Immediate Implementation of Updated Protocol 2/14 of the Statewide Treatment Protocols, for EMT-Basic and First Responder Use of Naloxone (Narcan)
Office of Emergency Medical Services
Department of Public Health
Commonwealth of Massachusetts
Immediate Implementation of Updated Protocol 2.14 of the Statewide Treatment Protocols, for EMT-Basic and First Responder Use of Naloxone (Narcan)
Under the 2014 updates to the Statewide Treatment Protocols, which will be issued in the coming weeks, one of the changes allows all EMT-Basics, once trained, to administer nasal naloxone. Given the Governor’s declaration of a public health emergency for opiate overdoses, and the issuance March 27, 2014 of the emergency regulatory amendments that allow first responders to use nasal naloxone (also now expressly covered in the Protocols), OEMS is today issuing the updated Protocol 2.14 Poisoning/Substance Abuse/Overdose/Toxicology – ahead of the full issuance of the updated Statewide Treatment Protocols. The effective date of this Protocol only is March 31, 2014.
Please find Protocol 2.14 attached. You will notice it looks very different from the old format of the Protocols. All the protocols have been redesigned in this format, which you will be hearing more about when the full set of updated Statewide Treatment Protocols are released. Once ambulance services and first responder agencies have appropriately trained their EMT-Basics, they can begin immediately to have these trained EMT-Basics administer nasal naloxone in accordance with the Protocol. Attached again is also the updated Administrative Requirement governing minimum standards for First Responder Training, which was issued March 27, 2014, and includes minimum elements of training on nasal Narcan use and administration.