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).

Part 2: The Stigma of Opioid Use Disorder

Part 1: The Neuroscience of Opioid Use Disorder

Physicians Statement on Sedation of Prehospital Patients:

  • Medical emergencies should be handled by medical professionals
  • Agitated delirium can lead to a metabolic catastrophe

Please read the attached document for the complete statement.

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.

Call for photographs

The Denver Metro EMS Medical Directors website is looking for photographs for this site. We're looking for a variety of different photographs of member agency employees, HIPAA-compliant scene photos and equipment, especially in action shots. Please contact Bill Clark to arrange for the transfer of these photos.

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