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Coastal Valleys EMS Agency News

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Posted on in Policy Updates

EMS Treatment Guidelines

Over the last year, Coastal Valleys EMS Agency (CVEMSA) has worked in collaboration with a representative group of EMS system partners to revise many of the EMS system treatment guidelines. This comprehensive review and revision process included moving existing guidelines into the current CVEMSA format and merging multiple treatment guidelines where appropriate to avoid redundant or conflicting instructions. In addition to improving and updating existing treatment guidelines, a number of new medications were added to local paramedic scope of practice. The revised guidelines expand treatment modalities for treating pain with opioid alternatives and offer new options for patients in need of sedation. Trauma care is improved with the implementation of the first prehospital medication available for severe hemorrhage. Basic Life Support agencies will have access to the latest updates to EMT scope of practice available under state regulation.
Organization of the protocols now includes a “procedure guidelines” section intended to improve access to skill-specific instructions and educational notes. As with the most recent revisions to CVEMSA treatment guidelines, BLS and ALS care for both adult and pediatric patients have been merged into a single document for improved clarity and to support continuity of care. Each treatment or procedure guideline includes a cross-reference table showing linkages to related guidelines.


The review and comment period for development and adoption of the attached treatment and procedure guidelines has been initiated. Please review carefully and submit comments. This public comment period will close December 16th, 2019.

Link to 2019 Draft Policies

A draft of these guidelines is attached. Please forward comments via fax or email to:
Carly Sullivan
Advanced Life Support Coordinator
Coastal Valleys EMS Agency
195 Concourse Blvd., Suite B
Santa Rosa, CA 95403
707-565-6510 FAX
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.


EMS Administrative Policies

The review and comment period for development and adoption of the following administrative guidelines has been initiated. Please review carefully and submit comments. This public comment period will close December 16, 2019.


 2012 Flight Paramedic Accreditation


Coastal Valleys EMS Agency has created a new tier to our current Paramedic Accreditation to include Flight Paramedic Accreditation.

A revised process for flight paramedic accreditation has been developed to recognize the unique needs air ambulance providers and personnel have when working in a multi-jurisdictional capacity.

The policy removes some ground accreditation requirements from the flight paramedic accreditation process and adds local training requirements.

CVEMSA processes flight paramedic accreditation through the Image Trend License Management System (LMS) module.

CVEMSA accredited paramedics currently working as flight personnel for an air ambulance provider agency have been grandfathered to flight paramedic accreditation status at no charge. New flight paramedics who wish to work both for air and ground transport (or air rescue) will need to apply for and complete both accreditation processes to receive both Paramedic and Flight Paramedic Accreditation.


4007 EMS Aircraft

Utilization of EMS Aircraft is vital in our EMS system. Policy 4007 has been condensed and revised to reflect current industry standards. The policy now requires all aircraft entering Sonoma or Mendocino County to status with the LEMSA-authorized dispatch center. Air resources shall remain en-route to an incident until an on-scene evaluation is conducted by highest level of medical personnel at scene and determines appropriate transport.

Link to Aircraft Public Comment Policies

Please forward comments via fax or email to:
Jen Banks, EMS Coordinator
Coastal Valleys EMS Agency
707-565-6510-FAX
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Posted on in Policy Updates

Coastal Valleys EMS Agency has released an EMS Special Memo 19-001 providing interim guidance for extending the time interval of Stroke symptoms onset.  This Special Memo allows CVEMSA to implement potential lifesaving changes to the Acute Cerebrovascular Accident Policy 9303 prior to the completion of the protocol revision process, July 2019. The update to the Acute Cerebrovascular Accident Policy 9303 is effective immediately upon release.

Posted on in Policy Updates

The Vehicle Equipment Minimum Supply List, an Addendum to CVEMSA Administrative Guideline 4004,  has been updated to reflect changes to CVEMSA Treatment Guidelines and incorporation of increased EMT scope of practice. The list is awaiting final revision pending any comments received from system participants but is available as an interim guidance document now. Please direct any comments, questions or concerns to Thomas Hinrichs, ALS Coordinator at This email address is being protected from spambots. You need JavaScript enabled to view it.

Posted on in Policy Updates

Coastal Valleys EMS Agency has released EMS Special Memo 18-001 which provides an update on inclusion of the expanded EMT scope of practice skills within CVEMSA Treatment Guidelines as well as upcoming steps that will be taken to implement the expanded scope.

EMS Special Memo 18-001

Posted on in Policy Updates

The review and comment period for development and adoption of the following treatment guidelines has been initiated. Please review carefully and submit comments.

This public comment period will close February 11, 2018.

View the draft policies >> 

Update: Due to the multiple fires in Sonoma County we are cancelling the EMS Stakeholder meeting scheduled for Tuesday, October 10th. We will reschedule when once the situation stabilizes.

On September 25, 2017, Sonoma County Department of Health Services Director Barbie Robinson sent a letter directed to EMS System Stakeholders (pdf) in regard to the EMS ordinance revision and stakeholder engagement process:

Following the direction provided by Director Robinson, the Sonoma County Department of Health Services (DHS) and Coastal Valleys EMS Agency (CVEMSA) are convening an EMS workgroup. This workgroup will have the opportunity to engage with various aspects of EMS in Sonoma County, including the establishment of non-competitive operating areas, designing an Request for Proposal for the Exclusive Operating Area serving Santa Rosa and surrounding communities, and updating the Sonoma County EMS ordinance, as well as other issues that arise throughout the process.

The first meeting will take place on October 10th from 1:00 to 2:30 PM at the Sonoma County Water Agency (details below). The initial meeting is open to anyone interested in participating. We hope you can make it.

RSVPs for the meeting are requested to help us ensure the size of the meeting space is adequate, but not required. Here is a link to a Survey Monkey page for that purpose: https://www.surveymonkey.com/r/89PBCFP

Please direct any questions or concerns to James Salvante at (707) 565-6503 or This email address is being protected from spambots. You need JavaScript enabled to view it. .

Initial EMS Workgroup Meeting
Tuesday, October 10, 2017, 1:00 to 2:30 PM
Sonoma County Water Agency
404 Aviation Blvd, Redwood Conference Room
Santa Rosa, CA 95403

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Contact Us

Coastal Valleys EMS Agency
195 Concourse Blvd., Suite B
Santa Rosa, CA 95403
(707) 565-6501
This email address is being protected from spambots. You need JavaScript enabled to view it.

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