| | Intervention | Nature of Complaint | New Recommendation | Old Recommendation | Date of Change |
| Drip and ship | Stroke-CVA-TIA - Stroke-CVA-TIA | Moderate Neutral | Moderate Supportive | Aug 19, 2024 |
| Transfer to an ECMO capable centre | Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Aug 19, 2024 |
| Prehospital ECMO | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Not yet Graded | Jun 27, 2024 |
| Ventilatory feedback device | Cardiac Arrest - General Cardiac Arrest Care | Weak Neutral | Not yet Graded | Jun 27, 2024 |
| Transport to an ECMO capable facility | Cardiac Arrest - General Cardiac Arrest Care | Strong Supportive | Moderate Supportive | Jun 27, 2024 |
| Intubation by CCT | Trauma - Traumatic Brain Injury | Strong Against | Not yet Graded | Jun 23, 2024 |
| Intubation by non-CCT | Trauma - Traumatic Brain Injury | Strong Supportive | Not yet Graded | Jun 23, 2024 |
| Ultrasound | Respiratory Distress (SOB) - Pulmonary Edema (CHF) | Moderate Supportive | Weak Neutral | Jun 22, 2024 |
| Corsette Style Compression Device (e.g. T-Pod) | Trauma - Pelvic Trauma | Moderate Neutral | Moderate Supportive | Jun 22, 2024 |
| Family Involvement in Resuscitation | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Moderate Supportive | Jun 22, 2024 |
| Cardiac Monitor | Burns - Electrocution/Electrical Burns | Moderate Supportive | Weak Neutral | Jun 22, 2024 |
| 12-Lead ECG | Burns - Electrocution/Electrical Burns | Moderate Supportive | Weak Neutral | Jun 22, 2024 |
| LMA (without AW reflexes) | Advanced Airway Management - Airway Management (Non-intubation) | Strong Neutral | Strong Supportive | Jun 22, 2024 |
| Blood transfusion | Pediatric Shock - Hypovolemic Shock | Moderate Supportive | Weak Supportive | Jun 22, 2024 |
| Blood transfusion | Perinatal Care - Perinatal Mother Care | Weak Supportive | Not yet Graded | Jun 22, 2024 |
| Dispatcher video assistance | Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Weak Supportive | Jun 22, 2024 |
| Thoracostomy | Trauma - Chest Trauma | Moderate Supportive | Not yet Graded | Jun 7, 2024 |
| Bougie | Pediatric Advanced Airway Management - Intubation | Moderate Neutral | Not yet Graded | Jun 7, 2024 |
| Steroid | Allergic Reaction - Anaphylaxis | Moderate Neutral | Not yet Graded | Jun 7, 2024 |
| 12-Lead ECG | Cardiac Arrest - Post-Cardiac Arrest Care | Strong Supportive | Moderate Supportive | Jun 7, 2024 |
| Non-Transport | Treat and Release/Refer - Non-Transport/Alternative Pathways | Moderate Supportive | Not yet Graded | Jun 7, 2024 |
| Alternative Pathways | Treat and Release/Refer - Non-Transport/Alternative Pathways | Weak Neutral | Not yet Graded | Jun 7, 2024 |
| iGel | Pediatric Advanced Airway Management - Airway Management (Non-intubation) | Moderate Neutral | Not yet Graded | Jun 7, 2024 |
| Mechanical Intraosseous Insertion | Perinatal Care - Neonatal Resuscitation | Moderate Supportive | Not yet Graded | Jun 7, 2024 |
| Anticholinergic | Pediatric Cardiac Arrest - PEA / Asystole | Moderate Against | Moderate Neutral | Apr 27, 2024 |
| Biphasic Defibrillation | Pediatric Cardiac Arrest - VF/VT-Pulseless (Shock Advised) | Moderate Supportive | Weak Supportive | Apr 27, 2024 |
| Optimal Trip Destination | Cardiac Arrest - Post-Cardiac Arrest Care | Strong Supportive | Moderate Supportive | Apr 24, 2024 |
| Balanced crystalloids | Trauma - General Major Trauma Care | Moderate Neutral | Not yet Graded | Apr 24, 2024 |
| Telestroke consult | Stroke-CVA-TIA - Stroke-CVA-TIA | Moderate Supportive | Not yet Graded | Apr 16, 2024 |
| ETCO2 to guide termination | Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Apr 16, 2024 |
| Normal saline | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Not yet Graded | Mar 29, 2024 |
| Normal saline | Trauma - General Major Trauma Care | Moderate Neutral | Not yet Graded | Mar 25, 2024 |
| BCLS | Pediatric Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Mar 25, 2024 |
| Norepinephrine | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Not yet Graded | Feb 28, 2024 |
| Rapid Sequence Induction | Advanced Airway Management - Medication for Airway Management | Moderate Neutral | Moderate Supportive | Feb 28, 2024 |
| 3 Sided/Occlusive Dressing | Trauma - Chest Trauma | Weak Neutral | Not yet Graded | Feb 20, 2024 |
| Traction Splint for femur | Trauma - Extremity Trauma | Moderate Supportive | Not yet Graded | Feb 20, 2024 |
| IV Steroids | Respiratory Distress (SOB) - COPD | Moderate Neutral | Strong Supportive | Feb 20, 2024 |
| Direct to CT | Stroke-CVA-TIA - Stroke-CVA-TIA | Moderate Supportive | Moderate Neutral | Feb 6, 2024 |
| Pre-arrival notification/plan | Stroke-CVA-TIA - Stroke-CVA-TIA | Strong Supportive | Not yet Graded | Feb 6, 2024 |
| Bypass to EVT capable centre | Stroke-CVA-TIA - Stroke-CVA-TIA | Strong Neutral | Not yet Graded | Feb 6, 2024 |
| RIC (remote ischemic conditioning) | Stroke-CVA-TIA - Stroke-CVA-TIA | Strong Neutral | Not yet Graded | Feb 5, 2024 |
| HEMS | Cardiac Arrest - Post-Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Feb 5, 2024 |
| Balanced crystalloids | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Not yet Graded | Feb 5, 2024 |
| TIA Score | Stroke-CVA-TIA - Stroke-CVA-TIA | Strong Supportive | Weak Supportive | Jan 28, 2024 |
| Vector change | Cardiac Arrest - VF/VT-Pulseless (Shock Advised) | Strong Neutral | Moderate Supportive | Jan 28, 2024 |
| Intra-arrest transport (load and go) | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Moderate Neutral | Jan 27, 2024 |
| Oxygen-high flow | Cardiac Arrest - Post-Cardiac Arrest Care | Strong Against | Strong Neutral | Dec 3, 2023 |
| Restricted Crystalloids | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Supportive | Not yet Graded | Oct 31, 2023 |
| Aggressive Crystalloids | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Against | Not yet Graded | Oct 31, 2023 |
| Delayed Defibrillation | Environmental Emergency - Hypothermic Cardiac Arrest | Moderate Neutral | Not yet Graded | Oct 20, 2023 |
| Intubation | Trauma - Traumatic Brain Injury | Strong Neutral | Moderate Against | Sep 27, 2023 |
| Prenotification | Sepsis - Sepsis Syndrome | Strong Supportive | Moderate Supportive | Sep 15, 2023 |
| Identification tools- qSOFA | Sepsis - Sepsis Syndrome | Strong Supportive | Strong Neutral | Sep 15, 2023 |
| Epinephrine-Nebulized | Pediatric Respiratory Distress (SOB) - Pediatric Stridor | Moderate Supportive | Weak Supportive | Sep 15, 2023 |
| Soft collar | Trauma - Spinal Injury | Moderate Neutral | Not yet Graded | Sep 15, 2023 |
| Calcium | Cardiac Arrest - General Cardiac Arrest Care | Moderate Against | Not yet Graded | Sep 15, 2023 |
| Post-ROSC Bundle | Cardiac Arrest - Post-Cardiac Arrest Care | Moderate Neutral | Not yet Graded | Sep 15, 2023 |
| Medical clearance in the field | Pediatric Psychiatric - Depressed Suicidal | Weak Supportive | Not yet Graded | Sep 15, 2023 |
| Benzodiazepines | Pediatric Psychiatric - Violent-Agitated | Moderate Supportive | Not yet Graded | Jul 18, 2023 |
| Antipsychotics | Pediatric Psychiatric - Violent-Agitated | Weak Supportive | Not yet Graded | Jul 18, 2023 |
| Ketamine | Pediatric Psychiatric - Violent-Agitated | Moderate Supportive | Not yet Graded | Jul 18, 2023 |
| Tranexamic acid poly trauma including TBI | Trauma - Traumatic Brain Injury | Strong Supportive | Strong Neutral | Jul 18, 2023 |
| Fluid Resuscitation | Trauma - General Major Trauma Care | Moderate Neutral | Weak Neutral | Jul 18, 2023 |
| Tranexamic acid for isolated TBI | Trauma - Traumatic Brain Injury | Strong Supportive | Strong Neutral | Jun 21, 2023 |
| Calcium (suspected hyper K) | Cardiac Arrest - General Cardiac Arrest Care | Strong Against | Not yet Graded | Jun 21, 2023 |
| ATLS | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Neutral | Not yet Graded | Jun 21, 2023 |
| Termination Resuscitation | Pediatric Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Moderate Supportive | May 24, 2023 |
| Oxygen-titrated | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Not yet Graded | May 22, 2023 |
| Chest pain prediction tool | Chest Pain - ACS/Suspected Cardiac Origin | Strong Neutral | Strong Supportive | Apr 26, 2023 |
| ETCO2 to guide defibrillation | Cardiac Arrest - VF/VT-Pulseless (Shock Advised) | Moderate Neutral | Not yet Graded | Apr 22, 2023 |
| Crystalloid Infusion | Sepsis - Septic Shock | Strong Neutral | Moderate Neutral | Apr 22, 2023 |
| Ketamine | Psychiatric - Violent-Agitated | Strong Against | Strong Supportive | Apr 13, 2023 |
| 12-Lead ECG | Chest Pain - Chest Pain (Cocaine/Stimulant Ingestion) | Weak Supportive | Weak Neutral | Mar 31, 2023 |
| NaHCO3 in special cases | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Not yet Graded | Mar 31, 2023 |
| Percutaneous Cricothyrotomy | Advanced Airway Management - Airway Management (Non-intubation) | Moderate Neutral | Moderate Against | Feb 27, 2023 |
| Hypertension Control | Stroke-CVA-TIA - Stroke-CVA-TIA | Strong Neutral | Strong Supportive | Feb 27, 2023 |
| Head-up CPR | Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Feb 19, 2023 |
| Suction | Airway Emergency - Foreign Body Obstruction(Complete/Partial) | Moderate Supportive | Not yet Graded | Feb 19, 2023 |
| Blood transfusion | Shock (non-septic) - Hemorrhagic Shock | Moderate Supportive | Moderate Neutral | Jan 25, 2023 |
| Advanced Notice/ Optimal Trip Destination | Stroke-CVA-TIA - Stroke-CVA-TIA | Strong Supportive | Moderate Supportive | Jan 25, 2023 |
| Screening for Large Vessel Occlusion | Stroke-CVA-TIA - Stroke-CVA-TIA | Moderate Supportive | Not yet Graded | Jan 15, 2023 |
| Epinephrine | Cardiac Arrest - Post-Cardiac Arrest Care | Moderate Neutral | Not yet Graded | Jan 15, 2023 |
| Norepinephrine | Cardiac Arrest - Post-Cardiac Arrest Care | Strong Supportive | Not yet Graded | Jan 15, 2023 |
| Dopamine | Cardiac Arrest - Post-Cardiac Arrest Care | Strong Supportive | Not yet Graded | Jan 15, 2023 |
| Screening for Intimate Partner Violence | Treat and Release/Refer - Refer | Moderate Supportive | Not yet Graded | Jan 15, 2023 |
| Buprenorphine | Toxicologic Emergency - Opioid withdrawal | Moderate Supportive | Weak Supportive | Jan 15, 2023 |
| Thoracotomy | Cardiac Arrest - Traumatic Arrest | Moderate Neutral | Weak Supportive | Dec 15, 2022 |
| Oxymetry Monitoring | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Supportive | Not yet Graded | Dec 15, 2022 |
| Crystalloid Infusion | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Neutral | Not yet Graded | Dec 15, 2022 |
| Midazolam-IV | Pediatric Altered Mental State-Dec. LOC - Pediatric Seizure | Moderate Supportive | Moderate Against | Dec 15, 2022 |
| Identification tools-SIRS | Sepsis - Sepsis Syndrome | Strong Supportive | Moderate Supportive | Nov 30, 2022 |
| AER (Active External Rewarming) | Environmental Emergency - Hypothermic Cardiac Arrest | Moderate Neutral | Weak Supportive | Nov 30, 2022 |
| Identification tools-NEWS | Sepsis - Sepsis Syndrome | Strong Supportive | Moderate Supportive | Nov 30, 2022 |
| FAST | Trauma - Abdominal Trauma | Moderate Supportive | Weak Supportive | Nov 30, 2022 |
| Blood transfusion | Cardiac Arrest - Traumatic Arrest | Moderate Supportive | Not yet Graded | Oct 30, 2022 |
| Tranexamic Acid | Trauma - Limb Amputation/Mangled/Major Hemorrhage | Strong Supportive | Not yet Graded | Oct 3, 2022 |
| Blood Glucose Monitoring | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Not yet Graded | Sep 29, 2022 |
| Point of Care Troponin | Chest Pain - ACS/Suspected Cardiac Origin | Strong Supportive | Moderate Supportive | Sep 29, 2022 |
| Ketorolac (Toradol) | Trauma - General Major Trauma Care | Strong Supportive | Moderate Supportive | Sep 29, 2022 |
| Temperature Monitoring | Trauma - General Major Trauma Care | Moderate Supportive | Moderate Neutral | Sep 29, 2022 |