2026-21846NoticeWallet

EMS Council Takes Up Blood Transfusions Before Hospital Arrival

Published Date: 10/27/2026

Notice

Summary

The National Emergency Medical Services Advisory Council (NEMSAC) is holding a virtual public meeting on November 4, 2026, from 1 to 5 p.m. ET. EMS professionals and the public can join by pre-registering and can even speak if they submit remarks by October 26. This meeting will discuss important EMS updates, new strategies like prehospital blood transfusion, and plans that could shape emergency medical services nationwide.

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Nationwide push for prehospital blood transfusion

The Federal Interagency Committee on Emergency Medical Services (FICEMS) draft Strategic Plan (2026–2028) aims to prevent 10,000 deaths annually and achieve a 5 percent reduction in overall trauma mortality from severe bleeding by 2028. The plan sets targets to increase pediatric prehospital transfusion from a CY 2025 baseline of 7 percent to 28 percent and overall prehospital transfusion from a CY 2025 baseline of 4 percent to 16 percent by 2028, and to raise 911 pre-arrival instructions from 20 percent (CY 2025) to 25 percent (2028).

Target to expand EMS agency transfusion programs

The plan sets a Goal to expand ground EMS agencies with operational prehospital blood transfusion programs from a CY 2026 baseline of 450 agencies to a 2028 target of 2,028 agencies. The Federal Register notice solicits consultation and public comment on feasibility, operational challenges, data linkage, and logistics related to meeting these targets.

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Key Dates

Comments Due
Published Date
Effective Date
10/26/2026
10/27/2026
11/4/2026

Department and Agencies

Department
Independent Agency
Agency
Transportation Department
National Highway Traffic Safety Administration
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