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Priorities for pediatric prehospital research
George L Foltin1, Peter Dayan, Michael Tunik
1Department of Pediatrics, Division of Pediatric Emergency Medicine, Bellevue Hospital Center, New York University School of Medicine, New York, NY, USA. gf16@nyu.edu
Emergency medical services (EMS) research for children is limited. The Pediatric Emergency Care Applied Research Network (PECARN) developed a prioritized research agenda for pediatric prehospital care, focusing on clinical and system topics.
Area of Science:
- Pediatric Emergency Medicine
- Prehospital Care Research
- Health Services Research
Background:
- Limited research exists on pediatric prehospital care, despite millions of US children annually receiving care from emergency medical services (EMS).
- The Pediatric Emergency Care Applied Research Network (PECARN) aims to advance high-quality research for children, including in the prehospital setting.
Framework:
- A 3-step consensus-driven process was employed to develop a pediatric-specific prehospital research agenda.
- Participants ranked and scored potential research priorities using a modified Hanlon method, assessing prevalence, seriousness, and practicality.
Implementation:
- Forty-two representatives from PECARN nodes, EMS agencies, and prehospital research fields participated.
- A revised priority list was presented at a PECARN EMS summit to achieve consensus.
Implications:
- Consensus was reached, yielding ranked lists of 15 clinical and 5 EMS system research topics.
- The identified priorities, including airway management, respiratory distress, and trauma, will guide future pediatric prehospital research within and beyond PECARN.
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