for EMS Clinicians


Maryland’s EMS clinicians represent the front line of prehospital care for the state’s most critically injured patients. From basic to advanced life support services, MIEMSS oversees certification and licensure for all the state’s 20,000 EMS clinicians. The Office of EMS Clinician Services provides resources for EMS clinicians at all stages of their careers. See below to learn about How to Become and EMT in Maryland

eLicensure System

MIEMSS' eLicensure Login @

EMS Clinician Protocols

The MD Medical Protocols for Emergency Medical Services Clincians. These are the Protocols for EMS, effective July 1, 2023.

eMEDS Resource Page

Access to eMEDS information, login help, release notes for updates, Training Documents and other resources.

Testing & Training

Access to MD EMS Board Approved Educational Programs, EMS Training for Licensure, Certification or Renewal, and training materials.

Certification & Licensure

Initial processes for prehospital clinician certification or license, as well as access to the reciprocity/reinstatement processes and military policy.

CARES Training

A clinician time-saver, how to readily enter comprehensive prehospital cardiac arrest information for export to MIEMSS and to the CARES registry.

Clinical Alerts

Alert information for Infectious Disease, Virus, PPE and related Memos/updates to EMS Protocols.

Application Login Assistance

Gain help to access eMEDS, eLicensure, Online Training Center, and Hospital Hub.

Critical Incident Stress Program

CISM assists first responders in mitigating and responding to the normal emotional and psychological effects experienced in their profession.

Mental Health First Aid

MHFA is a public education national certification course designed to teach the skills necessary to respond with care and support to individuals experiencing a mental health or substance use concern or crisis.

Whole Blood

Whole blood is used for emergency transfusions when minutes are critical, and is now available on board MSP's fleet of "Trooper" helicopters used in prehospital air medical response for critically injured patients.


Information on Compliance in the EMS System, including Jurisdictial & State-level Quality Assurance, the MIEMSS Clinician Review Panel & Incident Review Committee, and EMS Board disciplinary actions.


How to Become an EMT in Maryland

Photo of EMTs in the field.

Which best fits you?

Never Taken a Class

  1. Create an account via
  2. Enroll in an EMT Class — Which one best fits your education path?
  3. Complete an Initial EMT Application with your Educational Program during class and obtain a Course Number. More detailed information can be found here: Initial Certification for EMT – FAQ (PDF)
    • Complete and Pass Class
    • Complete Internship Packet
    • Take and Pass Maryland Practical
    • Take and Pass NREMT Cognitive
  4. Become affiliated as part of your application process. This includes volunteering with a fire/EMS department as well as employment with a fire/EMS department or commercial ambulance service.

2024 Award Nomination Forms

Nomination forms for the 2024 Annual Stars of Life and Right Care When It Counts Awards ​are open and available through the Smart Sheet application links. Please nominate individuals and teams throughout the year.

Final Deadline: Friday March 29, 2024

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Human Trafficking GET HELP

National Human Trafficking Hotline - 24/7 Confidential

1-888-373-7888 233733 More Information on human trafficking in Maryland

Customer Service Promise

The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services.

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Help Stop Fraud in State Government

The Maryland General Assembly's Office of Legislative Audits operates a toll-free fraud hotline to receive allegations of fraud and/or abuse of State government resources. Information reported to the hotline in the past has helped to eliminate certain fraudulent activities and protect State resources.

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