DEPARTMENT OF THE NAVY
OFFICE OF THE CHIEF OF NAVAL OPERATIONS
2000 NAVY PENTAGON
WASHINGTON DC 20350-2000
OPNAVINST 11320.27A
N46
21 Feb 2019
OPNAV INSTRUCTION 11320.27A
From: Chief of Naval Operations
Subj: NAVY EMERGENCY MEDICAL SERVICES PROGRAM
Ref: (a) DoD Instruction 6055.06 of 21 December 2006
(b) OPNAVINST 11320.23G
(c) OPNAVINST 5100.23G
(d) OPNAVINST 3440.17A
(e) BUMEDINST 6320.94
Encl: (1) Acronyms and Definitions
(2) Locations Not Receiving Emergency Medical Services Transport from CNIC F&ES
1. Purpose. To provide Navywide emergency medical services (EMS) policy, and assign
specific responsibilities for implementing references (a) through (e) for the provision of pre-
hospital emergency medical care at Navy installations, including transport to definitive medical
care. This instruction is being reissued with a new date, updated version, and signature authority
to meet Chief of Naval Operations' (CNO) age requirement for OPNAV instructions. This
instruction is a complete revision and should be reviewed in its entirety.
2. Cancellation. OPNAVINST 11320.27.
3. Background. EMS is a system of trained, certified, and properly equipped personnel that
provide assistance, emergency medical dispatch (EMD), basic life support (BLS), and advanced
life support (ALS) care. Numerous Navy commands perform EMS functions individually. To
better protect the force, the Deputy Chief of Naval Operations, Fleet Readiness and Logistics
(CNO N4) has established the EMS structure and supporting processes under a standardized
framework and policy. Nothing in this instruction or the Navy EMS program will detract from,
or conflict with, the inherent and specified authorities and responsibilities of regional and
installation commanders per DoD Instruction 2000.12 of 1 March 2012.
4. Applicability. This instruction applies to Navy personnel, to include Active and Reserve
Components, Navy civilians, Navy families, Navy and non-Navy tenants on Navy installations,
transient military or U.S. Government personnel, contractor personnel, visitors and guests, and
host nation personnel and third country national personnel. Commands performing EMS
functions on all Navy installations, Navy led joint installations, and all installations within Navy
led joint regions within the United States, its territories, possessions, and locations.
