The goal of this page is to provide resources that have been reviewed and found to be helpful for EMS officials.

– – –

March 29, 2020

Subject: Federal Emergency Medical Service (EMS) Support

A communication for State Directors of Public Health Preparedness and EMA Directors, sent on behalf of our joint ASPR-FEMA R1 team:

The National Response Coordination Center (NRCC) anticipates that jurisdictions may seek medical personnel, ground, or air transportation resources from the federal government, typically available when FEMA activates the National EMS Contract, to support State, Local, Tribal and Territorial response efforts for COVID-19 outbreaks. For transparency, and to support state and regional planning, the NRCC has requested that each Region share the following information with our State emergency management and public health preparedness and response leaders:

The FEMA National EMS Contract construct is based on a response to natural disasters, such as hurricane evacuations.  It is a zoned approach designed to source ambulances and crews from unaffected states.  In practice, assets are not taken from the affected state or contagious affected states.  The COVID-19 response affects all states and therefore presents a conflict with our contracted approach with American Medical Response (AMR).  The recent deployment to NYC in response to the city’s emergent need necessitated taking private ambulances, not tied to a State’s 911 system or part of an emergency contract/compact, from other parts of the country.  We anticipate many other states will find themselves in a similar situation as NYC.  AMR is assessing their available resources and doing their best to limit any impacts to any city or state where the ambulances/crews come from. 

As this incident progresses, our ability to provide EMS resources may become even more limited.  We understand the angst your states and municipalities must feel and ask you communicate to them our intent while sourcing for nationally emergent needs is to minimize the impact to local response capabilities.

Through your assigned liaison officers, the ASPR-FEMA Region 1 team is available to respond to questions, or provide assistance regarding this issue.

Thank you.

Jarrett W. Devine, CEM
Region I RRCC Regional Coordinating Officer (RCO) – COVID-19
Federal Emergency Management Agency, Region 1

– – –

Because this is such a rapidly evolving situation and documents can become outdated, we will also provide links to credible resources. Please check back often and click here to send articles/links that may be of interest to others.

US Centers for Disease Control and Prevention Updated frequently, the US CDC website has information and updates nicely organized for specific audiences.


COVID-19 Data Visualization from the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University

News & Information

COVID-19 in Seattle: Clinical Features and Managing the Outbreak – Seattle was one of the first US cities to have a COVID-19 outbreak, with a cluster of nursing home-related deaths. However, many people who tested positive for the novel coronavirus never became ill, and in some the clinical illness was indistinguishable from influenza. John Lynch, MD, MPH, an infectious disease physician and medical director for infection prevention and control at the Harborview Medical Center, summarizes his hospital’s experience managing the patients and outbreak. (AMA EdHub)

Was I Exposed to Coronavirus (COVOD-19)? A handy and informative flyer from the Washington, DC Health Department

Radio Cleaning Instructions

Graphic courtesy of Northwest Community Hospital, Arlington, IL (Download in pdf | pptx)

Alaska EMS




District of Columbia

Florida Dept of Health

Georgia Office of EMS

Hennepin (MN) EMS

Illinois Dept of Public Health


Maryland Institute for EMS Systems


Minnesota Dept of Health


New Hampshire

New York

North Dakota EMS

Pennsylvania Dept of Health


Washington (state)

American Society for Testing and Materials (ASTM) International

Assistant Secretary of Preparedness and Response (ASPR)

Association of State and Territorial Health Officials (ASTHO)

Centers for Medicare and Medicaid Services (CMS)

COVID-19 PowerPoint Presentation (pdf | pptx) (Katherine West,RN, BSN, MSEd Infection Control Consultant)

Decontamination Using Gaseous Techniques

Department of Health and Human Services

Department of Homeland Security

EMS Compact

Federal Emergency Management Agency (FEMA)

Food and Drug Administration (FDA)

Network for Public Health Law


NHTSA Office of EMS

National Registry of Emergency Medical Technicians


US Centers for Disease Control and Prevention