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
Covid-19 Corner
Paramedic Evidence
Based Practice Course
Expand Paramedic Evidence <br /> Based Practice Course
Emergency Preparedness
Corner
Links of Interest
Contact Us
Disclaimer
Recent Changes to Recommendations for Interventions
 InterventionNature of ComplaintNew RecommendationOld RecommendationDate of Change
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
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
Hypertension ControlStroke-CVA-TIA - Stroke-CVA-TIAStrong SupportiveModerate NeutralSep 29, 2022
Temperature MonitoringTrauma - General Major Trauma CareModerate SupportiveModerate NeutralSep 29, 2022
Ketorolac (Toradol)Trauma - General Major Trauma CareStrong SupportiveModerate SupportiveSep 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
Rapid Sequence InductionAdvanced Airway Management - Medication for Airway ManagementModerate NeutralModerate AgainstApr 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
Shock Prediction ToolSepsis - Septic ShockModerate SupportiveNot yet GradedFeb 22, 2022
OxygenTrauma - Traumatic Brain InjuryModerate SupportiveNot yet GradedFeb 22, 2022
Passive leg raiseCardiac Arrest - General Cardiac Arrest CareStrong NeutralNot yet GradedFeb 22, 2022
Hypertension ControlTrauma - Traumatic Brain InjuryWeak SupportiveNot yet GradedFeb 22, 2022
BuprenorphineToxicologic Emergency - Opioid withdrawalWeak 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
Needle DecompressionCardiac Arrest - Traumatic ArrestModerate NeutralModerate SupportiveDec 15, 2021
EpinephrineShock (non-septic) - Cardiogenic ShockModerate NeutralModerate SupportiveDec 15, 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
Dispatcher video assistanceCardiac Arrest - General Cardiac Arrest CareWeak SupportiveNot yet GradedDec 14, 2021
High flow nasal canulaRespiratory Distress (SOB) - Respiratory Distress NYDModerate NeutralWeak NeutralDec 14, 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
SuctionAdvanced Airway Management - Airway Management (Non-intubation)Moderate SupportiveNot yet GradedNov 27, 2021
Methoxyflurane (Penthrox)Trauma - General Major Trauma CareStrong SupportiveNot yet GradedOct 25, 2021
Tranexamic acid for isolated TBITrauma - Traumatic Brain InjuryStrong NeutralModerate AgainstOct 25, 2021
NSAIDsNon-Traumatic MSK - Mechanical Back PainModerate SupportiveStrong SupportiveOct 25, 2021
I-GelAdvanced Airway Management - Airway Management (Non-intubation)Strong SupportiveModerate SupportiveOct 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
Fibrinogen concentrateShock (non-septic) - Hemorrhagic ShockStrong SupportiveNot yet GradedJun 26, 2021
Early epinephrinePediatric Cardiac Arrest - General Cardiac Arrest CareModerate SupportiveNot yet GradedJun 26, 2021
OpioidHeadache - Headache-MigraineWeak AgainstNot 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
Intra-arrest transport (load and go)Cardiac Arrest - General Cardiac Arrest CareModerate NeutralNot yet GradedMay 26, 2021
Medical clearance in the fieldPsychiatric - Depressed Suicidal Moderate SupportiveNot yet GradedMay 26, 2021
Chest Compression devicesCardiac Arrest - General Cardiac Arrest CareStrong NeutralStrong SupportiveMay 5, 2021
Percutaneous CricothyrotomyAdvanced Airway Management - Airway Management (Non-intubation)Moderate AgainstModerate NeutralMay 5, 2021
Beta BlockersChest Pain - ACS/Suspected Cardiac OriginStrong NeutralStrong SupportiveMay 5, 2021
MorphineChest Pain - ACS/Suspected Cardiac OriginModerate NeutralModerate AgainstMay 5, 2021
Nitrous OxideChest Pain - ACS/Suspected Cardiac OriginStrong NeutralWeak SupportiveMay 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
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
Trauma Team ActivationTrauma - General Major Trauma CareModerate SupportiveNot yet GradedMay 2, 2021
Antiarrhythmic - Class I (Na+ channel blockers)Cardiac Arrhythmia - Stable Narrow Complex Tachycardia Strong SupportiveWeak 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
Predictive ToolsTreat and Release/Refer - Treat and releaseModerate SupportiveNot yet GradedMay 2, 2021
KetaminePediatric Respiratory Distress (SOB) - Pediatric Wheeze/BronchospasmWeak 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
Metoclopramide plus diphenhydramineHeadache - Headache-MigraineStrong SupportiveModerate SupportiveMay 2, 2021
Wet/hydrogel dressingBurns - Burns (fire/flame) Moderate NeutralNot 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
Fluid BolusHeadache - Headache-MigraineModerate NeutralNot yet GradedFeb 26, 2021
KetamineHeadache - Headache-MigraineStrong SupportiveStrong NeutralJan 27, 2021
Diazepam-IMAltered Mental State-Dec. LOC - Seizure (Adult)Moderate SupportiveNot yet GradedJan 27, 2021
Lorazepam-IMAltered Mental State-Dec. LOC - Seizure (Adult)Moderate SupportiveNot yet GradedJan 27, 2021
Midazolam-IVAltered Mental State-Dec. LOC - Seizure (Adult)Moderate SupportiveNot yet GradedJan 27, 2021
BenzodiazepinesNon-Traumatic MSK - Mechanical Back PainStrong NeutralNot yet GradedJan 26, 2021
Antiemetic (Central)Malaise, Sick - Vertigo/DizzinessStrong SupportiveNot yet GradedJan 26, 2021
Stroke scale: RACEStroke-CVA-TIA - Stroke-CVA-TIAModerate SupportiveNot yet GradedJan 26, 2021
Stroke scale: CPSSStroke-CVA-TIA - Stroke-CVA-TIAModerate SupportiveNot yet GradedJan 26, 2021
Stroke scale: LAMSStroke-CVA-TIA - Stroke-CVA-TIAModerate SupportiveNot yet GradedJan 26, 2021
LoxapinePsychiatric - Violent-AgitatedWeak SupportiveNot yet GradedJan 26, 2021