TEMS Protocols

Virginia Beach EMS is part of the Tidewater EMS (TEMS) regional council and follows the TEMS protocols.

While the TEMS protocols serve as the basis for the emergency medical care we provide to our patients in the TEMS region, the individual departmental Operational Medical Directors (OMDs) may, at their discretion, make changes to the protocols for their providers.  An example of this is Rapid Sequence Induction (RSI) — even though it is part of the regional TEMS protocols, only a couple OMDs have decided they will allow their providers to utilize this protocol and perform this critical skill–Virginia Beach EMS is one such agency.

TEMS Protocol Manual Cover

Virginia Beach EMS Prehospital Skills Delineation for Affiliated Providers

One area in which the Virginia Beach EMS OMD, Dr. Stewart Martin, made some minor changes is the emergency medical care each certification level is allowed to perform.  For example, the TEMS protocols indicate EMTs are authorized to utilize CPAP, but Virginia Beach EMTs are not permitted to utilize CPAP.  The VBEMS Prehospital Skills Delineation for Affiliated Providers indicates what patient care can be performed by each provider certification level:

Virginia Beach EMS Supplementary Protocols

The following supplementary protocols were developed to provide department-specific guidance for Virginia Beach EMS providers:


For questions or comments related to protocols and patient care, contact Brigade Chief Debbie Brennaman.