Condition Specific Issues

Anaphylaxis

The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis

POSITION STATEMENT:  The Use of Epinephrine For Out-of-Hospital Treatment of Anaphylaxis. Prehospital Emergency Care 2011;15(4):544.

http://tandfonline.com/doi/full/10.3109/10903127.2011.598618#abstract

Current Version Release Date: February 2011

Previous Version(s):
2002 – {REPLACED, 2011} Subcutaneous Epinephrine for out-of-hospital Treatment of Anaphylaxis: National Association of EMS Physicians Standards and Clinical Practices Committee. Prehospital Emergency Care 2002;6(1):67-68.

http://www.tandfonline.com/doi/abs/10.1080/10903120290938823#.Vdt-nflViko

RESOURCE DOCUMENT:  Jacobsen RC, Millin MG. The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement. Prehospital Emergency Care 2011;15(4):570-576.

http://tandfonline.com/doi/full/10.3109/10903127.2011.598618#abstract

Current Version Release Date: April 2011

Previous Version(s): none 

Behavioral/Psychiatric

Patient Restraints

POSITION STATEMENT:  Patient Restraint in Emergency Medical Services.
(Available online ahead of publication)

Current Version Release Date: December 2016

Previous Version(s):
1997 – {REVISED, 2016} Kupas DF, Wydro GC. Patient Restraint in Emergency Medical Services Systems. Prehospital Emergency Care 2002;6(3):340-345.

http://www.tandfonline.com/doi/abs/10.1080/10903120290938436#.Vdt9ePlViko

RESOURCE DOCUMENT:  none 

Cardiac Arrest

The Use Of Automated External Defibrillators In Children

POSITION STATEMENT:  Markenson DS, Domeier R, NAEMSP. The use of automated external defibrillators in children. Prehospital Emergency Care 2003;7(2):258-264.

http://www.tandfonline.com/doi/abs/10.1080/10903120390936914#.Vdt6BvlViko

Current Version Release Date: April 2003

ERRATUM:  Erratum regarding AED use in Children. Prehospital Emergency Care2003;7(4):495.

Current Version Release Date: October 2003

Previous Version(s): none

RESOURCE DOCUMENT:  none

Early Defibrillation

POSITION STATEMENT:  Early Defibrillation. Prehospital Emergency Care 2008;12(3):393-394.

http://www.tandfonline.com/doi/full/10.1080/10903120802097173#.VdtqZ_lViko

Current Version Release Date: September 2007  

Previous Version(s):
2000  - Bradley RN, Sahni R: Early Defibrillation. Prehospital Emergency Care 2000;4(4):358.

http://www.tandfonline.com/doi/abs/10.1080/10903120090941100#.VduA_PlViko

RESOURCE DOCUMENT:  none

Termination of Resuscitation of Non-Traumatic Cardiopulmonary Arrest

POSITION STATEMENT:  Termination of Resuscitation in Nontraumatic Cardiopulmonary Arrest. Prehospital Emergency Care 2011;15(4):542.

http://tandfonline.com/doi/full/10.3109/10903127.2011.598621#abstract

Current Version Release Date: February 2011

Previous Version(s):
2000 – Baiely ED, Wydro GC, Cone DC: Termination of Resuscitation in the Prehospital Setting for Adult Patients Suffering Nontraumatic Cardiac Arrest. Prehospital Emergency Care 2000;4(2):190-195

http://www.tandfonline.com/doi/abs/10.1080/10903120090941498#.VduCVvlViko

RESOURCE DOCUMENT:  Millin MG, Khandker SR, Malki A. Termination of Resuscitation of Nontraumatic Cardiopulmonary Arrest: Resource Document for the National Association of EMS Physicians Position Statement. Prehospital Emergency Care 2011;15(4):547-554.

http://tandfonline.com/doi/full/10.3109/10903127.2011.598621#abstract

Current Version Release Date: February 2011

Previous Version(s):  none

Induced Therapeutic Hypothermia in Resuscitated Cardiac Arrest Patients

POSITION STATEMENT:  Induced Therapeutic Hypothermia in Resuscitated Cardiac Arrest Patients. Prehospital Emergency Care 2008;12(3):393-394.

http://www.tandfonline.com/doi/full/10.1080/10903120802097173#.VdtqZ_lViko

Current Version Release Date: 2008

Previous Version(s): none

RESOURCE DOCUMENT:  Cady C, Andrews S, NAEMSP. Prehospital Resuscitated Cardiac Arrest Patients: Role for Induced Hypothermia. Prehospital Emergency Care2009;13(3):402-405.

http://tandfonline.com/doi/full/10.1080/10903120902935314#abstract

Current Version Release Date: April 2011

Previous Version(s): none

Clinical Guidelines for Delayed or Prolonged Transport – Cardiac Arrest

{REPEALED – May 2002} POSITION STATEMENT:  Clinical Guidelines for Delayed or Prolonged Transport: I. Cardiorespiratory Arrest. Prehospital & Disaster Medicine1991;6(3):335-340.

Current Version Release Date: 1991

Previous Version(s): none          

RESOURCE DOCUMENT:  none 

Infectious Disease

Risk Reduction for Exposure to Blood-Borne Pathogens in EMS  

POSITION STATEMENT:  Rinnert KJ, O’Connor RE, Delbridge T. Risk Reduction for Exposure to Blood-Borne Pathogens in EMS. Prehospital Emergency Care 1998;2(1):62-66.

http://tandfonline.com/doi/abs/10.1080/10903129808958842

Current Version Release Date: July 1997

Previous Version(s): None

RESOURCE DOCUMENT:  none

Myocardial Infarction, ST-Elevation

Prehospital Management of Acute Myocardial Infarction

POSITION STATEME​NT:  Prehospital Management of Acute Myocardial Infarction. Prehospital Emergency Care 2008;12(3):395-403.  

Current Version Release Date: February 2008

Previous Version(s):

2002 -  {REPLACED, 2009} Prehosptial Triage of Chest Pain Patients Position Paper
Crocco TJ, Sayre MR, Aufderheide TP, NAEMSP. Prehospital triage of chest pain patients. Prehospital Emergency Care 2002;6(2):224-228.

http://www.tandfonline.co​m/doi/abs/10.1080/10903120290938599#.Vdt-HPlViko

RESOURCE DOCUMENT:  Emergency Medical Services Management of ST-Elevation Myocardial Infarction. Prehospital Emergency Care 2008;12(3):395-403.

http://www.tandfonline.com/doi/full/10.1080/10903120802099310#.Vdtq9flViko

Pain Management

Prehospital Pain Management

POSITION STATEMENT:  Alonso-Serra HM, Wesley K, NAEMSP. Prehospital Pain Management. Prehospital Emergency Care 2003;7(4):482-488.

http://www.tandfonline.com/doi/abs/10.1080/312703002260#.Vdt3q_lViko

Current Version Release Date: June 2003

Previous Version(s):

1990 - Use of Nitrous Oxide:Oxygen Mixtures in Prehospital Emergency Medical Care.Prehospital & Disaster Medicine 1990;5(3):273-274.

RESOURCE DOCUMENT:  none

Stroke

The Role of EMS in the Management of Acute Stroke: Triage, Treatment, and Stroke Systems

POSITION STATEMENT: The Role of EMS in the Management of Acute Stroke: Triage, Treatment, and Stroke Systems. NAEMSP position statement. Prehospital Emergency Care 2007;11(3):312.

http://www.tandfonline.com/doi/full/10.1080/10903120701347810#.VdtsaPlViko

Current Version Release Date: August 2006

Previous Version(s):
2000 – {REPLACED, 2006}  Sahni R. Acute Stroke: Implications for Prehospital Care. Prehospital Emergency Care 2000;4(3):270-272.

http://www.tandfonline.com/doi/abs/10.1080/10903120090941317#.VduB7PlViko

RESOURCE DOCUMENTS: 
Crocco TJ, Grotta JC, Jauch EC, et al. EMS management of acute stroke--prehospital triage (resource document to NAEMSP position statement). Prehospital Emergency Care 2007;11(3):313-317.

http://www.tandfonline.com/doi/full/10.1080/10903120701347844#.VdtsxvlViko

Millin MG, Gullett T, Daya MR. EMS management of acute stroke--out-of-hospital treatment and stroke system development (resource document to NAEMSP position statement). Prehospital Emergency Care 2007;11(3):318-325.

http://www.tandfonline.com/doi/full/10.1080/10903120701347885#.VdttHflVikp

Current Version Release Date: August 2006

Previous Version(s): none

Trauma

Use of the Pneumatic Anti Shock Garment (PASG)

{REPEALED, YEAR} POSITION STATEMENT:  Domeier RM, O’Connor RE, Delbridge TR, Hunt RC. Use of the Pneumatic Anti-Shock Garment (PASG). Prehospital Emergency Care 1997;1(1):32-35.

http://www.tandfonline.com/doi/abs/10.1080/10903129708958782#.VduD1_lViko

Current Version Release Date: January 1997

Previous Version(s): none

RESOURCE DOCUMENT:  O’Connor R, Domeier R. An Evaluation of the Pneumatic Anti-Shock Garment (PASG) in Various Clinical Settings.Prehospital Emergency Care 1997;1(1):36-44.

http://tandfonline.com/doi/abs/10.1080/10903129708958783

Current Version Release Date: March 1997

Previous Version(s): none

High-Dose Steroids for Acute Spinal Cord Injury In Emergency Medical Services

POSITION STATEMENT:  Bledsoe BE, Wesley AK, Salomone JP, NAEMSP. High-dose Steroids for Acute Spinal Cord Injury in Emergency Medical Services. Prehospital Emergency Care2004;8(3):313-316.

http://www.tandfonline.com/doi/abs/10.1080/312704000322#.Vdtzm_lViko

Current Version Release Date: July 2003  

Previous Version(s): none

RESOURCE DOCUMENT:  Integrated into position statement

EMS Spinal Precautions and the Use of the Long Backboard

POSITION STATEMENT:  EMS Spinal Precautions and the Use of the Long Backboard.Prehospital Emergency Care 2013;17(3):392-393.

Joint Position Statement of the NAEMSP9 and ACSCOT4

http://www.tandfonline.com/doi/full/10.3109/10903127.2013.773115#.Vdtld_lViko

Current Version Release Date: December 2012

Previous Version(s):
1999 – {REPLACED, 2013} Domeier R. Indications for Prehospital Spinal Immobilization. Prehospital Emergency Care 1999;3(3):251-253.

http://tandfonline.com/doi/abs/10.1080/10903129908958946

1993 – {REPLACED, 1999} Clinical Guidelines for Delayed or Prolonged Transport III: Spine Injury. Rural Affairs Committee, National Association of EMS Physicians.Prehospital & Disaster Medicine 1993;8(4):369-371 and 1993;8(2):176-178.

RESOURCE DOCUMENT:  White CC, Domeier RM, Millin MG, NAEMSP. EMS spinal precautions and the use of the long backboard - resource document to the position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma. Prehospital Emergency Care 2014;18(2):306-314.

http://tandfonline.com/doi/full/10.3109/10903127.2014.884197#abstract

Current Version Release Date: April 2014

Previous Version(s): none 

Clinical Guidelines for Delayed or Prolonged Transport – Wounds

POSITION STATEMENT:  {RETIRED, 2016} Clinical Guidelines for Delayed or Prolonged Transport: IV. Wounds Prehospital & Disaster Medicine 1993;8(3):253-255.

Current Version Release Date: 1991

Previous Version(s): none          

RESOURCE DOCUMENT:  none 

Field Triage of the Injured Patient

POSITION STATEMENT: Field Triage of the Injured Patient. Prehospital Emergency Care2011;15(4):541.

Joint Position Statement of the NAEMSP9 and ACSCOT4

http://www.tandfonline.com/doi/full/10.3109/10903127.2011.598622#.Vdtm9PlViko

Current Version Release Date: March 2010

Previous Version(s): none

RESOURCE DOCUMENT:  none 

Termination of Resuscitation for Adult Traumatic Cardiopulmonary Arrest

POSITION STATEMENT:  Termination of resuscitation for adult traumatic cardiopulmonary arrest. Prehospital Emergency Care 2012;16(4):571.

Joint Position Statement of the NAEMSP9 and ACSCOT4

http://www.tandfonline.com/doi/full/10.3109/10903127.2012.695857#.VdtmSflViko

Current Version Release Date: January 2013

Previous Version(s):
2003 - {REVISED, 2012} Guidelines for Withholding or Termination of Resuscitation in Prehospital Traumatic Cardiopulmonary Arrest

POSITION STATEMENT Hopson LR, Hirsh E, Delgado J, et al. Guidelines for Withholding or Termination of Resuscitation In Prehospital Traumatic Cardiopulmonary Arrest: A Joint Position Paper From The National Association of EMS Physicians Standards and Clinical Practice Committee and the American College of Surgeons Committee on Trauma. Prehospital Emergency Care2003;7(1):141-146.

http://www.tandfonline.com/doi/abs/10.1080/10903120390937274#.Vdt63vlViko

RESOURCE DOCUMENT:  Millin MG, Galvagno SM, Khandker SR, et al. Withholding and Termination of Adult Cardiopulmonary Arrest Secondary to Trauma: Resource Document to the Joint NAEMSP-ACSCOT position Statements. The Journal of Trauma and Acute Care Surgery 2013;75(3):459-467.

http://journals.lww.com/jtrauma/Fulltext/2013/09000/Withholding_and_termination_of_resuscitation_of.17.aspx

Current Version Release Date: September 2013

Previous Version(s):  none 

Withholding of Resuscitation for Adult Traumatic Cardiopulmonary Arrest

POSITION STATEMENT:  Withholding of Resuscitation for Adult Traumatic Cardiopulmonary Arrest. Prehospital Emergency Care 2013;17(2):291.

Joint Position Statement of the NAEMSP9 and ACSCOT4

http://www.tandfonline.com/doi/full/10.3109/10903127.2012.755586#.Vdtlv_lViko

Current Version Release Date: January 2013

Previous Version(s):
2003  - {REVISED, 2013} Guidelines for Withholding or Termination of Resuscitation in Prehospital Traumatic Cardiopulmonary Arrest

POSITION STATEMENT:  Hopson LR, Hirsh E, Delgado J, et al. Guidelines for Withholding or Termination of Resuscitation In Prehospital Traumatic Cardiopulmonary Arrest: A Joint Position Paper From The National Association of EMS Physicians Standards and Clinical Practice Committee and the American College of Surgeons Committee on Trauma. Prehospital Emergency Care 2003;7(1):141-146.

http://www.tandfonline.com/doi/abs/10.1080/10903120390937274#.Vdt63vlViko

RESOURCE DOCUMENT:  Millin MG, Galvagno SM, Khandker SR, et al. Withholding and Termination of Adult Cardiopulmonary Arrest Secondary to Trauma: Resource Document to the Joint NAEMSP-ACSCOT position Statements. The Journal of Trauma and Acute Care Surgery 2013;75(3):459-467.

http://journals.lww.com/jtrauma/Fulltext/2013/09000/Withholding_and_termination_of_resuscitation_of.17.aspx

Current Version Release Date: September 2013

Previous Version(s):  none 

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest.

POSITION STATEMENT:  Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest. Pediatrics 2014;133(4):e1104-1116.
ALSO IN Annals of Emergency Medicine 2014;63(4):504-515.

Joint Position Statement of the NAEMSP9, AAP2, and ACEP3

http://pediatrics.aapublications.org/content/pediatrics/133/4/e1104.full.pdf
Current Version Release Date:  2014

Previous Version(s): none

RESOURCE DOCUMENT:  none

Opioid Toxicity

POSITION STATEMENT: Naloxone Access and Utilization for Suspected Opioid Overdoses 
(Available online ahead of publication)

Joint Position Statement of the NAEMSP9, ACEP3, ACMT13

Current Version Release Date: October 2016

Previous Versions: none

RESOURCE DOCUMENT:  none​

EMS Treatment of Special/Rare Conditions using Prescribed Medications not Routinely Carried by EMS

POSITION STATEMENT: Treating Patients with Immediately Life-Threatening Conditions Requiring Previously Prescribed Medications Not Routinely Carried by EMS. Prehospital Emergency Care
DOI: 10.1080/10903127.2016.1229825 (Published online 06 Oct 2016.)

Current Version Release Date: October 2016

Previous Versions: none

RESOURCE DOCUMENT:  none
 
Link: http://dx.doi.org/10.1080/10903127.2016.1229825

Tranexamic Acid

POSITION STATEMENT: Guidance Document for the Prehospital Use of Tranexamic Acid in Injured Patients. Prehospital Emergency Care 2016;20(5):557-559.

Joint Position Statement of the NAEMSP9, ACEP3, ACSCOT4

Current Version Release Date: March 2016

Previous Versions: none

RESOURCE DOCUMENT:  none

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