Advancing the EMS profession

COVID-19 Federal Guidelines and Resources

Below are resources to help EMS practitioners protect themselves and their patients against the Coronavirus. For additional questions and resources, contact us at

Federal Guidelines and Resources:




Resource  Updated List of High-Risk Medical Conditions for Severe COVID-19 Outcomes 

The Centers for Disease Control and Prevention (CDC) has updated the list of certain underlying medical conditions that are associated with a higher risk for severe COVID-19 outcomes. 


Side-by-Side Overview of Outpatient Therapies Authorized for Treatment of Mild-Moderate COVID-19

Quick reference table summarizing key information for all outpatient therapies currently authorized in the U.S. for treatment of mild-moderate COVID-19.
Resource  What We Know About Quarantine and Isolation | CDC

COVID-19 cases due to the Omicron variant have increased along with seasonal increases in influenza and other respiratory virus infections. CDC monitors the emerging science on when and for how long a person is maximally infectious with Omicron.  

Guidance CDC Recommends Pfizer Booster at 5 Months, Additional Primary Dose for Certain Immunocompromised Children

Updated recommendation for when many people can receive a booster shot, shortening the interval from 6 months to 5 months for people who received the Pfizer-BioNTech COVID-19 Vaccine. 

Guidance  Stay Up to Date with Your Vaccines 

CDC recommends that individuals stay "up to date" by receiving any additional doses they are eligible for, according to CDC's recommendations, to ensure they have optimal protection against COVID-19.


Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2

Updated Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2  
Guidance  OSHA Revised COVID-19 Guidance for Employers 

Mitigating and Preventing the Spread of Covid-19 in the Workplace.

Resource  Fact Sheet – Waiver for Ground Ambulance Services: Treatment in Place 

Details provisions in the American Rescue Plan Act of 2021 recognizing treatment in place and waiving the requirement for ground ambulance services to transport patients for reimbursement by Medicare during the COVID-19 public health emergency.


EMS Template Protocol for COVID-19 Monoclonal Antibody Administration: Treatment and Post-Exposure Prophylaxis of REGEN-COV (casirivimab and imdevimab) 

Developed by the NHTSA Office of EMS and HHS Office of the Assistant Secretary for Preparedness and Response, the template is intended to assist state EMS officials and local EMS systems in developing their own protocols 

Resource  Q&A for public health officials

Public Health Communications Collaborative has updated its Q&A on the updated mask guidance. 

Resource  Infectious Disease Surge Annex Tabletop Exercise (TTX) Toolkit 

Step-by-step implementation guide by the Department of HHS (ASPR-TRACIE).

Resource  Be a COVID-19 Vaccine Champion 

Q&A from Department of HHS (ASPR-TRACIE) webinar held in May 2021.

OSHA Fact Sheet
OSHA Flowchart to determine applicability

New OSHA COVID-19 Emergency Temporary Standard (ETS) for healthcare employers, including EMS agencies.



CDC Coronavirus Website

The latest Coronavirus updates, guidelines and resources.

Resource CDC Update for Rural Partners and Communities on the Coronavirus Disease 2019 (COVID-19) Response

Guidance for partners, public health practitioners, healthcare providers, and others working to protect the health of rural communities.

Resource  The COVID-19 Healthcare Workforce Toolkit

Toolkit to help state and local healthcare decision makers maximize workforce flexibilities when confronting 2019 Novel Coronavirus (COVID-19) in their communities. 


NHTSA Office of EMS COVID-19 Resources for EMS 

NHTSA’s Office of EMS webpage with COVID-19 resources 

Resource  ASPR-TRACIE COVID-19 Resources

The ASPR-TRACIE webpage age highlights resources identified or developed to address current response and recovery operations to novel coronavirus 2019 (COVID-19).

Resource  Project ECHO COVID-19 Webinars 
HHS ASPR Clinical Rounds recorded webinars on EMS patient care and operations for viewing.

American Academy of Pediatrics (AAP) Critical Updates on COVID-19 Webpage 

AAP COVID-19 Resources Webpage 
Resource  AAMC Coronavirus Clinical Repository 
The AAMC Coronavirus (COVID-19) Clinical Guidance Repository is an open access resource for all clinicians and hospitals across the United States. The content is collected from academic medical centers (AMCs), specialty societies, and federal partners. The goal is to identify, summarize, and highlight areas of alignment in clinical practice during the pandemic. Here you will find up to date COVID-19 treatment and management guidance to help clinicians optimize patient care.
Policy & Regulations Ambulances: CMS Flexibilities to Fight COVID-19

Final Interim Rule
Press Release Announcement
Waiver Background Information

More information on Waivers

Temporary regulatory waiver to expand list of allowable destinations for ambulance transports.



CDC Interim Guidance for EMS

Guidance for first responders who anticipate working in close contact with persons who are confirmed with COVID-19 or present symptoms.


CMS Recommendations for Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare – Phase 1 

Recommendations to Re-Open Health Care Systems in Areas with Low Incidence of COVID-19


Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease (COVID-19)

Assistance with assessment of risk, monitoring, and work restriction decisions for healthcare providers with potential exposure to COVID-19.

Criteria for Return to Work for Healthcare Personnel with Confirmed or Suspected COVID-19 (Interim Guidance),

New CDC guidance for healthcare personnel with confirmed or suspected COVID-19 on returning to work.


COVID-19 and HIPAA: Disclosures to law enforcement, paramedics, other first responders and public health authorities

Guidance for law enforcement, paramedics, other first responders, and public health authorities on HIPAA Privacy Rule of an individual who has been infected with, or exposed to, COVID-19.


Evaluating and Testing Persons for COVID-19

Guidance on how to evaluate and test persons for COVID-19.


CDC Guidance for Use of Certain Industrial Respirators by Health Care Personnel

Clarification of the application of face masks and expanding the types that healthcare workers may use in situations involving COVID-19 and other respiratory infections.


What EMS and 911 Need to Know About COVID-19

Feb 24 webinar hosted by NHTSA Office of EMS on federal actions to support EMS, including the latest guidance for first responders who may take 911 calls or treat patients with potential COVID-19 infections, what PPE is required for responding to these patients and recommendations for transporting and treating people possibly infected with COVID-19.

Guidance Public Service Answering Points (PSAPs)/Emergency Communications Centers (ECCs) Call Screening

Guidance to Public Safety Answering Points (PSAPs) and Emergency Medical Service (EMS) agencies on practices to improve call screening and EMS care, while decreasing unnecessary COVID-19 transports to hospitals.

Patient Care 

Interim Guidance for Basic and Advanced Life Support in Children and Neonates With Suspected or Confirmed COVID-19 

American Heart Association (AHA) general principles for resuscitation in suspected and confirmed COVID-19 patients 
Patient Care  EMS Managing Patient and Family Distress  

Steps that EMS clinicians and their medical directors can take to help patients and their families manage their distress more effectively.

PPE  Reusable Personal Protective Equipment ASPR and FEMA-published fact sheet on reusable personal protective equipment (PPE),  providing suggestions for cost-effective preservation of PPE.
PPE  Filtering Facepiece Respirators with an Exhalation Value: Measurements of Filtration Efficiency to Evaluate Their Potential for the Source Control 

The technical report summarizes research undertaken by the National Personal Protective Technology Laboratory (NPPTL) to provide improved science-based recommendations on the use of filtering facepieces respirators (FFRs) with an exhalation valve.

PPE Decontamination and Reuse of Filtering Facepiece Respirators (FFRs)

CDC guidance on disposable filtering facepiece respirators decontamination and reuse as standard of care.


Counterfeit Respirators / Misrepresentation of NIOSH-Approval

Guidance on how to identify a NIOSH-approved respirator vs counterfeit respirators 
PPE  FBI Warns of Advance Fee and BEC Schemes Related to Procurement of PPE 

Description: FBI warning to government and health care industry buyers of rapidly emerging fraud trends related to procurement of personal protective equipment (PPE), medical equipment such as ventilators, and other supplies or equipment in short supply during the current COVID-19 pandemic.

Process for submitting requests for PPE.


Increased access to respirators, including N95s, for health care personnel

Action to allow certain NIOSH approved respirators not currently regulated by the FDA to be used in a healthcare setting by health care personnel during the COVID-19 outbreak.


Strategies for Optimizing the Supply of N95 Respirators

A series of strategies or options to optimize supplies of disposable N95 filtering face piece respirators (commonly called “N95 respirators”) in healthcare settings when there is limited supply.

Proper N95 Respirator Use for Respiratory Protection Preparedness

Placement in list: After Strategies for Optimizing the Supply of N95 Respirators


Data and Statistics

New ICD-10-CM Code for COVID-19

CDC webpage for the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

Benefits & Coverage

EMTALA Requirements and Implications Related to Coronavirus Disease 2019 (COVID-19)

Addresses implications of the Emergency Medical Treatment and Labor Act (EMTALA) for COVID-19 patients.

Benefits & Coverage

FAQs on Essential Health Benefit Coverage and the Coronavirus (COVID-19)

Addressing frequently asked questions on health benefit coverage for COVID-19

Benefits & Coverage

Medicare Part B-covered test for coronavirus

Information on Medicare Part-B coverage for Coronavirus testing


Duty to Plan: Health Care, Crisis Standards of Care, and Novel Coronavirus SARS-CoV-2

A summary of key areas in which Crisis Standards of Care principles should be applied to COVID-19 planning.


EMS Infectious Disease Playbook

A planning resource for EMS agencies developing their infectious disease policies.


COVID-19 Healthcare Planning Checklist

Identifies specific activities a jurisdiction can do now to prepare for, respond to, and be resilient in the face of COVID-19.

Mental Health and Wellness   Emergency Responder Self-Care Plan

Self-care template plan based on the Anticipate.Plan.Deter™ Personal Resilience Plan and PsySTART Responder Triage System

Mental Health and Wellness  Strategies to Mitigate EMS Clinician Absenteeism  General concepts to prepare and take action on help your EMS/911 agency protect your workers’ psychological health and wellbeing.