Maryland Institute for
Emergency Medical Services Systems

Protocols are occasionally amended during the year. Please check back periodically to be sure you have the most up-to-date release.

Application for Participation in an Optional/Pilot Program - Update 1/2022

• MIH: COVID-19 Monoclonal Antibody Protocol (Optional Supplemental Protocol) - November 16, 2021
• Supporting memo from the Office of the State Medical Director
• Direct to Triage Protocol (Optional Supplemental Protocol) - October 13, 2021
• Supporting memo from the Office of the State Medical Director
• 2021 MD Medical Protocols for EMS - Clarifications - July 8, 2021
• 2021 Protocols (Eff 7/1/2021) - Complete Manual (Online/Mobile Version)
• 2021 Protocols (Eff 7/1/2021) - Complete Manual (Print Quality Version)

Protocols are occasionally amended during the year. Please check back periodically to be sure you have the most up-to-date release.

• Interim Protocol Update Memo - Ketamine for Severe Agitation - August 20, 2020
• Pilot Program - Procare/Kaiser Pilot Mobile Integrated Health - October 2020
  • Procare MIH - Imipenem/Cilastatin (Primaxin I.M) - November 2, 2022
  • Pilot Program Antibiotic/Formulary Addendum – August 16, 2022
  • Pilot Program Protocol Additions - June 14, 2022
• 2020 Protocols (Eff 8/1/2020) - Complete Manual - Edition Aug 1, 2020, Release Sep 14, 2020
• 2020 Protocols (Eff 8/1/2020) - Changed Pages - Edition Aug 1, 2020, Release Sep 14, 2020
• If you have a printed 8 ½ x 11” three-ring-binder format of the protocols, please insert the changed pages noted above.
• 2020 Protocols (Eff 8/1/2020) - Update from 2019 Protocols Summary Spreadsheet - Jun 10, 2020
• 2020 Protocols (Eff 8/1/2020) - Complete Manual - Edition 8/1/2020, Release Jun 10, 2020