adaptive strategies of the emergency medical services against climate change: a scoping review protocol

Background: emergency medical services (ems) play a crucial role as the first line of defense during emergencies and disasters. given the current impact of climate change, ems will need to employ innovative strategies to cope with changing conditions. this scoping review investigates how ems can adapt to climate change in pre-hospital emergencies.materials and methods: in this study, peer-reviewed studies and texts on adaptive strategies of pre-hospital emergency systems published in 2023 were reviewed. accordingly, online databases, including web of science, pubmed, scopus, and google scholar as a search engine were searched. the selected keywords were as follows: “medical technician,” “paramedic,” “ambulance,” “climate change,” “global warming,” “adaptation,” “mitigation,” and “resiliency” (and synonyms).conclusion: no wide-ranging study has been conducted on the adaptation strategies of ems against climate change and this is the first study in this field. in this study, elements and adaptation strategies against climate change were investigated. extracting these cases and using them to improve the readiness and resilience of the pre-hospital emergency system will be effective against this phenomenon.