaccine talking points (PDF) (updated 12/18/2020)
Moderna COVID vaccine fact sheet for recipients (PDF) (12/21/2020)
Moderna COVID vaccine fact sheet for vaccinators (PDF) (12/21/2020)
Triage of contraindications for mRNA vaccinations (PDF) (12/21/2020)
Moderna FDA COVID vaccine EUA fact sheet (link) (12/2020)
Pfizer FDA COVID vaccine EUA fact sheet (link) (12/2020)
Janssen Vaccine EMS Administration Standing Order (3/9/2021)
ACOG statement on pregnancy and lactation in context of COVID vaccines (link) (12/2020)
American College of Medical Toxicology - COVID-19 and pregnancy webinar (link) (12/16/2020)
Society of Maternal and Fetal Medicine statement on COVID and pregnancy (link) (12/15/2020)
What is mRNA? (PDF) (Nature Magazine, Jan, 2018)
New England Journal of Medicine - Coronavirus Article & Resource Collection
CDC Facts about Coronavirus
Introduction to Coronavirus Vaccines (YouTube video) (12/4/2020)
From JAMA - The Journal of the American Medical Association The JAMA Network is a collection of 12 international peer-reviewed medical journals that features research, reviews, and commentary across the spectrum of medical and surgical practice. Led by the flagship journal JAMA®, the JAMA Network's mission is to improve the public health by providing the information that matters most to practitioners and researchers.
COVID Presentation (YouTube video) (12/7/2020)
Atlantic Partners EMS has shared a video from a presentation on Saturday, December 5, 2020. This video is approximately 2 hours long and discusses COVID, COVID vaccines and current Maine EMS protocols surrounding COVID. This presentation is from Dr. Dora Anne Mills, the Chief Health Improvement Officer for MaineHealth and served as the Director of Public Health for the State of Maine and Director of the Maine CDC for 15 years. She is joined by Dr. Michael Bohanske, an ED physician at Maine Medical Center and Region 1 EMS Medical Director.

Maine EMS, MDPB, and EMD COVID Update Meetings

(visit our calendar on the homepage to see all meetings and Zoom access info)

EMS Services & Personnel
Every other Thursday at 1230
Maine EMS Calendar
Zoom Web Link: https://zoom.us/j/611823504
Zoom Call In Number: 1-646-558-8656
Zoom Meeting ID: 611 823 504
EMD Centers & Personnel
Every other Thursday at 1330
Maine EMS Calendar
Zoom Web Link: https://mainestate.zoom.us/j/82696038314
Zoom Call In Number: 1-646-558-8656
Zoom Meeting ID: 826 9603 8314

Medical Direction & Practices Board
2nd & 4th Mondays of each month at 0800
NOTE: Zoom access updated as of Feb 8, 2021
Maine EMS Calendar
Zoom Web Link: https://mainestate.zoom.us/j/81559853848
Zoom Call In Number: 1-646-876-9923
Zoom Meeting ID: 815 5985 3848

NEW Click Here for Videos of MDPB and State COVID Update Meetings

Please note: Maine EMS is sharing only the most current meeting video for the MDPB and State COVID updates, and will remove the previous videos due to the dynamic and changing information regarding COVID.
MDPB COVID Update Meetings
Meetings after December 14 have been requested, awaiting submission
December 14, 2020 (YouTube Video)
December 7, 2020 (YouTube Video)
Maine EMS COVID Update Meetings
March 18, 2021 (YouTube Video)
March 4, 2021 (YouTube Video)
February 17, 2021 (YouTube Video)
February 4, 2021 (YouTube Video)
January 21, 2021 (YouTube Video)
January 7, 2021 (YouTube Video)
December 23, 2020 (YouTube Video)
December 10, 2020 (YouTube Video)
Other videos are also available on the Maine EMS YouTube channel.

Personnel Quarantine, Return to Work and Other Healthy Resource Documents +

Visit the Maine EMS "Stay Healthy in EMS" Resources Page

Operational Bulletin for Temporary Suspension of BinaxNOW Use by Maine EMS and COVID+ Responder Playbook Version 3.0 (PDF) (1/21/21) NOTE: Version 3 of the playbook was replaced by version 4 on February 8, 2021
- Response to COVID Outbreaks within Fire and EMS Agencies Playbook Version 4.0 (PDF) (2/8/21)

Operational Changes to the Notification Process of EMS Clinicians Contacting Presumed Presumed or Known Positive COVID-19 Patients (PDF) (12/10/2020)

Reporting Exposed EMS Clinician and Dispatcher Information to Maine CDC (PDF) (4/23/2020)

EMS Service Spreadsheet for Documenting EMS Employee Screening (XLS) (updated 3/15/2020)

Model EMS Employee Screening Guidelines (PDF) (updated 3/15/2020)

Maine EMS COVID Clinician Update (PDF) (updated 3/15/2020)

Understanding COVID-19 Cases, Contacts, and Contacts of Contacts (PDF) (6/29/2020)

Maine EMS Clinician Quarantine Guide (PDF) (updated 12/10/2020)

Return to Work Guidance (PDF) (updated 8/20/2020)

Equipment Resources During COVID Pandemic +

PPE supply requests should be routed through local County Emergency Management Agencies (EMAs). You can find your local EMA contact information by visiting the website here.

Universal Masking Operational Bulletin (PDF) (updated 6/29/2020)
- Letter from Maine CDC to All EMS Agencies and Fire Services (PDF) (8/23/2020)
- Joint Position Statement on PPE Usage (PDF) (7/1/2020)

Memo regarding PPE Inventory Surveys (PDF) (6/16/2020)

Understanding the PPE Request Process (PDF) (4/9/2020)

Use of Structural Firefighting Gear and SCBA During A COVID-19 Response (PDF) (4/3/2020)

Guidance for Optimizing the Supply of Personal Protective Equipment (PPE) for EMS Clinicians (3/27/2020)

Which Mask to Use? (PDF)

Donning and Doffing PPE video from NETC (Youtube Video)

Counterfeit KN95 Mask Warning (PDF) (4/19/2020)

Operational Bulletin Regarding Masks with Exhalation Valves (PDF) (8/21/2020)

Two-Way Radio decontamination guidelines (Contact radio manufacturer if questions or not listed)

Funding & Reimbursement Resources +

Public Assistance Funding Presentation by MEMA (YouTube video) (7/30/2020)
- MEMA Grant Assistance Program Page (7/30/2020)

Licensing & Training Resources Related to COVID Pandemic +

By authority approved and delegated by the Maine Board of EMS, in accordance with emergency legislation passed by Governor Janet Mills, Maine EMS is waiving certain rules pertaining to re-licensure for both Maine licensed EMS and EMD personnel. This waiver is approved in support of maintaining an effective EMS system response capability. Waivers have been enacted that apply to EMS and EMD personnel, as well as EMS services in Maine.