EMS Medical Director's Handbook
Alexander Garza, Assistant Secretary for Health Affairs and Chief Medical Officer
Alexander G. Garza, M.D., M.P.H.
Assistant Secretary for Health
Affairs and Chief Medical Officer
Ernest Mitchell, Jr., U.S. Fire Administrator
Ernest Mitchell, Jr.,
U.S. Fire Administrator

Colleagues:

The Department of Homeland Security (DHS) Office of Health Affairs (OHA) and the U.S. Fire Administration (USFA) are pleased to deliver this Handbook for EMS Medical Directors of local departments and agencies involved in emergency medical services (EMS) response.

Medical directors provide critical oversight and medical direction to ensure that effective emergency medical care is provided to millions of patients throughout the United States. In addition to providing medical oversight and direction, EMS medical directors support EMS personnel and first responders through training, protocol development, and resource deployment advice. This handbook provides a baseline overview of key roles and responsibilities to assist current and prospective medical directors in performing their important missions.

On behalf of the U.S. DHS, we thank you for your service to the Nation’s EMS.

Sincerely yours,

Alexander G. Garza, M.D., M.P.H.
Assistant Secretary for Health
Affairs and Chief Medical Officer
Ernest Mitchell, Jr.
U.S. Fire Administrator

The Handbook for EMS Medical Directors was developed by the IAFC as part of a cooperative agreement with DHS, FEMA and USFA, and was supported by DHS, Office of Health Affairs.

A project team representing EMS stakeholder groups worked together to develop, contribute and author the handbook. In addition to the project team, many industry professionals contributed time, information and efforts to aid in the production of the handbook. Industry stakeholder groups reviewed and provided feedback during the handbook’s production. Please see the Acknowledgements section of the handbook for a complete list of contributing individuals and groups. Their efforts are greatly appreciated.