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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

Emergency Protocol COVID-19

Emergency Protocols:

Emergency Protocol - Personal Protective Equipment V.3 June 17, 2021
Emergecny Protocol - COVID-19 V.5 June 17, 2021
Emergency Protocol - COVID-19 Destination Determination V.2 June 17, 2021 DISCONTINUED
Emergency Protocol - COVID-19 Testing V.3 December, 2020
Emergency Protocol - COVID-19 Temporary MIH June 17, 2021
Emergency Protocol - COVID-19 MIH Admin Packet April 17, 2020
Emergency Protocol - COVID-19 Immunization V.2 February 4, 2021

2020 State of NH Patient Care Protocols Version 8.0


2020 State of New Hampshire Patient Care Protocols Version 8.0

COVID-19 Information
COVID-19 Information - NH Department of Health & Human Services


National Registry Recert 2.0
star of life
EMS Licensing Process
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)

Youtube Video: COVID-19 Protocol Training Video

EMS Warm Zone
Homeland Security Warm Zone EMS Grant Information
EMS in the Warm Zone Active Shooter Best Practice GuideAdobe Acrobat Reader Symbol
EMS in the Warm Zone Active Shooter Event Grant Equipment ListAdobe Acrobat Reader Symbol


More News from the Bureau of Emergency Medical ServicesNews and Events


May 19, 2021

National EMS Week Letter 2021


March 4, 2021
Protocol Committee Meeting Schedule 2021 Adobe Acrobat Reader Symbol

  November 27, 2019
Medicare Ground Ambulance Data Collection Information Session: The NH Division of Fire Standards and Training & EMS and Concord Fire Department have partnered up to assist communities in understanding the new Medicare reporting requirements that are beginning in 2020. This two hour information session will be presented by Deputy Chief Aaron McIntire of the Concord Fire Department and the intended audience is service leaders and/or those officers that are responsible for EMS service within their departments. The session will be on December 11, 2019 at 6pm at the NH Fire Academy, in the Auditorium. Please see the three attachments below for more information.
Medicare Ground Ambulance Data Collection Information Session SynopsisAdobe Acrobat Reader Symbol
Medicare Ground Ambulance FAQsAdobe Acrobat Reader Symbol
  November 27, 2019
State of NH Patient Care Protocols Version 8.0 - PUBLIC HEARING The NH Division of Fire Standards and Training & EMS will be offering two sessions on December 18, 2019 for the opportunity of public comment in reference to State of NH Patien Care Protocols Version 8.0. The first session is at 3pm, and the second is at 5pm. Both will be held at the NH Fire Academy in Classroom 1. Any parties wishing to make comment but cannot attend these dates may do so via email,, until January 20, 2020.
Please view the Draft 8.0 version on the protocol page:
  December 7, 2018
NH Patient Care Protocols, Version 7.1 is now available
  December 7, 2018
2018 State of New Hampshire NHSTA Reassessment Report -Link goes to the Documents & Forms Section.
  November 29, 2018
Attention! As of January 1, 2017 all new and lapsed/reapplying EMS provider license applicants must complete a Criminal Background Check. Click the Star of Life icon above for more information.
  July 14, 2017
EMS Narcan Use Data: Monthly updates are publically available in "NH Drug Monitoring Initiative Reports"
  April 4, 2017
Memo for Out-of-State Education Programs Adobe Acrobat Reader Symbol
  January 27, 2017
EMS in the Warm Zone Operations
  NH Pediatric EMSNH EMS for Children - Please take a moment to look at this page!
  March 20th, 2015
Law Enforcement Provider License Information-Document under review


Of Interest

ACS Trauma System Consultation Report-2016 Adobe Acrobat Reader Symbol
NAEMT LogoCode of Ethics
Brochure: Licensing Laws and Rules Adobe Acrobat Reader Symbol
Course Catalog - EMS Programs - EMS Continuing Education - EMS Exams
EMS Best Practices
EMS Bulletins
General Admission Application Adobe Acrobat Reader Symbol
Guide to Infection Prevention in EMS Adobe Acrobat Reader Symbol
Mobile Integrated Healthcare Prerequisite Protocol Administration PackageAdobe Acrobat Reader Symbol
New College Degree Program available for Fire and EMS Personnel Adobe Acrobat Reader Symbol
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Bureau of EMS Reports

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
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