ambulances, Alameda County EMS logo, paramedic uniforms
June 17, 2025 – Documents related to RFP no. HCSA-902023 for 911 emergency response, 911 ambulance services, and standby service with transportation authorization
2025-04-25 - Public Comment Open: 2026 Protocol Changes
The public comment period for the 2026 Field Manual changes will be open from Thursday, April 24, 2025, through Friday, May 16, 2025. Please review and submit all feedback using the Public Comment Form, by the end of the day on Friday, May 16 , 2025.  If input leads to significant revisions, a second, abbreviated public comment period will be held later in May.
System-Wide Memo - Public Comment
Acute Coronary Syndrome ACS - STEMI
Acute Coronary Syndrome ACS
Burn Patient Care
Burn Patient Criteria
ECG - 12 LEAD
Extremity Injury
OBGYN Emergencies
Opioid Withdrawal
Pain Management Adult
Poisoning Ingestion Overdose
Smoke Inhalation - CO Monitoring

COVID-19 (Coronavirus)
All relevant information and resources related to COVID-19 can be found on our: ALCO EMS COVID-19 Page.

08/16/2024 - Memo Regarding Proposals Received for Future 9-1-1 Ambulance Services
A memo announcing the proposals received for future 9-1-1 ambulance was just released and can be viewed by clicking here: Memo Regarding Proposals Received for Future 9-1-1 Ambulance Services

08/12/2024 - Memo Regarding San Jose Regional Medical Center Trauma Services
Effective August 12, 2024, Regional Medical Center of San Jose (RMC) will no longer be designated as a trauma center by Alameda County EMS. Please see the linked memo for addtional information: Memo Regarding Removal of Trauma Center Designation for Regional Medical Center

07/09/2024 - Launch of Online EMS Event Reporting
We are excited to announce the launch on of the new EMS Event Reporting Form, expanding our ability to track and address events within the EMS system. The EMS Event Reporting Form replaces the Unusual Occurrence (UO) Form. The new online format simplifies reporting to the Alameda County EMS Agency and is designed for use by individual clinicians, representatives from healthcare facilities, hospitals, EMS provider agencies, EMD communication centers, and coordinators within the Alameda County EMS system. The EMS Event Reporting Form can be accessed on the Quick Links tab or on the Documents page, under EMS System Communications & Memos. 

05/21/2024 - Double-Sequential Defibrillation Quick Reference Guide
We have developed a one-page quick reference guide to clarify the procedure and address frequently asked questions. Double-Sequential Defibrillation - Quick Reference Guide

02/09/2024 - Alameda County EMS Awards Nominations
We are now taking nominations for the annual Alameda County EMS Awards on a continous basis. For additional information and to submit a nomination follow this link: Alameda County EMS Award Nomination Form

01/26/2024 - 2024 Alameda County EMS Field Manual
The 2024 ALCO EMS Field Manual is now available through your provider agency or for purchase through ALCO EMS. If you would like to obtain a printed copy of the 2024 Alameda County EMS Field Manual from ALCO EMS, you will need to make a payment of $15.00 per field manual that you are requesting through our online payment system found here: Alameda County EMS Payment Platform.  Once you have submitted a payment, please contact Specialist Clerk Sonya Lee via phone at: 510-618-2034 or email at: sonya.lee@acgov.org to schedule a day and time to pick up your field manual.

-2024 ALCO EMS Field Manual (PDF Version)
-Mobile Field Manual App for iOS-based devices
-Mobile Field Manual App for Android-based devices

01/16/2024 - EMS Field Protocols and Mobile App update ideas and feedback
We are now taking continuous idea submissions and feedback for ideas for updates to the EMS Fields Protocols and the Mobile App. Please complete and submit the linked form: Protocol Feedback Form


01/16/2024 - Impact of People v. Cichuniec and Cooper Verdict on EMS Industry and Clinical Practice
We have prepared a memo for our field providers regarding the People v. Cichuniec and Cooper trial involving the death of Elijah McClain. Please see the linked memo for more details:  Memo Regarding The Impact of People v. Cichuniec and Cooper Verdict on EMS Industry and Clinical Practice

EMS System Redesign Meetings
In September 2019, we began meeting with all of our EMS system stakeholders to start the process of redesigning Alameda County's EMS system. You can find the schedule for these meetings and related information and on our EMS System Redesign Page

04/28/2022 - Alameda County Trauma System Recommendations
At the Alameda Board of Supervisors on 04/26/2022,  Bishop+Associates in partnership with our Agency presented their evaluation of the current trauma system and the recommendations for the future. You may view that presentation here: Alameda County Trauma System Recommendations

01/06/2020- EMS System Plans Approval
The California EMS Authority (EMSA) recently approved our Agency's 2018-2019 System Plan and the STEMI, Stroke, Quality Improvement, and Trauma System Status reports. You can view any of these approved plans by visiting our Documents Page and scrolling down to the "Plans" section 

911 Transport Provider Compliance Reports
Response time compliance reports for the contracted 911 EOA transport provider (Falck) are now available. You can view these reports by following the links below: 

June 2025 | Archived Reports

Ambulance Patient Offload Time (APOT) Reports
APOT reports have been updated and are now available for viewing:

June 2025 | Archived Reports 

EMS Event Reports
Dashboard, reporting and policy
EMS Event Reports page


Alameda County Emergency Medical Services Agency

The Alameda County Emergency Medical Services Agency (ALCO EMS) is the Agency that plans, implements, and oversees all Emergency Medical Services (EMS) activities conducted in Alameda County.