EMS Committee

Committee Chair:  Kelly Meehan-Coussee, MD

Next Meeting: July 21, 2022 at 5:30 pm 

Committee Mission: To serve as a forum for discussion of EMS-related topics by EM physicians from around the state where in we may provide education to Maine ACEP members on EMS issues more broadly, act as a conduit for discussion between ACEP physicians and EMS stake-holders, and, where appropriate, work with the Maine ACEP Legislative and Advocacy Committee to effect change.

National EMS Resources

  • ACEP EMS Committee – CLICK HERE
  • National Association of EMS Physicians – CLICK HERE
  • National Association of Emergency Medical Technicians Advocacy Page CLICK HERE
  • Department of Transportation Emergency Medical Services – EMS.GOV CLICK HERE  Information CLICK HERE

Resources for EMS Medical Directors

  • How to be an EMS Medical Director in Maine: Maine EMS has previously put together an EMS Medical Director’s Guidebook which gives an excellent overview of the Maine EMS system, response level, medical oversight, QA, etc.  Click to download
  • Requirements to have an EMS Agency Medical Director: To meet the proposed DEA changes(PDF) which will require that any agency administering controlled substances have a service-level medical director, Maine EMS approved a rule change that requires all AEMT and Paramedic level services to affiliate with a service-level medical director by January 1st, 2022.  Maine EMS Rule(PDF) (page 18 #13).
  • Maine EMS Physician contacts: If you have questions about Maine EMS or EMS Medical Direction, you may reach out to the EMS Committee Chair.  Additional points of contact include the physician members of the Maine EMS Medical Direction and Practices Board (MDPB):
    • The MDPB consists of all six regional medical directors along with the State EMS Medical Director, Associate State EMS Medical Director, Maine ACEP Representative to the MDPB, EMS Physician at Large, Pediatric Physician, Pharmacist, ALS provider and BLS provider.  Board Contacts
    • Each EMS region has a Regional Medical Director who can assist by providing support to service-level medical directors, assistance with local agencies and guidance regarding protocol changes/upcoming education.  Map of the EMS Regions
  • Maine EMS Prehospital Protocols: For the most up-to-date prehospital protocols, download the Maine EMS Protocol App on your smartphone. You may also find the Maine EMS Protocols online – click here for the Maine EMS Protocols. Approximately 3/4’s of the way down that page, you will find a section titled “2021 Protocol Resources for Hospitals” which includes a high-level overview of the recent changes to the prehospital protocols geared towards physicians offering OLMC (Online Medical Control).
    • For an overview of which protocols require phone calls for OLMC, see the 2021 OLMC Reference sheet, CLICK HERE
    • To see what changes were most recently made to the protocols in PDF form, CLICK HERE.
    • The Maine EMS Medical Direction and Practices Board updates the Maine EMS Protocols every two years (with the most recent update rolled out in December of 2021).  If you are interested in seeing changes to those protocols, please use the stakeholder input form. Click here to submit comments.

Legislation which may affect EMS and MEACEP Medical Directors (updated 7/2022)

  • LD 1858 An Act Regarding Delegated Authority for Services Performed by Emergency Medical Services Personnel in Health Care Facilities .
  • LD 1988 An Act to Establish That the Provision of the Emergency Medical Services by an Ambulance Service Is an Essential Service and To Establish the Blue Ribbon Commission To Study Emergency Medical Services in the State

Maine EMS has embarked on a strategic planning process to evaluate the current state of EMS and plan for its future.  This coincides with legislative approval of LD1988 which established the Blue Ribbon Commission to study EMS in the state.  SafeTechSolutions (the independent company hired by Maine EMS to carry out the strategic planning process) and Maine EMS have been holding sessions to hear from key stakeholders.  Though several of you have participated in these sessions, I want to make sure that MEACEP members’ voices are heard.  Accordingly, the next EMS Committee meeting will focus on your experience with EMS locally.  From successes to epic failures to any creative solutions, we’d love to hear it all.