Emergency Medical Services
All-Hazard Health Services Capacity Management Plan - LEVEL 3 Partial Activation
|System Stress Tool||Tool Status||Effective |
|4:1 Patient to EMS Professional ratio at EDs||ACTIVE||--||--||LEMSA-allowed procedure and available when necessary|
|9-1-1 Response Mode Alteration||AVAILABLE||5/27/2022||--||P-801 waiver authorizations allow agencies without approved alternate dispatch plans to send one paramedic to calls for service when necessary. Agency reporting to the LEMSA REQUIRED.|
|Abbreviated Radio Report Option||ACTIVE||12/28/2020||Until further notice|
|Ambulance Strike Team||AVAILABLE||--||--||Agencies/Hospitals may request ASTs (or other resources) through the MHOAC at their expense|
|Assess and Refer Option||ACTIVE||1/5/2023||2/28/2023||The use of the Assess and Refer policy REQUIRES agency reporting to the LEMSA|
|DoD Beneficiary Destination Directive||ACTIVE||9/1/2022||Until further notice|
|EMS Transfer to ED Waiting Area Option||ACTIVE||12/19/2022||Until further notice|
|EMS Treatment Considerations||ACTIVE||3/11/2020||Until further notice|
|EMT Transport Option Following On Scene Paramedic Treatment||ACTIVE||12/19/2022||Until further notice||Agency reporting to the LEMSA REQUIRED.|
|Health Services Capacity Task Force Plan Level Staffing Augmentation||ACTIVE||Per MOA/ contract||--||County-contracted Ambulance Operational Areas with Health Services Capacity Task Force Plan Level staffing augmentation should contact their County Contracting Officer’s Representative (COR)|
|Non-Patient Passenger Restrictions||ACTIVE||3/12/2020||Until further notice|
|Patient Masking Recommendation||ACTIVE||4/3/2020||Until further notice||To reduce the risk of viral spread, and in compliance with current CDPH regulations, EMS providers are reminded that masks must be worn in all healthcare settings|
Online Public Comment Submission
Community engagement and communications are important to the EMS Office. Stakeholder input is a critical element in the policy and protocol development process.
The new online public and stakeholder comment process is active! Please comment on policy drafts on this webpage.
EMS Office Strategic Plan Complete
The County of San Diego's EMS Strategic Plan 2023-2027 is complete. This new document brings a new focus to the strategic vision of County EMS and San Diego County EMS as a whole.
The plan development process included:
- a community-led steering committee,
- key stakeholder interviews,
- community surveys, and
- other opportunities for feedback.
The EMS Office received more than 1,000 individual comments, suggestions, and recommendations.
We are pleased the community’s voices were heard and included in support of the Strategic Plan’s creation.
EMS Cardiac Monitor Data Retention Community Consensus Guidance
A community workgroup was formed as part of the San Diego County EMS Office quality assurance/quality improvement (QA/QI) program. The workgroup has developed a consensus guidance document to provide communitywide standards in EMS cardiac monitor data management.
This guidance is intended to enhance the QA/QI process by ensuring standardization in EMS cardiac monitor data integration and retention. The EMS Medical Director has released a memo with more information.
Treatment on the EMS Gurney Community Consensus Guidance
A community workgroup has developed a consensus guidance document to provide focused, patient-centered guidance for hospital treatments that may be performed prior to patient Transfer of Care.
This guidance is intended bring clarity to interventions that are reasonable to perform during this time interval in order to facilitate a smoother patient handover process. The EMS Medical Director has released a memo with more information.
Recommendation for COVID and Flu Vaccinations
With concern for the surge in COVID cases this fall, it is important for all of us to be up to date on our vaccinations. The harsh influenza season in the Southern Hemisphere suggests we may experience a severe flu season concurrent with this potential surge in COVID cases.
The EMS Medical Director strongly recommends COVID and flu vaccinations and has released a memo with more information.
2022 - 2023 Protocol Updates
Xylazine Alert for EMS
Transfer of Care Data Collection Update
County EMS is pleased to announce implementation of modifications to the data collection system for Transfer of Care (TOC), effective July 1, 2022.
EMS transport units will no longer be required to manually record an electronic timestamped TOC within the FirstWatch application (the “TOC button”).
Instead, the ePCR receiving hospital signature timestamp will be imported into the County EMS TOC dataset. This improvement will result in a highly accurate, robust, and reliable data stream.
Please see this memo for more information.
Medication and Equipment Shortage Information
The San Diego County EMS Office is aware that normal saline, epinephrine 1:10,000 1 mg/10 mL (0.1 mg/mL) pre-filled syringes, injectable glucagon, and injectable dextrose 50% vials are in limited supply and may be difficult to obtain.
Please see the EMS Medical Director's communications regarding these shortages:
|Thoracostomy needle-related guidance|
|October 6, 2022|
|Activated charcoal-related guidance|
|September 29, 2022|
|Critical EMS pharmaceutical guidance|
9, 2022 |
|August 9, 2022|
|Normal saline-related guidance|
|April 20, 2022|
7, 2022 ||Use of expired medications |
7, 2022 ||New option for push-dose
epinephrine preparation |
|March 29, 2022||Mitigation strategies|
|February 28, 2022||Cardiac and push-dose epinephrine guidance|
|February 28, 2022|
Notify County EMS via EMSNotifications@sdcounty.ca.gov when medication or supply shortages resolve.
COVID-19 Information for EMS Professionals
More information from County EMS, including links to policy updates and guidance for EMS professionals, are posted on the COVID-19 Information page.
Behavioral Health Program for First Responders
The Fire Captain Ryan Mitchell behavioral health support program is a free, confidential 24/7 peer-supported referral hotline.
This program aims to increase awareness about local mental health
resources and decrease the stigma and barriers associated with First
Responders seeking behavioral health
The County of San Diego EMS, with the cooperation of local EMS partners, has implemented a new electronic, cloud-based data program, called the CoSD Local EMS Information System (CoSD LEMSIS):
EMS Reference Materials
Designated specialty facilities:
County EMS Grantville offices have officially moved!
All County EMS Staff are working remotely. There are NO in-person services available. Please call 619-285-6429 or email us with any questions.
Here is our new mailing address:
San Diego County EMS Office (MS
5560 Overland Avenue, Suite 400
San Diego, CA 92123