{"id":9606,"date":"2025-03-01T13:59:08","date_gmt":"2025-03-01T18:59:08","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/medicaldirection\/"},"modified":"2025-03-02T00:27:58","modified_gmt":"2025-03-02T05:27:58","slug":"medicaldirection","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/ems\/medicaldirection\/","title":{"rendered":"ems\/medicaldirection ~  EMS Medical Direction  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n\n\n  <br>\n\n\n  \n\n\n  <div class=\"container\" id=\"main_header\">\n\n\n    <!-- BEGIN readspeaker div -->\n\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/ems\/medicaldirection.html\" title=\"Listen to this page using ReadSpeaker\">\n\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n\n      <\/a>\n\n\n    <\/div>\n\n\n    <!-- END readspeaker div -->\n\n\n\n\n\n    \n\n\n    <header class=\"pull-left\">\n\n\n      <h1><!--[type=EDIT name=\"Page Title\"]-->EMS Medical Direction<!--[END]--><\/h1>\n\n\n    <\/header>\n\n\n  <\/div><br>\n\n\n \n\n\n  <div class=\"container\">\n\n\n    <div class=\"row\">\n\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n\n          <div class=\"panel sectionmenu_panel\">\n\n\n            <div class=\"panel-heading\">\n\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n\n            <\/div>\n\n\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; Programs<\/a><\/li>\n        <li><a href=\"\/dph\/ofclocations.html\">Office Locations<\/a><\/li>\n        <li><a href=\"\/dph\/contact.html\">Contact Info<\/a><\/li>\n      \n        <li><a href=\"\/calendars.html\" target=\"_blank\">Calendar<\/a><\/li>\n      <\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">\n        <li><a href=\"\/dph\/servicesaz.html\">A-Z Services<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/environmental.html\">Air &#038; Water Quality<\/a><\/li>\n        <li><a href=\"\/dph\/ss\/vitalstats.html\">Birth, Death, &#038; Marriage Records<\/a><\/li>\n        <li><a href=\"\/dph\/clinics.html\">Clinics<\/a><\/li>\n        <li><a href=\"\/dph\/healthdatastats.html\">Health Data &#038; Statistics<\/a><\/li>\n        <li><a href=\"\/dph\/php\/emsps.html\">Emergency Preparedness<\/a><\/li>\n        <li><a href=\"\/dph\/healthandwellness.html\">Health &#038; Wellness<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthyhomes.html\">Healthy Homes<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthywp.html\">Healthy Workplaces<\/a><\/li>\n        <li><a href=\"\/dph\/lab\/labs.html\">Laboratory<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/feir.html\">Restaurant Inspections<\/a><\/li>\n        <li><a href=\"\/dph\/screen.html\">Screening and Testing<\/a><\/li>\n        <li><a href=\"\/dph\/chca\/dphwichominf01.html\">WIC<\/a><\/li>\n        <li><a href=\"\/dph\/servicesadd.html\">Additional Services<\/a><\/li><li>\n      <\/li><\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n        <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n        <li><a href=\"\/dph\/factsheetsaz.html\">A-Z Fact Sheets<\/a><\/li>\n        <li><a href=\"\/dph\/pubreportsaz.html\">A-Z Publications &#038; Reports<\/a><\/li>\n        <li><a href=\"\/dph\/diseasesandconditions.html\">Diseases &#038; Conditions<\/a><\/li>\n        <li><a href=\"\/dph\/faq.html\">FAQ&#8217;s<\/a><\/li>\n        <li><a href=\"\/dph\/php\/alerts.html\">Health Alerts<\/a><\/li>\n        <li><a href=\"\/dph\/healthylifestyles.html\">Healthy Lifestyles<\/a><\/li>\n        <li><a href=\"\/dph\/hipaa.html\">HIPAA<\/a><\/li>\n        <li><a href=\"\/dph\/regs.html\">Regulations<\/a><\/li>\n        <li><a href=\"\/dph\/forms.html\">Request Forms<\/a><\/li>\n        <li><a href=\"\/dph\/links.html\">Links &#038; Resources<\/a><\/li>\n        <li><a href=\"http:\/\/delaware.gov\/help\/foia_request.shtml\">FOIA Request Form<\/a><\/li>\n      <\/ul>\n    <\/li>\n    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n      <ul id=\"SocialMenu\">\n        <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" target=\"_blank\" title=\"Division of Public Health Facebook Page\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n        <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" target=\"_blank\" title=\"Delaware Health and Social Services Twitter Account\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n        <!-- <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n        <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n        <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n        <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n        <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n        <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> -->\n      <\/ul>\n    <\/li>\n  <\/ul>\n\n\n              <\/div>\n\n\n            <\/div>\n\n\n          <\/div>\n\n\n        <\/div><br>\n\n\n      <\/div>\n\n\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n\n  <!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n\n\n<p><img decoding=\"async\" alt=\"\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/OEMSLogo1.jpg\" style=\"width: 459px; height: 328px;\"><\/p>\n\n\n\n\n\n\n\n\n\n<p>This program is responsible for providing medical oversight of the statewide EMS system (Advanced and Basic Life Support), review and modification of the statewide standard treatment protocols, oversight of medical command facilities, conducting research and oversight of the statewide EMS quality assurance program.<\/p>\n\n\n\n\n\n\n\n\n\n<p>In accordance with Delaware Office of EMS (OEMS) rules, physicians are not permitted to provide on-line medical direction to Delaware EMS providers without first completing the Delaware Base Station Physician Course and then issued a Medical Control Physician Number by the OEMS. <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/basestationphysicianform.pdf\" title=\"Delaware Medical Control Physician Information Form\">Medical Control Physician Information Form is available in PDF format<\/a>.<\/p>\n\n\n\n\n\n\n\n\n\n<h2>Advanced Life Support Protocols<\/h2>\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2024ALSProtocolsFINAL122024update.pdf\" style=\"color: rgb(139, 5, 5); text-decoration-line: none;\" title=\"Paramedic Standing Orders, Guidelines, and Policies 2022\"><strong>Paramedic Standing Orders, Guidelines, and Policies, Effective November 1, 2024 PDF Format<\/strong><\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2ALSFinal2022.pdf\" title=\"Paramedic Standing Orders, Guidelines, and Policies 2022\">Paramedic Standing Orders, Guidelines, and Policies, Effective November 1, 2022 PDF Format<\/a><\/li>\n\n\n\n\n <li><strong><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/PHARMACOLOGYMANUAL2024.pdf\" style=\"color: rgb(139, 5, 5); text-decoration-line: none;\" title=\"Paramedic Standing Orders Pharmacology Manual, Edition: 2019\">Paramedic Standing Orders Pharmacology Manual, Edition: 2024 PDF Format<\/a><\/strong><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2018ChemicalBioterrorismRadiationProtocolsigned2023.pdf\" title=\"Paramedic Standing Orders and Policies For Chemical Terrorism, Bioterrorism, Radiation Injury and Pandemic Illness\">Paramedic Standing Orders and Policies For Chemical Terrorism, Bioterrorism, Radiation Injury and Pandemic Illness, Effective September 25, 2018 PDF Format<\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/TEMS102622.pdf\" style=\"color: rgb(139, 5, 5); text-decoration-line: none;\" title=\"Paramedic Standing Orders and Policies For Tactical Emergency Medical Support Program\">Paramedic Standing Orders and Policies For Tactical Emergency Medical Support Program, Effective November 1, 2022 PDF Format<\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2018StateToxmedicProgram07032023.pdf\" title=\"Paramedic Standing Orders and Policies For Toxmedic Program\">Paramedic Standing Orders and Policies For Toxmedic Program, Effective September 25, 2018 PDF Format<\/a><\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<h2>Basic Life Support Protocols<\/h2>\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2024BLSProtocols.pdf\" style=\"color: rgb(139, 5, 5); text-decoration-line: none;\" title=\"Basic Life Support Standing Orders for Prehospital and Interfacility Patients 2020\"><strong>Basic Life Support Protocols, Guidelines and Standing Orders for Prehospital and Interfacility Patients, Effective November 1, 2024 PDF format<\/strong><\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2022BLSProtocolsFINAL060822.pdf\" style=\"color: rgb(139, 5, 5); text-decoration-line: none;\" title=\"Basic Life Support Standing Orders for Prehospital and Interfacility Patients 2020\">Basic Life Support Protocols, Guidelines and Standing Orders for Prehospital and Interfacility Patients, Effective November 1, 2022 PDF format<\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2018BLSFireNerveAgentAntidoteProtocolsignedupdate.pdf\" title=\"Basic Life Support and Fire Service Standing Orders for Nerve Agent Antidote Program 2018\">Basic Life Support and Fire Service Standing Orders for Nerve Agent Antidote Program, Approved by Board of Medical Practice September 18, 2018 PDF Format <\/a><\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<h2>Public Safety Personnel Protocols<\/h2>\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/PeaceOfficerNALOXONEMedicalStandingOrder2022.pdf\" title=\"Public Safety Personnel Naloxone (Narcan) Standing Order\">Public Safety Personnel Naloxone (Narcan) Standing Order, Effective November 1, 2022 PDF Format <\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/2018PublicSafetyNerveAgentAntidotesupdatedsigned.pdf\" title=\"Public Safety Agency Standing Orders for Self Administered Nerve Agent Antidote Program\">Public Safety Agency Standing Orders for Self Administered Nerve Agent Antidote Program, Approved by Board of Medical Practice September 18, 2018 PDF Format <\/a><\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<h2>Medical Director Policies<\/h2>\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/freestanding_eddestinationpolicy2013.pdf\" title=\"Delaware EMS Free-Standing Emergency Department Destination Policy\">Delaware Emergency Medical Services Free Standing Emergency Department Destination Policy, Effective March 11, 2013 PDF format<\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/hospitaldiversionpolicy2013.pdf\" title=\"Delaware Emergency Medical Services Hospital Diversion Policy 2013 Addition of Free Standing EDs\">Delaware Emergency Medical Services Hospital Diversion Policy 2013 Addition of Free Standing Emergency Departments, Effective March 11, 2013 PDF format<\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/StateofDelawarePrehospitalBloodAdministrationOperationalPlan07032023.pdf\" style=\"color: rgb(139, 5, 5); text-decoration-line: none;\" title=\"Delaware Emergency Medical Services Hospital Diversion Policy 2013 Addition of Free Standing EDs\">Delaware Emergency Medical Services Pre-Hospital Blood Administration, Effective May 23, 2023 PDF format<\/a><\/li>\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/BupeProtocolUpdate070323.pdf\" style=\"color: rgb(139, 5, 5); text-decoration-line: none;\" title=\"Delaware Emergency Medical Services Hospital Diversion Policy 2013 Addition of Free Standing EDs\">Delaware Emergency Medical Services Buprenorphine Pilot Protocol PDF format<\/a><\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<p>For more information, please contact the <a class=\"anchors_link\" href=\"\/dph\/contact.html#emergencymedicalservices\">program office<\/a>.<\/p>\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n <li><a href=\"ems.html\">Return to Delaware EMS homepage<\/a><\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n<p><br>\n\n\n\n\n<\/p><p class=\"smalltext\"><a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><img loading=\"lazy\" decoding=\"async\" alt=\"Download Adobe Acrobat Reader\" height=\"21\" src=\"\/wp-content\/uploads\/dhss\/img\/getacro60.gif\" width=\"60\"><\/a> Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader.  A free copy of Adobe Acrobat Reader can be downloaded directly from <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\">Adobe <\/a>. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe&#8217;s <a href=\"http:\/\/access.adobe.com\">Accessibility Tools page<\/a>.<\/p>\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n  <!--[END]-->\n\n\n  \n\n\n      <\/div>\n\n\n    <\/div>\n\n\n  <\/div><!-- \/container -->\n\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen EMS Medical Direction Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections Screening and Testing WIC Additional Services Information [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9579,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-9606","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9606","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=9606"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9606\/revisions"}],"predecessor-version":[{"id":10823,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9606\/revisions\/10823"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9579"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=9606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}