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EMS Providers

General information

Emergency Medical Technician (EMT) Certification & Renewal

The San Mateo County EMS Agency certifies and renewals EMT-Is in accordance with Division 2.5 of the Health and Safety Code and the California Code of Regulations Title 22.  EMT certification is recognized statewide.

See here for information on how to become a California certified EMT through San Mateo County.

General information

Patient Treatment Protocols


The use or possession of the protocol book does not exempt field personnel from the responsibility to know the information in the San Mateo Policy and Procedures Manual. This Protocol book does not replace the Policy and Procedures Manual and is provided as a tool for their reference.

Routine Medical Care

A group of standard assessments and treatments, including but not limited to airway, breathing and circulation, and the use of routine monitoring devices. See Routine Medical Care (G01) under General Care.

Care Outside of Protocol Guidelines

No set of protocols can cover all patient problems. We encourage the use of Base Physician contact in such events.

Universal Precautions

Disease agents may be present in any body substance or fluid, and the presence of disease agents may or may not be known. Clinically healthy individuals may carry and be capable of transmitting these agents. Precautions with all patients shall include routine use of appropriate barrier precautions to prevent skin and mucous-membrane exposure when contact with blood or other body fluids is anticipated. Refer to Routine Medical Care (G01) for more information. 

Prehospital personnel who are exposed to potentially infectious materials should immediately follow the reporting procedures set up by their agency. 

Hospital emergency departments have specific requirements for managing exposure to body substances experienced by prehospital care personnel. Emergency departments are expected to actively assist prehospital personnel in evaluating risk and recommending and/or providing appropriate prophylactic care when needed. Emergency responders are expected to identify the source patient to the hospital, and to comply with emergency department procedures (e.g. Royce log) when reporting potential exposure to infectious materials.

Prophylactic care recommendations for health care workers are found in the CDC May 23, 2018 updated U.S. Public Health Service guidelines for the Management of Occupational Exposures to HIV and Recommendation for Post Exposure Prophylaxis. Emergency departments are expected to follow these guidelines when managing prehospital exposure to potentially infectious substances.

General Care

Adult Care




Pediatric Care

Drug Lists

*For temporary reference: morphine sulfate dosage for pediatric pediatric patients. See 6/12 memo to Prehospital Care Providers re: Interim Pain Policies.

Field Feedback Form

Field providers: use the form below to submit policy, procedure and/or protocol feedback.

Click here to open the form in a separate browser window. 



    General information

    EMS Policy & Procedure Manual

    This page includes the policies, procedures, and treatment protocols for the San Mateo County prehospital care system. The information is provided by the San Mateo County Emergency Medical Services Agency, and is designed for use within San Mateo County. Updates and new policies are noted with the implementation date. Numeric gaps in document numbers indicate that a policy or procedure has been deleted and is not part of the current San Mateo County prehospital care system. Any questions should be directed to the EMS Agency at (650) 573-2564.


    San Mateo County EMS Peer Recognition Awards
    **Nominations for 2019/2020 due 3/31/2020**

    The San Mateo County Pre-hospital EMS Peer Recognition Awards for Excellence is an annual award program recognizing EMTs, paramedics, dispatchers, law enforcement and EMS system partners for excellence above and beyond the call of duty. 

    This program was developed in 2014 by your EMS system colleagues to recognize the extraordinary service and contributions that you and your EMS peers provide to our system and community.

    General information

    General Information

    San Mateo County began its paramedic emergency ambulance service program almost 30 years ago. One city, South San Francisco, became a paramedic provider in 1975. In 1976, San Mateo County became the first California county to conduct a Request for Proposal (RFP) process granting an exclusive operating area for emergency ambulance service. Over the next two years a countywide system of paramedic-staffed ambulances was established.

    General information


    General information

    Maddy Fund

    Important Update: A portion of the money we normally receive for physician reimbursement through the Maddy Fund, the Emergency Medical Services Appropriation (EMSA) Funding, has been cut.  Please note that we are still administering the Maddy Fund.  Beginning July 1, in the fiscal year 2009-2010, all EMSA funding normally provided to local EMS agencies (LEMSA) is to be cut by the State of California.