Welcome to the Denver Metro EMS Medical Directors (DMEMSMD) website.

DMEMSMD is a volunteer gathering of physicians working to enhance prehospital care across the Denver area. The group works to create consensus protocols and educational guidelines aimed at improving the standard of care. This page will be continually updated as protocols and guidelines are updated and made available.

The Denver Metro region is a combination of the Foothills and Mile-High Regional Emergency Medical and Trauma Advisory Councils (RETACs). For more information on the RETACs or the agencies that participate, click on the links below:

Denver Metro EMS Protocols

This version of the protocols is the latest and should be considered the definitive protocols for the agencies and organizations using the Denver Metro EMS Medical Director Prehospital Protocols.

Do you have a question about the protocols? Try the Ask the Docs feature.

These protocols can be saved to your device or computer for offline viewing (when you're not connected to the internet) on your Apple device (iPhone, iPad, etc.), Android device (tablet, phone, etc.) or computer (Mac or PC).

Template for naloxone distribution for opioid overdose prevention

Enclosed is a template for naloxone distribution, intended to be customized for individual agencies.

Emergency and pre-hospital medicine shortages

Enclosed is the Denver Metro EMS Medical Directors position on shortages

Part 2: The Stigma of Opioid Use Disorder

Part 1: The Neuroscience of Opioid Use Disorder

Healthcare Facility Guide for 911 Response to Interfacility Transport Request

Enclosed are the approved guidelines.


The following link is for registered users only. Please contact your agency's EMS chief to get access to this site.


Lactated Ringer's substitution for Normal Saline

Transport of Intoxicated Individuals to Detox

Percutaneous Cricothyrotomies

Enclosed is a letter to agency directors with a position from the Denver Metro EMS Medical Directors.


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