National Emergency Medical Services Advisory Council Notice of Public Meeting

Issuing agencies

Abstract

This notice announces a meeting of the National Emergency Medical Services Advisory Council (NEMSAC).

Full Text

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<title>Federal Register, Volume 91 Issue 206 (Tuesday, October 27, 2026)</title>
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[Federal Register Volume 91, Number 206 (Tuesday, October 27, 2026)]
[Notices]
[Pages 67649-67650]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-21846]


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DEPARTMENT OF TRANSPORTATION

National Highway Traffic Safety Administration

[DOT-NHTSA-2026-2113]


National Emergency Medical Services Advisory Council Notice of 
Public Meeting

AGENCY: National Highway Traffic Safety Administration, U.S. Department 
of Transportation (DOT).

ACTION: Notice of public meeting.

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SUMMARY: This notice announces a meeting of the National Emergency 
Medical Services Advisory Council (NEMSAC).

DATES: This meeting will be transmitted via virtual interface and is 
scheduled to be held on November 4, 2026, from 1:00 p.m. to 5:00 p.m. 
ET. Pre-registration is required to attend the meeting. Once 
registered, a link permitting access to the meeting will be distributed 
to registrants by email. If you wish to speak during the meeting, you 
must submit a written copy of your remarks to DOT by October 26, 2026.

ADDRESSES: General information about the Council is available on the 
NEMSAC internet website at <a href="http://www.ems.gov">www.ems.gov</a>. The registration portal and 
meeting agenda will be available on the NEMSAC internet website at 
<a href="http://www.ems.gov">www.ems.gov</a> at least one week in advance of the meeting.

FOR FURTHER INFORMATION CONTACT: The Office of Emergency Medical 
Services, National Highway Traffic Safety Administration, U.S. 
Department of Transportation is available by email at <a href="/cdn-cgi/l/email-protection#2a646f67796b696a4e455e044d455c"><span class="__cf_email__" data-cfemail="327c777f61737172565d461c555d44">[email&#160;protected]</span></a>. 
Any committee-related requests should be sent to the email address 
listed in this section.

SUPPLEMENTARY INFORMATION:

I. Background

    NEMSAC is authorized under Section 31108 of the Moving Ahead for 
Progress in the 21st Century Act of 2012, codified at 42 U.S.C. 300d-4 
as a Federal Advisory Committee. The purpose of NEMSAC is to serve as a 
nationally recognized council of emergency medical services (EMS) 
representatives to provide advice to and consult with:
    a. The Federal Interagency Committee on Emergency Medical Services 
(FICEMS) on matters relating to EMS issues; and
    b. The Secretary of Transportation on matters relating to EMS 
issues affecting DOT.
    NEMSAC provides an important national forum for the non-Federal 
deliberation of national EMS issues and serves as a platform for advice 
on DOT's national EMS activities. NEMSAC also provides advice and 
recommendations to the FICEMS.

II. Agenda

    At the meeting, the agenda will cover the following topics:

<bullet> NHTSA Initiatives
<bullet> Updates from Federal Partners
<bullet> FICEMS Strategic Plan for National Implementation of 
Prehospital Blood Transfusion
<bullet> Request for Consultation and Advice
<bullet> General Informational Sessions
<bullet> Strategic Planning for NEMSAC
<bullet> Public Comment Period

III. Background on FICEMS Strategic Plan for National Implementation of 
Prehospital Blood Transfusion

    Severe bleeding is the leading cause of preventable death in trauma 
patients. Evidence demonstrates that prompt prehospital blood 
transfusion can save an estimated 37 percent of trauma patients 
experiencing severe bleeding, whereas every minute of delay increases 
mortality risk by 11 percent. The draft FICEMS Strategic Plan for 
National Implementation of Prehospital Blood Transfusion (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 Council will deliberate on a letter from the Designated Federal 
Officer requesting consultation and advice on the FICEMS Strategic Plan 
for National Implementation of Prehospital Blood Transfusion. The 
Council will also deliberate on the Request for Information (RFI) 
published in the Federal Register on October 5, 2026. The RFI solicits 
public comments on feasibility, operational challenges, data linkage, 
and logistics associated with meeting the following national targets 
(key performance indicators or KPIs) across three core pillars:

Goal 1: Integrated Informatics

    Pediatric Pre-Arrival Instructions: Increase the percentage of 
children with life-threatening bleeding post-crash receiving 911 pre-
arrival instructions from a calendar year (CY) 2025 baseline of 20 
percent to a 2028 target of 25 percent.
    Overall Pre-Arrival Instructions: Increase the percentage of all 
patients with life-threatening bleeding post-crash receiving 911 pre-
arrival instructions from a CY 2025 baseline of 20 percent to a 2028 
target of 25 percent.

Goal 2: Systems Innovation

    Ground EMS Agency Programs: Expand the total number of ground EMS

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agencies with operational prehospital blood transfusion programs from a 
CY 2026 baseline of 450 agencies to a 2028 target of 2,028 agencies.

Goal 3: Clinical Excellence

    Pediatric Prehospital Transfusion: Increase the percentage of 
pediatric patients with life-threatening bleeding post-crash receiving 
prehospital blood transfusion from a CY 2025 baseline of 7 percent to a 
2028 target of 28 percent.
    Overall Prehospital Transfusion: Increase the percentage of all 
patients with life-threatening bleeding post-crash receiving 
prehospital blood transfusion from a CY 2025 baseline of 4 percent to a 
2028 target of 16 percent.

IV. Public Participation

    This meeting will be open to the public. We are committed to 
providing equal access to this meeting for all participants. People 
with disabilities who need accommodation should send a request to the 
individual in the FOR FURTHER INFORMATION CONTACT section of this 
notice no later than October 26, 2026.
    A period of time will be allotted for comments from members of the 
public attending the meeting. Members of the public may present 
questions and comments to the Council using the live chat feature 
available during the meeting. Members of the public may also submit 
materials, questions, and comments in advance to the individual listed 
in the FOR FURTHER INFORMATION CONTACT section of this notice.
    Members of the public wishing to reserve time to speak directly to 
the Council during the meeting must submit a request. The request must 
include the name, contact information (address, phone number, and email 
address), and organizational affiliation of the individual wishing to 
address NEMSAC; it must also include a written copy of prepared remarks 
and must be forwarded to the individual listed in the FOR FURTHER 
INFORMATION CONTACT section of this notice no later than October 26, 
2026.
    All advance submissions will be reviewed by the Council Chairperson 
and Designated Federal Officer. If approved, advance submissions shall 
be circulated to NEMSAC representatives for review prior to the 
meeting. All advance submissions will become part of the official 
record of the meeting.
    Authority: 42 U.S.C. 300d-4(b); 49 CFR part 1.95(i)(4).

    Issued in Washington, DC.
Angie Wang,
Acting Associate Administrator, Research and Program Development.
[FR Doc. 2026-21846 Filed 10-26-26; 8:45 am]
BILLING CODE 4910-59-P


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