Pediatric Protocols and Guidelines Resources

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.

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)

State prehospital protocols & guidelines for pediatric medical and traumatic conditions.

2023 Abstract: Airway management is a cornerstone of emergency medical care. This project aimed to create evidence-based guidelines based on the systematic review recently conducted by the Agency for Healthcare Research and Quality (AHRQ). A technical expert panel was assembled to review the evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. The panel made specific recommendations on the different PICO (population, intervention, comparison, outcome) questions reviewed in the AHRQ review and created good practice statements that summarize and operationalize these recommendations. The recommendations address the use of ventilation with bag-valve mask ventilation alone vs. supraglottic airways vs. endotracheal intubation for adults and children with cardiac arrest, medical emergencies, and trauma. Additional recommendations address the use of video laryngoscopy and drug-assisted airway management. These recommendations, and the associated good practice statements, offer EMS agencies and clinicians an opportunity to review the available evidence and incorporate it into their airway management strategies.