Designed to automate the calculation of Emergency Medical Service (EMS) quality metrics, nemsqar implements measures defined by the National EMS Quality Alliance (NEMSQA). By providing reliable, evidence-based quality assessments, the package supports EMS agencies, healthcare providers, and researchers in evaluating and improving patient outcomes. Users can find details on all approved NEMSQA measures at <https://www.nemsqa.org/measures>. Full technical specifications, including documentation and pseudocode used to develop nemsqar', are available on the NEMSQA website after creating a user profile at <https://www.nemsqa.org>.