Welcome to the County of El Dorado 

Emergency Medical Services Agency 

image of EMS Logo


The mission of the County of El Dorado Emergency Medical Services (EMS) Agency is to ensure that the EMS system delivers the highest possible quality of prehospital emergency medical care to victims of illness and injury in the County of
El Dorado.

CORONAVIRUS (COVID-19) INFORMATION:  Information for EMS during COVID-19 Emergency

California Emergency Medical Services Authority (EMSA) Guidance for EMS: COVID-19 Precautions, Exposures and Illness - Posted April 7, 2020
For any EMT and/or Paramedic Licensure Questions, call: 530-621-6500 or email eldoradoems@edcgov.us
Paramedic Alerts - Click Here

NEW:  EMT and Paramedic Applications are now completely web-based!

All applications for certification and licensure can be completed through our web-based portal. 

Click here for applications. 


EMT Certification and Paramedic Accreditation Walk-In Hours
Effective August 1, 2019, the EMS Agency hours for EMT/Paramedic/EMR Certification/Accreditation will be:

  • Tuesdays  8:00 am-4:00 pm (Closed for Lunch 12:00 pm-1:00 pm)
  • Thursdays 8:00 am-4:00 pm (Closed for Lunch 12:00 pm-1:00 pm)
For information on the Certification and Accreditation Application process, visit: https://www.edcgov.us/Government/EMS/Pages/accreditation_and_certification_applications.aspx 

Policies/Procedures/Protocols Effective July 1st, 2019 

Field Policies

ALS Unit Minimum Equipment Inventories
BLS Medication Administration
Determination of Death
Do Not Resuscitate (DNR) - Dying with Dignity
Exposure Determination, Treatment and Reporting
Fireline Paramedic
Guidelines for Interfacility Transfer of 5150 Patients
Hospice Patients
Malfunctioning ICD
Management of Pre-existing Medical Interventions
Patient Destination
Routine Medical Care
Spinal Immobilization
STEMI Destination

Field Procedures

12 Lead EKG
Continuous Positive Airway Pressure (CPAP)
Gastric Tube Insertion
Intranasal Medication Administration Via Medication Atomization Device (MAD)
Intraosseous Infusion
Nasotracheal Intubation - Effective Immediately no longer included in the California State Paramedic Scope of Practice Skills (posted March 2, 2020)
Supraglottic Airway
Therapeutic Hypothermia

Prehospital Protocols

Allergic Reaction/Anaphylaxis
Altered Level of Consciousness
Brief Resolved Unexplained Event (BRUE)
Chest Pain/Acute Coronary Syndrome (ACS)
CHF/Pulmonary Edema
General Trauma
Narrow Complex Tachycardia
Wide-Complex Tachycardia

Personnel Policies

Emergency Medical Technician (EMT) Accreditation Instructions
Field Training Officers
MICN Certification and Recertification
Paramedic/Flight Paramedic Accreditation Instructions

Drug Formulary 2019 

Continuous Quality Improvement (CQI) Learning Points

Click here to view the CQI Learning Points January 2018

The Change From "A-B-C" to "C-A-B"
The newest development in the 2010 AHA Guidelines for CPR and ECC is a change in the basic life support (BLS) sequence of steps from "A-B-C" (Airway, Breathing, Chest compressions) to "C-A-B" (Chest compressions, Airway, Breathing) for adults and pediatric patients (children and infants, excluding newly borns). Although the experts agreed that it is important to reduce time to first chest compressions, they were aware that a change in something as established as the A-B-C sequence would require re-education of everyone who has ever learned CPR. Click here for more information.

Click here to review the "Highlights of the 2010 America Heart Association Guidelines for CPR and ECC" 

Your Healthcare Expertise Makes the Difference

All healthcare professionals are needed to volunteer for public service in the event of a significant disaster or a public health emergency. You can make a difference during times of disaster by helping people, animals and your community. For more information, click here.  

Subscribe to Free Email Notification To Know When We Update Our Website!
You can now sign up to receive an email notice when certain pages of our website are updated. Perhaps you want to know when a new "Paramedic Alert" has been posted, or there is a change to an EMS policy. Just click on the logo Gov Del Small if it appears on the top of the page you are interested in and follow the instructions to subscribe to this service. You will get an email from us automatically every time we update that page. You can subscribe to as many pages as you wish. It's free and it's easy. Try it today!