Prehospital Evidence-Based Guidelines

EMS care has evolved from a system largely based on tradition and best practice to one with a growing evidence base supporting procedures and protocols.


The National Prehospital Evidence Based Guideline (EBG) Model Process, published in 2012, laid the groundwork for the development of prehospital EBGs. The process has supported the development of EMS evidence-based guidelines, which can guide the development of EMS protocols and assist clinical decision making in order to provide appropriate care for specific clinical situations based on scientific evidence.

Creating an evidence-based guideline requires extensive review of published research, expert input and consensus-building. In its 2013 strategic plan, the Federal Interagency Committee on EMS committed to supporting “the development, implementation, and evaluation of evidence-based guidelines (EBGs) according to the National Prehospital EBG Model Process.” NHTSA and its federal partners have funded the development of several EBGs, in coordination with national EMS organizations and experts across the country.

Below, you can access the evidence-based guidelines developed using the National Prehospital EBG Model Process, as well as other resources related to the development and implementation of evidence-based guidelines in EMS. For more information on prehospital evidence-based guidelines, visit the Prehospital Guidelines Consortium website.