EMS Providers
Emergency Medical Services
Information on applying to become an EMT or paramedic, recertification, EMS policies and procedures and more.
Emergency Medical Technician (EMT) Certification & Renewal
The San Mateo County EMS Agency certifies and renewals EMT-Is in accordance with Division 2.5 of the Health and Safety Code and the California Code of Regulations Title 22. EMT certification is recognized statewide.
See here for information on how to become a California certified EMT through San Mateo County.
Patient Care Protocols
Introduction (Combined Intro PDFs) (Note: Revised 2018 Drug lists available below)
Introduction
The use or possession of the protocol book does not exempt field personnel from the responsibility to know the information in the San Mateo Policy and Procedures Manual. This Protocol book does not replace the Policy and Procedures Manual and is provided as a tool for their reference.
- Bibliography of Standard Texts
- Pediatric Definitions
- Abbreviation List
- Nausea Vomitting
- Neonatal Resuscitation
- Nausea Vomitting - Pediatric
- Pediactric Drug List
- Adult Drug List
- Read more
- Adult Drug List
- Pediatric Drug List
EMS Policy & Procedure Manual
This page includes the policies, procedures, and treatment protocols for the San Mateo County prehospital care system. The information is provided by the San Mateo County Emergency Medical Services Agency, and is designed for use within San Mateo County. Updates and new policies are noted with the implementation date. Numeric gaps in document numbers indicate that a policy or procedure has been deleted and is not part of the current San Mateo County prehospital care system. Any questions should be directed to the EMS Agency at (650) 573-2564.
Memos and Communications
The following memos and communications come from the San Mateo County EMS Agency and EMS Medical Director. The following documents enhance and support current policy, procedures, and protocols. All posted content should be considered current policy.
- Patient Health Information (PHI), Pediatric CPR, End of Life Option Legislation
- Return of Spontaneous Circulation (ROSC) Definition
- Communicable Diseases with Rash and Fever
- Normal Saline
- Expired DuoDote and Atropen Auto-Injectors
- High Performance CPR Implementation, Documentation & Call Management
- EMS Ringdown Procedures
- Nasal Tracheal Intubation, High Performance CPR, Expired Medication, Death with Dignity
- Epinephrine 1mg to 1:10,000 Pre-load Shortages
- Pediatric Intubation Removal from Scope of Practice/Intramuscular (IM) injections
- Expired Medication & Mobile Stroke Unit
- Expired Medications, New Protocol Implementation, Base Contact
- Read more
Forms
- Child Abuse & Neglect: Report Suspected Cases
- CE Provider Application
- Controlled Substance Restock - Morphine
- Controlled Substance Restock - Fentanyl
- Emergency Information for Children with Special Needs
- EMT Application
- EMT Skills Compentency Verification Form
- EMT Certification and Renewal Checklist
- Elder & Dependent Adult Abuse
- First Aid/CPR Training Program Application
- Five-Call Field Evaluation Form
- Live Scan Request Form (Background Check) - NOTE: Form does not render correctly on a mobile device. Please access by Mac or PC
- Paramedic Accreditation Application
- Policy, Protocol, Procedure Review Form
- Safely Surrendered Baby Kit Order Form.
EMERGENCY PREPAREDNESS
Learn how to be ready for an emergency or natural disaster
- Be Earthquake Safe
- Flood Resources
- Terrorism Preparedness
- Emergency Volunteer Opportunities
- Pet Emergency Preparedness
San Mateo County Skilled Nursing Facility Coalition (SNF Ready)
SNF Ready Meeting Schedule
The San Mateo County Skilled Nursing Facility Coalition (SNF Ready) meets the second Tuesday, from11:30 AM – 1:30 PM, every other month at EMS Agency Offices, located at 801 Gateway Blvd., 2nd Floor, South San Francisco. Attendees should plan on bringing a lunch to meetings. Those unable to attend in person may join by conference line (contact EMS for staff for details).
- CAHF SNF Emergency Preparedness CMS Final Rule Summary
- The San Diego Model—A Skilled Nursing Disaster Preparedness and Response Plan
- AMA: San Diego's Area Coordinator System: A Disaster Prep. Model for Nursing Homes
- "Raising the Bar on Emergency Preparedness: CMS Final EP Rule", Jason Belden, Program Mgr, Cal Assoc. of Health Faciliies
- 2017 SNF Coalition Meeting Dates
- "Medical Health Officer Area Coordinator (MHOAC): Roles & Functions", Nancy Lapolla, Director, San Mateo County EMS
- Nursing Home Incident Command System (NHICS) Guidebook
- Nursing Home ICS Job Action Sheets
- Read more
Public Access Defibrillation
Regulation Update for AED
On September 3, 2015 SB 658 was signed into law, reducing liability conditions on a person or entities that acquire and place an AED. As a result, Chapter 1.8, Div. 9, Title of 22 of the California Code of Regulations is now repealed.
- Health Club Automatic External Defibrillation (AED) Use Report (NEW - 2/2015)
- Law Enforcement Automatic External Defibrillation (AED) Use Report (NEW - 2/2015)
- Public Access Automatic External Defibrillation (AED) Use Report (NEW - 2/2015)
- Public Safety Provider Agency Automatic External Defibrillation (AED) Use Report (NEW - 2/2015)
- PAD Notification Form
- CA EMS Authority - Regulation Repeal Memo
- AED User/Site Coor. Checklist
- Read more
- Senate Bill No. 658, Automated External Defibrillators
- Law 360: The ABCs Of Calif.'s Automated External Defibrillator Law
- OSHA Review: AED Requirements in California – Regulations
General Information
San Mateo County began its paramedic emergency ambulance service program almost 30 years ago. One city, South San Francisco, became a paramedic provider in 1975. In 1976, San Mateo County became the first California county to conduct a Request for Proposal (RFP) process granting an exclusive operating area for emergency ambulance service. Over the next two years a countywide system of paramedic-staffed ambulances was established.
2018 San Mateo County EMS Peer Recognition Awards
The San Mateo County Pre-hospital EMS Peer Recognition Awards is an annual award program recognizing EMS system providers for excellence, and going above and beyond the call of duty.
Continuing Education Opportunities for EMS Providers
STATE OF THE FUTURE OF RESUSCITATION CONFERENCE – Sep 29 & 29, 2018 Conference Brochure
The purpose of this conference is to provide a forum for some of the world’s leaders on CPR to provide scientific updates on the most current and future anticipated advances in the field and on the state-of-the future of resuscitation.
CONFERENCES AND PRESENTATIONS
- 2015 EMS Stroke Symposium
- "Kaiser Redwood City Stroke Redesign Project", Sunil Bhopale, MD, FACEP
- "Stoke Boot Camp: What does the Joint Commission Expect of Me?", S. Jennifer Cave-Brown MS, RN, NP, ACNP-BC, CNRN
- "Stroke Case Studies: Implications for EMS", Orin Eddy, MD, FACEP
- "SMC Stroke System Update/SMART Project Conclusions", Gregory H. Gilbert, MD, FAAEM
- "ICU Management of Acute Ischemic Stroke", Kyle Hobbs, MD
- "Management of ICH in the ICU", Kyle Hobbs, MD
- "The Role of Physical Therapy in Stroke Rehabilitation", Christina Morgan, PT, Jessica Abele, PT,Carolyn Wilson, OTR/L, Jeff Dol
- "Organization of Stroke Care: Implications of Recent Advances", David C Tong MD FAHA FAAN FANA
- "Advances in Pediatric Stroke Management," Heather J. Fullerton, MD, MAS
- "Cardiovascular Disease Risk and Women," Elizabeth Scruth, PhD, MPH, RN, CCNS, CCRN, FCCM
- "Common Problems and Errors In Treating Hypertensive Urgencies and Emergencies," Coleman Ryan, MD, FACC
- "Rehabilitation Progression after Stroke," Kyle A. Smith, MPT, ATC, CSRS
- "Overview of Basic Neuroanatomy and Cerebrovascular Anatomy," Joey English, MD, PhD
- "Post-Stroke Depression", Stephanie Casal, RN, MS, CNS
- "The THRIVE Score", Alexander Flint, MD, PhD
- "Pediatric Neuroangiography: A Case-Based Approach", Steven Hetts, MD
- "Stroke is a Medical Emergency, Call 911", Richard Porcelli, NREMTP
- "Clinical Simulation Learning for Stroke Teams", Josephine Reyes, RN, MSN
- "Simulation Code Stroke", Waimei Amy Tai, MD
- "Emerging Therapies for Intracerebral Hemorrhage", Chitra Venkat, MBBS, MD, MSc.
- "How smart is SMARTS?", Gregory Gilbert, MD, FAAEM
- "t-PA Flight Plan:Door to Needle Time < 60 Minutes ", Sunil Bhopale, MD, FACEP
- "Advancing Acute Stroke Treatment Using the S.M.A.R.T. Approach", David C Tong, MD
- "Taking a Picture of Stroke", Anna Finley Caulfield, MD
- "Endovascular Revascularization Devices", Dorris Luong, NP
- "Modern Management of Intracerebral Hemorrhage", Natasha Renda, MD
- "Acute Ischemic Stroke: Time vs. Tissue", Greg Albers, MD
- "The SMART Approach to Acute Ischemic Stroke Therapy", Nobl Barazangi, MD PhD
- "Pre-Hospital Stoke Scales: A Balanced Approach", Sunil Bhopale, MD FACEP
- "A Stroke Case Scenario", Astrid Block, CNS
- "Case Presentation", Linda G. Cadelago, RN FNP
- "Endovascular Treatment of Hemorrhagic Stroke", Robert L. Dodd, MD PhD
- "San Mateo County 2nd Annual Stoke Symposium", Sheryll Domingo, RN BSN
- "Therapeutic Hypothermia", Alexander Flint, MD PhD
- "Seton Medical Center Primary Stroke Center", Amy Hanley, RN
- "Different Stroke for Different Folks", Craig Hou, MD
- "Stroke Data Matching Project: Following the Continuum of Care from Pre-Hospital to Hospital", Michael Leach, MPH
- "Acute Stroke: A Case Study of 'Not-So-Uncommon' Cause of Ischemic Stroke in Young People", Kathleen MacKerrow, RN MS GCNS
- "Risk Factors for Heart Attack and Stroke 2010", Colman Ryan, MD FACC FRCPI
- 2015 Conference Brochure
- Conference Program
- Robert Telfer Memorial Lecture
- "iTREAT and mNIHSS for Fire and First Responders", Prasha Govindarajan, MD
- "DEFUSE 3: NIH Trial", Gregory Albers, MD & Gregory Gilbert, MD
- "Coiling Versus Clipping Intracranial Aneurysms", Prasad Reddy, MD
- "Implementation of Telemedicine Services: Trials, Tribulations and Success", Panel discussion
- Conference Brochure
- Read more
Maddy Fund
Important Update: A portion of the money we normally receive for physician reimbursement through the Maddy Fund, the Emergency Medical Services Appropriation (EMSA) Funding, has been cut. Please note that we are still administering the Maddy Fund. Beginning July 1, in the fiscal year 2009-2010, all EMSA funding normally provided to local EMS agencies (LEMSA) is to be cut by the State of California.
EMS Contracts & Amendments
Ambulance Contracts & Amendments
- 2013 Ambulance Contract Amendment
- 2009 Ambulance Contract
- 2008 Request for Proposal (RFP)
- 2003 Grand Jury Report on EMS System