Emergency Medical Services



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

COVID-19 Information
Frequently Asked Questions for EMS Agencies and EMS Providers Regarding the COVID-19 Pandemic (March 9, 2020, updated January 5, 2021)
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: P-801 Temporary Exemption (March 14, 2020, updated January 23, 2021)
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 January 23, 2021)
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)
CoSD EMS COVID-19: EMS Training Program Modification Approval During the COVID-19 Pandemic (July 6, 2020)
CoSD
EMS Protocol Guidance for Expanded Stroke Windows, Midazolam, and
Ketamine
(October 24, 2020)
CoSD
EMS COVID-19: Safe EMS Handoffs and Transfer of Care During the
COVID-19 Pandemic
(October 28, 2020)
CoSD EMS COVID-19: Emergency Departments Requiring Complete Ambulance Diversion During the COVID-19 Pandemic (December 15, 2020)
CoSD
EMS COVID-19: Pediatric Trauma Patient Destinations During The
COVID-19 Pandemic
(December 21, 2020, updated December
22, 2020)
CoSD EMS COVID-19: Abbreviated Radio Report Option During the COVID-19 Pandemic (December 28, 2020)
CoSD EMS COVID-19: Transfer to Waiting Area Option During the COVID-19 Pandemic (December 30, 2020)
CoSD EMS Oxygen Delivery Modalities for Interfacility Transport Notification (December 31, 2020)
CoSD EMS COVID-19: Pediatric Patient Destination Directive During the COVID-19 Pandemic (January 8, 2021)
CoSD EMS COVID-19: Intramuscular Vaccine Administration Local Optional Scope of Practice During the COVID-19 Pandemic (January 14, 2021)
CoSD EMS COVID-19: UPDATED DOD Beneficiary Patient Destination Directive During the COVID-19 Pandemic (January 14, 2021, updated January 15, 2021)
CoSD EMS COVID-19: EMS Medical Director Urges Continued Protective Measures (January 23, 2021)
CDC and Other Federal Sources:
CDC Criteria for COVID-19 Screening
CDC Guidance for Healthcare Supply of Personal Protective Equipment
CDC Guidance for Cleaning and Disinfection for Non-emergency Transport Vehicles
EPA List of Disinfectants to Use Against 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)
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EMTs WITH LAPSING CREDENTIALS:
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.
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, you may renew now. In addition:
- Please submit this EMSA document in place of the skills sheet
Not sure what to do next? Please contact us at EMSCertifications.HHSA@sdcounty.ca.gov
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CoSD LEMSIS
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 LEMSIS Licensing Portal
- For more information on the whole system, click HERE

EMS Reference Documents

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