Coastal Valleys EMS Agency is issuing Special Memo # 26-003, which modifies the Cardiac Arrest Management Treatment Guideline to reflect an earlier consideration for endotracheal intubation during adult cardiac arrest.

Effective immediately, the guideline has been revised to allow consideration of endotracheal intubation after six (6) rounds of high-quality CPR, when clinically appropriate and when the procedure can be performed without compromising chest compression quality or other high-priority resuscitation interventions.

Effective July 1, 2026, Coastal Valleys EMS Agency will temporarily suspend the ALS Update course requirement required for Paramedic accreditation.
During this suspension period, all paramedic applicants for initial or renewal accreditation will receive credit for completion of the ALS Update course requirement. This administrative credit will apply to all initial and renewal accreditation applications received between July 1, 2026, and June 30, 2028, and no additional ALS Update course documentation will be required during this period.