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Model EMS Clinical Guidelines Project

Recent Update of National Model Clinical Guidelines, Version 2.1, Now Online

(07/17/18) The National Model EMS Clinical Guidelines, Version 2 was updated recently when a reviewer noted a dosing error in the Pediatric Respiratory Distress (croup) guideline. On page 139 under (3) Inhaled medications (a) Epinephrine nebulized was changed to Epinephrine 5 mL of 1 mg/mL (5 mg) nebulized. We were able to notify those who had requested the document in Microsoft Word since the 2017 version was released in September. Other users who have downloaded the PDF version of the document will want to take note of the correction. The updated version is known as the National Model EMS Clinical Guidelines, Version 2.1 and dated June 29, 2018. Obtain more information on the project and a copy of the newly revised document below.

National Model ClinicalGuidelines, Version 2, Released

The National Association of State EMS Officials (NASEMSO) has released the National Model EMS Clinical Guidelines, Version 2. This set of clinical EMS guidelines is an updated and expanded version of the guidelines originally released in 2014. Version 2, completed Sept. 8, 2017, has undergone a comprehensive review and update of the original core set of 56 guidelines, and includes 15 new guidelines. (The list of 15 new guidelines can be found on page 7 of the document.) The effort was led by a core team from the NASEMSO Medical Directors Council, along with representatives from eight national EMS physician organizations, including: American College of Emergency Physicians (ACEP), National Association of EMS Physicians (NAEMSP), American College of Osteopathic Emergency Physicians (ACOEP), American Academy of Emergency Medicine (AAEM), American Academy of Pediatrics, Committee on Pediatric Emergency Medicine (AAP-COPEM), American College of Surgeons, Committee on Trauma (ACS-COT) and Air Medical Physician Association (AMPA). Co-Principal Investigators, Dr. Carol Cunningham and Dr. Richard Kamin, directed the 2017 project as well as the original 2014 endeavor. Countless hours of review and edits were contributed by subject matter experts and EMS stakeholders who responded with comments and recommendations during two public comment periods.

The guidelines were created as a resource to be used or adapted for use on a state, regional or local level to enhance patient care. These model protocols are offered to any EMS entity that wishes to use them, in full or in part. The development of these guidelines was made possible by funding support from the National Highway Traffic Safety Administration, Office of EMS, and the Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau’s EMS for Children Program. In addition, NASEMSO financially supported this undertaking, as did many project team members who volunteered their own time and talent to ensure this project was a success.

Note: When a change is made to any of the Model Guidelines, the revision date is noted in the footer on each page of the document, as well as at the end of the specific guideline that has been revised. If the change is substantive, the version number also changes. The most up-to-date document is Version 2.1, revised June 29, 2018.

National Model EMS Clinical Guidelines, Version 2.1 Last Updated June 29, 2018

Information on the 2016-2017 Project

Additional Information on the 2014 Project