Critical Information


EMS Scope of Practice Update

Effective February 15, 2017

On February 15, 2017, the Ohio State Board of Emergency Medical, Fire, and Transportation Services (EMFTS) revised the Ohio EMS scope of practice:

  1. Emergency medical responders (EMRs, formerly First Responders) may apply and utilize chest compression assist devices.
  2. Emergency medical technicians (EMTs, formerly EMT-Basics) may apply and utilize negative impedance threshold devices.
  3. Emergency medical technicians (EMTs, formerly EMT-Basics) may transport patients with central or peripheral intravenous (IV) access established if there is no IV infusion.

Click HERE to view the memo from State EMS Medical Director Carol Cunningham regarding the change in the Ohio EMS Scope of Practice.  

Click HERE to view the Ohio EMS scope of practice matrix.

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EMSIRS-3 Important Announcement


If your software is not yet Version 3 compliant, please continue to collect EMSIRS-2 data. Instructions on how to submit that data will be sent soon. Below is a link to a list of EMSIRS software vendors and their status regarding Version 3 compliance. If your vendor is not on the list, is on the “Not Testing List”, or is discontinuing, you need to contact your vendor to determine their intentions. If the vendor is not working towards EMSIRS-3 compliance or if you are dissatisfied with their response, contact the Division of EMS, Office of Research and Analysis ( and we will be happy to send you the contact information for compliant vendors. Click HERE for the latest update from the EMS Office of Research and Analysis.

Below are links to information developed to assist with the transition from EMSIRS-2 to EMSIRS-3.

  • The EMSIRS-3 Data Dictionary and EMSIRS-3 Picklist Cheat Sheets can be found in our Data Center
  • Click HERE for the latest EMSIRS-3 Vendor List
  • Click HERE for the EMSIRS-3 Manual Entry User Guide
  • Click HERE for the EMSIRS-3 File Upload User Guide

Please send any questions to

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Naloxone Administration Training – EMS and Non-Medical First Responders

On November 18, 2015, the U.S. Food and Drug Administration (FDA) approved Narcan nasal spray for the intranasal route for naloxone administration. The FDA approval of this product created an avenue for pharmaceutical companies to legally manufacture and sell naloxone packaged for the intranasal route of administration. The naloxone nasal spray has a pre-measured dose of naloxone in a device with a nozzle similar to an over-the-counter nasal spray container. In addition to its use by EMS providers, naloxone nasal spray may be administered by non-medical first responders as well.

As a result of this FDA action and the increasing need to use naloxone by EMS and non-EMS first responders across the state of Ohio, the State Board of Emergency Medical, Fire, and Transportation Services (EMFTS) Board and the Ohio Department of Public Safety, Division of Emergency Medical Services developed naloxone administration training modules for EMS providers and non-medical first responders. The training modules may be accessed via the links below.

Local Naloxone Education Assistance Training (EMS providers)

Naloxone Nasal Spray for the First Responder (Non-medical First Responders)

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New EMS Course Administration System for Accredited EMS Training Program Administration

Effective December 19, 2016, the Division of EMS implemented a new EMS course management system, titled EMS Education. EMS accredited training programs shall use the new EMS Education system when conducting EMS courses required for state certification (EMR, EMT, AEMT, and paramedic). EMS Education replaces the CE (Course) Tracking System and provides improved security and confidentiality for the data, improved course and student tracking and reporting, and a much more intuitive user interface.

Please contact the Division of EMS Education Section at 614-466-9447 or via email at with questions or concerns.

Click HERE for more information or to access the new system.

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SFY 2017-2018 EMS Training & Equipment Grants NOW AVAILABLE

Click HERE for information.

Note: Training & Equipment (Priority One) Grant Program Changes

For Grant Cycle Beginning July 1, 2017, and Ending June 30, 2018

The Priority One grant was established to improve and enhance EMS patient care in Ohio through the provision of grant funding for EMS equipment and training. However, each year the Division of EMS closes the previous Priority One grant cycle with an unexpended balance. In an effort to assure the EMS Priority One funds are reaching agencies who are experiencing the greatest need, the State Board of Emergency Medical, Fire, and Transportation Services, through the Division of EMS, will implement changes to the Priority One and Supplemental grants beginning in State Fiscal Year (SFY) 2017-2018. Changes DO NOT affect the current (SFY 2016-2017) grant cycle.

Click HERE for information on changes to the EMS grant program.

New EMS Grants Management System Upgrade (Priority One Training & Equipment Grants)

Effective December 19, 2016, the Division of EMS implemented a new EMS grants management system. The upgraded system provides EMS agencies with greater access and manageability of their Priority One training and equipment grants, as well as a more timely reimbursement process. Four webinars were conducted to familiarize grantees with the new grants management system. In addition, an instruction manual has been developed to assist with navigating the new system.

Click HERE for more information or to access the new system.

Please contact the Division of EMS Grants Section at 614-728-8661, or by email at with questions or concerns.

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New Online Certification Renewal System

As of May 24, 2016, all EMS and fire certifications must be renewed online using our Online Certification Renewal System. Paper renewal applications will no longer be mailed.

Passwords for the old system will not transfer to the new one. All certificate holders must set up new accounts and passwords the first time they log on to submit renewal applications. To access the new system, an email address must be listed in the EMS database. Certificate holders should not wait until the last day of the certification cycle to renew.

The new system is user friendly and secure. It provides step-by-step prompts to ensure the correct information is entered and allows for quicker processing.

Click HERE to see the User Guide.

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Waveform Capnography Requirement

Effective January 2021, waveform capnography is required for all patients requiring invasive airway devices. EMS Priority 1 training and equipment grants are available to assist with acquisition.

Click HERE to learn more about the requirement.

Click HERE to learn more about the EMS Grant Program.

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The Evolution of Heroin Abuse within the Opioid Crisis

The national opioid crisis has recently become more challenging due to an increase in the incidence of potent substances being mixed with heroin. Most notably, this includes fentanyl, carfentanil, synthetic opioids (e.g. W-18), and methamphetamine. These substances often require a shift in the paradigm of patient and responder safety and naloxone administration. For the EMS community and non-medical first responders, the advent of these high potency opioids is cause for heightened situational awareness and a reiteration of the importance of personal protective equipment (PPE).

Click HERE to view the memo from State Medical Director Carol Cunningham regarding PPE and opioid response.

Click HERE for fentanyl resources from the National Institute for Occupational Safety and Health.

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