Model EMS Clinical Guidelines

Model Clinical Guidelines Version 3 – Now Available for Public Comment

The NASEMSO Model EMS Clinical Guidelines project team is delighted to unveil the draft Version 3 of the Model EMS Clinical Guidelines. In completing Version 3, the project team has reviewed and updated all existing guidelines, as well as added five new guidelines. Version 3 of the Guidelines, similar to the original version released in 2014, was completed by a team of EMS and specialty physicians comprised of members of the NASEMSO Medical Directors Council and representatives from six EMS medical director stakeholder organizations (AAEM, ACEP, AAP-COPEM, ACS-COT, AMPA, and NAEMSP). In addition, all guidelines have been reviewed by a team of pediatric emergency medicine physicians, pharmacologists and other technical reviewers.


As part of the process we invite you to provide public comment on this draft version by completing the form below before September 24, 2021.


NASEMSO is presently undertaking the development of Version 3 of the National Model EMS Clinical Guidelines, which are projected to be completed in January of 2022. The Model EMS Clinical Guidelines Project was first initiated by NASEMSO in 2012 and has produced two versions of model clinical guidelines for EMS — the first in 2014 and the most recent version in late 2017. The guidelines were created as a resource to be used or adapted for use on a state, regional or local level to enhance prehospital patient care and can be viewed here. These model protocols are offered to any EMS entity that wishes to use them, in full or in part. The model guidelines project has been led by the NASEMSO Medical Directors Council in collaboration with 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 and 2014 projects and are leading the development of the 2022 edition as well. Countless hours of review and edits are contributed by subject matter experts and EMS stakeholders who respond with comments and recommendations during two public comment periods.

The development of these guidelines are 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 supports this undertaking, as do many project team members who volunteer their own time and talent to ensure this project is a success.

For More Information

Andy Gienapp, MS, NRP
Project Coordinator