105 CMR 170.295
Levels of Advanced Life Support
A service may provide only those advanced life support services that are consistent with the
level of service for which the service is licensed. Licensure at any ALS level includes licensure
for the provision of BLS-level services. The levels of licensure for ALS services are:
(A) Advanced Level: services related to airway and circulatory maintenance pursuant to the
Statewide Treatment Protocols and any other procedure which is consistent with Department-
approved training for Advanced EMT.
(B) Paramedic Level: services related to the treatment of cardiac or respiratory arrest,
poisoning, drug overdose or other major trauma or illness pursuant to the Statewide Treatment
Protocols and any other procedure which is consistent with Department-approved training for
Paramedics.