Protocols and policies for emergency medical services

See all policy documents for emergency medical services in San Francisco.

View all policies and protocols for emergency medical services in San Francisco as PDFs.

You can also read them on the EMS Protocol Provider app, also known as Acid Remap. Download it from the Apple app store or from Google Play.


We regularly update procedures and protocols twice a year, on April 1 and October 1.

We may also make urgent updates between those dates. To find out what has recently changed, check the “Update Summaries” section in Acid Remap.

Advance Release for Training Purposes

Within two weeks of each Emergency Medical Services Advisory Committee (EMSAC) Meeting, the EMS Agency will post a list of final updated policies and protocols that are scheduled to go live during the next release cycle (April 1st and October 1st annually) for training purposes.

For the best user experience, download the PDF portfolio below instead of opening it in your browser. After download, open using your Adobe Reader or Adobe Pro software program. This will allow you to open the documents all together and save them as individual PDFs if you prefer. You may get an error message if you only open in your browser.

Download the PDF Versions of all documents scheduled to go live on October 1, 2024. This list now includes the documents that will be released on October 1, 2024 that were approved at the January and April 2024 EMSAC meetings. Note: additional documents may be added to this release cycle after the July 2024 EMSAC Meetings

Last updated May 22, 2024