Single-<b>s</b>ite Community Consultation for Emergency Research in a Community Hospital Setting

Galbraith, Kyle L.; Keck, Anna-Sigrid; Little, Charletta

doi:10.3109/10903127.2014.882998

Cited by 6 publications

(7 citation statements)

References 10 publications

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“…[125][126][127] This has been applied to cardiac arrest and trauma-related research involving exception from informed consent. Requirements are in place for community consultation and public disclosure, yet how to best achieve broad outreach has not been well defined.…”

Section: Community Consultation For Researchmentioning

confidence: 99%

Use of Mobile Devices, Social Media, and Crowdsourcing as Digital Strategies to Improve Emergency Cardiovascular Care

Rumsfeld¹,

Brooks²,

Aufderheide³

et al. 2016

Circulation

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Section: Community Consultation For Researchmentioning

confidence: 99%

Use of Mobile Devices, Social Media, and Crowdsourcing as Digital Strategies to Improve Emergency Cardiovascular Care

Rumsfeld¹,

Brooks²,

Aufderheide³

et al. 2016

Circulation

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“…Both Facebook and Twitter are free to join, so the only cost associated with sharing information in this way is related to the amount of time one spends on creating a user profile and developing the information to be shared. Galbraith et al . used both Facebook and Twitter in this way when performing CC/PD for a single‐site study invoking EFIC, creating four postings on each platform to be seen by the users who “liked” or “followed” their home institution.…”

Section: Forms Of Social Media Outreachmentioning

confidence: 99%

“…This is true regardless of the methods one uses for such activities, including well‐established methods like telephone surveys, public meetings, and print advertisements. However, published accounts of CC/PD show that investigators are now turning to the Internet to inform and consult with communities . In particular, social media websites and applications (such as Facebook, Twitter, and YouTube) provide investigators with unique opportunities for creating study‐specific content and engaging community members in an online setting.…”

mentioning

confidence: 99%

“…In particular, social media websites and applications (such as Facebook, Twitter, and YouTube) provide investigators with unique opportunities for creating study‐specific content and engaging community members in an online setting. While there is a paucity of data regarding the effectiveness of social media for CC/PD, the limited data that are available offer mixed results . This paper offers four pieces of guidance for researchers who seek to incorporate social media into their CC/PD plans: familiarize yourself with the forms of outreach social media can provide, recognize the goals of CC/PD and how social media can contribute to reaching those goals, consider how active your CC/PD communities are on social media, and identify how you will measure the success of CC/PD outreach through social media.…”

mentioning

confidence: 99%

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Practical and Ethical Considerations for Using Social Media in Community Consultation and Public Disclosure Activities

Galbraith

2014

Academic Emergency Medicine

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Social media are becoming increasingly integrated into both the clinical and the research dimensions of emergency medicine. They can provide methods for sharing crucial information to targeted individuals or groups in a rapid fashion. As a result, investigators conducting emergency research under the exception from prospective informed consent requirements are beginning to turn to social media platforms as they engage in required community consultation and public disclosure activities before their research begins. At present, there are limited data regarding how effectively social media have been used for performing those consultation and disclosure activities. This article offers investigators four specific areas to consider before using social media in consultation and outreach efforts. First, understand the forms of outreach social media platforms can provide. Second, recognize how those outreach methods relate to the specific goals of community consultation and public disclosure. Third, consider whether or not the intended audiences of community consultation and public disclosure will be available via social media. Finally, think about how social media outreach efforts will be measured and assessed before consultation and disclosure activities are under way.

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“…Performing trauma research protocols in the prehospital setting, in addition to being logistically difficult, is a heavily regulated process that often entails community consent, could potentially pose risk to the patient due to demands on emergency care providers, and requires significant human and institutional resources (6–9). While prehospital research is possible in rural community and smaller community settings, resources are more likely to be found at major urban trauma centers where transport times are short, often 15 minutes or less (8–10). In contrast, military casualties requiring transfusion reach definitive care approximately 50 minutes after injury (11), increasing the risk of irreversible hemorrhagic shock.…”

Section: Introductionmentioning

confidence: 99%

Acute blood loss during burn and soft tissue excisions

Pidcoke

Isbell

Herzig

et al. 2015

Journal of Trauma and Acute Care Surgery

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Background Many military and civilian centers have shifted to a Damage Control Resuscitation (DCR) approach, focused on providing oxygen-carrying capacity while simultaneously mitigating coagulopathy with a balanced ratio of platelets and plasma to red blood cells. It is unclear to what degree this strategy is used during burn or soft tissue excision. Here we characterized blood product transfusion during burn and soft tissue surgery, and reviewed the published literature regarding intraoperative coagulation changes. We hypothesized that blood product resuscitation during burn and soft tissue excision is not hemostatic and would be insufficient to address hemorrhage-induced coagulopathy. Methods Consented adult patients were enrolled into an IRB-approved prospective observational study. Number, component type, volume, and age of the blood products transfused were recorded during burn excision/grafting or soft tissue debridement. Component bags (pRBCs, FFP, PLTs, and cryoprecipitate) were collected and the remaining sample harvested from the bag and tubing. Aliquots of 1/1000th the original volume of each blood product were obtained and combined, producing an amalgam sample containing the same ratio of product transfused. Platelet count, rotational thromboelastometry, and impedance aggregometry were measured. Significance was set at p<0.05. Results Amalgamated transfusate samples produced abnormally weak clots (p≤0.001) particularly if they did not contain platelets. Clot strength (48.8 ± 2.6 mm; reference range: 49–71mm) for platelet-containing amalgams was below the lower limit of the reference range despite PLT:RBC ratios greater than 1:1. Platelet aggregation was abnormally low; transfused platelets were functionally inferior to native platelets. Conclusion Our study and focused review demonstrate that further work is needed in order to fully understand the needs of patients undergoing tissue excision. The three studies reviewed and the results of our observational work suggest that coagulopathy and thrombocytopenia may contribute to intraoperative hemorrhage. Blood product resuscitation during burn and soft tissue excision is not hemostatic.

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Single-site Community Consultation for Emergency Research in a Community Hospital Setting

Abstract: The internal and external websites provided the most effective means for sharing research-related information to community members. While cost-effective, social media outreach was very limited and did not foster communication with community members.

Cited by 6 publications

References 10 publications

Use of Mobile Devices, Social Media, and Crowdsourcing as Digital Strategies to Improve Emergency Cardiovascular Care

Use of Mobile Devices, Social Media, and Crowdsourcing as Digital Strategies to Improve Emergency Cardiovascular Care

Practical and Ethical Considerations for Using Social Media in Community Consultation and Public Disclosure Activities

Acute blood loss during burn and soft tissue excisions

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