Click to goto CDHA Public Site Click to goto DivEMS Dal Public Site Click to goto EHS Nova Scotia
Prehospital Evidence Based Practice   
Skip Navigation Links
Home
Introduction
PEP Database
MethodsExpand Methods
FAQs
What's NewExpand What's New
PEP ProductivityExpand PEP Productivity
PEP Impact
AppraisersExpand Appraisers
Make a Suggestion
Cochrane Corner
Paramedic Evidence
Based Practice Course
Expand Paramedic Evidence <br /> Based Practice Course
Links of Interest
Contact Us
Disclaimer
Recent Changes to Recommendations for Interventions
 InterventionNature of ComplaintNew RecommendationOld RecommendationDate of Change
FentanylChest Pain - ACS/Suspected Cardiac OriginStrong AgainstNot yet GradedJul 29, 2020
ECMORespiratory Distress (SOB) - Respiratory Distress NYDWeak SupportiveNot yet GradedJul 29, 2020
DSI (CCT)Advanced Airway Management - Medication for Airway ManagementWeak SupportiveNot yet GradedJul 28, 2020
Rate controlTrauma - Traumatic Brain InjuryModerate SupportiveNot yet GradedJul 27, 2020
Blood transfusionTrauma - Traumatic Brain InjuryModerate SupportiveModerate NeutralJul 27, 2020
IV accessTrauma - General Major Trauma CareModerate NeutralNot yet GradedJun 23, 2020
Combitube (without AW reflexes)Pediatric Advanced Airway Management - Alternative Rescue Airway ManagementModerate NeutralNot yet GradedJun 23, 2020
Methoxyflurane (Penthrox)Acute Pain - AnalgesiaStrong SupportiveNot yet GradedMay 27, 2020
ThoracotomyCardiac Arrest - Traumatic ArrestWeak SupportiveNot yet GradedMay 27, 2020
HEMSPediatric Cardiac Arrest - General Cardiac Arrest CareWeak SupportiveNot yet GradedMay 22, 2020
Liberal fluid managementSepsis - Septic ShockStrong SupportiveNot yet GradedMar 11, 2020
Titrated fluid managementSepsis - Septic ShockStrong SupportiveNot yet GradedMar 11, 2020
ECGCardiac Arrest - General Cardiac Arrest CareWeak NeutralNot yet GradedMar 4, 2020
ETCO2Trauma - General Major Trauma CareModerate SupportiveNot yet GradedFeb 26, 2020
PressorsSepsis - Septic ShockStrong SupportiveWeak SupportiveFeb 4, 2020
Fluid BolusAltered Mental State-Dec. LOC - HyperglycemiaWeak NeutralNot yet GradedFeb 1, 2020
OxygenAirway Emergency - Foreign Body Obstruction(Complete/Partial)Weak SupportiveNot yet GradedJan 4, 2020
Hemostatic dressingTrauma - Limb Amputation/Mangled/Major HemorrhageModerate SupportiveWeak SupportiveDec 19, 2019
Short Extrication Devices (ex: KED)Trauma - Spinal InjuryModerate NeutralWeak AgainstDec 19, 2019
Physical counterpressure manuversMalaise, Sick - Syncope Weak SupportiveNot yet GradedDec 19, 2019
Spinal PrecautionsPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate NeutralNot yet GradedDec 19, 2019
Blood transfusionPediatric Shock - Hypovolemic ShockWeak SupportiveNot yet GradedDec 19, 2019
Point of Care TroponinChest Pain - ACS/Suspected Cardiac OriginModerate NeutralModerate SupportiveDec 18, 2019
NO DESAT/Nasal apneic oxygenationAdvanced Airway Management - IntubationStrong NeutralModerate SupportiveDec 18, 2019
I-GelAdvanced Airway Management - Alternative Rescue Airway ManagementModerate SupportiveWeak SupportiveDec 18, 2019
Antiarrhythmic - Class III (K+ channel blockers)Cardiac Arrhythmia - Stable Narrow Complex Tachycardia Strong NeutralStrong SupportiveDec 18, 2019
Inhalation RewarmingEnvironmental Emergency - HypothermiaModerate AgainstNot yet GradedDec 18, 2019
Colloid InfusionShock (non-septic) - Hemorrhagic ShockStrong NeutralModerate NeutralDec 18, 2019
Intra-Arrest CoolingCardiac Arrest - General Cardiac Arrest CareStrong NeutralModerate NeutralDec 9, 2019
Ketorolac (Toradol)Acute Pain - AnalgesiaStrong SupportiveStrong NeutralDec 9, 2019
Redirect to ECMO facilityCardiac Arrest - General Cardiac Arrest CareModerate SupportiveWeak SupportiveDec 9, 2019
Continuous Oxymetry MonitoringCardiac Arrest - General Cardiac Arrest CareModerate SupportiveWeak SupportiveDec 9, 2019
Dispatch assisted CCCCardiac Arrest - General Cardiac Arrest CareStrong SupportiveStrong NeutralDec 9, 2019
PAI-CPR/DefibCardiac Arrest - General Cardiac Arrest CareStrong NeutralModerate NeutralDec 9, 2019
Spinal immobilizationCardiac Arrest - Traumatic ArrestModerate AgainstNot yet GradedDec 9, 2019
HEMSCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedOct 31, 2019
BVMCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedSep 11, 2019
Advanced airwayCardiac Arrest - Traumatic ArrestModerate NeutralModerate SupportiveSep 11, 2019
Hemorrhage controlCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedAug 23, 2019
Shock Prediction ToolPediatric Shock - Hypovolemic ShockModerate SupportiveNot yet GradedAug 23, 2019
Colloid InfusionShock (non-septic) - Neurogenic ShockStrong NeutralModerate SupportiveAug 23, 2019
Crystalloid InfusionShock (non-septic) - Cardiogenic ShockStrong NeutralNot yet GradedAug 23, 2019
Crystalloid FluidBurns - Burns (fire/flame) Strong NeutralWeak SupportiveAug 23, 2019
Pre-alert (massive transfusion protocol)Trauma - Limb Amputation/Mangled/Major HemorrhageWeak SupportiveNot yet GradedAug 15, 2019
Balanced crystalloidsSepsis - Septic ShockModerate SupportiveNot yet GradedAug 15, 2019
Shock Prediction ToolPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveNot yet GradedAug 15, 2019
Blood Glucose MonitoringTrauma - General Major Trauma CareModerate SupportiveWeak SupportiveAug 15, 2019
PressorsShock (non-septic) - Hemorrhagic ShockModerate AgainstNot yet GradedAug 15, 2019
Plasma infusionTrauma - Traumatic Brain InjuryModerate SupportiveNot yet GradedAug 15, 2019
Needle DecompressionCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedAug 15, 2019
Pelvic BindingCardiac Arrest - Traumatic ArrestModerate SupportiveNot yet GradedAug 15, 2019
HypoglycemiaTreat and Release/Refer - Treat and releaseModerate SupportiveNot yet GradedAug 15, 2019
SVT post-conversionTreat and Release/Refer - Treat and releaseWeak SupportiveNot yet GradedAug 15, 2019
Opiate overdoseTreat and Release/Refer - Treat and releaseModerate NeutralNot yet GradedAug 15, 2019
12-Lead ECGRespiratory Distress (SOB) - Pulmonary Edema (CHF)Moderate SupportiveNot yet GradedAug 14, 2019
BougieAdvanced Airway Management - IntubationStrong SupportiveModerate SupportiveAug 14, 2019
Restricted CrystalloidsTrauma - Traumatic Brain InjuryModerate AgainstStrong NeutralAug 14, 2019
Pressure manometerAdvanced Airway Management - Alternative Rescue Airway ManagementWeak SupportiveNot yet GradedJul 24, 2019
D10Altered Mental State-Dec. LOC - Hypoglycemia Strong SupportiveNot yet GradedJul 24, 2019
12-Lead ECGCardiac Arrest - Post-Cardiac Arrest CareModerate NeutralNot yet GradedMay 17, 2019
HEMSPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveNot yet GradedMay 17, 2019
Pharmacoinvasive approachChest Pain - ACS/Suspected Cardiac OriginModerate SupportiveNot yet GradedMay 17, 2019
NSAIDsAcute Pain - AnalgesiaStrong SupportiveStrong NeutralMay 17, 2019
PressureEENT - Epistaxis Moderate NeutralNot yet GradedMay 17, 2019
Blood transfusionShock (non-septic) - Hemorrhagic ShockModerate NeutralStrong NeutralMay 17, 2019
Video Visualization ( e.g. Glidescope)Pediatric Advanced Airway Management - IntubationModerate SupportiveWeak NeutralMay 17, 2019
Pre-Arrival InstructionsPediatric Cardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedMay 17, 2019
LMA (without AW reflexes)Advanced Airway Management - Alternative Rescue Airway ManagementModerate AgainstModerate NeutralMay 17, 2019
VasopressinCardiac Arrest - General Cardiac Arrest CareStrong NeutralModerate NeutralMay 17, 2019
Combitube (without AW reflexes)Advanced Airway Management - Alternative Rescue Airway ManagementModerate AgainstModerate NeutralMay 17, 2019
RSI (CCT)Advanced Airway Management - Medication for Airway ManagementStrong SupportiveStrong NeutralMay 17, 2019
SedationAdvanced Airway Management - Medication for Airway ManagementModerate SupportiveModerate NeutralMay 17, 2019
NarcoticRespiratory Distress (SOB) - Pulmonary Edema (CHF)Moderate AgainstModerate NeutralMay 17, 2019
Needle DecompressionTrauma - Chest TraumaWeak SupportiveStrong NeutralMay 17, 2019
EpinephrineAllergic Reaction - Anaphylaxis Moderate SupportiveWeak SupportiveMay 17, 2019
12-Lead ECGMalaise, Sick - Syncope Strong SupportiveModerate SupportiveMay 17, 2019
Manual Intraosseous InsertionCardiac Arrest - General Cardiac Arrest CareModerate AgainstModerate NeutralMay 17, 2019
POCUSCardiac Arrest - General Cardiac Arrest CareModerate SupportiveWeak SupportiveMay 17, 2019
Fluid ResuscitationCardiac Arrest - General Cardiac Arrest CareWeak SupportiveNot yet GradedMay 17, 2019
Bystander CPRPediatric Cardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedMay 17, 2019
One-handed CPRPediatric Cardiac Arrest - General Cardiac Arrest CareWeak NeutralNot yet GradedMay 17, 2019
Termination ResuscitationPediatric Cardiac Arrest - General Cardiac Arrest CareModerate SupportiveWeak AgainstMay 1, 2019
Vagal Maneuver / ice waterPediatric Cardiac Arrhythmia - Pediatric TachycardiaModerate SupportiveWeak SupportiveApr 30, 2019
Plasma infusionShock (non-septic) - Hemorrhagic ShockStrong SupportiveNot yet GradedApr 30, 2019
PEEPPediatric Respiratory Distress (SOB) - Pediatric Wheeze/BronchospasmStrong NeutralNot yet GradedApr 30, 2019
NiPPVPediatric Respiratory Distress (SOB) - Pediatric Wheeze/BronchospasmWeak NeutralNot yet GradedApr 30, 2019
Antiarrhythmic - Class I (Na+ channel blockers)Cardiac Arrhythmia - Stable Narrow Complex Tachycardia Weak SupportiveNot yet GradedApr 30, 2019
UltrasoundRespiratory Distress (SOB) - Pulmonary Edema (CHF)Weak NeutralNot yet GradedApr 30, 2019
12-Lead ECGStroke-CVA-TIA - Stroke-CVA-TIAWeak SupportiveNot yet GradedApr 30, 2019
Hands-on defibCardiac Arrest - VF/VT-Pulseless (Shock Advised)Moderate SupportiveNot yet GradedDec 20, 2018
Beta BlockersCardiac Arrest - VF/VT-Pulseless (Shock Advised)Moderate SupportiveNot yet GradedDec 20, 2018
ETCO2 to determine ROSCCardiac Arrest - General Cardiac Arrest CareStrong SupportiveNot yet GradedDec 20, 2018
IV accessCardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedDec 20, 2018
Team based resuscitationCardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedDec 20, 2018
Critical care life supportCardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedDec 20, 2018
ETCO2 evaluation of ventilationCardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedDec 20, 2018
Post-Arrest Cooling (CCT)Cardiac Arrest - Post-Cardiac Arrest CareStrong NeutralStrong SupportiveDec 20, 2018
BCLSCardiac Arrest - General Cardiac Arrest CareStrong SupportiveStrong NeutralDec 20, 2018
Bystander CCCCardiac Arrest - General Cardiac Arrest CareStrong SupportiveModerate SupportiveDec 20, 2018
Mechanical Intraosseous InsertionCardiac Arrest - General Cardiac Arrest CareModerate NeutralStrong SupportiveDec 20, 2018
Post-arrest coolingCardiac Arrest - Post-Cardiac Arrest CareStrong NeutralStrong SupportiveDec 20, 2018
BVMAdvanced Airway Management - Alternative Rescue Airway ManagementStrong SupportiveModerate SupportiveDec 20, 2018
Passive Oxygen AdministrationCardiac Arrest - General Cardiac Arrest CareModerate SupportiveStrong NeutralDec 20, 2018
Laryngeal Tube (without AW reflexes)Advanced Airway Management - Alternative Rescue Airway ManagementStrong SupportiveModerate NeutralDec 20, 2018
Double Sequential DefibrillationCardiac Arrest - VF/VT-Pulseless (Shock Advised)Moderate SupportiveNot yet GradedNov 7, 2018
Combitube (with AW reflexes)Advanced Airway Management - Alternative Rescue Airway ManagementWeak AgainstNot yet GradedNov 7, 2018
Aggressive CrystalloidsPediatric Shock - Hypovolemic ShockModerate NeutralNot yet GradedOct 1, 2018
Restricted CrystalloidsPediatric Shock - Hypovolemic ShockModerate NeutralNot yet GradedOct 1, 2018
SuctionPerinatal Care - Neonatal Resuscitation Weak SupportiveNot yet GradedOct 1, 2018
Compression-only CPRPediatric Cardiac Arrest - General Cardiac Arrest CareModerate NeutralWeak NeutralOct 1, 2018
Early epinephrineCardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedOct 1, 2018
Cervical CollarTrauma - Spinal InjuryModerate AgainstStrong AgainstSep 5, 2018
Shock Prediction ToolShock (non-septic) - Hemorrhagic ShockModerate SupportiveNot yet GradedSep 5, 2018
Prehospital LactateCardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedSep 5, 2018