Federal Register #NHTSA-2026-2113

NHTSA Seeks Input on Nationwide Implementation of Prehospital Blood Transfusion

NHTSA is seeking nationwide input on expanding prehospital blood-transfusion capabilities across emergency medical services and 911 systems. - Government buyer and sponsoring organizations: U.S. Department of Transportation (DOT), through the National Highway Traffic Safety Administration (NHTSA), on behalf of the Federal Interagency Committee on Emergency Medical Services (FICEMS). - Purpose: Gather information on national implementation strategies, barriers, and potential solutions; this is an informational inquiry, not a request for proposals or purchase of products or services. - Topics and goals: Increase the number of EMS agencies with transfusion programs; expand 911 pre-arrival instructions and prehospital transfusions for patients with life-threatening bleeding; improve outcomes reporting through the National EMS Information System; encourage participation in the National EMS Licensure Compact; and expand pediatric emergency care coordinators. - Additional areas for input: Advanced Automatic Crash Notification technology; 911 call-taking and dispatch protocols; data integration; military-civilian EMS coordination; blood logistics and cold-chain management; and EMS education and training. - OEMs, vendors, products, and quantities: None identified. No product or service line items are specified.

Description

NHTSA, on behalf of the Federal Interagency Committee on Emergency Medical Services (FICEMS), is seeking comments on the nationwide implementation of prehospital blood transfusion. The notice requests input on strategies, barriers, and solutions to advance prehospital blood-transfusion capabilities across State, local, tribal, and territorial EMS and 911 systems, including responses to specific questions. It is an information-gathering inquiry, not a request for proposals or an invitation for bids. Comments are due November 5, 2026.

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