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EMS Providers

General information

EMT Certification/Renewal & Paramedic Accreditation

Initial EMT Certificate

*Beginning 4/1/2021 applicants must apply through the online application process*

You should review the Agency’s policy 301 – EMT Certification on EMT certificate and EMT certificate renewals before proceeding with your application.

**Prior to completing any of the steps below, please go to the San Mateo County EMS online certification system and verify your account. If you do not have an account on the system, create one prior to proceeding. Failure to do so prior to initiating the application process may result in substantial delays in processing your application**

General information

2025 EMS Policies

Introduction

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 and feedback regarding should be directed to the EMS Agency through the Field Feedback Form for immediate review and response. 

General information

2025 EMS Field Treatment Guidelines

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 County Policy and Procedures Manual. This protocol book does not replace the Policy and Procedures Manual and is provided as a tool for their reference.

Routine Medical Care

A group of standard assessments and treatments, including but not limited to airway, breathing and circulation, and the use of routine monitoring devices. See Routine Medical Care (G01) under General Care.

General information

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.

General information

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.

General information

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.