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2024 Systematic Review of Evidence-Based Guidelines for Prehospital Care.
Christian Martin-Gill1, P Daniel Patterson1, Christopher T Richards2
1Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Prehospital Emergency Care
|October 7, 2024
Summary
This review assessed 33 new prehospital evidence-based guidelines (EBGs) published since 2021. While quality is similar to previous years, guideline applicability remains a challenge for emergency medical services (EMS) clinicians.
Area of Science:
- Prehospital Care Research
- Evidence-Based Medicine
- Clinical Guideline Development
Background:
- Evidence-based guidelines (EBGs) are crucial for translating scientific knowledge into clinical practice.
- High-quality EBGs are essential for educating emergency medical services (EMS) clinicians on current prehospital care.
- Systematic reviews of EBGs are needed to assess their quality and identify implementation gaps.
Purpose of the Study:
- To conduct the third biennial systematic review of prehospital EBGs.
- To identify and assess the quality of prehospital EBGs published between 2021 and 2023.
- To inform educational strategies for EMS personnel based on guideline quality.
Main Methods:
- Systematic literature search of Ovid Medline and EMBASE (January 2021 - June 2023).
- Inclusion of publications providing recommendations for prehospital clinical care or operations.
- Appraisal using National Academy of Medicine (NAM) criteria and the Appraisal of Guidelines for Research and Evaluation (AGREE) II Tool.
Main Results:
- 33 new guidelines were identified, focusing on critical conditions, special considerations, and injury.
- Only 21% met all NAM criteria for high-quality guidelines, including full systematic review reporting.
- AGREE II assessment showed modest compliance, with overall quality similar to previous reviews (mean 67%), and low scores in Applicability (mean 53%).
Conclusions:
- This review highlights the need for improved evidence-based reporting in prehospital guideline development.
- Opportunities exist to enhance the implementation of high-quality EBGs in EMS systems.
- Guideline findings provide targets for EMS personnel education and competency activities.
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