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Emergency Medical Services

Nor-Cal EMS Mission Statement

Nor-Cal EMS Promotes and Oversees Quality Emergency Medical Services Through Leadership, Innovation, and Collaboration with the Communities We Serve.

We are Northern California EMS, Inc. also known as Nor-Cal EMS, serving the counties of Lassen, Modoc, Plumas, Sierra, and Trinity.

Open Mon-Thur 8:00am - 4:30pm
Closed Fridays & Holidays:


THE ONLINE CERTIFICATION APPLICATION IS CURRENTLY DOWN. You may mail your applications in to mail@norcalems.org

Go Green - Less Paper: Complete an application, change payment choice, check status, submit more documents... all online! CLICK HERE!

What's New?

Two job positions immediately available at Nor-Cal EMS.

Click HERE do download all of the documents at once.

The Policies & Protocols Are Online

The Policies & Protocols have been revamped so that access is very quick and reponsive.

Security Tip: Received a Suspicious Message?

Stop wondering if that odd email or chat message came from a scammer and find out for sure. Trend Micro, a notible security company, offers a free Fraud Buster service. Just email the text of any unusual message to this address: KnowForSure@fraudbuster.trendmicro.com or visit their Fraud Buster web page HERE.

November 7, 2018 - Memorandum - National Medical Shortages

The medication shortage crisis continues to disrupt the care of patients in both the hospital and prehospital areas. One of the most affected areas is emergency medicine and this places our high-risk patients at risk. Currently there are substitutions available for the medications that are in short supply. Read more...

Nor-Cal EMS is on Facebook!

Follow us on Facebook to be alerted when protocols are released or updated. Our Medical Director will also keep you up-to-date on the current trends in EMS. We hope you will "LIKE" us too! Please stop by and take a look..

Online Paramedic Licensure Service Coming Fall 2018

The EMS Authority is pleased to announce our new, online paramedic licensure service for paramedic graduates and paramedics. The online system will be available in the Fall of 2018. Read more...

Nor-Cal EMS Now Accepts PayPal

Nor-Cal EMS has switched over to PayPal, a fully PCI compliant payment processor for online payments. We now accept PayPal as well as credit cards. You do not have to have a PayPal account to checkout using a credit card. Call us if you have any questions during checkout.

Nor-Cal EMS Updated Agreements Available Online

May 30, 2018 - Nor-Cal EMS has updated the User Agreement (Terms & Conditions) and Privacy Policy.

Memorandum - Emergency Medical Responders Background Check Required

Effective Monday, March 5, 2018, by action of the Nor-Cal EMS Board of Directors, it is now mandatory for all new Emergency Medical Responders, recertifying Emergency Medical Responders and First Responders transitioning to Emergency Medical Responders to have a background check. Read more.

Uber Reduces Ambulance Usage Across the Country, Study Says

In what is believed to be the first study to measure the impact of Uber and other ride-booking services on the U.S. ambulance business, two researchers have concluded that ambulance usage is dropping across the country. Click HERE for more.

More People Around The World Die From Seasonal Influenza Than Previously Believed.

Our medical director Dr. Eric Rudnick would like to bring this interesting article to your attention. Click HERE to find out more.

The Little Bill That Could (Save EMS) [NAEMSP + HR 304 Featured in The Hill Newspaper!]

[11/21/2017] The emergency medical community knows how important the Protecting Patient Access to Emergency Medications Act of 2017 is to ensuring patient care. Our advocates and allies know how hard we worked to develop the legislation and get it passed. And today, The Hill, the most widely read political news outlet inAmerica has made this lifesaving legislation public knowledge and published NAEMSP's op-ed about the bill and its relationship to emergency medical care payment reform!

Click here to read the op-ed written by NAEMSP's own Maia Dorsett MD PHD, Advocacy Committee Chair, Ritu Sahni MD, and Communications Committee Chair, Hawnwan Phil Moy MD.

CAHAN Health Notification

October 12, 2017 - Priority Groups for Distribution of Particulate Respirators to Protect from Wildfire Smoke: Wildfire smoke can irritate the eyes, nose, throat, and lungs. Inhalation can cause coughing or wheezing, and difficulty breathing. People with lung or heart disease are at highest risk for adverse health effects. During wildfire smoke emergencies, the primary means of health protection should be to avoid smoke exposure by staying indoors or limiting time spent outdoors. This is particularly important for people at higher risk. Click HERE to read the health notification.

Policy Update

The policy update cycle is in motion. As we update our policies, we are striving to simplify. We are combining many BLS and ALS policies into single BLS/ALS policies. We are converting text to algorithms. We feel this will reduce the overall size and complexity of the policies. Click HERE for a look at the new BLS/ALS combined policies.

Summary Information from the Medical Director - Tranexamic Acid for Management of Postpartum Hemorrhage

For women with postpartum hemorrhage diagnosed within three hours of delivery, we recommend administration of tranexamic acid as a component of overall treatment (Grade 1B). When more than three hours have elapsed since delivery, we still suggest tranexamic acid (Grade 2C), but the benefit of treatment is less clear... Read more...

Fee Schedule Update

The updated fee schedule at Nor-Cal EMS is effective July 1, 2017. Download the new fee schedule HERE.

Memorandum - Important Updates: A) Regarding Emergency Medical Responders (EMR); B) Patient Care Records (PCR)

Nor-Cal EMS has updated/added policies and procedures pertaining to:

  • EMR Certification and Recertification requirements
  • First Responder to EMR transition requirements
  • PCR Completion

Read the full memo HERE

Prehospital Care for Seizure

EMS Medical Directors Association of California (EMDAC) has published its protocol guidance and evidence based recommendations for prehospital care for seizure. It addresses questions like "What is the appropriate prehospital treatment for a patient who is actively seizing?" Read more at: http://www.emdac.org/seizures.html

Lifepak 1000 Defibrillators by Physio-Control

Physio-Control announced that the company is launching a voluntary field action for the LIFEPAK 1000 defibrillator due to reported instances where the device has shut down unexpectedly during patient treatment: Immediately Remove and Reinstall Battery.

Nurse Assist Inc. Recalls Normal Saline Flush IV Syringes Due to Possible Burkholderia Cepacia Bloodstream Infections

MULTIPLE STATES: Nurse Assist Inc. Recalls Normal Saline Flush IV Syringes Due to Possible Burkholderia Cepacia Bloodstream Infections The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices may cause serious injuries or death.

Kathy Ratliff and Dan Bouse Received Statewide Recognition from EMS Authority

This year two EMS personnel from the Nor-Cal EMS region were nominated and have been recognized by the Authority as recipients (Emergency Medical Services Authority 2016 Awards Announcement).

Kathy Ratliff (Paramedic) with Trinity County Life Support in Weaverville received the Meritorious Service Award. This award recognizes an individual for a meritorious act or service within EMS. This award also recognizes an EMT for an act that is above and beyond the call of duty in the course of a particular EMS emergency or event.

Ernest "Dan" Bouse (AEMT) with Adin Ambulance Service in Adin received the EMS Cross award. This award recognizes a uniformed EMT who by act and deed represents the most outstanding achievement or accomplishment in EMS over an extended period of time. This is the highest award that can be conferred in the absence of extreme conditions and extraordinary circumstances.


NREMT Initial Certification Fee Increases for 2017

Notice: The NREMT increased the initial certification fees effective January 1, 2017.

Nor-Cal EMS Moved to a New Location October 17, 2016

We are now located in Suite 150 on the 1st floor at 930 Executive Way, Redding as of Monday 10/17/2016. Our phone numbers have not changed. We're the suite to the right as you enter the main entrance.

Visit Our Web Page on Training Opportunities in Our Region

We have highlighted in yellow a left sidebar navigation item called Training Opportunities to help you quickly find new training opportunites for Continuing Education Units. This is where we list the training opportunities provided by the provider agencies in our region.

May 18, 2016 - Memorandum - Clarification of the Scope of Practice for Emergency Medical Responder (EMR) versus First Responders (FR)

The medical director for Nor-Cal EMS has released a memorandum clarifying the scope of practice for EMR versus FR that provides information that will aid in the transition from FR to EMR.

Emergency Medical Responders and Phasing-Out of First Responder Certification

Memorandum - As of April 1, 2016, Nor-Cal EMS will only certify those who have taken an approved EMR course (initial or transition) of instruction. FULL DETAILS HERE.

MAC Run & Article Review Webcasts Available for CEs

We have the following Medical Advisory Committee Run Reviews & article reviews available for CEs:

Free Webcasts Available for CEs Thru HPP Funding

These are free (or very low cost to support the website) webcasts developed in part by a grant from HPP.

  • HAvBED and MCI Event Training with EMResource
    Dr. Eric Rudnick demonstrates the importance of EMResource and being able to respond to events, queries, and polls; demonstrates how to respond to a HAvBED event in EMResource; and demonstrates responding to a MCI (Multiple Casualty Incident) event in EMResource.
  • MCI Plan Manual 2 - Patient Distribution Overview
    Mark Beldon discusses the Patient Distribution Manual 2 which outlines a plan under the Standardized Emergency Management System (SEMS) and the National Incident Management System (NIMS) for the distribution of patients during a multi or mass casualty incident within an Operational Area or within multiple Operational Areas in the Mutual Aid Region and to destinations outside the Mutual Aid Region.
  • Mass Casualty Incident Field Operations
    Mark Beldon presents an overview of the Office of Emergency Services Region 3 Mass Casualty Incident Plan Manual 1 and an overview of Manual 2 - Patient Distribution.

2016 NSPC Webcasts Available for CEs

We have the following 12th Annual North State Pre-Hospital Conference Webcasts available for CEs:

  • Airway Management for the Pre-Hospital Professional
    Dr. King reviews airway anatomy; defines the goals of airway management; discusses the tools of the trade; covers a systematic approach to airway management; and discusses special considerations with the management of burn patients.
  • Visual Odyssey in Emergency Medicine Services
    Dr. Rudnick presents a very wide variety of the types of injuries, illnesses, and oddities that one might encounter working in the field of emergency medicine. Being a visual presentation of this nature, it may not be suitable for all ages. If you are considering becoming an emergency medical responder, technician, paramedic, or nurse, this should provide a little idea of what you might encounter.

2015 Spring NSPC Webcasts Available for CEs

We have the following 2015 Spring North State Pre-Hospital Conference Webcasts available for CEs:

Ebola Hotline

CDPH has created a Public Hotline for Ebola

2014 Fall NSPC Webcasts Available for CEs

We have the following 2014 Fall North State Pre-Hospital Conference Webcasts available for CEs:

  • Ebola 101 - Update for EMS System Stakeholders
    Dr. Rudnick covers many topics including basic Ebola facts regarding the disease, symptoms, the transmission of Ebola, worldwide outbreak and case counts, demographics, and risk assessment. He also covers how we are preparing as well as the new PPE guidelines.
  • The Sticky Truth About Bakken Crude Webcast
    Gerry Gray provides crucial information to EMS personnel regarding the potential dangers involved with the transportation of approximately 3 millions gallons of Crude Oil at a time through our cities by railroad and how they should be prepared and respond.
  • Butane Honey Oil
    Mike Fischer discusses what butane honey oil (BHO) is and its various forms - as honey oil, weed oil, budder, dabs, concentrate, wax, ear wax, amber glass, and shatter - and their THC levels. He discusses how it is made - both open and closed extraction methods.
  • EMS Response to Crime Scenes
    Bob Bryant discusses what a crime scene is, priorities at a crime scene, and how to recognize and preserve evidence at crime scenes including proper handling of physical evidence, forensic evidence, circumstantial evidence, eyewitness evidence, and direct evidence.

Infectious Disease - Ebola Virus

Ebola is an often-fatal disease and care is needed when coming in direct contact with a recent traveler from a country with an Ebola outbreak that has symptoms that may be caused by Ebola. New guidance available from the CDC.

Nor-Cal EMS Training Webcasts Available for CEs

We have the following Nor-Cal EMS Training Webcasts available for CEs:

  • EMS at a Quality Crossroads
    Dr. Rudnick introduces the subject of Continuous Quality Improvement (CQI). Kara Davis takes you to where the rubber meets the road.

TECC Principles for Medical Response to Explosive Events

The Committee for Tactical Emergency Casualty Care has released a paper covering the tactical emergency casualty care principles for medical response to explosive events.

Note: Some of the above documents may be in Adobe PDF format.
Click HERE for more information on how to view these documents.

Certify Online...

If you reached the bottom of this page and still haven't found your way to the Online Certification Program, click HERE and you will be on your way!