Coastal Valleys EMS Agency News

CVEMSA is excited to announce a 60-day public comment period for the following policy guidelines:

• Exclusive Operating Area
• Medical Control
• Scene Management and Authority
• Emergency Medical Service committees
• Policy Development Process
• On Viewing Medical Emergencies
• LEMSA System Observation
• Paramedic Accreditation
• Training Programs
• EMT Certification Review Discipline Process
• County Evaluators and Preceptor
• Special Event Paramedic Accreditation
• EMT Certification Policy
• Flight Paramedic
• Summary of Changes

Public comment to be submitted via e-mail at This email address is being protected from spambots. You need JavaScript enabled to view it. on the approved CVEMSA Public Comment Matrix Form (all comments must be submitted on this form). 

Public comment will be open through April 21st, 2025. 

CVEMSA is excited to announce a 60-day public comment period for the following treatment guidelines:

• Cardiac Arrest Management
• Point of Entry
• Determination of Death
• Hypo/Hyperglycemia
• Summary of Changes
• Public Comment Matrix From (all comments must be submitted on this form) 

Please submitted comments to This email address is being protected from spambots. You need JavaScript enabled to view it. 

Public Comment period ends on April 14, 2025

The Coastal Valleys EMS Agency has released proposed revisions to CVEMSA Administrative Policy 4008, Turnover of Patient Care for a 60-day public comment period. 

The policy revisions are intended to support the increased use of Basic Life Support ambulance transport where such utilization is medically appropriate for patients. The policy provides direction to EMS care providers for patient-centric decision making. The revised version of the policy is available for review here. The public comment period will remain open through January 22, 2024. Please submit all comments to: james.salvante@sonoma-county.org

All comments received will be reviewed and responses published with any final version of the policy. 

The Coastal Valleys EMS Agency has released the draft version of Administrative Policy 4001 Ambulance Service Provider Permits.

The draft is available for review here: 4001 Public Comment Version 

The public comment period will be open through November 28, 2023. Please send any comments to: This email address is being protected from spambots. You need JavaScript enabled to view it.

The Coastal Valleys EMS Agency has released EMS Special Memorandum 23-002 Medication Substitution

The memo is intended to provide authorization for alternative medication usage and the use of expired medication in response to a national shortage of Albuterol in liquid form. The memo also provides for paramedic Metered Dose Inhaler administration of Albuterol after training.

The memo is available here and includes an embedded training document link.

Any questions regarding the training material or medication administration may be directed to Dr. Mark Luoto, EMS Agency Medical Director at: This email address is being protected from spambots. You need JavaScript enabled to view it.

Coastal Valleys EMS Agency has released EMS Special Memorandum 22-004 EMT Draw Epinephrine Accreditation

The Special Memo provides the process for EMS service providers to obtain approval for the optional scope of practice use of draw up epinephrine in place of basic scope autoinjectors. 22-004 incorporates four addendum documents including:

• A template MOU for physician-to-physician delegated Optional Skills Medical Director designation
• A training and competency verification check off sheet
• A roster to list provider agency EMTs whom have completed the training and verification process
• Alternative medical direction for the use of draw up epinephrine in place of autoinjector delivery of the medication.

Links to these forms are included within the Special Memo.

CVEMSA would like to thank and recognize Marin County Fire for the training material and the benefit of their experience as well as our fire service partners at Sonoma County Fire District (Bodega Bay) who worked with Dr. Luoto on program adaptation for Sonoma and Mendocino Counties. 

During the one-year allowable term of this Special Memo, CVEMSA will work with system partners on a formal policy development process to incorporate the elements of the memo into our permanent policy and treatment guideline publications.