The Statewide Pre-hospital Treatment Protocols that went into effect November 1, 2001, allow for the administration of Aspirin by EMTs certified at the Basic and Intermediate levels as a standing order as indicated in the Chest Pain Protocol 1.5. After discussion with the Office of Emergency Medical Services, it is our understanding that this IS NOT an option, but in fact a requirement for EMTs functioning at the Basic and Intermediate levels. In order to be in compliance with the Statewide Treatment Protocols, provider services must have a current valid Memorandum of Agreement with a hospital that identifies a medical director before the service can implement Aspirin as part of the treatment in the Chest Pain Protocol.
Although many provider services already have Memorandums of Agreement that cover the utilization of AED, Epi-Pens and Patient Assisted Medication, there currently was no Memorandum of Agreement covering Aspirin administration at either the State or Regional level.
On December 20, 2001, the Department of Public Health, Office of Emergency Medical Services requested the Regional Council to develop an Aspirin Memorandum of Agreement that may be utilized by provider services for the administration of Aspirin by EMTs at the Basic and Intermediate levels. The attached Memorandum of Agreement was developed by the Region to be used as a template or suggested Memorandum of Agreement for those provider services that have not developed one with their Associate Hospital. Provider Services and Associate Hospitals are free to use this template or develop one of their own that meets their needs. Additional copies may be found on our web site at www.mbemsc.org. As a reminder, a copy of your signed Memorandum of Agreement should be sent to the MBEMSC, 25 B Street, Suite A, Burlington, MA 01803 to be kept on file with this office.
Should you have any questions or need further information, please do not hesitate to contact my office at (781) 505-4367.