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Below is a compiled list of EMS-related trainings/credentials and their renewal cycles by WMEMS. This list is to serve only as an information tool for Training Officers & Service Directors. WMEMS will work to keep this list as up-to-date as possible (last update 6/6/24). The green and blue sections apply to most ambulance services while the orange section contains the medical director options from within the Statewide Treatment Protocols. Please reach out to wmems@wmems.org or call the office at 413-586-6056 with any questions.
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Certification or TopicApplicable LevelsFrequencySourceNotes/Links
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Drivers LicenseFR, E, A, & P5 years105 CMR 170.800https://www.mass.gov/regulations/105-CMR-17000-emergency-medical-services-system
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HCP-Level CPRFR, E, A, & P2 years, must include hand-on skill evaluations and must be a provider certificationAdvisory 23-10-01https://www.mass.gov/doc/advisory-23-10-01-cpr-and-acls-training-requirements-hands-on-skills-evaluation-component/download
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Advanced Cardiac Life SupportP2 years, must include hand-on skill evaluations and must be a provider certificationAdvisory 23-10-01https://www.mass.gov/doc/advisory-23-10-01-cpr-and-acls-training-requirements-hands-on-skills-evaluation-component/download
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MA EMS CertificationE, A, & P2 years105 CMR 170.800https://www.mass.gov/regulations/105-CMR-17000-emergency-medical-services-system
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MA First Responder TrainingFR3 years105 CMR 171https://www.mass.gov/regulations/105-CMR-17100-massachusetts-first-responder-training
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NREMT EMS CertificationE, A, & P (if not MA-only certified)2 years105 CMR 170.910https://www.mass.gov/regulations/105-CMR-17000-emergency-medical-services-system
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Nero's LawE, A, & P (if staffing an ambulance)didactic 2 years, practical initial onlyA/R 2-270https://www.mass.gov/doc/ar-2-270-requirements-for-police-dog-treatment-and-transport-for-ems-november-27-2023/download
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ASHERFR, E, A, & P (if staffing an ambulance)didactic every 2 years, practical recommendedA/R 2-280https://www.mass.gov/doc/ar-2-280-minimum-requirements-for-asher-training-for-ems-august-1-2023/download
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ALS/BLS Interface TrainingE, A, & P (if staffing ALS ambulances in mixed-staffing scenarios)initial only, update needed if agency policy/equipment changesA/R 2-260https://www.mass.gov/doc/ar-2-260-standards-for-alsbls-interface-training-pdf/download
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M&M RoundsE, A, & Pannually, number determined within affilation agreementAdvisory 23-11-01https://www.mass.gov/doc/advisory-23-11-01-mortality-and-morbidity-mm-rounds-required-for-all-ems-personnel-pdf/download
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12-Lead CompetencyP (if staffing an ambulance)2 yearsAdvisory 21-09-01https://www.mass.gov/doc/advisory-21-09-01-ensuring-paramedic-competency-in-12-lead-ecg-interpretation/download
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Cot SafetyFR, E, A, & P (if staffing an ambulance)annuallyAdvisory 1/24/2012https://www.mass.gov/doc/advisory-ensuring-ambulance-cot-safety-and-preventing-cot-tip-over-12412/download
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Interfacilty Transfer TrainingE, A, & P (for services engaging in IFTs)initial with updates "at a minimum" whenever new IFT equipment, medication, or procedures are approved for use.MA STP Appendix A1https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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BLS BronchodilatorsE (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.1https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Needle CricothyrotomyP (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.2https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Tranexamic AcidP (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.4https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Check & Inject Epinephrine by EMT BasicE (for services engaging in this MDO)initial & retraining of all EMTs 2 times per yearMA STP 6.5https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Acetaminophen IVP (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.6https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Surgical CricothyrotomyP (for services engaging in this MDO)initial & refresher training with hands-on practical component of both simulations and trachea cannulationsMA STP 6.7https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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BiPAP/CPAP by EMT Basic and/or Advanced EMTE & A (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.8https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Glucagon for Hypoglycemia by EMT BasicE (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.9https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Withholding and Cessation of Resuscitation
by EMT Paramedic		P (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.10https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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12 Lead ECG Acquisition and Transmission by EMT Basic and/or Advanced EMTsE & A (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.11https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Leave-Behind NaloxoneE, A, & P (for services engaging in this MDO)initial and "retraining as needed"MA STP 6.12https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Ultrasound Device Use by ParamedicsP (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.13https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Automated Transport VentilatorsP (for services engaging in this MDO)initial training on the specific ATV device, refreshed annually or as part of IFT trainingMA STP 6.14https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Oral AntiphyschoticsE, A, & P (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.15https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Supraglottic Airway Use by BLSE (for services engaging in this MDO)initial & refreshed annually (can be part of NCCR or other con-ed)MA STP 6.16https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Bolus IV/IO Nitroglycerin and Infusion for Acute Pulmonary EdemaP (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.17https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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Buprenorphine for Opioid Withdrawal-AdultP (for services engaging in this MDO)initial only, update needed if agency policy/equipment changes or as delineated in affiliation agreementMA STP 6.18https://www.mass.gov/doc/emergency-medical-services-statewide-treatment-protocols-version-20241-effective-april-22-2024-0/download
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