Pain Treatment–Bottom Line Recommendations (EIIC/TREKK)
The purpose of this document is to provide healthcare professionals with key facts and recommendations for treating pain in children. This summary was co-produced by the pain content advisors for TREKK, Dr. Samina Ali of the Stollery Children’s Hospital, Dr. Naveen Poonai of the London Health Sciences Centre (LHSC): Children’s Hospital, Dr. Amy Drendel of the Medical College of Wisconsin, and content advisor for EIIC Dr. Corrie Chumpitazi of Baylor College of Medicine and uses the best available knowledge, at the time of publication.
The American College of Surgeons (ACS) Field Trauma Triage Guidelines (FTTG), for use by clinicians nationwide, provide evidence-based criteria in making care and transport decisions for patients with traumatic injuries in the prehospital setting.
Model EMS Protocol for Prehospital Pain Management (NASEMSO)
This model protocol incorporates elements of an evidence-based guideline for prehospital analgesia in trauma and evidence-based guidelines for prehospital pain management created using the National Prehospital Evidence-Based Guideline Model Process.
Children with Special Health Care Needs: Template for Prehospital Protocol Development
Abstract: Because of the dynamic and fragile nature of the medical conditions typically borne by children with special health care needs (CSHCN), the need for emergency care is not uncommon and prehospital providers are increasingly likely to encounter this population. With the support of grant funding from the federal EMSC program, a project was undertaken by investigators in the Center for Prehospital Pediatrics at Children's National Medical Center to develop prehospital protocols for CSHCN. This report details the protocol development process, discusses suggestions for their use, and presents the detailed protocols. The protocols are intended to serve as a resource template for the development and/or revision of jurisdiction-specific, customized practice guidelines.
Definitions and Assessment Approaches for Emergency Services for Children (Pediatrics)
Pediatric Life Support (PLS) courses and instructional programs are educational tools developed to teach resuscitation and stabilization of children who are critically ill or injured. A number of PLS courses have been developed by national professional organizations for different health care providers (eg, pediatricians, emergency physicians, other physicians, prehospital professionals, pediatric and emergency advanced practice nurses, physician assistants). PLS courses and programs have attempted to clarify and standardize assessment and treatment approaches for clinical practice in emergency, trauma, and critical care. Although the effectiveness of PLS education has not yet been scientifically validated, the courses and programs have significantly expanded pediatric resuscitation training throughout the United States and internationally. Variability in terminology and in assessment components used in education and training among PLS courses has the potential to create confusion among target groups and in how experts train educators and learners to teach and practice pediatric emergency, trauma, and critical care. It is critical that all educators use standard terminology and patient assessment to address potential or actual conflicts regarding patient evaluation and treatment. This article provides a consensus of several organizations as to the proper order and terminology for pediatric patient assessment. The Supplemental Information provides definitions for terms and nomenclature used in pediatric resuscitation and life support courses.
Pediatrics December 2016; 138 (6): e20161073. 10.1542/peds.2016-1073.
The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols, with the goal to help improve all EMS protocols to the current state of the science using evidence-based medicine.
The list of available protocols is a work in progress.
No pediatric-specific document, would need to access each state/agency guideline to find pediatric resources.
Guidelines for Prehospital Pediatric Protocol Development (CA EMSA)
In this document the California EMS Authority (EMSA), informed by the EMSC-Technical Advisory Committee, recommends local EMS agencies address specific issues in the development of pediatric protocols. In addition, this document provides references for protocols from other states and from within California as examples for local EMS agencies that wish to update their protocols or that have not yet initiated protocol development for children.
Highlights of the 2020 AHA Guidelines for CPR and ECC
These Highlights summarize the key issues and changes in the 2020 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC). The 2020 Guidelines are a comprehensive revision of the AHA’s guidelines for adult, pediatric, neonatal, resuscitation education science, and systems of care topics. They have been developed for resuscitation providers and AHA instructors to focus on the resuscitation science and guidelines recommendations that are most significant or controversial, or those that will result in changes in resuscitation training and practice, and to provide the rationale for the recommendations.
(see pages 16-25 for Pediatric Basic and Advanced Life support)
Integrating Evidence-Based Pediatric Prehospital Protocols into Practice
PowerPoint presentation by Dr. Manish Shah.
Objectives: 1) To provide an overview of the past, present and future of national prehospital evidence-based guideline (EBG) development 2) To describe critical considerations in developing, implementing and assessing outcomes for prehospital guidelines 3) To define how prehospital guidelines relate to pediatric readiness in emergency departments
Pediatric Decision Tree: A Tool for Prehospital Destination Choice
The Pediatric Decision Tree (PDTree) is an evidence-based guideline to suggest the type of pediatric hospital which can meet a child’s definitive needs. The PDTree defines four levels of pediatric care; designated trauma/burn centers, comprehensive pediatric facility (with pediatric ICU and surgical services), regional pediatric facility (with pediatric inpatient care or 24/7 pediatric specialists in the ED) and local pediatric ready facility.
Prehospital Evidence Based Practice Resources (Canada)
Prehospital Evidence Based Practice (PEP) is a collaborative effort of Canadian and international EMS clinicians (paramedics, physicians, nurses and other allied health professionals). PEP is sponsored and managed by the Dalhousie University Department of Emergency Medicine Division of EMS, and Emergency Health Services Nova Scotia.
Click on "Open Resource" and scroll down to "Pediatric" in the alphabetized list.
This toolkit provides practical information about the development and use of evidence-based guidelines for prehospital care, and addresses the implementation of guidelines related to any clinical or operational topic relevant to EMS. Resources contained herein include tips on education of EMS personnel as part of guideline implementation and methods for evaluating whether a guideline was successfully implemented and improved patient care. Additional resources on the evaluation of EBG implementation are included.
The Prehospital Guidelines Consortium (PGC) maintains a comprehensive list of evidence-based guidelines (EBGs). This link takes you directly to their pediatric EBGs. As of August 2023, topics included:
Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems (AAP)
Control of pain and stress for children is a vital component of emergency medical care. Timely administration of analgesia affects the entire emer- gency medical experience and can have a lasting effect on a child’s and family’s reaction to current and future medical care. A systematic approach to pain management and anxiolysis, including staff education and protocol development, can provide comfort to children in the emergency setting and improve staff and family satisfaction. Pediatrics 2012;130:e1391–e1405
(focus on emergency departments, but some valuable information for prehospital, too)