Emergency Medical Services Outcomes Project I (EMSOP I): Prioritizing Conditions for Outcomes Research

Maio, Ronald F.; Garrison, Herbert G.; Spaite, Daniel W.; Desmond, Jeffrey S.; Gregor, Mary Ann; Cayten, C. Gene; CHEWJR, J; Hill, Elizabeth M.; Joyce, Steven M.; MacKenzie, Ellen J.

doi:10.1016/s0196-0644(99)70307-0

Cited by 155 publications

(83 citation statements)

References 18 publications

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“…The first EMS Outcomes Project (EMSOP I) identified analgesia as a key outcome parameter in adult and pediatric priority conditions, and EMSOP IV focused exclusively on pain assessment tools. 12,13 The Pediatric Emergency Care Applied Research Network (PECARN) group cited analgesia as a key priority for research in pediatric prehospital care.…”

Section: Adverse Effects and Relative Contraindicationsmentioning

confidence: 99%

An Evidence-based Guideline for Prehospital Analgesia in Trauma

Gausche‐Hill¹,

Brown²,

Oliver³

et al. 2013

Prehospital Emergency Care

119

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Background. The management of acute traumatic pain is a crucial component of prehospital care and yet the assessment and administration of analgesia is highly variable, frequently suboptimal, and often determined by consensus-based regional protocols. Objective. To develop an evidence-based guideline (EBG) for the clinical management of acute traumatic pain in adults and children by advanced life support (ALS) providers in the prehospital setting. Methods. We recruited a multi-stakeholder panel with expertise in acute pain management, guideline development, health informatics, and emergency medical services (EMS) outcomes research. Representatives of the National Highway Traffic Safety Administration (sponsoring agency) and a major children's research center (investigative team) also contributed to the process. The panel used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology to guide the process of question formulation, evidence retrieval, appraisal/synthesis, and formulation of recommendations. The process also adhered to the National Prehospital Evidence-Based Guideline (EBG) model process approved by the Federal Interagency Council for EMS and the National EMS Advisory Council. Results. Four strong

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Section: Adverse Effects and Relative Contraindicationsmentioning

confidence: 99%

An Evidence-based Guideline for Prehospital Analgesia in Trauma

Gausche‐Hill¹,

Brown²,

Oliver³

et al. 2013

Prehospital Emergency Care

119

View full text Add to dashboard Cite

show abstract

“…There are few studies on anaphylaxis management in pre hospital settings. In the USA, the number of 911 calls for anaphylaxis is 0.4-0.9% of all calls (Maio et al, 1999). Chung et al (2014) showed that in an urban Canadian centre from 481 identified allergy-related case records managed in the pre hospital setting, 136 (28%) met guideline criteria for anaphylaxis and 56% were considered high acuity level by the dispatch centre.…”

Section: Anaphylaxis As An Illustrative Casementioning

confidence: 99%

Exploring mHealth Participation for Emergency Response Communities

Schwartz

Bellou

Garcı́a-Castrillo

et al. 2017

AJIS

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We explore the challenges of participation by members of emergency response communities who share a similar condition and treatment, and are called upon to participate in emergency events experienced by fellow members. Smartphones and location-based social networking technologies present an opportunity to re-engineer certain aspects of emergency medical response. Life-saving prescription medication extended in an emergency by one individual to another occurs on a micro level, anecdotally documented. We illustrate the issues and our approach through the example of an app to support patients prone to anaphylaxis and prescribed to carry epinephrine auto-injectors. We address unique participation challenges in an mHealth environment in which interventions are primarily short-term interactions which require clear and precise decision-making and constant tracking of potential participants in responding to an emergency medical event. The conflicting effects of diffused responsibility and shared identity are identified as key factors in modelling participation.

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“…To initiate the research process, the PECARN Steering Committee required two pre-proposal submissions from each of the Regional Nodes, each of which were expected to be broadly relevant to published EMSC research agendas 6,15,48 and to have the potential for widespread impact on a national level. The PCRADS members reviewed the preproposals according to standardized review criteria and assigned specific criteria scores as well as overall scores.…”

Section: First Stepsmentioning

confidence: 99%

The Pediatric Emergency Care Applied Research Network (PECARN): Rationale, Development, and First Steps*

2003

Academic Emergency Medicine

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Since its formal recognition as a medical specialty, the field of pediatric emergency medicine has made substantial advances with respect to its scope and sophistication. These advances have occurred in clinical practice as well as in the research base to improve clinical practice. There remain, however, many areas in emergency medical services for children (EMSC), in the out-of-hospital as well as the emergency department (ED) and hospital settings, that suffer from a lack of data to guide practice. In an effort to expand the quality and quantity of research in pediatric emergency care, the Pediatric Emergency Care Applied Research Network (PECARN) was created in October 2001. PECARN is the first federally funded national network for research in EMSC. PECARN is the result of Cooperative Agreement grants funded through the Health Resources and Services Administration (HRSA) with the purpose of developing an infrastructure capable of overcoming inherent barriers to pediatric EMSC research. Among these recognized barriers are low incidence rates of serious pediatric emergency events, the need for large numbers of children from varied backgrounds to achieve broadly representative study samples, lack of an infrastructure to test the efficacy of pediatric emergency care, and the need for a mechanism to translate study results into clinical practice. PECARN will serve as a national platform for collaborative research involving the continuum of care within the EMSC system, including out-of-hospital care, patient transport, ED and in-hospital care, and rehabilitation. This article describes the history of EMSC, the need for a national collaborative research network in EMSC, the organization and development of PECARN, and the work plan for the Network.

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Emergency Medical Services Outcomes Project I (EMSOP I): Prioritizing Conditions for Outcomes Research

Cited by 155 publications

References 18 publications

An Evidence-based Guideline for Prehospital Analgesia in Trauma

An Evidence-based Guideline for Prehospital Analgesia in Trauma

Exploring mHealth Participation for Emergency Response Communities

The Pediatric Emergency Care Applied Research Network (PECARN): Rationale, Development, and First Steps*

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