105 CMR 170.840
Paramedic
(A) The functions of a Paramedic include:
(1) The functions of an Advanced EMT as set forth in 105 CMR 170.820; and
(2) The provision of advanced life support related to treatment of cardiac or respiratory
arrest, poisoning, overdose, or other major trauma or illness, in accordance with the
Statewide Treatment Protocols.
(B) The minimum training requirements for certification of a Paramedic are as follows:
(1) Successful completion of the requirements for training as an EMT-Basic or Advanced
EMT;
(2) Successful completion of Department-approved Paramedic initial training, or successful
completion of Department-approved equivalent training; and
(3) Successful completion of a course provided by a nationally recognized organization and
reflecting current cardiopulmonary resuscitation (CPR) and emergency cardiac care
resuscitation science and treatment recommendations issued by the International Liaison
Committee on Resuscitation (ILCOR)'s International Consensus on Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care Science With Treatment
Recommendations (CoSTR) or successor body, as documented by a current training
certificate, renewed biennially, in Advanced Cardiac Life Support CPR. ACLS training
must be obtained through an instructor-led program or blended learning experience with an
in-person hands-on skills evaluation, and must include a cognitive examination.
(C) The supplemental training requirements of a certified Paramedic are as follows:
(1) Conformance with the requirements of 105 CMR 170.810(C)(1) and 170.840(B)(3), as
documented by a current training card for each course, both renewed biennially; and
(2) Within the two-year term of certification, successful completion of continuing education
topical hours, and submission of documentation of such completion of training through the
Department-designated web-based continuing education tracking platform, in accordance
with Department standards for the Paramedic. The Department shall establish standards for
continuing education in administrative requirements.
(D) A Paramedic may initiate Advanced Life Support-paramedic level interventions in
accordance with the Statewide Treatment Protocols.