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15 March at 1730
REMAC Meeting

16 March at 1900
MLREMS RSI Program Update

17 March at 1900
Emergency Management of PE & CHF

24 March at 0800
RGH EMS Meeting

Welcome to the MLREMS Website.



The Monroe-Livingston Region (MLREMS) is one of the 18 regions in New York State that were created to oversee EMS for the NYS Department of Health. Each region consists of a Council that is responsible to report to the NYS DOH Bureau of EMS, coordinate EMS programs within its region, and make determinations of public need for additional EMS services in the region.

MLREMS also utilizes a Program Agency that is responsible for facilitating quality improvement of EMS care within its region, staffing the Regional Emergency Medicine Advisory Committee (REMAC), providing prehospital education programs and other activates to support and facilitate regional EMS systems. In this region the Program Agency is the Division of Prehospital Medicine at the University of Rochester Medical Center - Strong Hospital.


The Council is supported by REMAC. The REMAC develops policies, procedures and triage, treatment and transportation protocols to reflect the needs of the region, however all policies, procedures, and protocols are consistent with the standards of the SEMAC (State Emergency Medical Advisory Committee). The REMAC also approves physicians to provide on-line medical control, coordinate the regional medical control systems and participate in quality improvement activities.



The 2010 Regional EMS Standards of Care are now available!

The 2010 Regional EMS Standards of Care are now available. Once a provider completes the requisite training, these protocols may be used immediately. All providers must complete the training by April 1, 2010.

The following resources are available on mlrems.org to both agencies and providers:


-The 2010 Standards of Care
-A spreadsheet outlining the changes to the 2010 Standards of Care
-A medication quick reference for ALS providers
-The EMT-B Protocol Update and Post-Test
-The EMT-I Protocol Update and Post-Test
-The EMT-CC and P Protocol Update and Post-Test

ALL EMT-B or higher providers in the region must complete the protocol update training which is available on-line at mlrems.org. The protocol update follows a self-study, web-based, video-on-demand format. It is the agency's responsibility to track compliance with this requirement. Providers are to view the protocol update relevant to their certification level (EMT-B, EMT-I, or EMT-CC/P) AND view the avulsed tooth protocol. After reviewing the protocols and viewing these two updates, providers are to complete the post-test (also available on-line) and submit to their training officer for grading. Passing is 9 or more out of 12 correct. Failure to pass will require reviewing the presentations and protocols again, and re-taking the test. Agencies should keep the post-test in the member's agency training file. Following satisfactory post-test completion, EMT-B and EMT-I providers may receive 0.5 hrs of CME and EMT-CC and EMT-P providers may receive 1.0 hrs of CME.

Agency training officers will be sent the answer keys to the post-test by electronic mail or they may be requested by the agency training officer by contacting this office.

With questions, please contact the Regional Program Agency.