Pediatric Protocols and Guidelines

Protocols and guidelines for providing emergency care to children are especially important to pre-hospital and hospital clinicians who treat children infrequently yet need to keep their knowledge and skills up to date. Massachusetts EMSC aims to have in place statewide standards of care at every level of the EMS system so that all practitioners will be able to respond appropriately when caring for an injured or very sick child.

Effective March 1 2010, certain MA EMS Statewide Treatment Protocols include pre-hospital treatment for adrenal insufficiency/adrenal crisis. Paramedic ambulances in the state must stock either Solu-Cortef or Solu-Medrol. Massachusetts is only the second state in the nation to fully implement these standards.

Pre-hospital Protocols

Section 5 of the Massachusetts statewide treatment protocols covers protocols for pediatric emergencies. Each protocol includes instructions for Basic Level EMTs, Intermediate EMTs and Paramedics. These protocols are developed under the auspices of the Office of Emergency Medical Services (OEMS) at the Department of Public Health.

Guidelines for EMTs and Paramedics: Transport Safety

The Emergency Medical Services for Children (EMSC) Project supports efforts to improve the safety of children being transported in ambulances. Through an EMSC grant, the Division of Pediatric Emergency Medicine at Johns Hopkins Children's Center is working to fill critical knowledge gaps and to develop standards for pediatric EMS transport safety. In the meantime, here are some guidelines that may help you make sure that your ambulance is a safe place for children.


This information is provided by the Injury Prevention and Control Program within the Department of Public Health.