Statewide Basic Life Support Adult and Pediatric Treatment Protocols - Version 26.0 - Effective 09.01.2026

Sep 22, 2026

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Statewide Basic Life Support Adult and Pediatric Treatment Protocols, Version 26.0, effective 09.01.2026, provide standardized prehospital guidance for adult and pediatric EMS care. The protocol framework covers general approaches to EMS calls, patient assessment, safety and transportation considerations, and specific extremis and cardiac arrest pathways including ROSC, airway obstruction, and obvious death. It also outlines medical protocols for pediatric events such as ALTE/BRUE, altered mental status, anaphylaxis, behavioral agitation, and multiple adult and pediatric emergencies including respiratory arrest/failure, cardiogenic shock, hypothermia, heat emergencies, and glycemic disturbances.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages129

Reading Time5 h 25 min

AccessFree to download

INTRODUCTION

PEDIATRIC DEFINITION AND DISCUSSION

ACKNOWLEDGEMENTS

(1) GENERAL APPROACH TO PREHOSPITAL CARE

GENERAL APPROACH TO THE EMS CALL

GENERAL APPROACH TO THE PATIENT

GENERAL APPROACH TO SAFETY RESTRAINING DEVICES

GENERAL APPROACH TO TRANSPORTATION

(2) EXTREMIS / CARDIAC ARREST PROTOCOLS

CARDIAC ARREST–ADULT: GENERAL APPROACH

CARDIAC ARREST– PEDIATRIC: GENERAL APPROACH

CARDIAC ARREST–ADULT: RETURN OF SPONTANEOUS CIRCULATION (ROSC)

FOREIGN BODY OBSTRUCTED AIRWAY –ADULT

FOREIGN BODY OBSTRUCTED AIRWAY – PEDIATRIC

OBVIOUS DEATH

RESPIRATORY ARREST / FAILURE–ADULT

RESPIRATORY ARREST / FAILURE– PEDIATRIC

TERMINATION OF RESUSCITATION

(3) GENERAL ADULT AND PEDIATRIC MEDICAL PROTOCOLS

APPARENT LIFE THREATENING EVENT (ALTE) / BRIEF RESOLVED UNEXPLAINED EVENTS (BRUE)– PEDIATRIC

ALTERED MENTAL STATUS

ANAPHYLAXIS AND ALLERGIC REACTION – ADULT

ANAPHYLAXIS AND ALLERGIC REACTION – PEDIATRIC

BEHAVIORAL: AGITATED PATIENT–ADOLESCENT

BEHAVIORAL: AGITATED PATIENT–ADULT

BEHAVIORAL: AGITATED PATIENT– PEDIATRIC

CARBON MONOXIDE EXPOSURE– SUSPECTED

Statewide Basic Life Support Adult and Pediatric Treatment Protocols Version 26.0 Effective 09.01.2026 [health.ny.gov/ems](health.ny.gov/ems) INTRODUCTION......................................................................................................................... 6 PEDIATRIC DEFINITION AND DISCUSSION .............................................................................................. 8 ACKNOWLEDGEMENTS .................................................................................................................... 9 (1) GENERAL APPROACH TO PREHOSPITAL CARE..........................................................................10 GENERAL APPROACH TO THE EMS CALL ..............................................................................................11 GENERAL APPROACH TO THE PATIENT.................................................................................................13 GENERAL APPROACH TO SAFETY RESTRAINING DEVICES ............................................................................15 GENERAL APPROACH TO TRANSPORTATION ..........................................................................................16 (2) EXTREMIS / CARDIAC ARREST PROTOCOLS .............................................................................17 CARDIAC ARREST–ADULT: GENERAL APPROACH ...................................................................................18 CARDIAC ARREST– PEDIATRIC: GENERAL APPROACH...............................................................................20 CARDIAC ARREST–ADULT: RETURN OF SPONTANEOUS CIRCULATION (ROSC) ................................................22 FOREIGN BODY OBSTRUCTED AIRWAY –ADULT.....................................................................................23 FOREIGN BODY OBSTRUCTED AIRWAY – PEDIATRIC ................................................................................24 OBVIOUS DEATH ..........................................................................................................................25 RESPIRATORY ARREST / FAILURE–ADULT............................................................................................26 RESPIRATORY ARREST / FAILURE– PEDIATRIC .......................................................................................27 TERMINATION OF RESUSCITATION .....................................................................................................28 (3) GENERAL ADULT AND PEDIATRIC MEDICAL PROTOCOLS...........................................................29 APPARENT LIFE THREATENING EVENT (ALTE) / BRIEF RESOLVED UNEXPLAINED EVENTS (BRUE)– PEDIATRIC ...........30 ALTERED MENTAL STATUS ..............................................................................................................31 ANAPHYLAXIS AND ALLERGIC REACTION – ADULT...................................................................................32 ANAPHYLAXIS AND ALLERGIC REACTION – PEDIATRIC ...............................................................................33 BEHAVIORAL: AGITATED PATIENT–ADOLESCENT ...................................................................................35 BEHAVIORAL: AGITATED PATIENT–ADULT...........................................................................................37 BEHAVIORAL: AGITATED PATIENT– PEDIATRIC ......................................................................................39 CARBON MONOXIDE EXPOSURE– SUSPECTED .......................................................................................40 CARDIAC – ADULT: TOTAL ARTIFICIAL HEART (TAH) ...............................................................................42 CARDIAC – ADULT: VENTRICULAR ASSIST DEVICE (VAD) ..........................................................................44 CARDIAC RELATED PROBLEM / CHEST PAIN – ADULT........................................................................

FAQs

What is the document version and when is it effective?

The protocols are Version 26.0 and are effective 09.01.2026.

What general prehospital areas are covered before specific emergencies?

The document includes general approaches to the EMS call, the patient, safety restraining devices, and transportation.

Which emergencies are included under extremis and cardiac arrest protocols?

It covers cardiac arrest pathways for adults and pediatrics, return of spontaneous circulation (ROSC), foreign body airway obstruction, obvious death, respiratory arrest/failure, and termination of resuscitation.

Sep 22, 2026

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