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


The Commonwealth has been working in close partnership with the Massachusetts Serious Illness Coalition to shift from using the Massachusetts Orders for Life Sustaining Treatment (MOLST) to the national standard, the Portable Orders for Life Sustaining Treatment (POLST). Attached please find a letter outlining a clinical testing pilot of the POLST program at Fairview Hospital in Great Barrington and Cooley Dickinson Hospital in Northampton. If EMS encounters a POLST form in either of those communities, please follow the guidance provided if transporting to those hospitals.  The Department will share more information as it becomes available.

Beginning June 5th, should you have any questions, contact the Massachusetts POLST Call Center at: 844-771-1629 or email: This email address is being protected from spambots. You need JavaScript enabled to view it..

The Massachusetts Department of Public Health, Office of Emergency Medical Services (Department) posted the MATRIS V3.5 Schematron file that contains the validation rules for the new standard in MATRIS to the NEMSIS.org Massachusetts state page  https://nemsis.org/state-data-managers/state-map-v3/massachusetts/. The initial version was posted April 27, 2023 and last week minor changes were made to 3 rules.  The excel list of the rules is on the NEMSIS state page and also attached, along with the list of data element changes from V3.4 to V3.5. The validation set was also published on the MATRIS site in the Elite Library , it is labeled “Massachusetts State Validation Rules (MATRIS) V3.5”.

Timeline and Process for implementation:

  • By June 15, 2023, MATRIS will be ready to accept NEMSIS V3.5 data. 
    • Prior to beginning submission of NEMSIS V3.5.0 data, services must submit any NEMSIS V3.4.0 data they have not yet submitted and will then be issued the V3.5 integration account needed to import runs. Services should reach out to  This email address is being protected from spambots. You need JavaScript enabled to view it. to request their V3.5 Integration account.
    • At that point, ambulance services may begin submitting data, in accordance with all the requirements of the AR 5-403, directly to the MATRIS website, https://matris.imagetrendelite.com/Elite/Organizationmatris/, or import from third-party software that has passed NEMSIS V3.5.0 compliance testing for ambulance services, as documented on the NEMSIS website here
  • Until September 30, 2023, services may continue to submit NEMSIS V3.4.0 and should be actively working to transition to V3.5.
  • As of October 1, 2023, all services will be required to submit data in accordance with the new NEMSIS V3.5.0 standard, and all requirements of the AR 5-403

In response to the recent FDA approval for over the counter naloxone, the Office of Emergency Medical Services is sharing the attached memorandum that outlines the importance of documenting administration of naloxone by both bystanders and EMS.  Please review the attached memorandum

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.

The MDPH and OEMS (Department), issued the Statewide Treatment Protocols v. 2023.2 (2023 STPs), to include an emergency update to allow for BiPAP use, as explained in the attached memo.  The update is based on the medical literature, best current EMS practices and the recommendations of the Emergency Medical Care Advisory Board’s (EMCAB’s) Medical Services Committee. NOTE: this is the only change to the prootocols.

You can find the 2023 STP v. 2 on the OEMS website, at the following link: Statewide Treatment Protocols v. 2023.2: 


If you get an erro message when attempting to register or access the T.O Portal, please email Chris. CMEMSC is in the midst of updating our website and some of our Captcha forms are not working. We will assist you with access manually until we have the new site operational.

CMEMSC is proud to offer a didactic training program that meets the didactic portion of the Requirements for Police Dog (K9) Treatment and Transport for EMS Personnel AR 2-270. You can find the course on our LMS: https://cmemsc-training.org/ You will need a key to register on the system if you don't have an account. Contact your service training coordinator or Chris Baker if you live/work in Region 2 for our full access code. If you are in are one of the other regions the codes are listed below. These only access the Nero's Law course. 

Thank you to the Central Region Homeland Security Council for funding the project!

Region I – Western MA = Reg1WMA-Nero
Region III – Northeastern MA = Reg3NMA-Nero
Region IV – Metropolitan Boston = Reg4BOS-Nero
Region V – Southeastern MA /Cape Cod = Reg5CC-Nero

The latest version of the statewide treatment protocols have arrived! Send your order (department and quanity) to Tammie to be among the first to get your copies.

B. Braun Medical Inc. Issues Voluntary Nationwide Recall of 0.9% Sodium Chloride for Injection USP 250ML in Excel Due to Fluid Leakage or Low Fill Volume

B. Braun Medical Inc. (B. Braun) is voluntarily recalling five (5) lots of 0.9% Sodium Chloride for Injection USP 250ML in Excel within the United States to the hospital/user level.


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