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Informational Bulletins

On this page, you will be continuously updated on all important information released from the Pennsylvania Department of Health, Bureau of Emergency Medical Services.

2024

EMSIB 2024-01 EMS Registry Unavailable Due to Maintenance
EMSIB 2024-02 Provider Tuition Assistance and Agency Recruitment & Retention Expense Reimbursement
EMSIB 2024-03 Syringe Admin EPI
EMSIB 2024-04 PA EMS Registry URL Change
EMSIB 2024-05 ESO Granted Extension For Transmission of NEMSIS v3.5 Data
EMSIB 2024-06 Education Manager Announcement
EMSIB 2024-07 Psychomotor Exam with SMC
EMSIB 2024-08 OSHA Emergency Response Rulemaking – Comments due by June 21, 2024
EMSIB 2024-09 Updating EMS Agency Roster
EMSIB 2024-10 QRS Licensure Exception
EMSIB 2024-11 Education Advisory Committee Members and Minutes
EMSIB 2024-12 Attrition Rate Formula
EMSIB 2024-13 Mechanical CPR Devices
EMSIB 2024-15 Proposals for EMS Pilot Program

2023

EMSIB 2023-001 Paramedic Scholarships- PA EMS Foundation
EMSIB 2023-002 Temporary Replacement Vehicle Form
EMSIB 2023-03 Appointment of State EMS Medical Director
EMSIB 2023-04 TRAIN-PA
EMSIB 2023-05 Contact Information Update
EMSIB 2023-06 TRAIN-PA 247 ConEd Restored
EMSIB 2023-07 PA Accredited EMS Educational Institute Checklist
EMSIB 2023-08 Continuing Education by Endorsement Process and Purpose
EMSIB 2023-009 Transition to NEMSIS version 3.5
EMSIB 2023-10 Change in Leadership at the Bureau of EMS
EMSIB 2023-11 New Trauma Centers
EMSIB 2023-12 Approved ePCR software
EMSIB 2023-13 Agency Email Domains for biospatial
EMSIB 2023-15 NEMSIS v3.5.0 Data Collection
EMSIB 2023-17 2023 PA DOH Statewide Protocol Update
EMSIB 2023-18 Rescinding EMSIB 2023-17 2023 PA DOH Statewide Protocol Update
EMSIB 2023-19 Appointment of State EMS Director / BEMS Bureau Director
EMSIB 2023-20 Agency Email Domain Change Reminder for biospatial access
EMSIB 2023-21 EMR Certification Application Change for Non-DOH EMR Course
EMSIB 2023-23 Updated Memorandum and Assumption of Risk Agreement for EMR and EMT Examinations
EMSIB-2023-24 Printing of Certification Cards
EMSIB 2023-25 Revised Protocol Release

2022

EMSIB 2022-01 Change in Leadership at the Bureau of EMS
EMSIB 2022-02 Act 10 of 2022 Announcement
EMSIB 2022-03 Act 10 of 2022 Announcement – Additional Information
EMSIB 2022-04 Status of EMS Regulatory Suspensions
EMSIB 2022-05 Act 10 Update – Signature Phase
EMSIB 2022-06 Appointment of Bureau Director
EMSIB 2022-07 Licensing of EMS Buses
EMSIB 2022-08 Act 17 extension
EMSIB 2022-09 U.S. Territory and Foreign National Certification Process
EMSIB 2022-10 – Bureau of EMS Employment Medical Evaluation Information
EMSIB 2022-11 Dextrose Shortage
EMSIB 2022-12 New Trauma Centers
EMSIB 2022-13 Data Repository
EMSIB 2022-14 EMS Medical Director Change
EMSIB 2022-15 EMS Medical Director Search

2021

2021-02 Updated EMS Participation in Mass Vaccination

2021-03 Updated Transfer of Care Form
EMS CARE TRANSFER FORM v3.4 3-31-21

2021-04 Spotted Lanternfly Webinar
2021-05 First Responder Mental Health Toolkit
2021-06 Draft 2021 Statewide EMS Protocols1
2021-07 Status of Regulatory and Statutory Suspensions
2021-08 State Recognized CPR Programs
2021-09 Resumption of Psychomotor Examinations
2021-10 Trauma Center Updates
2021-11 Rescinding EMSIB 2020-11 Level I Staffing Exceptions
2021-12 Additional Exceptions Under Act 17 of 2020
2021-13 State Recognized CPR Programs Updated
2021-14 2021 PA DOH Statewide Protocol Update
2021-15 Trauma Center Update
2021-16 Status of EMS Regulatory Suspensions
2021-17 2021 PA DOH Statewide TBI Protocol Update

2020

2020-01 Novel coronavirus 2019-nCoV
2020-02 Infection Control
2020-03 2020 PA DOH AEMT Protocol Update
2020-05 Issued Regulatory Exceptions to the Lapse of Registration .._
2020-06 Covid-19 Policy and Protocol Updates
2020-07 Alternate Pathway for Psychomotor Testing
2020-08 Issued Extension to EMS Certification Expiration Dates
2020-10 EMS Providers Obtaining Nasopharyngeal Swabs
2020-11 Level I EMS Staffing Exceptions
2020-12 PCR Data Collection for Exemptions Outlined in EMSIB 2020-.._
2020-13 Alternatives to Nebulized Bronchodilators During COVID-201…
2020-14 COVID-2019 Lapse of Registration Regulatory Exception
2020-15 Signatures on Transfer of Care Forms
2020-16 PPE Reminders
2020-17 Temporary Statewide BLS Non-transport of Patients with Sus…
2020-18 Cardiac Arrest Treatment by EMS in a Patient with Suspected COVID-19
2020-19 Revised Interim Guidance for Cardiac Arrest Treatment by EMS in a Patient with Suspected COVID-19
2020-20 Use of Out of State EMS Providers
2020-21 Statewide ALS Protocol Updates Including Interim COVID-19 …
2020-22 Guidance to EMS Educational Entities
2020-23 Changes to EMS Agency Licensure Inspection Process
2020-24 AEMT Protocol Implementation Extension
2020-25 Additional Extension of CPR Expiration Dates
2020-26 PPE Reminders (Updated)
2020-27 Act 17 of 2020 BLS Ambulance Staffing Exceptions
2020-28 Changes to BLS Psychomotor Examination
2020-29 Additional Extension of CPR Expiration Dates
2020-31 EMS Participation in Mass Vaccination

2019

2019-01 Drowning and near drowning event reporting for PA Public Bathing Place Regulated Facilities
2019-02 EMS Student Clinical Experience
2019-03-Measles Guidance for EMS Providers
2019-05 Hepatitis A Outbreak

2018

2018-02 Updated Naloxone Standing Order
2018-03 Naloxone Leave Behind – Medical Command
2018-04 FBI Clearance Service Codes Information
2018-05 Naloxone Leave Behind Survey
2018-06 EMS Agency NEMSIS Compliance Update
2018-07 Updated CCT and Air Ambulance Transport Approved Educational Programs
List of Updated CCT AND AIR AMBULANCE TRANSPORT APPROVED EDUCATIONAL PROGRAMS
2018-10 BLS agency survey of voluntary naloxone participation
2018-11 State Recognized CPR Programs
2018-12 Emergency Medical Responder (EMR) courses (non-department of health)
2018-13 Out-of-State EMS Providers PA EMS Educational Institute Clinical and Field Experience
2018-15 Stop the Bleed App
2018-16 -Tourniquet Quantities
2018-17-Ground Ambulances Supporting Air Ambulance Operations
2018-18-CCT Air Protocol 
2018-19 EMS Licensure Application Registry
2018-21 Direct Pay Notice of form publication
2018-22 PPE and Responder Safety
2018-23 Crediting EMR Stations to EMT Psychomotor Exams
2018-25 Approval of Law Enforcement K-9 Continuing Education Course

2017

2017-01 County Level or Broader Level EMS Response Plan
2017-02 Legal Blood Draws – Interim Guidelines
2017-03 Naloxone Increase Dosage Option
2017-05 Critical Care Transport and Air Ambulance Transport Approved Educational Programs
2017-06 Minimum Staffing
2017-07 Drowning
2017-08 WannaCry Ransomeware Cyber Attack
2017-09 2017 Statewide Protocol, Scope of Practice, Required Medication List, and Required Vehicle Equipment and Supplies List Updates
2017-11 Revising 2017-10 Pediatric Safe Transport Devices
2017-12 Vehicle Equipment and Supplies Implementation Date
2017-17 Expired Medications
2017-19 Potential Sterile Saline Solution Shortage
2017-20 Limited Continuing Education on TRAIN PA
2017-21 Allowance of Multiple Pediatric Safe Transport Devices

2016

2016-001 QRS Staffing Clarification
2016-002 Critical Care Transport and Air Transport Approved Educational Programs
2016-003 Clarification for Chest Tubes in Paramedic Scope of Practice
2016-06 EMS Provider Certification Examination Fees
2016-07 Emergency Medical Services Provider Certification Application
2016-08 PHRN Scope and Anesthetic Administration
2016-09 Statewide ALS Protocol Update to Reflect Increased Naloxone Dosing in Altered Mental Status
2016-10 DirectPay Legislation

2015

2015-001 EMS Medication Shortage Procedure
2015-002 CPR Requirements
2015-003 2015 PA DOH Statewide Protocol Update
2015-004 AEMT Certified Providers
2015-005 2015 PA DOH Statewide Protocol Update
2015-006 Voluntary Rescue Service Recognition (VRSR) Water Rescue Application
2015-007A State Recognized CPR Programs
2015-008 Federal Specification for the Star-of-life Ambulance, KKK-A-1822F
2015-009 2015 PA DOH Statewide AEMT Protocol
2015-010 Use of ALS Monitor/defibrillators by BLS Providers and AEMT’s on vehicles used at the BLS and IALS Levels
2015-011 2015 PA DOH Statewide Protocol Update
2015-012 New Release Update
2015-013 EMS Providers performing legal blood draws
2015-014 EMS Certification Reminders
2015-015 Critical Care Transport and Air Ambulance Provider Expaned Scope of Pratice

2014

2014-001 State Recognized CPR Programs
2014-002 EMS Transfer of Care Form
2014-003 Ebola Update
2014-004 Naloxone
2014-005 Identification of Ebola Treatment Facilities
2014-006 Scope of Practice for Emergency Medical Providers
2014-007 EVZIO Naloxone Auto-Injector Donation Update