In a recent update, the Urban Fire Forum, following feedback from the National Association of EMS Physicians, has decided to withdraw two of their endorsed position papers.

These papers, which were focused on Neuroprotective (“Heads-Up”) CPR and Pre-Hospital Transfusion of Blood Products, were previously endorsed in September 2023 with the aim of enhancing outcomes for those under the care of fire services during emergencies.

Fire Chiefs collaborate with medical professionals

“While there was involvement from medical professionals in the development of the papers, we understand the concern by others from the medical community around the use of the term ‘Standard of Care’ and other language in the position papers that are more commonly associated with directives from the medical field,” commented Metro Chiefs Executive Secretary Otto Drozd.

He further added: “In order to gain additional insights related to the feedback, we are rescinding the papers and look to have further engagement with the broader EMS community.”

Drozd emphasised that the goal was “never to cause confusion but rather to provide guidance that would stimulate important discussions within the EMS community.”

He also highlighted the primary purpose of UFF Position Papers, stating: “The aim of UFF Position Papers is to contribute to the ongoing dialogue between Metropolitan Fire Chiefs and their local medical directors who are the final medical authority surrounding these practices.”

Fire Chiefs and their unique role in emergency services

Drozd clarified a key point: the UFF Position Papers do not indicate the official stance of either the National Fire Protection Association (NFPA) or the International Association of Fire Chiefs (IAFC).

These documents are devised by experts in their respective domains, supported by the Metropolitan Fire Chiefs Association Board and a collective of fire chiefs from large urban areas both in the U.S. and globally.

“I am hopeful that additional dialogue will lead to a mutually agreeable path for advancing important innovations in pre-hospital care,” Drozd said.

IFSJ Comment

The decision by the Urban Fire Forum to rescind these papers showcases a commitment to collaboration and ensuring the best practices in emergency care.

Given the critical role that fire-based EMS services play in communities, it’s pivotal for the guidelines and position papers to be well-informed and comprehensive.

This move signifies a step towards a more cohesive approach between the Fire Chiefs and the broader EMS community, ultimately aiming for advancements in emergency care that benefit countless lives.