skip navigationOfficial State of NH Site
DOS Logo Fire Standards & EMS Banner
NIMS Compliance | Statewide Patient Care Protocols | Training, Education, Exams | Searchspace


Bureau of Emergency Medical Services

The Bureau of Emergency Medical Services (BEMS) is one of the three bureaus that make up the Division of Fire Standards and Training & Emergency Medical Services. The ultimate goal of the Bureau of EMS is to improve patient safety and high quality out-of-hospital emergency care for everyone in New Hampshire.

The Bureau of EMS is responsible for the following:

  • managing the training, testing, and licensing of EMS providers, units, instructors, training agencies, and EMS vehicles, including wheelchair vans (Law: RSA 153-A) (Rules: Saf-C 5900),
  • supporting, promoting, and offering education and public information regarding the availability and use of the EMS and trauma services system,
  • providing for the training and testing (written/practical) of emergency medical care providers (RSA 153-A:11),
  • planning and providing resources for a cooperative effort between private and governmental agencies and emergency medical and adult/pediatric trauma services in the event of an emergency, including a response to a mass casualty incident,
  • facilitating the establishment and maintenance of a communications network that addresses citizen access to the emergency medical and trauma services system and communications between all of the agencies and facilities involved in the care or transportation of patients (EMS Units adobe acrobat reader symbol, healthcare facilities, EMS Regional Councils, local, county, and state agencies),
  • establishing a data collection and analysis capability that provides for the evaluation of the emergency medical and trauma services system (TEMSIS),
  • carrying out investigations, as provided under RSA 153-A:14, and
  • preparing budgets and grant requests for funds needed to maintain an effective emergency medical and trauma services system.

Questions? Please contact the appropriate EMS staff person (See "Contact Us"). General questions can be emailed to


The Division of Fire Standards and Training & Emergency Medical Services is announcing that the Public Health Incident previously declared by NH Department of Health and Human Services has NOT been extended and will officially expire on 11 May 2023.

With the expiration of the Public Health Incident, all COVID-19 Emergency Protocols and any modifications to ambulance staffing requirements are no longer allowed. Please don’t hesitate to contact Chief Romanello,, with questions, concerns, and/or comments related to this communication.

Version 8.1 Cover


2020 State of New Hampshire Patient Care Protocols Version 8.1

star of life
EMS Licensing Process


National Registry Recert 2.0
Course Catalog and Online Training Resources

NOTE: For information regarding Fire and EMS Training throughout the state, visit:
Course Catalog (Fire, EMS, Exams & Specialty Events including the EMS and Fire Continuing Education Courses, Conferences & Seminars page)
Online Training Resources (NHFA & EMS Resource Center, Online Learning Academy, Helpdesk)


EMS Warm Zone

EMS in the Warm Zone Active Shooter Best Practice GuideAdobe Acrobat Reader Symbol


More News from the Bureau of Emergency Medical ServicesNews and Events




Of Interest

ACS Trauma System Consultation Report-2016 Adobe Acrobat Reader Symbol
NAEMT LogoCode of Ethics
NH Pediatric EMSNH EMS for Children
EMS Best Practices
EMS Bulletins
Mobile Integrated Healthcare Prerequisite Protocol Administration PackageAdobe Acrobat Reader Symbol
Sign up for periodic updates by subscribing to the FST & EMS mailing list


Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

Microsoft Word Symbol Microsoft Word format. Here is a list of apps that can open Word files.

New Hampshire Department of Safety | 33 Hazen Drive | Concord, NH 03305
TDD Access: Relay NH 1-800-735-2964
nh seal | Privacy Policy | Accessibility Policy