2026-20426NoticeWallet

Blood on Board: Feds Want Ambulance Transfusion Plans Nationwide

Published Date: 10/6/2026

Notice

Summary

The National Highway Traffic Safety Administration wants your ideas on how to make blood transfusions available before patients reach the hospital, like in ambulances and 911 services. This change could save lives by getting blood to people faster during emergencies across the country. If you have thoughts or experience, share them by November 5, 2026, to help shape this life-saving plan!

Analyzed Economic Effects

9 provisions identified: 9 benefits, 0 costs, 0 mixed.

Goal: Prevent up to 10,000 Deaths Annually

FICEMS states it aims to support EMS systems in preventing up to 10,000 deaths annually and achieving a 5% reduction in overall mortality from severe bleeding by 2028.

Expand EMS Programs to 2,028 Agencies

FICEMS has a stated goal to increase the number of EMS agencies nationwide with active prehospital blood transfusion programs to 2,028 by the end of calendar year 2028.

Pediatric Prehospital Transfusion Target: 28%

FICEMS sets a goal that 28% of pediatric patients with life‑threatening bleeding will receive a prehospital blood transfusion by the end of calendar year 2028.

911 Pre-Arrival Instructions for Pediatric Bleeding

FICEMS sets a goal to provide 911 pre-arrival instructions to 25% of pediatric patients with life‑threatening bleeding by the end of calendar year 2028.

911 Pre-Arrival Instructions for All Bleeding Patients

FICEMS sets a goal to provide 911 pre-arrival instructions to 25% of all patients with life‑threatening bleeding by the end of calendar year 2028.

Prehospital Transfusion Target for All Patients: 16%

FICEMS sets a goal that 16% of all patients with life‑threatening bleeding will receive a prehospital blood transfusion by the end of calendar year 2028.

National EMS Licensure Compact Participation Goal

FICEMS sets a goal for participation from at least 51 states and territories in the National EMS Licensure Compact by the end of calendar year 2028.

Establish 10,000 Pediatric Emergency Care Coordinators

FICEMS sets a goal to establish 10,000 prehospital pediatric emergency care coordinators (PECCs) across the nation by the end of calendar year 2028.

Capture Transfusion Outcomes in NEMSIS (10%)

FICEMS sets goals to capture outcomes data in the National EMS Information System (NEMSIS) for 10% of all children transfused prehospitally and for 10% of all patients transfused prehospitally by the end of calendar year 2028.

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Key Dates

Published Date
Comments Due
10/6/2026
11/5/2026

Department and Agencies

Department
Independent Agency
Agency
Transportation Department
National Highway Traffic Safety Administration
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