Emergency Medical Services
All-Hazard Health Services Capacity Management Plan - LEVEL 3 Partial Activation
| System Stress Tool | Tool Status | Effective Date | End Date | Notes |
| 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) |
| 9-1-1 Response Mode Alteration | AVAILABLE | May 27, 2022 | July 31, 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. |
| Assess and Refer Option | AVAILABLE | May 27, 2022 | September 1, 2022 | The use of the Assess and Refer policy REQUIRES agency reporting to the LEMSA |
| 4:1 Paramedic to Patient ratio at EDs | ACTIVE | -- | -- | LEMSA-allowed procedure and available when necessary |
| EMS Transfer to Waiting Area Option | ACTIVE | December 30, 2020 | Until further notice | |
| Patient Masking Recommendation | ACTIVE | April 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 |
| DoD Beneficiary Destination Recommendation | ACTIVE | September 15, 2022 | Until further notice | |
| EMS Treatment Considerations | ACTIVE | March 11, 2020 | Until further notice | |
| Abbreviated Radio Report Option | ACTIVE | December 28, 2020 | Until further notice | |
| Non-Patient Passenger Restrictions | ACTIVE | March 12, 2020 | Until further notice | |
| Ambulance Strike Team | AVAILABLE | -- | -- | Agencies/Hospitals may request ASTs (or other resources) through the MHOAC at their expense |
2022 - 2023 Protocol Updates
2022 - 2023 protocol packet available now.
All changes take effect July 1, 2022.
Please see the protocol change log for updates.
Guidance regarding Human Monkeypox
Please see the EMS Medical Director's guidance for EMS professionals regarding the Human Monkeypox situation.
Additional information may be found at the County of San Diego Epidemiology & Immunization Services Branch Human Monkeypox update page here.
County EMS needs your feedback!
The San Diego County EMS Office is conducting a 5-year strategic planning process. Part of this plan development includes gathering input from the EMS community.
County EMS Procurements
| EMS Solicitations | Name and Commodity Code(s) |
RFP 11597 -ON HOLD- | Comprehensive Evaluation of Base Hospital System and Trauma Catchment 80100000, 80101504 and 85100000 |
| RFP 10978 | CSA-17 Paramedic Service Level
Ambulance Services 921019.0200 Please check BuyNet for updates via Addendum 1, posted 6/10/2022, Addendum 2, posted 6/24/2022. |
Interested parties must register in BuyNet and select appropriate commodity codes in order to receive updates. BuyNet registration instructions.
Medication 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, 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:
| Normal saline-related guidance | ||
| April 20, 2022 | ||
| Epinephrine-related guidance | ||
| April
7, 2022 | Use of expired medications | |
| April
7, 2022 | New option for push-dose
epinephrine preparation | |
| March 29, 2022 | Mitigation strategies | |
| February 28, 2022 | Cardiac and push-dose epinephrine guidance | |
| Dextrose-related 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 this page.
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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
support services.
CoSD LEMSIS
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):
- All prehospital personnel credentialing is now online through the LEMSIS Licensing Portal
- For more information on the whole system, click HERE
EMS Reference Materials
Cardiac Arrest Best Practice Module from the Cardiac Arrest Task Force
Designated specialty facilities:
Regulatory Agency Information
- Medical Director
- Committee Minutes & Agendas
- County Service Areas
- Education & Training
- Certification and Accreditation
- Ambulance Ordinance
- Prehospital System
- Trauma System
- California Health and Safety Code
- California Code of Regulations
- About LEMSA
Other Program Information
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
O-202)
5560 Overland Avenue, Suite 400
San Diego, CA 92123
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