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Welcome to the MLREMS Website.



The Monroe-Livingston Region (MLREMS) is one of the 18 regions in New York State that were created to oversee EMS for the NYS Department of Health. Each region consists of a Council that is responsible to report to the NYS DOH Bureau of EMS, coordinate EMS programs within its region, and make determinations of public need for additional EMS services in the region.

MLREMS also utilizes a Program Agency that is responsible for facilitating quality improvement of EMS care within its region, staffing the Regional Emergency Medicine Advisory Committee (REMAC), providing prehospital education programs and other activities to support and facilitate regional EMS systems. In this region the Program Agency is the Division of Prehospital Medicine at the University of Rochester Medical Center - Strong Hospital.

The Council is supported by REMAC. The REMAC develops policies, procedures and triage, treatment and transportation protocols to reflect the needs of the region, however all policies, procedures, and protocols are consistent with the standards of the SEMAC (State Emergency Medical Advisory Committee). The REMAC also approves physicians to provide on-line medical control, coordinate the regional medical control systems and participate in quality improvement activities.