Banner Image - Paramedics and Firestations Banner Image - Arrowhead Regional Medical Center and Loma Linda University Medical Center Banner Image – Emergency Medical Service Banner Image - Helicopter Rescue Banner Image – Loma Linda University Medical Center Helicopter Banner Image - Great American Shakeout Drill Banner Image - Ambulance at a Fire Banner Image – Airplane Accident Rescue Banner Image - Firefighters at Accident Scene Banner Image – Firefighter at Apartment Fire Banner Image - Boyscout Training with Helicopter Crew Banner Image - Mercy Air Rescue Banner Image – Winter Rescue Banner Image - Training Exercise Banner Image – Training Exercise Banner Image - Mercy Air Loading Patient into Helicopter Banner Image - Helicopter on Ground Loading Patient Banner Image – Highway Car Accident Banner Image - Highway Car Accident Banner Image – Mercy Air Helicopter Banner Image - Paramedics with Gurney Banner Image - Patient with Bloody Leg Banner Image – Red Cross Banner Image – Swift Water Rescue Banner Image – H-82 Flying Banner Image – Two Helicopter Rescue Banner Image – Blue Helicopter Rescue

1425 South "D" Street
San Bernardino, CA 92415-0060
(909) 388-5823
(909) 388-5825  FAX

(909) 388-5819
7:30 am to 4:00 pm*

Help Desk Support
ePCR-Credentialing-Patient Registry

Hospital HUB Help Desk

EMS Administrator
Tom Lynch

Medical Director

Reza Vaezazizi, MD

Governing Board
Janice Rutherford

Robert A. Lovingood, Vice Chair
James Ramos, Chair
Curt Hagman
Josie Gonzales

Business Operating Hours:
Monday-Friday 7:30 am to 4:30 pm*


*Excluding Holidays

2016 Remaining Holidays:
December 23, 26 & 30

Mission Statement

To ensure an effective system of quality patient care and coordinated emergency medical response by planning, implementing and evaluating an effective emergency medical services system including fire department and public ambulances, prehospital providers and hospitals, including specialty care hospitals, such as trauma and cardiac care hospitals.

What's New


Pediatric Airway Management Modules I and II - ICEMA is discontinuing the Pediatric Airway Management Modules I and II effective immediately since the objectives have been met.

Implementation of Policies/Protocols Effective December 1, 2016 - NEW Policy ICEMA Reference #2050 - Requirements for Collection and Submission of EMS Data.

ICEMA Redirection Pilot Program Discontinuation December 15, 2016 -
The Regional Redirection Pilot Program that began on May 1, 2015, will be discontinued on December 15, 2016.

NEMSIS V3 Transition Requirements - Recent legislation and the addition of Section 1797.227 to the California Health and Safety Code requires the collection and submission of data by all EMS transport and non-transport providers to the local EMS agency by January 1, 2017.

 Prehospital Trauma Life Support (PHTLS) electronic registration flyer - Tuesday & Wednesday, December 27 & 28, 2016, 0730-1800 at Upland Fire Department.

ICEMA Transition to NEMSIS V3 ImageTrend Elite - Meeting Dates Flyer - Revised November 16, 2016, Meetings Dates to be held at ICEMA through the months of November, 2016 to February, 2017.

Implementation of revised Policies/Protocols Effective December 15, 2016.

Urgent Medical Device Recall Notice - LMA MAD Nasal Intranasal Mucosal Atomization Device

Paramedics Working for Non-Paramedic Provider Organizations

Implementation of Revised Policies/Protocols Effective October 15, 2016.

May is American Stroke Month - a great opportunity to increase public awareness of the signs and symptoms of stroke (F.A.S.T.) and the importance of calling 9-1-1.  As a healthcare professional, you are the health influencers who make close connections with your community. You build relationships and promote lifestyle changes.  You are stroke heroes and we need you to help us teach America that:

Most strokes are preventable.

•80% of strokes are preventable.

•What’s good for your heart is good for your brain.


Stroke is largely treatable.

•The faster you are treated, the more likely you are to recover without permanent disability.

•Most patients must be evaluated and treated within 3 to 4.5 hours of symptom onset.


For more information and resources visit:

American Stroke Month Campaign Resources

Stroke Resources for Professionals



A message from the California Stroke Registry/California Coverdell Program, in collaboration with ICEMA.  California is one of nine states funded by the Centers for Disease Control and Prevention’s
Paul Coverdell National Acute Stroke Program.

San Bernardino County wins three prestigious awards from state organization: Automating hospital referral records, improving the quality of health care for patients and streamlining access to services for the homeless are three of the outstanding County programs recognized Tuesday by the California State Association of Counties.


Three 2015 CSAC Challenge Awards will be presented to the County’s Information Services Department, Inland Counties Emergency Medical Agency (ICEMA) and the Sheriff’s Department at an upcoming Board of Supervisors meeting.


“These awards show our County’s commitment to improve the lives of our residents, particularly in the field of health and wellness,” said Board of Supervisors Chairman James Ramos. “It’s an honor and a pleasure to be recognized once again by CSAC.”


The CSAC Challenge Awards are part of a competitive recognition program that honors the best and most innovative among California’s 58 counties. This year, CSAC received more than 250 entries and judges awarded 40 programs throughout the state.


The following are descriptions of each of the County’s CSAC Challenge Awards:


Automated Referral Tracking System -  Information Services Department:  The Automated Referral Tracking System is a web-based system designed to assist doctors and medical staff at Arrowhead Regional Medical Center to efficiently track and manage referrals on a daily basis. Prior to the ARTS system implementation, referrals were handled in a manual process, backlogged and in some cases got lost. Now medical staff has eliminated the backlog and the possibility of a lost or dropped referral is down to zero.


ICEMA Continuation of Specialty Care - ICEMA:  ICEMA designed a program for EMS providers to recognize the specialized needs of patients - particularly those with trauma, stroke and heart issues - and deliver them to a hospital that is best able to treat their needs.  Through the end of 2014, approximately 25 percent of 8,000 patients included in the ICEMA registries with these specialized needs were transferred to specialty care and half of those transfers were made in under an hour.  Now patients that may have otherwise had to wait longer for transfer to an appropriate medical facility will not have to endure a delay in treatment.


The Homeless Outreach Proactive Enforcement (H.O.P.E.) program - Sheriff’s Department:  The H.O.P.E. team is a collaborative effort among law enforcement and public agencies to accomplish a more meaningful and efficient response to homelessness.  Deputies team up with mental health clinicians and conduct outreach to the homeless.  Integrating resources such as the Department of Public Health, Behavioral Health, Housing Authority, Veterans Affairs and Code Enforcement has made it possible for deputies to link the homeless with services or shelter, instead of simply relying on arrest and incarceration to solve the problem.

Since July 2013, the H.O.P.E. program has contacted more than 820 homeless people and obtained housing for 110 people and linked 400 others to some form of assistance.

Submersion (Drowning) Season is Here - Early:  Death caused by submersion (drowning) accidents thru June of 2015 have already exceeded the death statistics for the calendar year of 2014 for San Bernardino County.  There have been 6 adult submersions, 4 were fatalities and 16 pediatric submersions, 3 were fatalities and 1 is severely neurologically impaired.  Riverside County is reporting similar trends.
On behalf of the San Bernardino Drowning Prevention Network and in collaboration with ICEMA, we would like to encourage everyone in the EMS community to take every opportunity to educate the public on drowning prevention and water safety.  In addition, remind EMS providers or hospital personnel that have responded or received submersion patients to complete the Submersion Incident Report Form (SIRF) and submit it to Michelle Parker at  Here is the link to the SIRF:
Thank you for all that you do

ICEMA recently received three achievement awards for innovative and money-saving programs from the National Association of Counties (NACo).  The awards were for the following programs:

Medical and Health Operational Area Coordinator (MHOAC) Program:  The program provides detailed guidance to the Inland Counties Emergency Medical Agency , Department of Public Health, and Department of Behavioral Health staff responding to medical and public health emergencies.  It follows the principles of the Incident Command System, the National Incident Management System, and California’s Standardized Emergency Management System.  The MHOAC Program is based on guidance described in the California Public Health and Medical Emergency Operations Manual adopted in July 2011 by the California Department of Public Health and the California Emergency Medical Services Authority.

Continuation of Specialty Care Program:  Trauma, stroke and heart attack represent a significant consequence to health and remain three of the top 10 causes of serious injury and death in the United States. Considering the diversity of the geography and the remoteness of many areas of the county, accessing specialty medical care for specialized treatment is often difficult.  The ICEMA Continuation of Specialty Care Program is designed to deliver these patients to a hospital with specialized services since rapid and definitive care at a specialty care center often means the difference between survival, lifelong disability or death.  The improvement in time to treatment reduces morbidity and mortality and improves the quality of services provided to residents and visitors.

EMS Credentialing Portal
: ICEMA implemented a paperless online EMS Credentialing Portal to complete credential applications from any location at any time. Emergency medical services personnel are credentialed by ICEMA to practice in San Bernardino, Inyo and Mono counties.  The credentialing process required personnel to visit ICEMA’s office during normal business hours to submit a paper application and payment, which took about an hour.  The online process improved efficiency by allowing staff to review and issue new credentials in less than 15 minutes.  The process ultimately reduced costs and enhanced overall customer satisfaction.

This year, San Bernardino County won 46 Achievement Awards, more than any other county in the nation.

"Outbreaks" Report - finds gaps in Nation's ability to respond to Ebola and other infectious diseases; 25 States reach half or fewer of key indicators.  Protecting Americans from Infectious Diseases

California scored seven out of 10 on key indicators - related to preventing, detecting, diagnosing and responding to outbreaks - like Ebola, Enterovirus and Superbugs. 
Report detail.


2017 Annual EMSAAC Conference - May 9 & 10, 2017, Save-the-Date Flyer

Terms and Disclosures


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