The Regional EMS Council of New York City Inc. is a 501(c)3 Not for Profit Organization

NYC Unified Protocols

The NYC Unified Protocols apply to CFR, BLS, and ALS Providers

NYC Unified Protocols, Effective August 1, 2026

2026 NYC REMAC Unified Protocols

NYC Unified Protocols, Effective October 1, 2024

2024 NYC REMAC Unified Protocols

NYC Unified Protocols Effective March 1, 2023 (These protocols sunset at 2400hrs September 30th, 2024). 

2023 NYC REMAC Unified Protocols

The following are currently active Specialty Protocols with their respective implementation dates.

2025 HazTac Protocols Effective as of September 24, 2025 

Rescue Task Force Medical Protocols: Effective as of September 24, 2025

Interfacility Transport GuidelinesEffective as of October 21, 2025


Disclaimer: NYC REMAC does not endorse any mobile protocol applications. Go to: 2021-02 REMAC Advisory Smart Phone Apps for the REMAC Advisory.

The MURU mobile protocol application is endorsed by the NYS DOH Bureau of EMS. EMS Providers are encouraged to speak with their agency medical directors regarding the use of any mobile protocol application.

Click here to access the MURU protocol application. 

NYC REMAC Medication List

NYC REMAC EMS Staffing Standards

Basic Life Support (BLS) Staffing Standards

File: BLS STAFFING STANDARDS

Advanced Life Support (ALS) Staffing Standards

File: ALS STAFFING STANDARDS

Click this link for REMAC Advisories and here for Protocol Archives.