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Recent Changes to Recommendations for Interventions
 InterventionNature of ComplaintNew RecommendationOld RecommendationDate of Change
SteroidAllergic Reaction - Anaphylaxis Moderate NeutralNot yet GradedJun 7, 2024
BougiePediatric Advanced Airway Management - IntubationModerate NeutralNot yet GradedJun 7, 2024
12-Lead ECGCardiac Arrest - Post-Cardiac Arrest CareStrong SupportiveModerate SupportiveJun 7, 2024
ThoracostomyTrauma - Chest TraumaModerate SupportiveNot yet GradedJun 7, 2024
Non-TransportTreat and Release/Refer - Non-Transport/Alternative PathwaysModerate SupportiveNot yet GradedJun 7, 2024
Alternative PathwaysTreat and Release/Refer - Non-Transport/Alternative PathwaysWeak NeutralNot yet GradedJun 7, 2024
iGelPediatric Advanced Airway Management - Airway Management (Non-intubation)Moderate NeutralNot yet GradedJun 7, 2024
Mechanical Intraosseous InsertionPerinatal Care - Neonatal Resuscitation Moderate SupportiveNot yet GradedJun 7, 2024
AnticholinergicPediatric Cardiac Arrest - PEA / AsystoleModerate AgainstModerate NeutralApr 27, 2024
Biphasic DefibrillationPediatric Cardiac Arrest - VF/VT-Pulseless (Shock Advised)Moderate SupportiveWeak SupportiveApr 27, 2024
Optimal Trip DestinationCardiac Arrest - Post-Cardiac Arrest CareStrong SupportiveModerate SupportiveApr 24, 2024
Balanced crystalloidsTrauma - General Major Trauma CareModerate NeutralNot yet GradedApr 24, 2024
Telestroke consultStroke-CVA-TIA - Stroke-CVA-TIAModerate SupportiveNot yet GradedApr 16, 2024
ETCO2 to guide terminationCardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedApr 16, 2024
Normal salineCardiac Arrest - General Cardiac Arrest CareStrong NeutralNot yet GradedMar 29, 2024
Normal salineTrauma - General Major Trauma CareModerate NeutralNot yet GradedMar 25, 2024
BCLSPediatric Cardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedMar 25, 2024
NorepinephrineCardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedFeb 28, 2024
Rapid Sequence InductionAdvanced Airway Management - Medication for Airway ManagementModerate NeutralModerate SupportiveFeb 28, 2024
Traction Splint for femurTrauma - Extremity TraumaModerate SupportiveNot yet GradedFeb 20, 2024
3 Sided/Occlusive DressingTrauma - Chest TraumaWeak NeutralNot yet GradedFeb 20, 2024
IV SteroidsRespiratory Distress (SOB) - COPDModerate NeutralStrong SupportiveFeb 20, 2024
Direct to CTStroke-CVA-TIA - Stroke-CVA-TIAModerate SupportiveModerate NeutralFeb 6, 2024
Pre-arrival notification/planStroke-CVA-TIA - Stroke-CVA-TIAStrong SupportiveNot yet GradedFeb 6, 2024
Bypass to EVT capable centreStroke-CVA-TIA - Stroke-CVA-TIAStrong NeutralNot yet GradedFeb 6, 2024
RIC (remote ischemic conditioning)Stroke-CVA-TIA - Stroke-CVA-TIAStrong NeutralNot yet GradedFeb 5, 2024
Balanced crystalloidsCardiac Arrest - General Cardiac Arrest CareStrong NeutralNot yet GradedFeb 5, 2024
HEMSCardiac Arrest - Post-Cardiac Arrest CareModerate SupportiveNot yet GradedFeb 5, 2024
TIA ScoreStroke-CVA-TIA - Stroke-CVA-TIAStrong SupportiveWeak SupportiveJan 28, 2024
Vector changeCardiac Arrest - VF/VT-Pulseless (Shock Advised)Strong NeutralModerate SupportiveJan 28, 2024
Intra-arrest transport (load and go)Cardiac Arrest - General Cardiac Arrest CareStrong NeutralModerate NeutralJan 27, 2024
Oxygen-high flowCardiac Arrest - Post-Cardiac Arrest CareStrong AgainstStrong NeutralDec 3, 2023
Corsette Style Compression Device (e.g. T-Pod)Trauma - Pelvic TraumaModerate SupportiveModerate NeutralOct 31, 2023
Restricted CrystalloidsPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveNot yet GradedOct 31, 2023
Aggressive CrystalloidsPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate AgainstNot yet GradedOct 31, 2023
Delayed DefibrillationEnvironmental Emergency - Hypothermic Cardiac ArrestModerate NeutralNot yet GradedOct 20, 2023
IntubationTrauma - Traumatic Brain InjuryStrong NeutralModerate AgainstSep 27, 2023
PrenotificationSepsis - Sepsis SyndromeStrong SupportiveModerate SupportiveSep 15, 2023
Identification tools- qSOFASepsis - Sepsis SyndromeStrong SupportiveStrong NeutralSep 15, 2023
Epinephrine-NebulizedPediatric Respiratory Distress (SOB) - Pediatric StridorModerate SupportiveWeak SupportiveSep 15, 2023
Soft collarTrauma - Spinal InjuryModerate NeutralNot yet GradedSep 15, 2023
CalciumCardiac Arrest - General Cardiac Arrest CareModerate AgainstNot yet GradedSep 15, 2023
Post-ROSC BundleCardiac Arrest - Post-Cardiac Arrest CareModerate NeutralNot yet GradedSep 15, 2023
Medical clearance in the fieldPediatric Psychiatric - Depressed Suicidal Weak SupportiveNot yet GradedSep 15, 2023
BenzodiazepinesPediatric Psychiatric - Violent-AgitatedModerate SupportiveNot yet GradedJul 18, 2023
AntipsychoticsPediatric Psychiatric - Violent-AgitatedWeak SupportiveNot yet GradedJul 18, 2023
KetaminePediatric Psychiatric - Violent-AgitatedModerate SupportiveNot yet GradedJul 18, 2023
Tranexamic acid poly trauma including TBITrauma - Traumatic Brain InjuryStrong SupportiveStrong NeutralJul 18, 2023
Fluid ResuscitationTrauma - General Major Trauma CareModerate NeutralWeak NeutralJul 18, 2023
ATLSPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate NeutralNot yet GradedJun 21, 2023
Calcium (suspected hyper K)Cardiac Arrest - General Cardiac Arrest CareStrong AgainstNot yet GradedJun 21, 2023
Tranexamic acid for isolated TBITrauma - Traumatic Brain InjuryStrong SupportiveStrong NeutralJun 21, 2023
Termination ResuscitationPediatric Cardiac Arrest - General Cardiac Arrest CareModerate NeutralModerate SupportiveMay 24, 2023
Oxygen-titratedCardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedMay 22, 2023
Chest pain prediction toolChest Pain - ACS/Suspected Cardiac OriginStrong NeutralStrong SupportiveApr 26, 2023
ETCO2 to guide defibrillationCardiac Arrest - VF/VT-Pulseless (Shock Advised)Moderate NeutralNot yet GradedApr 22, 2023
Crystalloid InfusionSepsis - Septic ShockStrong NeutralModerate NeutralApr 22, 2023
KetaminePsychiatric - Violent-AgitatedStrong AgainstStrong SupportiveApr 13, 2023
12-Lead ECGChest Pain - Chest Pain (Cocaine/Stimulant Ingestion)Weak SupportiveWeak NeutralMar 31, 2023
NaHCO3 in special casesCardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedMar 31, 2023
Hypertension ControlStroke-CVA-TIA - Stroke-CVA-TIAStrong NeutralStrong SupportiveFeb 27, 2023
Percutaneous CricothyrotomyAdvanced Airway Management - Airway Management (Non-intubation)Moderate NeutralModerate AgainstFeb 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
Advanced Notice/ Optimal Trip DestinationStroke-CVA-TIA - Stroke-CVA-TIAStrong SupportiveModerate SupportiveJan 25, 2023
Blood transfusionShock (non-septic) - Hemorrhagic ShockModerate SupportiveModerate NeutralJan 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
ThoracotomyCardiac Arrest - Traumatic ArrestModerate NeutralWeak SupportiveDec 15, 2022
Oxymetry MonitoringPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveNot yet GradedDec 15, 2022
Midazolam-IVPediatric Altered Mental State-Dec. LOC - Pediatric SeizureModerate SupportiveModerate AgainstDec 15, 2022
Crystalloid InfusionPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate NeutralNot yet GradedDec 15, 2022
LMA (without AW reflexes)Advanced Airway Management - Airway Management (Non-intubation)Moderate NeutralStrong NeutralDec 15, 2022
AER (Active External Rewarming)Environmental Emergency - Hypothermic Cardiac ArrestModerate NeutralWeak SupportiveNov 30, 2022
Identification tools-SIRSSepsis - Sepsis SyndromeStrong SupportiveModerate SupportiveNov 30, 2022
FASTTrauma - Abdominal TraumaModerate SupportiveWeak SupportiveNov 30, 2022
Identification tools-NEWSSepsis - Sepsis SyndromeStrong SupportiveModerate SupportiveNov 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
Blood transfusionPediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveWeak SupportiveAug 21, 2022
PressureEENT - Epistaxis Strong SupportiveModerate NeutralAug 21, 2022
Spinal PrecautionsTrauma - Spinal InjuryModerate NeutralWeak NeutralAug 21, 2022
EpinephrinePediatric Allergic Reaction - Pediatric AnaphylaxisModerate 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
UltrasoundTrauma - Chest TraumaStrong SupportiveModerate SupportiveJun 26, 2022
Tourniquet (limb)Trauma - Limb Amputation/Mangled/Major HemorrhageStrong NeutralModerate SupportiveJun 26, 2022
Methoxyflurane (Penthrox)Pediatric Trauma (ABCs/Major) - Pediatric General Trauma CareModerate SupportiveNot yet GradedJun 24, 2022
HEMSTrauma - Traumatic Brain InjuryModerate SupportiveNot yet GradedJun 24, 2022