Emergency Medical Services

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About Emergency Medical Services (EMS)

Emergency Medical Services, more commonly known as EMS, is a system that provides emergency medical care to Hoosiers more than 2,000 times per day. Once it is activated by an incident that causes serious illness or injury, the focus of EMS is emergency medical care of the patient. EMS is most easily recognized when emergency vehicles or helicopters are seen responding to incidents, but EMS is much more than a ride to the hospital. It is a system of coordinated response and emergency medical care, involving multiple people and agencies. The Indiana EMS system is ready every day for every kind of emergency. With more than 800 provider agencies, operating more than 2,000 emergency ambulances, by more than 24,000 emergency medical personnel, EMS is the frontline of our health care system safety net and stands proudly at the intersection of health care, public health and public safety.

EMS District Managers (click for contacts)

EMS personnel earn certifications at different levels: emergency medical responder (EMR), emergency medical technician (EMT), advanced EMT (AEMT) and paramedic. These certifications prepare and authorize them to perform specific types of medical care, which are listed in the EMS scope of practice.

State legislation in recent years has paved the way for an innovative patient-centered model of care called Mobile Integrated Health (MIH), also known as community paramedicine. Learn more about MIH in Indiana as the field of EMS continues to change.

EMS District Managers

EMS district managers are assigned to IDHS districts and are resources and liaisons for EMS information for individuals and organizations. They address questions about EMS operations and rules, the ImageTrend data system and complaints and investigations. District managers handle provider organization certifications and serve as points of contact on questions for individual certifications.

EMS District Managers (click for contacts)

• Individuals
  • Certifications and Training
    • Certifications and Renewals
      

      • How to Renew Certification Online
        Find instructions on how to renew your certification online using the Acadis Portal.
      • Individual Certification Applications
        Access a list of certification applications and instructions. All certifications must be renewed online. Paper copies of your individual renewal will only be accepted if you get audited. All service providers, training institutions and supervising hospital paperwork must still be submitted on paper. Also, EMS Certifications will issue paper copies of responders' initial certification via mail, but not for recertifications. If you want a paper copy of your renewed certification, go to your Acadis Portal account and print it there.
    • EMS Training
      

      • Indiana EMS Course Information
        This page contains course information for all of the EMS Core courses (EMR, EMT, AEMT, and Paramedic).
      • EMS Commission Training Institution Performance Report (September 2020)
      • IDHS Mobile Simulation Laboratory
        Learn how to request the mobile simulation lab for your training, and see how you can enhance your skills with this Free State service.
      • EMS Certification Testing
        Find links for testing sites where students can register for Indiana and National Registry exams. Also, find instructional documents on how to sign up for an exam as a National Registry Candidate or how to request authorization from National Registry to be an approved training program.
      • Online Continuing Education
        Find a list of recommended online websites where you can obtain free EMS CEUs for your inservice.
      • Primary Instructor Certification Requirements
        Training institution forms, Practical Skills forms, reports of training, statement of remediation, etc.
    • PSID Numbers, Certification Verifications
      

      • Instructions: PSID and Certification Lookups
      • PSID Number Lookup
        • No PSID Number? Apply for One
      • Verify an Individual's EMS Certification
  • Jobs
    

    • Job Openings
• Organizations
  • Certifications and Renewals
    

    • Service Provider Certification Forms
      Find forms for BLS and ALS providers, transport and non-transport, air ambulances, supervising hospitals, vehicle certification, exposure notification, and out-of-hospital DNRs.
  • EMS for Children
    

    • In March 2009, Indiana University School of Medicine received funding from Health Resources and Services Administration to re-establish the Indiana Emergency Medical Services for Children (I-EMSC) program. Elizabeth Weinstein, a dual trained physician in emergency medicine and pediatrics, provides leadership to I-EMSC. Margo Knefelkamp serves as the program manager of this program. Visit the EMS for Children Indiana website and follow the organization on social media.

  • Medical Directors Resources
    

    • EMS Medical Directors
      A list of resources for Indiana EMS Medical Directors.
  • PSID Numbers, Certification Verifications
    

    • Instructions: PSID and Certification Lookups
    • PSID Number Lookup
      • No PSID Number? Apply for One
    • Verify an Individual's EMS Certification
  • Training
    

    • EMS Certification Testing
      Find links for testing sites where students can register for Indiana and National Registry exams. Also, find instructional documents on how to sign up for an exam as a National Registry Candidate or how to request authorization from National Registry to be an approved training program.
    • EMS Course Information
      This page contains course information for all of the EMS Core courses (EMR, EMT, AEMT and Paramedic).
    • EMS Commission Training Institution Performance Report (September 2020)
    • Mobile Simulation Laboratory
      Learn how to request the mobile simulation lab for your training, and see how you can enhance your skills with this free state service.
    • Online Continuing Education
      Find a list of recommended online websites where you can obtain free EMS CEUs for your inservice.
    • Practical Examination Requirements for 2020 Review
    • Training Institution Certifications & Forms for PIs
      Training institution forms, Practical Skills forms, reports of training, statement of remediation, etc.
  • Treatment and Transport
    

    • EMS Trauma Transportation Rule and Destination Guide
      Click here to find information about the field triage and transportation rule, information on protocols, and rule implementation. Find a list of all ACS Accredited Trauma Facilities, both in Indiana and in surrounding states, to transport your trauma patients.
    • POST/Advance Directives
      Find guidance on the POST/Advance directives curriculum, the requirements for all EMS personnel, and Indiana laws. Links to the exam, support documents, and other advance directive information.
    • EMS Exposure Requirements
      Click here to find the Post Exposure form that must be filled out for ALL EMS Exposures, as well as the governance of this requirement.
  • Vehicle Crash Report Form
    

    • Vehicle Crash Report
      The vehicle crash report is now an online submission. In compliance with IAC 836, all Certified EMS Providers must submit a vehicle accident report as required by the EMS Commission when a provider vehicle is involved in a motor vehicle accident. Reports must be received within 10 working days following the accident. It is the responsibility of the organization CEO to make sure that the report is filed in a timely fashion and completed in its entirety. Failure to comply will result in enforcement of the penalties outlined in IC 16-31-3.
• Resources and Data
  • Data
    

    • State of Indiana EMS System Quality Improvement Report
      • 2020 (2019 data)
      • 2018
    • Requests for Provider, Institution, and Hospital Data: Please contact DHS Certifications at dhscertifications@dhs.in.gov.
    • EMS Data
      Find State, Regional, and Local EMS data, statistics, and information. To submit data for publication, please e-mail emscertifications@dhs.in.gov.
  • EMS Memorial
    

    • Indiana EMS Memorial
    • Memorial State Flag for Fallen Public Safety and Military Personnel
  • EMS Rules and Laws
    

    • EMS Rules and Laws
    • EMS Commission Non-Rule Policies
    • EMS Certification Transition Emergency Rule
    • Legal Decisions Search
  • Forms and Guidance
    

    • Adult Protective Services Guidance
      EMS personnel are required by law to report all cases of suspected abuse, neglect or exploitation to either the nearest APS Office or to law enforcement.
    • Carfentanil Safety for First Responders Fact Sheet
    • Child Protective Services Guidance
      EMS personnel are required by law to report all cases of suspected abuse, neglect or exploitation to either the nearest APS Office or to law enforcement.
    • DEA: Controlled Substance Practitioner's Manual
      If you are an ALS provider who monitors the administering and dispensing of controlled substances, then you should familiarize yourself and your agency with the Drug Enforcement Administration's Practitioner's Manual. This manual provides you with information on the basic requirements surrounding the use and monitoring of controlled substances. Lack of understanding of the law will not excuse you from your responsibilities under the law.
    • EMS How-To Videos
    • Fentanyl and Fentanyl Analog Exposures: PPE Recommendation
    • Flu Safety for First Responders Fact Sheet
    • Guidance for EMS and health officials on novel coronavirus
    • Guide to Infection Prevention in EMS
    • Indiana Drug-Endangered Child (DEC) Protocol
    • POST/Advance Directives
      Find guidance on the POST/Advance directives curriculum, the requirements for all EMS personnel, and Indiana laws. Links to the exam, support documents, and other advance directive information.
    • Special Recognition Form
      Nominate an EMS worker for recognition from IDHS.
    • EMS Exposure Requirements
      Find the Post Exposure form that must be filled out for all EMS exposures, as well as the governance of this requirement.
    • Trauma System for EMS and Guidance
      Find information about the field triage and transportation rule, information on protocols, and rule implementation. Find a list of all ACS Accredited Trauma Facilities, both in Indiana and in surrounding states, to transport your trauma patients.
  • Naloxone Heat Map
    

    Developed through a partnership between the Indiana Management Performance Hub and the IDHS, the Naloxone Administration Heat Map displays naloxone administrations reported by EMS since Jan. 1, 2014. View the Naloxone Administration Heat Map on the Next Level Recovery website at https://www.in.gov/recovery/1054.htm.

• EMS Complaint Form
  

  • File an EMS-related complaint, problem or issue online.
• News/Updates Archive
  • Coronavirus Updates
    • N95 Battelle Decontamination System (5/11/20)
      • Overview
      • Chain of Custody Form
      • Emergency Services Agreement
      • Instructions for Facilities
      • Instructions for Personnel
      • Site Locations and Contacts Sheet
    • Statement on EMR and EMT Education Status (4/21/20)
      • COVID-19 Guidance and General Waiver #2 (3/17/20)
    • Directive on EMS Notification for Positive COVID-19 Cases (4/16/20)
    • Executive Order 20-19 Overview (4/8/20)
    • IDHS Guidance on Naloxone (3/27/20)
    • Guidance on CPR, ACLS Certifications (3/27/20)
    • EMS COVID-19 Overview/Status Report: Video | PDF (3/26/20)
    • PPE Burn Rate Calculator Template
    • EMS COVID-19 General Waiver #3 (3/24/20)
    • EMS COVID-19 Overview (3/24/20)
    • EMS Commission Message (3/24/20)
    • COVID-19 Exposure Guidance (3/20/20)
    • COVID-19 Refusal to Transport Protocol (3/20/20)
    • COVID-19 Aerosol Generating Procedures Protocol (3/20/20)
    • Guidance on PPE for COVID-19 Response (3/19/20)
    • COVID-19 Guidance for Dispatch (updated on 3/19/20)
    • COVID-19 Guidance for EMS Agencies (updated on 3/19/20)
    • COVID-19 Guidance and General Waiver #2 (3/17/20)
    • Indiana awaiting PPE shipment (3/17/20)
    • COVID-19 Guidance for Hospitals, EMS for Ambulance Diversion Requests (3/12/20)
    • EMS Guidance and Blanket Waiver on COVID-19 Coronavirus (3/11/20)
    • Novel Coronavirus Prevention Steps Guidance
  • Other
    • Practical Examination Requirements for 2020 Review (6/11/20)
    • CPR/AED Awareness Week (June 1–7)
      • CPR How-to Video
      • AED How-to Video
      • Importance of CPR/AED Training
    • Continuing education signature guidelines (5/18/20)
    • EMS Commission honorary recognition guidelines (5/18/20)
    • Non-Rule Policies (5/18/20)
      • EMS continuing education
      • Certification renewal dishonesty
        • Overview
    • Governor announces $1 million for distributing naloxone (5/18/20)
    • 2020 Legislative Update (5/18/20)
    • EMS Commission May 14 meeting overview (5/18/20)
    • IHCP to Reimburse EMS Agencies for Naloxone Administration (4/30/20)
    • Indiana joins EMS Compact (3/17/20)
    • Indiana EMS System Quality Improvement Report (2020)
    • New EMS Scope of Practice (2020)

EMS Commission