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: There are 12 million children in the United States with special health care needs. Improvements in medical technology, managed care, and changing social views about the institutionalization of children have all contributed to an increasing number of children with special health care needs (CSHCN) residing primarily in their home communities. Because of the dynamic and fragile nature of the medical conditions typically borne by CSHCN, the need for emergency care is not uncommon and prehospital providers are increasingly likely to encounter this population. Few states have initiated emergency medical services (EMS) protocols addressing field assessment, management, and stabilization of CSHCN and existing model protocols have not yet incorporated a distinct CSHCN component. With the support of grant funding from the federal Emergency Medical Services for Children (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.
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.
Integrating Evidence-Based Pediatric Prehospital Protocols into Practice (Medical Oversight)
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
This prehospital evidence-based guideline implementation toolkit was initially created in collaboration with representatives from the National Association of State EMS Officials and has been updated by representatives of the Prehospital Guidelines Consortium.