As the 2025 clinical update cycle comes to an end, we wanted to take a moment to highlight the changes made this year to the clinical content used in ClearTriage:
After Hours Protocol Updates
The 2025 annual updates to the After Hours telephone triage protocols were released in April. These updates included 28 new protocols (12 adult and 16 pediatric) and improvements to many more protocols.
New Adult Protocols:
- Accidental Exposure to Recreational (Street) Drug
- Bluish Skin or Body Part (Cyanosis)
- Cancer – Mouth Symptoms
- Hallucinations
- Hallucinogenic Mushrooms – Use and Problems
- Hospice – Equipment or Supply Request
- Hospice – Insomnia
- Post-Op Wound Drains and Tubes – Symptoms and Questions
- Post-Traumatic Stress Disorder (PTSD)
- Toenail Fungal Infection – Diagnosed or Suspected
- Tracheostomy Symptoms and Questions
- Warts
New Pediatric Protocols:
- Anorexia Nervosa
- Blood Pressure – High
- Child Neglect Suspected
- Contraception – Transdermal Patch
- Contraception – Vaginal Ring
- Coughing Up Blood
- Flank Pain
- Hallucinogenic Mushroom Use or Problems
- Hand Injury
- Medication Refill and Renewal
- Molluscum Contagiosum
- Mpox (Monkeypox) – Diagnosed or Suspected
- Mpox (Monkeypox) – Exposure
- Obesity or Overweight
- Tattoo Symptoms and Questions
- Weight Loss – Unintended
For more details about the After Hours update, please see these letters from the authors which summarize the changes in this update: Pediatric After Hours Changes and Adult After Hours Changes.
Office Hours Protocol Updates
The 2025 annual updates to the Office Hours telephone triage protocols were released in July. These updates included 7 new protocols (4 adult and 3 pediatric) and improvements to many more protocols.
New Adult Protocols:
- Dementia Symptoms and Questions
- Vaginal Foreign Body
- Weight Loss – Unintended
- Whooping Cough Exposure
New Pediatric Protocols:
- Ankle Injury
- Knee Injury
- Obesity or Overweight
For more details about the Office Hours update, please see these letters from the authors which summarize the changes in this update: Pediatric Office Hours Changes and Adult Office Hours Changes.
Care Advice Handouts
The authoring teams at Schmitt-Thompson Clinical Content have released new versions of the care advice handouts that can be sent from within ClearTriage. These include 52 new adult handouts and 63 new pediatric handouts, as well as changes to the existing handouts to better match the updated care advice included in the 2025 nurse triage protocols.
The following indexes list the current handouts:
Additionally, the Schmitt-Thompson Adult Care Advice Topics Update Letter for 2025 includes details about the structure of the adult care advice handouts plus information about why the handouts are an important and helpful resource for the caller.
2026 Updates
The Schmitt-Thompson Clinical Content teams worked hard in 2025 to bring our customers the highest quality triage decision support content available for telephone triage nurses. And they’ve already started work on the 2026 updates! The team here at ClearTriage looks forward to sharing those updates with you next year.
ClearTriage is a web-based decision support tool for telephone triage nurses and the leading provider of the Schmitt-Thompson telephone triage protocols. ClearTriage offers several technical integrations including SSO, embedding, structured data return, and translation. Contact us to learn more or start your 30-day free trial today.
