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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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.
Abstract:
The evidence supporting best practices when treating children in the prehospital setting or even the effect emergency medical services (EMS) has on patient outcomes is limited. Standardizing the critical outcomes for EMS research will allow for focused and comparable effort among the small but growing group of pediatric EMS investigators on specific topics. Standardized outcomes will also provide the opportunity to collectively advance the science of EMS for children and demonstrate the effect of EMS on patient outcomes. This article describes a consensus process among stakeholders in the pediatric emergency medicine and EMS community that identified the critical outcomes for EMS care in five clinical areas (traumatic brain injury, general injury, respiratory disease/failure, sepsis, and seizures). These areas were selected based on both their known public health importance and their commonality in EMS encounters. Key research outcomes identified by participating stakeholders using a modified nominal group technique for consensus building, which included small group brainstorming and independent voting for ranking outcomes that were feasible and/or important for the field.
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