Topic Collection Cover Page

COVID-19 Pre-Hospital/Emergency Medical Services (EMS) Resources
Topic Collection
April 1, 2020

Topic Collection: COVID-19 Pre-Hospital/Emergency Medical Services (EMS) Resources

This Topic Collection focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts, focusing on pre-hospital and emergency medical services (EMS) settings, including public safety answering points (PSAPs).

Please refer to CDC’s Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID19 outbreak management.

If you have COVID-19 best or promising practices, plans, tools, or templates to share with your peers, please visit the ASPR TRACIE Information Exchange COVID-19 Information Sharing Page (registration required) and place your resources under the relevant topic area. Resources specific to pre-hospital and EMS can be placed under the COVID-19 Pre-Hospital/EMS Resources Topic.

Select Resources


ASPR TRACIE. (2017). EMS Infectious Disease Playbook. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
This playbook synthesizes multiple sources of information in a single planning document addressing the full spectrum of infectious agents to create a concise reference resource for emergency medical services (EMS) agencies developing their service policies. The information can be incorporated into agency standard operating procedures and reviewed by the EMS medical director.
Rate:
Favorite:
2
You must Login to add a comment
  • Bridget Kanawati Thank you for your interest in this resource. Unfortunately, funding restrictions preclude our being able to provide printed versions of our resources so all of our products, including this one, are only available electronically. ASPR TRACIE Team
    3/26/2020 2:12:41 PM
  • Frances Thorpe I agree with Tracy, is there a way to order this publication in hard copy format? The information contained in this publication highlights agency infection control policies and is a great resource to have in the department library.
    3/26/2020 12:21:36 PM
  • Tracy Miller Is there any way to order a printed and bound version?
    8/9/2018 5:16:09 PM
This policy is an example of procedures implemented under a COVID-19 emergency declaration to allow EMS to transport patients to a location other than an acute care hospital.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Centers for Disease Control and Prevention. (2017). Framework for Expanding EMS System Capacity During Medical Surge.
This framework can help community planners better understand the role of emergency medical services in medical surge planning and crisis standard of care adaptations, which falls under four strategies: Tiered Dispatch; Modified Treatment and Transport Strategies; Coordinated Transport to Alternate Destinations; and Support for Rapid Implementation of Patient Interventions.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Hanfling, D., Hick, J., and Stroud, C. (2013). Crisis Standards of Care: A Toolkit for Indicators and Triggers. (Free registration required.) Institute of Medicine: National Academies Press.
This toolkit contains key concepts, guidance, and practical resources to help individuals across the emergency response system develop plans for crisis standards of care. Chapter 7 includes sample indicators, triggers, and sample tactics for use in the transition from conventional surge to contingency surge to crisis surge, and a return from crisis response to conventional response (detailed specifically for emergency medical services using slow-onset and no-notice scenarios).
Rate:
Favorite:
1
You must Login to add a comment
  • This item doesn't have any comments
Hanfling, D., Hick, J., and Stroud, C. (2013). Crisis Standards of Care: A Toolkit for Indicators and Triggers – Table 7.1. (Free registration required.) Institute of Medicine, Washington, DC: National Academies Press.
Table 7.1 provides specific indicators, triggers, and tactics for EMS to use along the continuum of care during the COVID-19 pandemic.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
International Academies of Emergency Dispatch. (2020). Emerging Infectious Disease Surveillance Tool (2019-Novel Coronavirus).
This three-page protocol is a screening tool for possible cases of COVID-19. Questions cover symptoms, travel history, and patient contact history. It does not require a specific order or number of questions to ask. Geographically, areas of recent travel concern can change daily. The specifics of when to use this tool and the extent of questioning within this tool must remain user-defined. Scroll down to the “Download the EIDS Tool to Screen for Coronavirus” section to select the current version of the tool.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Los Angeles County Department of Public Health. (2020). Guidance for Monitoring EMS Personnel.
This guidance provides recommendations to EMS agencies and employees on self-monitoring for symptoms, agency screening, testing, quarantine, isolation, and return to work.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Massachusetts Department of Public Health. (2020). Emergency Measures Relating to EMS Due to COVID-19 Outbreak.
This memo is an example of statewide emergency measures to protect EMS personnel and first responders during the COVID-19 response. It updates statewide treatment protocols, allows ambulance transport to designated alternate sites on hospital grounds, clarifies the unprotected exposure protocol, updates the PSAP response, provides considerations for ambulance services, outlines post-transport cleaning, and addresses scene management, initial assessment, transport, treatment, and PPE for patients with a risk of COVID-19 infection.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Michigan Department of Health and Human Services. (2020). Michigan EMS Coronavirus Disease (COVID-19) Response.
This web page includes numerous materials to guide the pre-hospital response to COVID-19. Included are guidance on COVID-19 screening, links to emergency protocols, and quick sheets on topics including infection control, pre-shift screening, respiratory protection, and screening.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Minnesota Emergency Medical Services Regulatory Board. (2020). Emergency Suspension of Ambulance Service Requirement.
This document is an example of suspended pre-hospital staffing, equipment, and response requirements under a state disaster declaration for COVID-19.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Minnesota Metro Region EMS System. (2020). COVID-19 Response Matrix.
This table summarizes conventional, contingency, and crisis strategies for EMS systems related to dispatch, staffing, personal protective equipment, and supplies as well as decisions about which responders to send, patient destination, and lefts.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Minnesota Metro Region EMS System. (2020). Crisis Contingency Strategies.
This flow chart depicts real-time and shift adaptations to allow EMS systems to transition among conventional, contingency, and crisis strategies while responding to the COVID-19 pandemic.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Minnesota Metro Region EMS System. (2020). Pandemic Response Matrix.
This document outlines the standing orders that EMS directors may implement during crisis conditions to provide the best pre-hospital care to the most people. It outlines the following options for 22 different scenarios: transport by EMS, transport by law enforcement, referral to use alternate transportation to a medical facility, referral to a clinic or other medical facility, and provision of home care information.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
National Highway Traffic Safety Administration, Office of EMS. (2020). Crisis Standards of Care and COVID-19: What EMS Needs to Know.
This webinar provides an overview of why crisis standards of care (CSC) planning is critical in the pre-hospital setting, implications for leaders who implement CSC in their communities, and an example of one state's preparedness for emergency medical services surge.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
This document provides links to current CDC guidance applicable to EMS providers and systems. It provides general considerations followed by action steps under the following categories: assessment criteria, patient transport, PPE, safe work practices, documentation, post-transport management of the contaminated vehicle, and follow-up of EMS personnel.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments

Agencies and Organizations


National Association of EMS Physicians. COVID-19 Resources.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
National Association of State EMS Officials. COVID-19 Resources.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
National Highway Traffic Safety Administration, Office of EMS. Coronavirus/COVID-19 Resources.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
footer

Enter your email address to receive important announcements and updates through the ASPR TRACIE Listserv.