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Recent Changes to Recommendations for Interventions
 InterventionNature of ComplaintNew RecommendationOld RecommendationDate of Change
Vector changeCardiac Arrest - VF/VT-Pulseless (Shock Advised)Moderate SupportiveNot yet GradedMar 1, 2023
Tranexamic acid poly trauma including TBITrauma - Traumatic Brain InjuryModerate NeutralNot yet GradedFeb 27, 2023
Percutaneous CricothyrotomyAdvanced Airway Management - Airway Management (Non-intubation)Moderate NeutralModerate AgainstFeb 27, 2023
Hypertension ControlStroke-CVA-TIA - Stroke-CVA-TIAStrong NeutralStrong SupportiveFeb 27, 2023
Corsette Style Compression Device (e.g. T-Pod)Trauma - Pelvic TraumaModerate NeutralModerate SupportiveFeb 27, 2023
Head-up CPRCardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedFeb 19, 2023
SuctionAirway Emergency - Foreign Body Obstruction(Complete/Partial)Moderate SupportiveNot yet GradedFeb 19, 2023
Blood transfusionShock (non-septic) - Hemorrhagic ShockModerate SupportiveModerate NeutralJan 25, 2023
Advanced Notice/ Optimal Trip DestinationStroke-CVA-TIA - Stroke-CVA-TIAStrong SupportiveModerate SupportiveJan 25, 2023
Screening for Large Vessel OcclusionStroke-CVA-TIA - Stroke-CVA-TIAModerate SupportiveNot yet GradedJan 15, 2023
EpinephrineCardiac Arrest - Post-Cardiac Arrest CareModerate NeutralNot yet GradedJan 15, 2023
NorepinephrineCardiac Arrest - Post-Cardiac Arrest CareStrong SupportiveNot yet GradedJan 15, 2023
DopamineCardiac Arrest - Post-Cardiac Arrest CareStrong SupportiveNot yet GradedJan 15, 2023
Screening for Intimate Partner ViolenceTreat and Release/Refer - ReferModerate SupportiveNot yet GradedJan 15, 2023
BuprenorphineToxicologic Emergency - Opioid withdrawalModerate SupportiveWeak SupportiveJan 15, 2023
Oxymetry MonitoringPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveNot yet GradedDec 15, 2022
Rapid Sequence InductionAdvanced Airway Management - Medication for Airway ManagementModerate SupportiveModerate NeutralDec 15, 2022
LMA (without AW reflexes)Advanced Airway Management - Airway Management (Non-intubation)Moderate NeutralStrong NeutralDec 15, 2022
Crystalloid InfusionPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate NeutralNot yet GradedDec 15, 2022
Midazolam-IVPediatric Altered Mental State-Dec. LOC - Pediatric SeizureModerate SupportiveModerate AgainstDec 15, 2022
ThoracotomyCardiac Arrest - Traumatic ArrestModerate NeutralWeak SupportiveDec 15, 2022
AER (Active External Rewarming)Environmental Emergency - Hypothermic Cardiac ArrestModerate NeutralWeak SupportiveNov 30, 2022
Identification tools-SIRSSepsis - Sepsis SyndromeStrong SupportiveModerate SupportiveNov 30, 2022
Identification tools-NEWSSepsis - Sepsis SyndromeStrong SupportiveModerate SupportiveNov 30, 2022
FASTTrauma - Abdominal TraumaModerate SupportiveWeak SupportiveNov 30, 2022
Chest pain prediction toolChest Pain - ACS/Suspected Cardiac OriginStrong SupportiveModerate SupportiveOct 30, 2022
Blood transfusionCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedOct 30, 2022
Tranexamic AcidTrauma - Limb Amputation/Mangled/Major HemorrhageStrong SupportiveNot yet GradedOct 3, 2022
Blood Glucose MonitoringCardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedSep 29, 2022
Point of Care TroponinChest Pain - ACS/Suspected Cardiac OriginStrong SupportiveModerate SupportiveSep 29, 2022
Ketorolac (Toradol)Trauma - General Major Trauma CareStrong SupportiveModerate SupportiveSep 29, 2022
Temperature MonitoringTrauma - General Major Trauma CareModerate SupportiveModerate NeutralSep 29, 2022
Optimal Trip DestinationCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedSep 10, 2022
Oxygen-high flowTrauma - General Major Trauma CareModerate AgainstStrong SupportiveAug 21, 2022
KetaminePsychiatric - Violent-AgitatedStrong SupportiveModerate SupportiveAug 21, 2022
Spinal PrecautionsTrauma - Spinal InjuryModerate NeutralWeak NeutralAug 21, 2022
PressureEENT - Epistaxis Strong SupportiveModerate NeutralAug 21, 2022
EpinephrinePediatric Allergic Reaction - Pediatric AnaphylaxisModerate SupportiveWeak SupportiveAug 21, 2022
Blood transfusionPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveWeak SupportiveAug 21, 2022
Pelvic BindingCardiac Arrest - Traumatic ArrestModerate NeutralNot yet GradedJul 16, 2022
Acetaminophen IVChest Pain - ACS/Suspected Cardiac OriginStrong NeutralNot yet GradedJun 29, 2022
Sedation scaleAdvanced Airway Management - Medication for Airway ManagementWeak SupportiveNot yet GradedJun 29, 2022
Identification tools- qSOFASepsis - Sepsis SyndromeStrong NeutralModerate SupportiveJun 26, 2022
UltrasoundTrauma - Chest TraumaStrong SupportiveModerate SupportiveJun 26, 2022
Tourniquet (limb)Trauma - Limb Amputation/Mangled/Major HemorrhageStrong NeutralModerate SupportiveJun 26, 2022
HEMSTrauma - Traumatic Brain InjuryModerate SupportiveNot yet GradedJun 24, 2022
Methoxyflurane (Penthrox)Pediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveNot yet GradedJun 24, 2022
Oxymetry MonitoringPerinatal Care - Newborn CareWeak SupportiveNot yet GradedMay 26, 2022
ETCO2Shock (non-septic) - Hemorrhagic ShockModerate SupportiveNot yet GradedMay 12, 2022
ETCO2Pediatric Cardiac Arrest - General Cardiac Arrest CareModerate NeutralWeak SupportiveApr 2, 2022
ThoracostomyCardiac Arrest - Traumatic ArrestModerate SupportiveWeak SupportiveApr 2, 2022
HydroxocobalaminToxicologic Emergency - Cyanide PoisoningWeak NeutralModerate NeutralApr 2, 2022
POCUSCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedMar 30, 2022
Oxygen-titratedTrauma - General Major Trauma CareModerate SupportiveNot yet GradedMar 27, 2022
CapsaicinToxicologic Emergency - Cannabinoid hyperemesisModerate SupportiveNot yet GradedMar 19, 2022
MagnesiumRespiratory Distress (SOB) - COPDStrong NeutralModerate SupportiveFeb 23, 2022
Transport to an ECMO capable facilityCardiac Arrest - General Cardiac Arrest CareStrong SupportiveModerate SupportiveFeb 23, 2022
Passive leg raiseCardiac Arrest - General Cardiac Arrest CareStrong NeutralNot yet GradedFeb 22, 2022
Hypertension ControlTrauma - Traumatic Brain InjuryWeak SupportiveNot yet GradedFeb 22, 2022
Shock Prediction ToolSepsis - Septic ShockModerate SupportiveNot yet GradedFeb 22, 2022
OxygenTrauma - Traumatic Brain InjuryModerate SupportiveNot yet GradedFeb 22, 2022
BenzodiazepinesToxicologic Emergency - ETOH WithdrawalModerate SupportiveStrong SupportiveJan 24, 2022
Direct PressureTrauma - Limb Amputation/Mangled/Major HemorrhageModerate SupportiveWeak NeutralJan 24, 2022
Mechanical Intraosseous InsertionPediatric Cardiac Arrest - General Cardiac Arrest CareModerate NeutralModerate SupportiveDec 15, 2021
EpinephrineShock (non-septic) - Cardiogenic ShockModerate NeutralModerate SupportiveDec 15, 2021
Needle DecompressionCardiac Arrest - Traumatic ArrestModerate NeutralModerate SupportiveDec 15, 2021
High flow nasal canulaRespiratory Distress (SOB) - Respiratory Distress NYDModerate NeutralWeak NeutralDec 14, 2021
Dispatcher video assistanceCardiac Arrest - General Cardiac Arrest CareWeak SupportiveNot yet GradedDec 14, 2021
Wound packingTrauma - Limb Amputation/Mangled/Major HemorrhageWeak SupportiveNot yet GradedDec 14, 2021
IV accessPediatric Cardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedDec 14, 2021
SuctionAdvanced Airway Management - Airway Management (Non-intubation)Moderate SupportiveNot yet GradedNov 27, 2021
12-Lead ECGCardiac Arrest - Post-Cardiac Arrest CareModerate SupportiveModerate NeutralNov 27, 2021
Mechanical Intraosseous InsertionCardiac Arrest - General Cardiac Arrest CareStrong NeutralModerate NeutralNov 27, 2021
Needle DecompressionTrauma - Chest TraumaModerate NeutralWeak SupportiveNov 27, 2021
NSAIDsNon-Traumatic MSK - Mechanical Back PainModerate SupportiveStrong SupportiveOct 25, 2021
I-GelAdvanced Airway Management - Airway Management (Non-intubation)Strong SupportiveModerate SupportiveOct 25, 2021
Tranexamic acid for isolated TBITrauma - Traumatic Brain InjuryStrong NeutralModerate AgainstOct 25, 2021
Methoxyflurane (Penthrox)Trauma - General Major Trauma CareStrong SupportiveNot yet GradedOct 25, 2021
TIA ScoreStroke-CVA-TIA - Stroke-CVA-TIAWeak SupportiveNot yet GradedOct 24, 2021
Transfer of ECMO patientsRespiratory Distress (SOB) - Respiratory Distress NYDModerate SupportiveWeak SupportiveSep 30, 2021
Oxygen-high flowChest Pain - ACS/Suspected Cardiac OriginStrong NeutralStrong AgainstJul 29, 2021
EpinephrineSepsis - Septic ShockWeak SupportiveNot yet GradedJul 29, 2021
NorepinephrineSepsis - Septic ShockStrong SupportiveNot yet GradedJul 29, 2021
DobutamineSepsis - Septic ShockWeak SupportiveNot yet GradedJul 29, 2021
DopamineSepsis - Septic ShockStrong NeutralNot yet GradedJul 29, 2021
Tranexamic AcidPediatric Shock - Hypovolemic ShockModerate SupportiveNot yet GradedJul 28, 2021
IV accessCardiac Arrest - General Cardiac Arrest CareStrong NeutralModerate NeutralJul 28, 2021
ALSTrauma - General Major Trauma CareModerate NeutralModerate SupportiveJul 15, 2021
Methoxyflurane (Penthrox)Pediatric Burns - Pediatric Burns (fire/flame)Weak NeutralNot yet GradedJul 15, 2021
IntubationTrauma - General Major Trauma CareModerate AgainstNot yet GradedJul 15, 2021
POCUS for COPD evaluationTreat and Release/Refer - Treat and releaseWeak NeutralNot yet GradedJun 30, 2021
Transport to an ECMO capable facilityEnvironmental Emergency - Hypothermic Cardiac ArrestWeak SupportiveNot yet GradedJun 30, 2021
Early epinephrinePediatric Cardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedJun 26, 2021
OpioidHeadache - Headache-MigraineWeak AgainstNot yet GradedJun 26, 2021
Fibrinogen concentrateShock (non-septic) - Hemorrhagic ShockStrong SupportiveNot yet GradedJun 26, 2021
ReductionTrauma - DislocationWeak SupportiveNot yet GradedJun 26, 2021
Stroke Diagnosis Scales (any)Stroke-CVA-TIA - Stroke-CVA-TIAStrong SupportiveModerate SupportiveMay 26, 2021
Medical clearance in the fieldPsychiatric - Depressed Suicidal Moderate SupportiveNot yet GradedMay 26, 2021
Intra-arrest transport (load and go)Cardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedMay 26, 2021
Chest Compression devicesCardiac Arrest - General Cardiac Arrest CareStrong NeutralStrong SupportiveMay 5, 2021
Beta BlockersChest Pain - ACS/Suspected Cardiac OriginStrong NeutralStrong SupportiveMay 5, 2021
MorphineChest Pain - ACS/Suspected Cardiac OriginModerate NeutralModerate AgainstMay 5, 2021
Acetaminophen POAcute Pain - AnalgesiaStrong SupportiveStrong NeutralMay 5, 2021
IV Fluid as a cooling agentEnvironmental Emergency - HyperthermiaWeak NeutralModerate NeutralMay 5, 2021
Bystander CPRCardiac Arrest - General Cardiac Arrest CareModerate SupportiveStrong SupportiveMay 5, 2021
Nitrous OxideChest Pain - ACS/Suspected Cardiac OriginStrong NeutralWeak SupportiveMay 5, 2021
Double Sequential DefibrillationCardiac Arrest - VF/VT-Pulseless (Shock Advised)Strong NeutralModerate SupportiveMay 5, 2021
Humidified oxygenRespiratory Distress (SOB) - COPDWeak NeutralModerate NeutralMay 2, 2021
High flow nasal canulaPediatric Respiratory Distress (SOB) - Pediatric Wheeze/BronchospasmModerate SupportiveModerate NeutralMay 2, 2021
OxygenTrauma - General Major Trauma CareWeak NeutralNot yet GradedMay 2, 2021
Crystalloid InfusionSepsis - Septic ShockModerate NeutralStrong SupportiveMay 2, 2021
Pre-alert (massive transfusion protocol)Trauma - Limb Amputation/Mangled/Major HemorrhageModerate SupportiveWeak SupportiveMay 2, 2021
Tourniquet (junctional)Trauma - Limb Amputation/Mangled/Major HemorrhageWeak NeutralNot yet GradedMay 2, 2021
Antiarrhythmic - Class I (Na+ channel blockers)Cardiac Arrhythmia - Stable Narrow Complex Tachycardia Strong SupportiveWeak SupportiveMay 2, 2021
Trauma Team ActivationTrauma - General Major Trauma CareModerate SupportiveNot yet GradedMay 2, 2021
Therapeutic hypothermiaPerinatal Care - Neonatal Resuscitation Weak NeutralNot yet GradedMay 2, 2021
Isopropyl alcoholGI-GU-Gyne - Nausea and VomitingStrong SupportiveNot yet GradedMay 2, 2021
KetaminePediatric Respiratory Distress (SOB) - Pediatric Wheeze/BronchospasmWeak SupportiveNot yet GradedMay 2, 2021
Metoclopramide plus diphenhydramineHeadache - Headache-MigraineStrong SupportiveModerate SupportiveMay 2, 2021
Wet/hydrogel dressingBurns - Burns (fire/flame) Moderate NeutralNot yet GradedMay 2, 2021
Predictive ToolsTreat and Release/Refer - Treat and releaseModerate SupportiveNot yet GradedMay 2, 2021
Mechanical Intraosseous InsertionPediatric Shock - Hypovolemic ShockModerate SupportiveStrong SupportiveMay 2, 2021
Hypertonic Saline-NebulizedRespiratory Distress (SOB) - AsthmaStrong SupportiveNot yet GradedMay 2, 2021
Epinephrine-IVRespiratory Distress (SOB) - AsthmaModerate NeutralWeak NeutralMay 2, 2021
Flush with > 1L SalineEENT - Foreign Body/Welders Flash/Chemical Splash EyeModerate SupportiveNot yet GradedMay 2, 2021
DiphenhydramineAllergic Reaction - Anaphylaxis Moderate SupportiveNot yet GradedMay 2, 2021
Rapid Sequence InductionPediatric Advanced Airway Management - Medication for Airway ManagementWeak SupportiveModerate SupportiveMay 2, 2021
Antibiotic (open fracture)Trauma - Extremity TraumaWeak SupportiveModerate SupportiveApr 26, 2021
Status epilepticus scaleAltered Mental State-Dec. LOC - Seizure (Adult)Moderate SupportiveNot yet GradedMar 31, 2021