Texas — Targeted Issue

Pediatric Evidence-Based Guidelines Assessment of EMS System Utilization in States (PEGASUS)

Sept. 1, 2013 - Aug. 31, 2016

Grant Number
Project Overview
Reducing the variation in practice is an integral component of providing quality health care. Moreover, the standardization of prehospital interventions has been linked to an overall improvement in health outcomes. Prehospital care is usually standardized within an EMS system through the use of guidelines or protocols, also known as offline medical direction. However, medical protocols vary from one EMS agency to another, making standardization of care across EMS agencies challenging. The goal of this project is to improve the evidence base for pediatric prehospital care utilizing the National Prehospital Evidence-Based Guideline (EBG) Model Process. Objectives include to: (1) develop four pediatric-relevant EBGs using the National Prehospital EBG model Process, (2) implement two of the four pediatric-relevant, prehospital EBGs in the Houston Fire Department system, to demonstrate effectiveness of care and (3) implement two locally-tested (in Houston), pediatric-relevant prehospital EBGs through the New England Council on EMS, in order to evaluate EMS system-level and selected patient-level prehospital outcomes utilizing data available from the National EMS Information Systems database.
Baylor College of Medicine
Main Contact
Award Amount


Name Role(s) Phone Email
Manish Shah, MD, MS
  • Principal Investigator
(832) 824-6703 mxshah@texaschildrens.org


Title Format Description Published/Revised Availability
EMS Protocols for PEGASUS States Protocol/Guidelines Contributed content to 9 pediatric protocols 2015 Available Online
Neonatal and Pediatric Transport Book/Book Chapter Chapter in Tintinalli's Emergency Medicine 2015 Available in Hard Copy Format Only
Prehospital Care Book/Book Chapter Chapter in Pediatric Emergency Medicine 2014 Available in Hard Copy Format Only
Technology-Dependent Children Book/Book Chapter Chapter in Emergency Medical Services: Clinical Practice and Systems Oversight, 2nd edition 2014 Available in Hard Copy Format Only


Title Type Publication/Event Published/Presented Identifier Details
Improving Prehospital Protocol Adherence Using Bundled Educational Interventions Research Paper/Publication Prehospital Emergency Care 2018
Prioritising minimum standards of emergency care for children in resource-limited settings Research Paper/Publication Paediatrics and International Child Health 2017
A Consensus-Based Criterion Standard Definition for Pediatric Patients Who Needed the Highest-Level Trauma Team Activation Research Paper/Publication J Trauma Acute Care Surg 2016
Impact of High-Fidelity Pediatric Simulation on Paramedic Seizure Management Research Paper/Publication Prehospital Emergency Care 2016
Differences in Demographics, Beliefs, and Attitudes Regarding EMS Utilization Among Families of Children in Houston Poster Pediatric Academic Societies 2015
Impact of a Novel, High-Fidelity Pediatric Simulation Course on Paramedic Seizure Management Presentation Society for Academic Emergency Medicine 2015
Pediatric Preparedness Panel Presentation All Houston Emergency Medicine Conference 2015
Evidence-based Protocols for Emergency Medical Services in the United States Presentation Pediatric Academic Societies 2015
Emergency Medical Services for Children: More Than Just a Ride to the Hospital Presentation Baylor College of Medicine, EMS Elective for Medical Students 2015
The PediSTEPPs Journey: From Creation to Celebration Presentation International Meeting on Simulation in Healthcare 2015
Utilizing the Broselow™ Pediatric Emergency Tape for Prehospital Management of Children According to Evidence-Based Guidelines Poster 2015 AAP National Conference and Exhibition 2015
A Whole Lot of Wheezin' and Shakin' Going On: Pediatric Prehospital Evidence-Based Guidelines for Seizures and Respiratory Distress Presentation Vermont EMS and Disaster Preparedness Conference (2014); Texas EMS Conference (2014); Atlantic Partners EMS MidCoast Seminar (2015); Regional Advisory Council: A Pediatric Conference (2015) 2014 & 2015
Region-wide Protocols Will Exist When Horses Can Fly: The Pediatric Evidence-Based Guidelines Assessment of EMS System-wide Utilization in States (PEGASUS) Project Presentation Vermont EMS and Disaster Preparedness Conference; Texas EMS Conference; Atlantic Partners EMS MidCoast Seminar 2014
Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPs) Presentation National Association of EMS Educators (NAEMSE) 2014
Evidence-Based Guidelines for Pediatric Prehospital Care Presentation Baylor College of Medicine Department of Pediatrics/Texas Children's Hospital Feign Center Research Seminar 2014