Central Mass EMS Corp.    CMEMSC OFFICE: (508) 854-0111   |   CMED 24/7 Phone: 508-854-0100


An EFR is different than First Responder. This AR only addresses vehicles that have been certified by the Department as an EFR vehicle at the BLS level. It does not apply to first responder vehicles that have not been so certified. “EFR” (which stands for “EMS first response”) has been defined in the Massachusetts EMS statute since 2000, and in the EMS regulations since 2003. The MDPH has jurisdiction over EFR services, which it licenses, as well as EFR vehicles, which it certifies. There is no inspection fee for an EFR vehicle at the BLS level. The concept of EFR is distinct from first responder agencies and first responder vehicles. There are two categories of Department-licensed entities that may have EFR vehicles: 1) EFR services licensed at the BLS or ALS level (there are only a handful of these in the Commonwealth), and 2) ambulance services – which under the EMS regulations may provide EFR service at or below their level of licensure, have chosen to do so, and have certain of their vehicles certified by the Department as an EFR vehicle at the BLS level.

If, for example, a fire department is licensed as an EFR service or ambulance service, and obtains OEMS certification of an EFR vehicle at the BLS level, in order to deploy as an EFR vehicle at the BLS level (which would be staffed by an EMT or EMTs), then this AR would apply to that vehicle.

If you have any additional questions please call the office. 508-854-0111

ICS-300: Intermediate ICS for Expanding Incidents (ICS-300):

This three-day Incident Command for Mid-Level Management course is designed for supervisory and management level personnel who require advanced knowledge and application of the ICS. Intermediate ICS expands on Basic ICS. It provides more description, and detail of the organization, and operation of the Incident Command System, and the management of resources. It describes the duties of all positions including Air Operations.

Course Topics:

  • ICS staffing and organization to include reporting and working relationships and information flow
  • Transfer of Command
  • Unified Command functions in a multi-jurisdictional or multi-agency incident
  • ICS forms
  • Resource Management
  • Interagency mission planning and procurement

Dates: October 24 -26, 2022

Times: 8:00am-4:00pm

Location: Department of Correction - 50 Maple Street, Milford, MA. 01757

Follow this link to register.

Dr. Broach, our regional medical director, graciously supplied a short presentation to aid in the education of EMS provider regarding monkey pox. It is located on front page of the training officers portal after login.

It's all about communication! In an effort to improve that, CMEMSC is publishing a newsletter, The Region II Responder. Click here and send a short message to have it delivered directly to your inbox.

Please find the attached Clinical and Laboratory Testing Guidance for Monkeypox from the Massachusetts Department of Public Health.

Late summer and Fall courses are accepting applications. Click here for more details.

In accordance with the Commissioner of Public Health’s COVID-19 Public Health Emergency Order No. 2022-15 issued on June 14, 2022, the Department has extended the expiration date for Temporary Certification until December 31, 2022. The Department will continue to issue new temporary certifications only until June 30, 2022. Attached is the updated application which should be posted on our website shortly. 

Temporary certifications will be immediately visible at https://madph.mylicense.com/verification/ and may be verified there at any time using provider's first and last name. Please utilize the online verification site in lieu of a physical card.   

Temporary EMTs may function in connection with a licensed ambulance service at the full scope of practice for their level, but must do so in accordance with Statewide Treatment Protocols and must have received authorization to practice from the service’s affiliate hospital medical director. Ambulance services are responsible for ensuring Temporary EMTs receive required education/orientation and authorization to practice before they begin to work.

If Temporary EMTs wish to obtain full certification, contact This email address is being protected from spambots. You need JavaScript enabled to view it.

The MDPH/ OEMS has identified several issues regarding certain pediatric BVM devices and ordering configurations, which in some cases will prevent EMS personnel from providing appropriate treatment to patients, and do not meet the requirements of Administrative Requirement (AR) 5-401. Please see the attached Memorandum, highlighting the problems identified to date, and strongly urge you to check and ensure all your bag-valve masks devices are stocked with the appropriate sized masks in all ambulances.

Read the full MEMO Here

Dear Colleagues,
Attached please find an advisory from the Department of Public Health on clinical and laboratory guidance for monkeypox.

Contact Us
Phone: 508-854-0111
Fax:     508-853-3672

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361 Holden Street
Holden,MA 01520