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Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine

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Published on: January 30, 2020

A national model for developing, implementing, and evaluating evidence-based guidelines for prehospital care.

Eddy S Lang¹, Daniel W Spaite, Zoe J Oliver

¹Department of Emergency Medicine, University of Calgary, Calgary, Alberta, Canada. eddy.lang@albertahealthservices.ca

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine

|February 11, 2012

Summary

A new eight-step model for developing evidence-based guidelines (EBGs) for emergency medical systems (EMS) patients was created. This model uses rigorous methods to improve prehospital care quality and patient outcomes.

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Area of Science:

Emergency Medicine
Evidence-Based Practice
Healthcare Protocol Development

Background:

The Institute of Medicine recommended a model for evidence-based protocols for emergency medical systems (EMS) patients.
Multidisciplinary experts convened to address the need for developing evidence-based guidelines (EBGs) in prehospital care.

Purpose of the Study:

To propose and describe an eight-step model for developing evidence-based guidelines (EBGs) for prehospital emergency medical systems (EMS) care.
To provide a framework for creating scientifically rigorous and transparent patient care protocols.

Main Methods:

An eight-step model was developed and endorsed by key EMS and evidence-based medicine organizations.
The model incorporates external evidence, preliminary review, topic selection, and the GRADE methodology for rating evidence quality and recommendation strength.
It includes protocol generation, dissemination, education, implementation, and integrated quality improvement for monitoring effectiveness and uptake.

Main Results:

An eight-step model for prehospital evidence-based guideline (EBG) development was established.
The model outlines a systematic process from evidence gathering to protocol implementation and monitoring.
The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology is integrated for robust guideline creation.

Conclusions:

The proposed model offers a transparent, objective, and scientifically rigorous approach to developing prehospital evidence-based guidelines (EBGs).
Implementation of this model has the potential to significantly enhance the quality of emergency medical systems (EMS) care.
Continuous quality improvement and outcomes monitoring are integral to the model's success.