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

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.

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

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

CMEMSC has printed protocol books available. You can purchase your copies now while they are hot off the press.

OEMS issued the Statewide Treatment Protocols v. 2022.1 (2022 STPs), as well as the updated Administrative Requirements (ARs) 5-401 BLS Equipment List and 5-402 ALS Equipment List, and the updated Required Medications on Ambulances, now as AR 5-400.  The updates to the ARs and medication lists reflect current practices and conform to the 2022 STPs.

Timeline for implementation: Ambulance services have until June 1, 2022, to be equipped in accordance with the ARs, and to train their EMS personnel in the updates to the Statewide Treatment Protocols. As soon as services have completed this transition, they may begin providing care in accordance with the new STPs and equip and stock their ambulances in accordance with the updated ARs 5-400, 5-401 and 5-402, but in all cases must conform to these ARs and the 2022 STPs by no later than June 1, 2022.

The 5 MA Regional Councils are working together on training materials to facilitate this. Services may also create their own training. Any training should have an exam to measure comprehension.

You can find these documents on the OEMS website, at the following links:

Statewide Treatment Protocols v. 2022.1 

Memo and Change Chart for 2022 STPs      

Updated AR 5-400        

Updated AR 5-401             

Updated AR 5-402

The state issued updated Comprehensive Personal Protective Equipment (PPE) Guidance on 01/21/2022.

The most recent COVID-related memorandums from OEMS and MDPH can be found HERE.


MDPH shared updated isolation guidance for healthcare personnel. The updated isolation guidance applies to healthcare settings as defined by the CDC.  The updated guidance reduces the amount of time healthcare personnel must isolate due to testing positive for COVID-19 under a set of conditions as described in the updated guidance.   Please see the attached document or the below link for details: https://www.mass.gov/doc/isolation-and-quarantine-guidance-for-health-care-personnel/download

Thank you for your continued care of your patients, staff, and communities during this unprecedented time. 

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

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361 Holden Street
Holden,MA 01520