Emergency Medical Services

EMS Blue Line
EMS Blue Line

All Hazard Health Services Capacity Management Plan - LEVEL 1 (Full Activation)


COVID-19 Information

County of San Diego:

Frequently Asked Questions for EMS Agencies and EMS Providers Regarding the COVID-19 Pandemic  (March 9, 2020, updated September 14, 2020)

CoSD Public Health Services Epidemiology Unit Updates (updated continuously)


CoSD EMS COVID 19 Destination Considerations Memo (February 14, 2020)

CoSD EMS COVID 19 Infection Control and Communicable Disease Reporting Memo (February 25, 2020, updated March 21, 2020)

CoSD EMS Communicable Disease Reporting Form

CoSD EMS Treatment Considerations During The COVID-19 Outbreak  (March 11, 2020)

CoSD EMS COVID 19 Non Patient Passenger Restriction Memo (March 12, 2020)

CoSD EMS COVID 19 MDI Option Approval Memo (March 14, 2020)

CoSD EMS COVID 19 AHA Card Expiration Extension Memo (March 14, 2020, updated April 1, 2020)

CoSD EMS COVID 19 EMS Medical Director Urges Social Distancing (March 15, 2020)

CoSD EMS COVID 19 Assess and Refer Option Memo (March 27, 2020, updated August 27, 2020)

CoSD EMS COVID 19 EMS Personnel Masking Recommendations (April 3, 2020)

CoSD EMS COVID 19 Safe EMS Handoff at Receiving EDs (April 5, 2020)

CoSD EMS COVID 19 Annual County Of San Diego EMS Protocol Updates (April 10, 2020)

CoSD EMS COVID 19 Cardiac Arrest Management Principles (April 20, 2020)

CoSD EMS COVID 19 POLST Verbal Signature Guidance (April 24, 2020)

CoSD EMS COVID 19 Provisional Paramedic Extension Memo (April 24, 2020)

CoSD EMS COVID-19 EMS Medical Director Urges Continued Caution (June 26, 2020)


CDC and Other Federal Sources:

CDC Criteria for COVID-19 Screening

Interim CDC Guidance for EMS

CDC Guidance for Healthcare Supply of Personal Protective Equipment

CDC Guidance for Risk Assessment for Healthcare Personnel with Potential to Patients with Coronavirus Disease 2019 (COVID-19)

CDC Guidance for Cleaning and Disinfection for Non-emergency Transport Vehicles

EPA List of Disinfectants to Use Against COVID-19

Temporary Policy for Preparation of Certain Alcohol-Based Hand Sanitizer Products During the Public Health Emergency (COVID-19)


California EMS Authority:

EMSA COVID-19 EMS Resource Portal

EMSA Interim EMS Guidelines for COVID-19 (March 3, 2020)

EMSA Personnel Guidance (March 30, 2020)

EMSA Paramedic Licensure Fact Sheet (April 12, 2020)



On March 30, the Governor of the State of California issued an Executive Order that, in part, changed several credentialing regulations. Under this order, some EMS personnel credential regulations have been temporarily altered:

  • The requirement for a completed skills competency verification by EMTs for renewal or reinstatement is waived for the duration of the COVID-19 declared State of Emergency.
  • All EMS personnel (EMT, AEMT, and paramedic) with licenses or certifications (or local accreditation) expiring in March, April, or June of 2020 shall have their license or certification expiration dates extended until July 31, 2020. Note: this extension has ended

County EMS encourages EMTs to renew now to take advantage of the skills competency verification waiver:

  • Renewing EMTs will not be required to submit a completed skills competency verification (“skill sheet”). Since this extension is tied to the State of Emergency, County EMS cannot predict the end date.
  • If you have your 24 hours of CE and a BLS CPR card (including expiring AHA CPR cards eligible for extension), please renew now. In addition:
    • For EMTs, please submit this EMSA document in place of the skills sheet
    • EMTs or paramedics with AHA cards lapsing between March and May 2020, please see this County EMS memo

Not sure what to do next? Please contact us at EMSCertifications.HHSA@sdcounty.ca.gov



The County of San Diego EMS, with the cooperation of local EMS partners, has implemented a new electronic, cloud-based data program, the CoSD Local EMS Information System (CoSD LEMSIS):

  • All prehospital personnel credentialing is now online through the Licensing Portal found HERE
  • For more information on the whole system, click HERE


San Diego County Ambulance Service Consultant Reports (2018)

EMS Blue Line

EMS Reference Documents

EMS Blue Line