Welcome to the new
Monroe-Livingston Regional EMS website!

We hope that you will find this site easier to navigate from both your favorite browser and smartphone.

Monroe-Livingston Regional Emergency Medical Services (MLREMS) is one of eighteen EMS regions in the state of New York. Comprised of a Regional EMS Council (REMSCO), Regional Emergency Medicine Advisory Committee (REMAC), and Program Agency, we support thousands of EMS clinicians (EMTs and Paramedics) across sixty-one first-response and transporting EMS agencies who in turn care for the more than 800,000 residents throughout Monroe and Livingston Counties.

The REMSCO and REMAC are volunteer bodies comprised of EMS clinicians, agency leaders, educators, and physicians with a charge “to coordinate, plan, and improve regional emergency medical services, including assessing public need for new services, approving training, overseeing mutual aid plans, and ensuring quality care” as defined by Article 30 of Public Health Law.

Support for the REMSCO and REMAC is provided by the Monroe-Livingston Program Agency which is delivered through contract between the University of Rochester Division of Prehospital Medicine and the New York State Department of Health, Division of EMS. This contract supports out-of-hospital clinical care through policy development, quality improvement activities, protocol advancement, and variance reviews. The physicians and staff of the Program Agency, the REMSCO, and REMAC interface with EMS clinicians and other stakeholders including hospitals, urgent care facilities, fire departments, and dispatch centers to enhance patient safety and advance clinical care across our region.

DRAFT: Adult Traumatic Out of Hospital Circulatory Arrest Clinical Guideline
DRAFT: Invasive Airway Placement in Patients with a Pulse

Draft Documents for Comment

Comments due to mlrems@mlrems.org no later than Monday, February 16, 2026