Establishing the Key Outcomes for Pediatric Emergency Medical Services Research

, Kathleen M Adelgais1, Matthew Hansen2

  • 1Department of Pediatrics, Section of Pediatric Emergency Medicine, University of Colorado School of Medicine, Aurora, CO.

Insights

Limited evidence exists on pediatric prehospital care. This study standardized critical outcomes for emergency medical services (EMS) research in children to improve patient care and advance pediatric EMS science.

Area of Science:

  • Pediatric emergency medicine
  • Emergency medical services (EMS) research

Background:

  • Evidence on pediatric prehospital best practices and EMS impact on outcomes is limited.
  • Standardizing research outcomes is crucial for focused efforts in pediatric EMS.
  • Advancing the science of EMS for children requires comparable research data.

Framework:

  • A consensus process involving pediatric emergency medicine and EMS stakeholders was used.
  • Five key clinical areas were prioritized: traumatic brain injury, general injury, respiratory disease/failure, sepsis, and seizures.
  • These areas were chosen due to public health significance and frequency in EMS encounters.

Implementation:

  • A modified nominal group technique facilitated consensus building.
  • This involved small group brainstorming sessions.
  • Independent voting ranked outcomes based on feasibility and importance for the field.

Implications:

  • Identified critical outcomes for EMS care in children across five clinical areas.
  • Standardized outcomes will enable focused and comparable pediatric EMS research.
  • This initiative aims to demonstrate the positive effect of EMS on pediatric patient outcomes.

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