| | Intervention | Nature of Complaint | New Recommendation | Old Recommendation | Date of Change |
| HEMS | Chest Pain - ACS/Suspected Cardiac Origin | Strong Neutral | Moderate Neutral | Jun 24, 2026 |
| HEMS | Stroke-CVA-TIA - Stroke-CVA-TIA | Strong Neutral | Moderate Supportive | Jun 24, 2026 |
| External Cooling | Environmental Emergency - Hyperthermia | Moderate Supportive | Weak Supportive | Jun 24, 2026 |
| Fluid Resuscitation | Trauma - General Major Trauma Care | Strong Neutral | Moderate Neutral | Jun 24, 2026 |
| Load and go | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Supportive | Not yet Graded | Jun 24, 2026 |
| Alternative transport | Trauma - General Major Trauma Care | Strong Neutral | Not yet Graded | Jun 24, 2026 |
| Pralidoxime | Toxicologic Emergency - Pesticide Poisoning | Moderate Supportive | Not yet Graded | Jun 16, 2026 |
| Continuous Oxymetry Monitoring | Cardiac Arrest - General Cardiac Arrest Care | Strong Supportive | Moderate Supportive | Jun 16, 2026 |
| Norepinephrine | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Moderate Neutral | Jun 3, 2026 |
| Double Sequential Defibrillation | Cardiac Arrest - VF/VT-Pulseless (Shock Advised) | Strong Neutral | Moderate Supportive | Jun 3, 2026 |
| Atropine | Toxicologic Emergency - Pesticide Poisoning | Moderate Supportive | Weak Neutral | Jun 3, 2026 |
| Combitube (without AW reflexes) | Advanced Airway Management - Airway Management (Non-intubation) | Strong Neutral | Moderate Neutral | Jun 3, 2026 |
| Haloperidol | Toxicologic Emergency - Cannabinoid hyperemesis | Moderate Supportive | Not yet Graded | Jun 3, 2026 |
| MD consult | Treat and Release/Refer/Consult - Non-Transport/Alternative Pathways | Moderate Supportive | Moderate Supportive | Jun 3, 2026 |
| MD consult | Treat and Release/Refer/Consult - Clinical intervention consult | Moderate Neutral | Not yet Graded | Jun 3, 2026 |
| Transport for ECMO | Cardiac Arrest - Traumatic Arrest | Strong Neutral | Not yet Graded | May 17, 2026 |
| Suction | Airway Emergency - Foreign Body Obstruction(Complete/Partial) | Strong Neutral | Moderate Supportive | May 14, 2026 |
| Quantitative ETCO2 (no circulation) | Advanced Airway Management - Airway Confirmation | Moderate Neutral | Weak Neutral | Apr 28, 2026 |
| Blood transfusion | Shock (non-septic) - Hemorrhagic Shock | Strong Neutral | Moderate Supportive | Apr 28, 2026 |
| Suction | Advanced Airway Management - Intubation | Strong Supportive | Not yet Graded | Apr 25, 2026 |
| Point of Care Lactate | Altered Mental State-Dec. LOC - Hyperglycemia | Moderate Supportive | Not yet Graded | Apr 25, 2026 |
| CPR | Cardiac Arrest - Traumatic Arrest | Moderate Supportive | Not yet Graded | Apr 25, 2026 |
| Methylene Blue | Toxicologic Emergency - Sodium Nitrite Poisoning | Weak Supportive | Not yet Graded | Apr 25, 2026 |
| POCUS | Chest Pain - Chest Pain NYD | Weak Supportive | Not yet Graded | Apr 21, 2026 |
| Midazolam-IN | Altered Mental State-Dec. LOC - Seizure (Adult) | Moderate Neutral | Weak Supportive | Apr 13, 2026 |
| Bystander CPR/AED | Cardiac Arrest - General Cardiac Arrest Care | Strong Supportive | Moderate Supportive | Mar 26, 2026 |
| Prediction score | Malaise, Sick - Vertigo/Dizziness | Moderate Supportive | Moderate Neutral | Mar 26, 2026 |
| Plasma infusion | Pediatric Shock - Hypovolemic Shock | Not yet Graded | Moderate Neutral | Mar 26, 2026 |
| Plasma for TBI | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Neutral | Not yet Graded | Mar 26, 2026 |
| SALAD | Advanced Airway Management - Intubation | Moderate Supportive | Not yet Graded | Mar 26, 2026 |
| Fibrinolysis-suspected PE | Cardiac Arrest - General Cardiac Arrest Care | Weak Neutral | Not yet Graded | Mar 26, 2026 |
| Hypertension Control | Trauma - Traumatic Brain Injury | Moderate Supportive | Weak Supportive | Mar 20, 2026 |
| Alternative Pathways | Treat and Release/Refer/Consult - Non-Transport/Alternative Pathways | Moderate Supportive | Weak Neutral | Mar 20, 2026 |
| Tourniquet (limb) | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Weak Supportive | Not yet Graded | Mar 18, 2026 |
| Ketorolac (Toradol) | Pediatric Trauma (ABCs/Major) - Pediatric General Trauma Care | Moderate Supportive | Not yet Graded | Mar 18, 2026 |
| Tranexamic Acid | Cardiac Arrest - Traumatic Arrest | Weak Neutral | Not yet Graded | Mar 18, 2026 |
| Epinephrine-IM | Cardiac Arrest - General Cardiac Arrest Care | Weak Neutral | Not yet Graded | Mar 18, 2026 |
| Early advanced airway | Pediatric Advanced Airway Management - Airway Management (Non-intubation) | Moderate Supportive | Not yet Graded | Mar 18, 2026 |
| HEMS | Sepsis - Sepsis Syndrome | Moderate Neutral | Strong Neutral | Feb 25, 2026 |
| IV access | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Moderate Neutral | Feb 25, 2026 |
| Drip and ship | Stroke-CVA-TIA - Stroke-CVA-TIA | Moderate Supportive | Moderate Neutral | Feb 25, 2026 |
| High flow nasal cannula | Pediatric Respiratory Distress (SOB) - Pediatric Wheeze/Bronchospasm | Moderate Neutral | Moderate Supportive | Feb 25, 2026 |
| Universal suicide risk screening | Pediatric Psychiatric - Mental Health Crisis | Moderate Neutral | Not yet Graded | Feb 16, 2026 |
| Shock Prediction Tool | Shock (non-septic) - Cardiogenic Shock | Moderate Neutral | Not yet Graded | Feb 16, 2026 |
| Fluid Bolus | Cardiac Arrest - Traumatic Arrest | Moderate Supportive | Moderate Neutral | Jan 30, 2026 |
| Electrical Cardioversion | Cardiac Arrhythmia - Unstable Tachycardia (Wide or Narrow Complex) | Moderate Supportive | Weak Supportive | Jan 30, 2026 |
| Medical clearance in the field | Pediatric Psychiatric - Mental Health Crisis | Weak Supportive | Moderate Supportive | Jan 30, 2026 |
| Airway maneuver | Advanced Airway Management - Airway Management (Non-intubation) | Weak Supportive | Not yet Graded | Jan 29, 2026 |
| Ultrasound | Advanced Airway Management - Intubation | Weak Neutral | Not yet Graded | Dec 17, 2025 |
| Ketamine | Altered Mental State-Dec. LOC - Seizure (Adult) | Moderate Supportive | Weak Supportive | Dec 15, 2025 |
| Oxygen-Humidified | Pediatric Respiratory Distress (SOB) - Pediatric Stridor | Moderate Neutral | Weak Supportive | Nov 24, 2025 |
| Identification tools | Pediatric Shock - Septic Shock | Moderate Supportive | Weak Supportive | Nov 24, 2025 |
| Critical care life support | Trauma - General Major Trauma Care | Moderate Neutral | Strong Neutral | Nov 24, 2025 |
| Early advanced airway | Pediatric Advanced Airway Management - Intubation | Moderate Neutral | Not yet Graded | Nov 16, 2025 |
| Point of Care Lactate | Malaise, Sick - Weakness/Fatigue | Moderate Supportive | Not yet Graded | Oct 30, 2025 |
| Mechanical Intraosseous Insertion | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Strong Supportive | Oct 30, 2025 |
| High Dose Epi. | Cardiac Arrest - General Cardiac Arrest Care | Strong Supportive | Strong Neutral | Oct 30, 2025 |
| Oxygen-high flow | Trauma - General Major Trauma Care | Strong Neutral | Moderate Against | Oct 30, 2025 |
| NiPPV | Pediatric Respiratory Distress (SOB) - Pediatric Wheeze/Bronchospasm | Weak Supportive | Weak Neutral | Oct 27, 2025 |
| Tourniquet (junctional) | Trauma - Limb Amputation/Mangled/Major Hemorrhage | Weak Supportive | Weak Neutral | Oct 27, 2025 |
| IO access | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Strong Against | Oct 27, 2025 |
| Defibrillation | Cardiac Arrest - Traumatic Arrest | Moderate Supportive | Not yet Graded | Sep 15, 2025 |
| Support | Psychiatric - Mental Health Crisis | Weak Supportive | Not yet Graded | Jul 24, 2025 |
| Epinephrine via IO | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Not yet Graded | Jul 16, 2025 |
| IV Route | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Not yet Graded | Jul 16, 2025 |
| IO route | Cardiac Arrest - General Cardiac Arrest Care | Strong Neutral | Not yet Graded | Jul 16, 2025 |
| IO lower extremity | Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Jul 16, 2025 |
| IO upper extremity | Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Jul 16, 2025 |
| Calcium | Trauma - Limb Amputation/Mangled/Major Hemorrhage | Moderate Neutral | Not yet Graded | Jun 9, 2025 |
| Transport for ECMO | Environmental Emergency - Hypothermic Cardiac Arrest | Moderate Neutral | Weak Supportive | Jun 9, 2025 |
| Oxygen-titrated | Trauma - General Major Trauma Care | Strong Neutral | Moderate Supportive | Jun 9, 2025 |
| Blood transfusion | Cardiac Arrest - Traumatic Arrest | Moderate Neutral | Moderate Supportive | Jun 9, 2025 |
| Head-up CPR | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Moderate Supportive | Jun 9, 2025 |
| Field Restraint Devices | Pediatric Psychiatric - Agitated | Weak Neutral | Not yet Graded | Jun 9, 2025 |
| Early advanced airway | Advanced Airway Management - Airway Management (Non-intubation) | Strong Supportive | Not yet Graded | Jun 9, 2025 |
| POCUS | Environmental Emergency - Diving Injury (Decompression Sickness or Bends) | Weak Neutral | Not yet Graded | Jun 9, 2025 |
| Chest Thrusts | Airway Emergency - Foreign Body Obstruction(Complete/Partial) | Moderate Neutral | Not yet Graded | Jun 9, 2025 |
| CPR feedback device | Cardiac Arrest - General Cardiac Arrest Care | Strong Supportive | Strong Neutral | Jun 9, 2025 |
| LMA (without AW reflexes) | Advanced Airway Management - Airway Management (Non-intubation) | Strong Supportive | Strong Neutral | Jun 9, 2025 |
| Corsette Style Compression Device (e.g. T-Pod) | Trauma - Pelvic Trauma | Moderate Neutral | Moderate Supportive | Jun 9, 2025 |
| Transport for ECMO | Pediatric Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Mar 3, 2025 |
| High flow nasal cannula | Respiratory Distress (SOB) - Pulmonary Edema (CHF) | Strong Neutral | Not yet Graded | Mar 3, 2025 |
| Oxygen-titrated | Chest Pain - ACS/Suspected Cardiac Origin | Strong Supportive | Strong Against | Feb 13, 2025 |
| Oxygen-high flow | Chest Pain - ACS/Suspected Cardiac Origin | Strong Against | Strong Neutral | Feb 13, 2025 |
| Refer to GP | Treat and Release/Refer/Consult - Refer | Moderate Neutral | Strong Neutral | Jan 29, 2025 |
| ALS | Trauma - General Major Trauma Care | Moderate Supportive | Moderate Neutral | Jan 28, 2025 |
| Beta Blockers | Cardiac Arrest - VF/VT-Pulseless (Shock Advised) | Moderate Against | Moderate Supportive | Dec 22, 2024 |
| Abdominal Thrusts | Airway Emergency - Foreign Body Obstruction(Complete/Partial) | Moderate Supportive | Weak Supportive | Dec 22, 2024 |
| Intubation | Trauma - General Major Trauma Care | Moderate Neutral | Moderate Against | Dec 22, 2024 |
| Back Blows | Airway Emergency - Foreign Body Obstruction(Complete/Partial) | Moderate Supportive | Not yet Graded | Dec 18, 2024 |
| Surgical Cricothyrotomy | Advanced Airway Management - Airway Management (Non-intubation) | Strong Neutral | Moderate Supportive | Nov 26, 2024 |
| HEMS | Trauma - General Major Trauma Care | Strong Supportive | Moderate Supportive | Nov 26, 2024 |
| Supraglottic airway | Environmental Emergency - Drowning | Moderate Supportive | Not yet Graded | Nov 26, 2024 |
| Nitroglycerin-inhaled | Respiratory Distress (SOB) - Pulmonary Edema (CHF) | Weak Supportive | Not yet Graded | Nov 21, 2024 |
| Manual Intraosseous Insertion | Cardiac Arrest - General Cardiac Arrest Care | Moderate Neutral | Moderate Against | Nov 7, 2024 |
| Oxygen-high flow | Cardiac Arrest - Post-Cardiac Arrest Care | Strong Neutral | Strong Against | Nov 7, 2024 |
| Chest Compression devices | Cardiac Arrest - General Cardiac Arrest Care | Strong Supportive | Strong Neutral | Nov 7, 2024 |
| BVM | Pediatric Advanced Airway Management - Airway Management (Non-intubation) | Strong Supportive | Strong Neutral | Nov 2, 2024 |
| Intubation | Perinatal Care - Neonatal Resuscitation | Moderate Neutral | Moderate Supportive | Nov 2, 2024 |
| Acetaminophen IV | Headache - Headache-Migraine | Strong Supportive | Strong Neutral | Nov 2, 2024 |
| RIC (remote ischemic conditioning) | Cardiac Arrest - General Cardiac Arrest Care | Moderate Supportive | Not yet Graded | Oct 25, 2024 |
| Intubation | Environmental Emergency - Drowning | Moderate Supportive | Moderate Neutral | Oct 8, 2024 |
| Remove wet clothing | Environmental Emergency - Hypothermia | Weak Supportive | Not yet Graded | Oct 8, 2024 |
| POCUS | Shock (non-septic) - Hemorrhagic Shock | Moderate Supportive | Not yet Graded | Oct 8, 2024 |
| Sedation | Cardiac Arrest - Post-Cardiac Arrest Care | Moderate Supportive | Strong Supportive | Oct 8, 2024 |
| Tranexamic Acid | Perinatal Care - Childbirth/Post Natal Mother Care | Moderate Neutral | Not yet Graded | Oct 8, 2024 |
| Intubation | Airway Emergency - Near Hanging | Moderate Neutral | Weak Supportive | Oct 8, 2024 |
| Interfacility ECMO transfer | Pediatric Cardiac Arrest - General Cardiac Arrest Care | Weak Supportive | Not yet Graded | Oct 6, 2024 |
| ETCO2 | Perinatal Care - Neonatal Resuscitation | Moderate Supportive | Not yet Graded | Oct 6, 2024 |