Tri-County EMS

Tri-County EMS - a not for profit organization founded in 1976; one of six regional emergency medical services councils in Maine.

Tri-County EMS was founded in 1978 to support the development of the EMS system in Maine. Over the past 30 years our EMS system has experienced many advances. Tri-County EMS has provided the leadership, resources, and innovative thinking to meet the challenges of advancing contemporary emergency medical care throughout our region.

Our Regional EMS System includes:

  • 39 EMS Services - covering 3 counties
  • LifeFlight EMS Helicopter
  • 5 Hospitals and emergency departments
  • 4 Trauma System Hospitals
  • 1 Trauma Center
  • Cardiac Cath Lab Activation Program
  • EMS Medical Direction
  • Central Maine Regional Resource Center

 Upcoming Courses and Conferences and News


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EMS Continuing Education for EMS Refresher Training Need continuing education hours? Tri-County EMS is offering a series of continuing education courses during October and November that will meet many of your Maine EMS and National Registry Continuing Education requirements.You can attend some or all of the classes. Choose what you need.The details for each program and the registration information can be found on our Education page.
CEH info

Emerging Infectious Disease Update: Dr. Chagrasulis and I thought we’d provide brief update on what is happening with Maine EMS and emerging infectious diseases. The Maine EMS Medical Direction and Practices Board met yesterday – Jay Bradshaw will be sending out a memo to all services in the near future about emerging infectious disease. He wants us to emphasize the importance of screening; the importance of the proper use of PPE and of good communications with hospitals and with each other. He recommends that each service keep up with current information on the CDC website. Here is a good link http://www.cdc.gov/vhf/ebola/hcp/interim-guidance-emergency-medical-services-systems-911-public-safety-answering-points-management-patients-known-suspected-united-states.html

Dr. Matt Sholl will be recording a PODCAST about Ebola and this will be on MEMSED. Also, Don Sheets has been working on a slide presentation, which will also be posted on MEMSED.

Drexell White of Maine EMS announced today that the software used by PSAPs and Emergency Medical Dispatchers has been updated. In the future, should it become necessary, Maine EMD centers will be prepared to use the Emerging Infectious Disease (EID) Surveillance Tool in accordance with Centers for Disease Control and IAED guidance related to Ebola and infectious diseases. Maine EMS will notify Centers of the EID Tool activation date. In the meantime, all dispatchers have been instructed to review the CDC and IAED guidance and become familiar with the updated EID Tool.

Dr. Chagrasulis also asked me to let you know that alcohol based hand sanitizer is not effective against this respiratory enterovirus that is affecting children. You need soap and water and excellent hand hygiene technique.

Please remember that the possibility of an Ebola case in Maine is very low, however we need to always be prepared. Flu season is upon us as well. Now is the time to thoroughly review proper donning and doffing of PPE, proper hand washing techniques, and proper vehicle decontamination procedures. Our hospital are also excellent resources and are willing to help. Over the next few weeks we will be sharing resources and answers to frequently asked questions. If I can be of assistance, please do not hesitate call on me. Joanne and Dr. Chagrasulis

EMS Courses Tri-County EMS has organized an EMS Refresher Course beginning October 23, 2014. You can attend one, some or all of the scheduled classes. Interested applicants are asked to either call our office at 207 795-2880 or send an email to Diane

Mandatory Reporting for Injuries to Children under 6 months or Otherwise Non-ambulatory The Maine Law requiring reporting of suspected child abuse was revised in the last legislative session to include mandatory reporting of all injuries sustained to a child under 6 months of age or otherwise non-ambulatory. These reporting requirements apply to all EMS providers. Please review this law with your staff, colleagues and any students you might be teaching or precepting. A copy of the revised law can be found at
Mandatory Reporting

Protocol Input Webinars The Medical Direction and Practices Board is seeking stakeholder input about future protocol changes. Monthly webinars will be used to assist with gathering this input. Two webinars have been held.The third, to review the pediatric section is in the process of being scheduled. The announcement and instructions for participating in the webinar can be found at this link.
Protocol Input Webinar

Maine EMS Community Paramedicine Pilot Project Update: Jay Bradshaw, Director of Maine EMS announced that all 12 Community Paramedic projects have been filled. All 12 projects are now in their implementation phase. Over the next two years,data will be gathered on these projects and then additional projects will be considered. EMS Services with projects underway include United Ambulance Service, NorthStar EMS, Winthrop Ambulance, Delta Ambulance, NorthEast Mobile Health Services, Crown Ambulance, Calais Ambulance and St. George Ambulance.

Maine EMS On-Line Learning System MEMSED Maine EMS (MEMS) continues to add new programs to the on-line learning site. All the protocol updates are now available and are worth credit. All EMS Providers are welcome to sign on to the MEMSED website and participate in this high quality, free EMS Education. CEH credits are awarded for all programs. To sign in on this site you will use your MEMSRR user name and password.
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Malignant Hyperthermia Free On-Line CEH educational presentation worth Maine EMS CEH Credit for EMS Providers
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Bath Salts Free On-Line educational presentation worth Maine EMS CEH Credit for EMS Providers provided by the Northern New England Poison Center
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View All Upcoming Continuing Education Classes


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News & Events

Revised Mandatory Reporting
Tri-County EMS Quality Council - December 4, 2014
Tri-County EMS Airway Review Team Meeting - December 10, 2014 (none in November)
MDPB Meeting - November 19, 2014 9:30 am Augusta
Maine Board of EMS - December 3, 2014 at 9:30 am Augusta
Maine EMS DNR and Physician Orders for Life-Sustaining Treatment (POLST) form

more Events >>

Upcoming Courses

EMT Refresher and Continuing Education Series Oct through Nov 2014

Continuing Education Programs Schedule
Need a CEH Request Form? NEW FORM
Blank Roster?


Tri-County EMS
300 Main Street
Lewiston, Maine 04240

Phone:(207) 795-2880 Fax: (207) 795-2476
E-mail: lebrunj@cmhc.org  [directions]

The office is open M-F 8:30 AM to 4:30 PM